DOI QR코드

DOI QR Code

비흡연자 만성폐쇄성폐질환의 유병률과 위험인자의 융합적 분석

Convergence analysis of Prevalence and Risk Factors of chronic obstructive pulmonary disease among Non-smokers

  • 송혜영 (이화여자대학교 간호학과) ;
  • 방윤이 (이화여자대학교 간호학과)
  • 투고 : 2017.11.13
  • 심사 : 2018.01.20
  • 발행 : 2018.01.28

초록

본 연구는 국민건강영양조사 제6기(2013-2015) 자료를 이용하여, 비흡연자 만성폐쇄성폐질환의 유병률과 위험인자를 파악하고 비흡연자 만성폐쇄성 폐질환자의 질병악화예방과 관리방안을 모색하고자 시행되었다. 40세 이상 만성폐쇄성폐질환자 중 비흡연자 4, 911명을 대상으로 복합 표본 교차분석과 로지스틱 회귀분석을 실시하였다. 연구결과 65세 이상(p<.001), 남자(p<.001), 농촌(p=.044), 무 배우자(p<.001), 낮은 학력(p<.001), 농림어업종사자(p<.001)에서 유병률이 높았고, 폐결핵(p<.001)과 천식(p<.001)이 있는 경우 유병률이 높게 나타났다. 또한, 위험인자로는 연령(p<.001), 성별(p<.001), 학력(p=.022), 직업(p<.001), 폐결핵(p<.001), 천식(p<.001)으로 나타났다. 따라서 유병률, 위험인자와 관련된 변수를 고려한 간호사정과 이를 바탕으로 임상에서 적용 가능한 호흡재활 및 호흡중재 프로그램개발이 필요할 것으로 사료된다.

참고문헌

  1. J. Vestbo, S. S. Hurd, A. G. Agusti, P. W. Jones, C. Vogelmeier, A. Anzueto, P. J. Barnes, L. M. Fabbri, F. J. Martinez, M. Nishimura, R. A. Stockley, D. D. Sin, R. Rodriguez-Roisin, "Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary," Am J Respir Crit Care Med, Vol. 187, No. 4, pp. 347-365, 2013. https://doi.org/10.1164/rccm.201204-0596PP. https://doi.org/10.1164/rccm.201204-0596PP
  2. T. Shah, M. M. Churpek, M. C. Perraillon, R. T. Konetzka, "Understanding why patients with COPD get readmitted: a large national study to delineate the Medicare population for the readmissions penalty expansion," Chest, Vol. 147, No. 5, pp. 1219-1226, 2015. https://doi.org/10.1378/chest.14-2181. https://doi.org/10.1378/chest.14-2181
  3. A. Blakemore, C. Dickens, E. Guthrie, P. Bower, E. Kontopantelis, C. Afzal, P. A. Coventry, "Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis," Int J Chron Obstruct Pulmon Dis, Vol. 9, pp. 501-512, 2014. https://doi.org/10.2147/COPD.S58136.eCollection 2014. https://doi.org/10.2147/COPD.S58136
  4. World Health Organization, "Chronic Respiratory Diseases, Burden of COPD," http://www.who.int/respiratory/copd/causes/en/index.html.
  5. C. F. Vogelmeier, G. J. Criner, F. J. Martinez, A. Anzueto, P. J. Barnes, J. Bourbeau, B. R. Celli, R. Chen, M. Decramer, L. M. Fabbri, "Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease 2017 Report," Respirology, Vol. 22, No. 3, pp. 575-601, 2017. https://doi.org/10.1111/resp.13012. https://doi.org/10.1111/resp.13012
  6. Statistics Korea, "2014 Report for Cause of death," http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=348541
  7. D. Price, D. Freeman, J. Cleland, A. Kaplan, F. Cerasoli. "Earlier diagnosis and earlier treatment of COPD in primary care," Primary Care Respiratory Journal, Vol. 20, No. 1, pp. 15-22, 2010. https://doi:10.4104/pcrj.2010.00060 https://doi.org/10.4104/pcrj.2010.00060
  8. S. H. Lee, E. D. Hwang, J. E. Lim, S. Moon, Y. A. Kang, J. Y. Jung, M. S. Park, S. K. Kim, J. Chang, Y. S. Kim, S. Y. Kim, "The Risk Factors and Characteristics of COPD Among Nonsmokers in Korea: An Analysis of KNHANES IV and V," Lung, Vol. 194, No. 3, pp. 353-361, 2016. https://doi.org/10.1007/s00408-016-9871-6. https://doi.org/10.1007/s00408-016-9871-6
  9. T. Mahmood, R. K. Singh, S. Kant, A. D. Shukla, A. Chandra, R. K. Srivastava, "Prevalence and etiological profile of chronic obstructive pulmonary disease in nonsmokers," Lung India, Vol. 34, No. 2, pp. 122-126, 2017. https://doi.org/10.4103/0970-2113.201298. https://doi.org/10.4103/0970-2113.201298
  10. S. S. Salvi, P. J. Barnes, "Chronic obstructive pulmonary disease in non-smokers," Lancet, Vol. 374, No. 9691, pp. 733-743, 2009. https://doi.org/10.1016/S0140-6736(09)61303-9. https://doi.org/10.1016/S0140-6736(09)61303-9
  11. Korea Centers for Diseases Control and Prevention, "2014 Korean National Health and Nutrition Examination Survey (KNHANES VI-2)" https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do.
  12. World Health Organization, Obesity: preventing and managing the global epidemic, World Health Organization, 2000.
  13. B. Lamprecht, M. A. McBurnie, W. M. Vollmer, G. Gudmundsson, T. Welte, E. Nizankowska-Mogilnicka, M. Studnicka, E. Bateman, J. M. Anto, P. Burney, D. M. Mannino, S. A. Buist, BOLD Collaborative Research Group, "COPD in never smokers: results from the population-based burden of obstructive lung disease study," Chest, Vol. 139, No. 4, pp. 752-763, 2011. https://doi.org/10.1378/chest.10-1253. https://doi.org/10.1378/chest.10-1253
  14. M. K. Lee, A. Jo, S. O. Lim, "Community Health Convergence through Analysis of Chronic Disease Influencing Factors: Focusing on 30-40s Adults in Sejong City," J Korea Convergence Soc, Vol. 8, No. 5, pp. 127-135, 2017. https://doi.org/10.15207/JKCS.2017.8.5.127. https://doi.org/10.15207/JKCS.2017.8.5.127
  15. S. J. Lee, S. W. Kim, K. A. Kong, Y. J. Ryu, J. H. Lee, J. H. Chang, "Risk factors for chronic obstructive pulmonary disease among never-smokers in Korea," Int J Chron Obstruct Pulmon Dis, Vol. 10, pp. 497-506, 2015. https://doi.org/10.2147/COPD.S77662. https://doi.org/10.2147/COPD.S77662
  16. Y. Zhou, C. Wang, W. Yao, P. Chen, J. Kang, S. Huang, B. Chen, C. Wang, D. Ni, X. Wang, D. Wang, S. Liu, J. Lu, J. Zheng, N. Zhong, P. Ran, "COPD in Chinese nonsmokers," Eur Respir J, Vol. 33, No. 3, pp. 509-518, 2009. https://doi.org/10.1183/09031936.00084408. https://doi.org/10.1183/09031936.00084408
  17. K. Husman, M. Koskenvuo, J. Kaprio, E. O. Terho, I. Vohlonen, "Role of environment in the development of chronic bronchitis," Eur J Respir Dis Suppl, Vol. 152, pp. 57-63, 1987.
  18. R. P. Benzo, B. Abascal-Bolado, M. M. Dulohery, "Self-management and quality of life in chronic obstructive pulmonary disease (COPD): The mediating effects of positive affect," Patient Educ Couns, Vol. 99, No. 4, pp. 617-623, 2016. https://doi.org/10.1016/j.pec.2015.10.031. https://doi.org/10.1016/j.pec.2015.10.031
  19. M. A. Spruit, S. J. Singh, C. Garvey, R. ZuWallack, L. Nici, C. Rochester, et al., "An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation," Am J Respir Crit Care Med, Vol. 188, No. 8, pp. e13-e64, 2013. https://doi.org/10.1164/rccm.201309-1634ST. https://doi.org/10.1164/rccm.201309-1634ST
  20. P. A. Mahesh, B. S. Jayaraj, S. T. Prahlad, S. K. Chaya, A. K. Prabhakar, A. N. Agarwal, S. K. Jindal, "Validation of a structured questionnaire for COPD and prevalence of COPD in rural area of Mysore: A pilot study," Lung India, Vol. 26, No. 3, pp. 63-69, 2009. https://doi.org/10.4103/0970-2113.53226. https://doi.org/10.4103/0970-2113.53226
  21. R. Kohansal, P. Martinez-Camblor, A. Agusti, A. S. Buist, D. M. Mannino, J. B. Soriano, "The natural history of chronic airflow obstruction revisited: an analysis of the Framingham offspring cohort," Am J Respir Crit Care Med, Vol. 180, No. 1, pp. 3-10, 2009. https://doi.org/10.1164/rccm.200901-0047OC. https://doi.org/10.1164/rccm.200901-0047OC
  22. K. H. Cho, C. M. Nam, E. J. Lee, Y. Choi, K. B. Yoo, S. H. Lee, E. C. Park, "Effects of individual and neighborhood socioeconomic status on the risk of all-cause mortality in chronic obstructive pulmonary disease: A nationwide population-based cohort study, 2002-2013," Respir Med, Vol. 114, pp. 9-17, 2016. https://doi.org/10.1016/j.rmed.2016.03.003. https://doi.org/10.1016/j.rmed.2016.03.003
  23. S. J. Park, W. J. Lee, "An Analysis of Convergence Factors on the Unmet Health Needs of the Indigent Elderly," J Korea Convergence Soc, Vol. 8. No. 1, pp. 221-229, 2017. https://doi.org/10.15207/JKCS.2017.8.1.221. https://doi.org/10.15207/JKCS.2017.8.1.221
  24. H. S. Kim, S. S. Kim, "A Converged Study about Influences of Job Stress, Job Security, Depression, Family Bond, Subjective Health Status, Social Support on Quality of Life in Married Middle-Aged Male," J Korea Convergence Soc, Vol. 8, No. 3, pp. 101-114, 2017. https://doi.org/10.15207/JKCS.2017.8.3.101. https://doi.org/10.15207/JKCS.2017.8.3.101
  25. S. Hagstad, H. Backman, A. Bjerg, L. Ekerljung, X. Ye, L. Hedman, A. Lindberg, K. Toren, J. Lotvall, E. Ronmark, B. Lundback, "Prevalence and risk factors of COPD among never-smokers in two areas of Sweden -Occupational exposure to gas, dust or fumes is an important risk factor," Respir Med, Vol. 109, No. 11, pp. 1439-1445, 2015. doi: https://doi.org/10.1016/j.rmed.2015.09.012. https://doi.org/10.1016/j.rmed.2015.09.012
  26. J. S. Oh, S. H. Park, M. K. Kwak, C. H. Pyo, K. H. Park, H. B. Kim, S. Y. Shin, H. J. Choi, “Ambient Particulate Matter and Emergency Department Visit for chronic obstructive pulmonary disease,” J Korean Soc Emerg Med, Vol. 28, No. 1, pp. 32-39, 2017.
  27. D. A. Stern, W. J. Morgan, A. L. Wright, S. Guerra, F. D. Martinez, “Poor airway function in early infancy and lung function by age 22 years: a non-selective longitudinal cohort study,” Lancet, Vol. 370, No. 9589, pp. 758-764, 2007. https://doi.org/10.1016/S0140-6736(07)61379-8
  28. Y. M. Jung, H. Y. Lee, “Chronic Obstructive Pulmonary Disease in Korea: Prevalence, Risk Factors, and Quality of Life,” Journal of Korean Academy of Nursing, Vol. 41, No. 2, pp. 149-156, 2011. https://doi.org/10.4040/jkan.2011.41.2.149