227758 Chronic Obstructive Pulmonary Disease Prevention and Management of Patients in Genaral Hospital

Sunday, November 7, 2010

Masaki Shinjo, PhD , Nursing, Okinawa Prefactural College of Nursing, Okinawa, Japan
Itsuko Akamine, RN, MHS , Nursing, Okinawa Prefactural College of Nursing, Okinawa, Japan
Hideo Tanaka, MD, PhD , Aichi Cancer Center, Aichi, Japan
Yukio Kyan, MD , Naha City Hospital, Okinawa, Japan
Yoko Sato, MD , Tomishiro Cyuo Hospital, Okinawa, Japan
Tomoo Kishaba, MD , Okinawa Prefectural Chubu Hospital, Okinawa, Japan
Background: The Cases of COPD (Chronic bronchitis, Emphysema) have recently been increase on the world wide. COPD is the fourth leading cause of death in the world. Okinawa has high SMR of COPD in Japan. We have conducted the survey to identify factors contributing to high mortality of COPD in Okinawa. These disease prevention and management are very important. Methods: Subjects were 23 patients aged 55-88 years (mean:73.1, Sd:8.6) who were recruited in three general hospitals in Okinawa. The questionnaire consisted following categories of questions: individual characteristics, smoking status, number of smoking cigarettes par day, age to start smoking, age of smoking cessation, duration of smoking, harmful environmental categories such as smoking, environmental circumstances , etc. Results: All patients were Emphysema. Current smokers were 6 (male:6, female:0 ), and ex-smoker were 17 (male:16, female:1). Mean of duration of smoking was 39.3 (Sd:13.7) years, and mean of Brinkman Index (BI) was 1476.5 (Sd:850.7, Range:50-3720). Mean of BI were significant different between hospitals. Starting to smoke at a young age and long years spent smoking seems to be main risk factors for COPD. Seventeen percent of patients replied that it was very disagreeable with the others to inhale cigarettes near. As for the cigarettes smoking, 52.2% replied very harmful in health and 30.4% replied harmful in health. Eighty three percent recognized that cigarettes smoking were harmful. But, seventeen percent do not understand it. Conclusions: It is necessary to perform health education for the patients who do not understand the risk factors of the COPD. And also, it is necessary to educate them about the health risks of secondhand smoke.

Learning Areas:
Biostatistics, economics
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing

Learning Objectives:

Keywords: Chronic Diseases, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to presentation because I whoud like to preventive COPD.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.