Development of self-managed program for preventing respiratory infection in COPD patients

• Project/Area Number: 25463455
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Fukuoka University
• Principal Investigator: Oshiro Tomoko 福岡大学, 医学部, 講師 (50461538)
• Co-Investigator(Kenkyū-buntansha): 藤田 昌樹 福岡大学, 医学部, 准教授 (50325461) ; 田中 景子 愛媛大学, 医学系研究科, 助教 (40341432) ; 緒方 久美子 福岡大学, 医学部, 准教授 (00309981) ; 石橋 曜子 福岡大学, 医学部, 助教 (70469386) ; CLINGWALL DION 広島大学, 医歯薬保健学研究院(医), 特任准教授 (80737669) ; 馬場 みちえ 福岡大学, 医学部, 准教授 (60320248)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: COPD / 慢性閉塞性肺疾患 / セルフケア / 気道感染 / 自己管理 / 予防行動

Outline of Final Research Achievements

This study investigated QOL and preventive knowledge and behavior of COPD patients who visit the outpatient department for treatment. About 70 percent of the subjects were 70 years old and over, and about 40 percent of them had advanced diseases (stage III or IV). Although it was considered that the decreased respiratory function induced by progress of COPD affects their QOL in respect of physical functions. Twenty-five percent of the patients in stage IV still continued smoking, which has a serious relation with the progress of illness.
Lack of knowledge on the disease might also prevent them from engaging in preventive behaviors on respiratory infection. Knowledge reduces the number of hospitalizations for pneumonia and other diseases by leading COPD patients to engage in preventive behaviors, suggesting the association of knowledge on the disease with the prevention of exacerbation in patients with COPD.

Research Products

• [Journal Article] COPDにおける軌道感染予防のためのセルフケアプログラム開発 (2017)
  • Author(s): 大城知子
  • Journal Title: アレルギーの臨床 Volume: 37 Pages: 54-55
  • Peer Reviewed
• [Presentation] COPD Patients' Perception of the Influence of Respiratory Infection on Its Prognosis and Their Preventive Behaviors (2017)
  • Author(s): Tomoko Oshiro. Baba Michie. Masaki Fujita. Yasuko Kaneko. Satoshi Takeda. Ryousuke Hirano. Kayoko Mawatari. Sachiko Kinoshita. Dion Clingwall. Yoko Ishibashi. Ayako Ura. Keiko Kamitani, Ikuko Miyabayashi
  • Organizer: 20th East Asian Forum of Nursing Scholars
  • Place of Presentation: Hong Kong, China
  • Year and Date: 2017-03-09
  • Int'l Joint Research
• [Presentation] The Characteristics of COPD Patients in Disease Stages (2016)
  • Author(s): T. Oshiro, M. Baba, M. Fujita, Y. Kaneko, S. Takeda, R. Hirano, K. Mawatari, S. Kinoshita, D. Clingwall, Y. Ishibashi, A. Ura, I. Miyabayashi.
  • Organizer: 21st Congress of the Asian Pacific Society of Respirology
  • Place of Presentation: Bangkok, Thailand
  • Year and Date: 2016-11-12
  • Int'l Joint Research
• [Presentation] 慢性閉塞性肺疾患患者の気道感染とその予防行動･対処行動･認識についての実態調査 (2016)
  • Author(s): 大城知子
  • Organizer: 第31回日本環境感染学会総会・学術集会
  • Place of Presentation: 国立京都国際会館およびグランドプリンスホテル京都
  • Year and Date: 2016-02-19
• [Presentation] A study of the quality of life (QOL) of Chronic obstructive pulmonary disease (COPD) (2015)
  • Author(s): Tomoko Oshiro
  • Organizer: The 22nd Keimyung International Nursing Conference
  • Place of Presentation: 韓国 テグ市 啓明大学
  • Year and Date: 2015-11-18
  • Int'l Joint Research