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KMID : 0882420070730050481
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Korean Journal of Medicine
2007 Volume.73 No. 5 p.481 ~ p.488
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The factors associated with a willingness to repeat an endoscopic examination
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Oh Kyung-Joo
Kim Jin-Il
Cheung Dae-Young
Cho Se-Hyun
Park Soo-Heon
Han Joon-Yeol
Kim Jae-Kwang
Choi Gyu-Yong
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Abstract
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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).
Conclusion : 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.
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KEYWORD
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Esophagogastroduodenoscopy, Mental health, Physical suffering
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