日中ジョイントシンポジウム

10月28日（日）13：00～14：30
第2会場（3階 会議室4）（Intervention‌CenteratPeking
UniversityPeople's Hospital）
座長：Dayi Hu
Tatsuya Morimoto（‌Professor University of Shizuoka）
共催：国立病院機構京都医療センター
Hosted by National Hospital Organization Kyoto Medical Center

The status and challenge of smoking control in China○ Sun YihongDirector, Department of Cardiology, China-Japan Friendship Hospital

Doctor should be the role model in smoking cessation for their patients○ ‌Sisi zhang
Hospital of Changchun University of Traditional Chinese Medicine Cardiovascular department and cardiac
rehabilitation center, China
Aim: To investigate factors affecting smoking cessation among the 110 smokers by the Limit smoking quitting
challenge for 28 days. Provide the effective method for smoking cessation.
Methods：Data were collected using follow-up by telephone, A total of 110 smokers were recruited from broadcastingand newspapers。Divide these smokers into fifteen groups, and every five people were followed up by one medical
staff. The response rate was 84.5% (n =93) .The general situation of these smokers and the success or failure factorsof smoking cessation were statistically analyzed, and then the influencing factors of smoking cessation were analyzed.
Results: During the survey, 25.45% of the respondents reported that they had stopped smoking by the follow-up
method,59.09% have failed to quit smoking. The most important reason for failure to quit smoking is poor self-control.
Conclusion: Self-control plays an important role in the process of smoking cessation. Humanistic concern caneffectively urge the volunteers to give up smoking.

Smoking Cessation in Japan -Needs and perspective based on spatiotemporal
evidences○ ‌Yasuko K. BandoDepartment of Cardiology, Nagoya University Graduate School of Medicine / Nagoya University Hospital
Smoking Cessation is no doubt of our responsibility for protecting the future generation. Smoking
continues to be a global concern with impacts varying from region to region and time to time. Studies
and observations have revealed the evidences demonstrating the disadvantage of smoking and, vice versa,
the advantage of smoking cessation with focusing global, regional, and political matters. In recent Japan,
particularly because of the upcoming Olympic year in 2020, more active campaign for smoking cessation
has been launched. By review and comparison of the smoking regulation that has attained in modern Japan
with global trends (=spatio-) and historical (=temporal) facts, this paper aimed to explore the needs andperspective that are expected for Japan to dedicate better to the future generation.

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Psychological aspects of smoking patients and smoking cessation therapy○ ‌Koji Hasegawa
National Hospital Organization Kyoto Medical Center, Kyoto, JAPANFor the past 50 years, the prevalence of smoking among men continues to decrease in Japan, whilethat among women has remained stable at approximately 10%. Women consume fewer daily numberof cigarettes per day. Nevertheless, women have more depressive tendency, and a lower success rate
for smoking cessation than men. It is unclear if gender differences affect relationship between nicotine
dependency and depressive tendency. Prolonged smoking intensifies stress and mental strain, and increases
the likelihood of developing psychiatric disorders such as panic disorders, anxiety, and major depression.
Individuals with highly depressive tendencies are more likely to start smoking. When mentally unstablepatients with depression quit smoking, their depression is known to temporarily worsen soon after quitting.
Thus, smoking and depression are related closely to each other, and smoking leads to a vicious downward
mental spiral. We previously found that over half of the patients initially visiting the Smoking Cessation
Clinic had mild, latent depression, despite having no prior history of a psychiatric disorder. In the current
lecture, we would like to discuss on characteristics of men and women participating in an outpatient
smoking cessation program, and changes in depression after patients quit smoking while visiting theSmoking Cessation Clinic.

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