Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Awareness and Impact of COPD in Korea: An Epidemiologic Insight Survey

  • Hwang, Yong-Il (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine) ;
  • Kwon, O-Jung (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Young-Whan (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Young-Sam (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Yong-Bum (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine) ;
  • Lee, Myung-Goo (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine) ;
  • Kim, Dong-Gyu (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine) ;
  • Jang, Seung-Hun (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine) ;
  • Jung, Ki-Suck (Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University College of Medicine)
  • Received : 2011.06.03
  • Accepted : 2011.09.22
  • Published : 2011.12.30
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Abstract

Background: There were a few studies which were conducted to know about the behavior of the chronic obstructive pulmonary diseases (COPD) patients. The aims of this study was to explore the behaviour of COPD patients, such as awareness and impact of disease, the pathway of visiting doctors, and the treatment pattern and preference. Methods: A face-to-face interview of 300 subjects with COPD was conducted. Results: The most concerned symptom which made the respondents to visit the hospital was 'breathlessness' (78%). Only 58% of them knew the exact diagnosis. Seventy-three percent of them visited the hospital 'once a month' or 'once every 2 month'. They have made 12.8 prescheduled visits to the hospital in the past 1 year. Unscheduled visits and hospital stay figured to two in the past year. Only 11% of respondents felt they were currently in good health. 'Severe' and 'very severe' COPD patients perceived their health to be in a worse condition than 'mild' and 'moderate' COPD patients. When conditions worsened, 42% of patients were hospitalized. The most common prescription treatment was a fixed combination of inhaled corticosteroids and long-acting ${\beta}2$ agonists (48%), followed by a long acting anticholinergics (38%). Conclusion: Over forty percent of the patients didn't know exactly about their condition. Most of them had a negative attitude toward their current health status. Doctors need to know more about COPD patients in terms of their attitude toward the disease, impact of the disease, interaction with healthcare professionals and treatment related problems.

Keywords

References

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