Eunjung Kim is an Exercise Specialist who is in charge of research in Regional Center for Respiratory Diseases of Yeungnam University Hospital. She works at the Division of Prevention Services. She is responsible for analyzing related documents, writing reports, and conducting research related administrative tasks.
Statement of the Problem: The prevalence of respiratory diseases and cause of death in Korea are increasing. However, the health behavior of patients with respiratory disease has not been improved sufficiently, and educational counseling programs for chronic respiratory diseases in medical institutions are insufficient. The purpose of this study was to compare the health behaviors of respiratory disease patients and healthy persons. Methodology & Theoretical Orientation: This study used data from the Community Health Survey (CHS) of Gyeongbuk province through 2009-2012. Among the questionnaires, patients who were diagnosed with pulmonary tuberculosis, asthma and allergic rhinitis were classified as 'respiratory disease patient group'. Patients diagnosed with other chronic diseases by physicians were classified as 'other chronic disease patients' group, and those who had not been diagnosed with disease were classified as 'healthy people group'. After analyzing the data, we compared the health behaviors of 'respiratory disease patient group' and 'healthy people group' after excluding ‘other chronic patients group’. The health behaviors such as smoking rate, drinking rate, walking practice rate, weight control attempt rate, stress perception, mental health experienced rate of lying on bed and experience rate were absent. Findings: Current smoking rates of respiratory disease patients and health groups were 18.7-20.0% and 24.0-29.6%, respectively. The high-risk drinking rates of patients with respiratory disease and those of healthy group were 9.3-23.6% and 10.2-27.1%, respectively. The practice rate of violent physical activity was 10.5-13.0% and 11.2-13.0% in respiratory disease and health group, respectively, and the walking practice rate was 27.8-37.8% and 30.0-40.7% respectively. The rate of weight control attempt was 40.0-47.1% in respiratory disease patients, 32.7-40.6% in healthy patients and about 7% P in respiratory disease patients. Stress awareness of respiratory illness and health group was 28.6-29.5% and 19.4-21.5%, respectively, and respiratory disease group was about 8% P higher. The depressed experience rate was 7.5%-11.0% in respiratory disease group and 2.4%-4.6% in healthy group, respectively, and was about 5% P different. The experience rate lying on a bed was 7.9-9.7% in respiratory disease group and 2.3-5.2% in healthy group, respectively. The incidence of absent absence was 3.4-5.5% in respiratory disease group and 1.6-3.0% in healthy group, respectively. Conclusion & Significance: The results showed that some health behaviors (smoking, drinking, exercise, etc.) of the respiratory disease group were not improved, especially the stress awareness and depression experience rate of respiratory disease patients were higher than those of healthy people; educational counseling through the program is necessary.
Misook Lee is the Head of the Patient Education Support Team at the Regional Center for Respiratory Disease at Yeungnam University Hospital. She is an RN and has a Master’s in Public Health. She has more than 30 years of clinical experience and expertise in Patient Education and Counseling. Currently, she is the Administrative Officer of the Regional Center for Respiratory Disease and is responsible for educational counseling for patients
Statement of the Problem: Chronic Obstructive Pulmonary Disease (COPD) in Korea has a very low inhalation compliance rate of less than 20%. However, there are not many examples of patients' self-help groups in hospitals in Korea. In order to prevent the management and deterioration of COPD, it is very important to improve compliance, and self-help groups are a good way to improve compliance and self-management. Methodology & Theoretical Orientation: Regional Respiratory Disease Center of Yeungnam University Hospital operated small self-help group for patients who wanted to participate. We conducted a preliminary questionnaire analysis on patients enrolled in self-help groups and ate lunch together for icebreaking. Self-help groups held quarterly provided COPD education, introduction of personal experiences and respiratory rehabilitation training. Each time a self-help group is held, we evaluate satisfaction rate and patient’s needs through surveys and reflects patients' opinions. Findings: The COPD self-help group was held three times in 2016. Of the 11 registered COPD patients, seven were present at all three sessions without dropping out. Satisfaction with the self-help group was 3.3-3.6 out of 4 points. A handwritten presentation was held to share patient experiences. There was no significant change in satisfaction, self-efficacy, and depression scores. Conclusion & Significance: In this study, there was no significant change in satisfaction, self-efficacy and depression scores. The reason for this was that the patients who participated in the self-help group were well-compliant and self-managed. In the future, it may be necessary to involve patients who have low compliance or poor self-management in the program.