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Original Article
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Korean J Med. 2007;73(5):481-488.
- 원저 : 내시경 검사 후 다음 내시경 검사의 수검 의지에 영향을 미치는 요인
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- The factors associated with a willingness to repeat an endoscopic examination
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Kyeong Joo Oh, Jin Il Kim, Dae Young Cheung, Se Hyun Cho, Soo-Heon Park, Joon-Yeol Han, Jae Kwang Kim, Kyu Yong Choi
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고려대학교 의과대학 내과학교실
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- Abstract
- Background : The purpose of this study was to evaluate the association of physical distress and mental health
characteristics with the willingness to repeat an esophagogastroduodenoscopic (EGD) examination.
Methods : A questionnaire survey was conducted on 137 patients who had an EGD procedure. The mental health
status was evaluated with the Checklist-90-Revision tool, which is based on the Multidimensional Self Report Symptom
Inventory.
Results : The results were as follows. 1) The elderly and those patients with two or more procedures had a
significantly higher willingness to repeat the EGD examination. Those who were willing to repeat the examination had
more EGD examinations than those who did not (p<0.05). 2) As for the mental health characteristics, persons with a
willingness to repeat the EGD examination showed significantly lower scores on the interpersonal, sensitivity, depression,
anxiety, hostility, and paranoid ideation than did those without a willingness. 3) As for the degree of physical distress
during the EGD examination, persons with a willingness to repeat the EGD examination had significantly lower scores
on the total symptom score and global discomfort score than those without a willingness (p<0.05). 4) The younger
patients, under 30, had a significantly lower willingness to repeat the EGD examination than did the elderly patients over
60 (OR=86.03, 95% CI 2.11-999). According to patient occupations, homemakers showed a significantly higher willingness
than did others (OR=16.24, 95% CI 1.69-156.23).
Conclusions : The results of this study suggested that a willingness to repeat the EGD examination was closely
associated with the mental health characteristics of the patients.(Korean J Med 73:481-488, 2007)
Keywords :Esophagogastroduodenoscopy, Mental health, Physical suffering
