肺結核患者の療養指導に関する研究
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A survey using the questionaire of Cornell Medical Index modified by Fukamichi (CMI)was carried out on 352 out-patients and 100 in-patients of pulmonary tuberculosis, and the results were summarized as follows:<BR>1. The results of CMI test were classified into four categories according to Fukamachi. Among out-patients, cases classified as category I (normal) occupied 41.2%, category II (probably normal) 36.6%, category III (probably neurotic) 18.2%, and category IV (neurotic) 4.0%. Cases included in categories I, II and III were less among in-patients than those among outpatients, while cases classified as category IV occupied 10% among in-patients, which was higher than that of out-patients. The difference in the rate of cases classified as category IV between in- and out-patients was more marked in the females than in the males.<BR>2. Various factors such as age, type of lesions, bacteriologic status, o riginal treatment and retreatment, and duration of treatment, gave no influence on the distribution of out-patients into four categories. The rate of cases included in categories III and IV was higher in the females and in cases who showed aggravation during the course of treatment than in the males and in cases who showed no aggravation.<BR>3. The rate of cases who received chemotherapy completely and the rate of cases who were admitted to sanatorium were higher among cases included in categories III and IV than those among cases included in categories I and II. The rate of cases who abandoned chemotherapy against medical advice was 24.3% among cases included in categories I and II, while it was 7.7% among cases included in categories III and IV. Moreover, the regularity of drug administration was worse in the former than in the latter.<BR>4. The above mentioned facts show that it is u seful to conduct the CMI test on the beginning and during the course of treatment. For cases included or fallen into categories I and II, special guidance must be given to complete the treatment under regular administration of drugs.
- 日本結核病学会の論文
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