SESSION TITLE: Hot Topics in COPD
SESSION TYPE: Original Investigation Slide
PRESENTED ON: Tuesday, October 27, 2015 at 11:00 AM - 12:15 PM
PURPOSE: To investigate impacts of severity of a catastrophe on self-management of COPD patients enrolled in Ishinomaki COPD Network (ICON), after the Great East Japan Earthquake.
METHODS: Subjects: 106 COPD patients who were enrolled in ICON and underwent assessment and education programs at a base hospital before and after the Great East Japan Earthquake. 50 patients suffered from severe damage by Tsunami , total destruction or >1meter flood over the floor of their houses (damaged group), and 56 patients suffered from less or no damage (undamaged group). Patients who had performed good self-management of COPD in terms of non-smoking, exercise, writing in a COPD self-management diary and adherence to prescribed inhalant, before the earthquake, were assessed whether they could continue good self-management after the disaster in each group. Statistical analysis was done using Chi-square test.
RESULTS: 47, 44, 38, 47 of 50 patients in the damaged group, 52, 45, 34, 43 of 56 patients in the undamaged group had had good self-management in non-smoking, exercise, writing in a COPD self-management diary and adherence to prescribed inhalants, respectively, before the earthquake. In the patients who had had good self-management in each particulars, when compared between the damaged and undamaged group, significantly less patients continued good behaviours on writing in self-management diary (45 vs. 85%, p=0.00033) and adherence to inhalants (72 vs. 98%, p=0.00071), and less patients tended to continue exercise (70 vs. 87%, p=0.0533) in the damaged group. However most patients continued no smoking (94 vs. 96%, p=0.4517) in each group.
CONCLUSIONS: Patients enrolled in ICON who had been given programmed education and had good self-management generally continued good performance after the earthquake. However, severely damaged patients could not continue writing in a COPD diary, inhalation, or exercise, because Tsunami destroyed their diaries, medicine, or houses.
CLINICAL IMPLICATIONS: Patient education and self-management of diseases in ordinary times is useful for continuing good behaviours after a disaster. In addition, education and preparation for a disaster in daily life may be important to reduce risk of troubles during a disaster.
DISCLOSURE: The following authors have nothing to disclose: Masaru Yanai, Kazue Morozumi, Junko Takahashi, Seiichi Kobayashi
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