<原著>在宅酸素療法利用者のQuality of Lifeに関する研究 : 日常生活状況と呼吸症状に伴う主観的苦痛との関係

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Objectives: This study clarified association between home oxygen therapy (HOT) clients' daily life conditions and discomforts concerning respiratory status, and sought to determine nursing care needs for their quality of life (QOL). Methods: Interviews had been conducted from January to March 2000 with 56 HOT clients receiving outpatient clinic care. Interviewers (nurses) collected data on their medical history of HOT, respiratory rehabilitation, instrumental activities of daily living (IADL), social service use, daily life state concerning HOT use, and QOL described by Chronic Respiratory Disease Questionnaire (CRQ) composed of 4 domains: dyspnea, emotional function, fatigue, and mastery. Results: Over 80% of subjects recognized quick recovery from respiratory discomfort and felt secured with HOT use. However, QOL of the group experiencing improvement in family role practice was lower than that of the others playing roles less or the same. The clients not following medical description of oxygen experienced less mastery of respiratory control, but practiced more respiratory rehabilitation than those with better compliance. Only 16% of the clients used home care nursing services. Conclusions: HOT clients should have better access to nursing support to improve health related QOL and to acquire proactive respiratory rehabilitation.
2000-12-20