Long-term oxygen therapy: review from the patients' perspective.
Long-term oxygen therapy: review from the patients' perspective.
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DOI：
10.1177/1479972309103046
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发表时间：
2009-01-01
影响因子：
4.1
通讯作者：
Stiffler, D
中科院分区：
文献类型：
--
作者：
Cullen, D L;Stiffler, D
慢性呼吸道疾病导致需要长期氧疗(LTOT)的患者数量增加。然而，许多患者并没有按照处方使用氧气。除非我们能帮助这些患者接受氧疗，否则不会达到最佳的临床结果。我们进行了定性研究的综合集成。我们纳入了任何关于服用LTOT的患者的心理社会性质或经历的定性研究。四项研究符合我们搜索的条件。我们执行了乔安娜·布里格斯研究所所描述的严格的综合合成方法学方案。共有12项调查结果形成了四个主题。这些主题包括：使氧气适应生活环境，生活在一个受限的世界，氧气培养自我管理，以及顺从和依赖。从确定的四个主题类别来看，综合集成产生了两个主要结果：给患者开出的氧气使其使用合理化，同时协商生活方式干预和身体限制，以及照顾自己的动力相互冲突。这种综合作用表明，每个氧气使用者都面临着巨大的身体、心理和情感挑战。他们努力适应并保持掌握，但最终导致对氧气的依赖。这些挑战会影响患者遵守治疗指南的能力。这些障碍和挑战很少得到解决，也没有得到充分的对待。参与LTOT的临床医生需要意识到并与患者合作，以方便他们使用氧气。纳入患者的观点可以指导实践，并有助于制定新的干预措施和管理策略。
Chronic respiratory conditions are responsible for increasing numbers of patients in need of long-term oxygen therapy (LTOT). However, many patients do not use their oxygen as prescribed. Unless we can assist these patients in living with oxygen therapy, optimal clinical outcomes will not be achieved. We conducted a meta-synthesis of qualitative research studies. We included any qualitative study that focused on the psychosocial nature or experience of patients prescribed LTOT. Four research studies met the conditions of our search. We performed a rigorous methodological protocol for meta-synthesis as described by the Joanna Briggs Institute. A total of 12 findings formulated four themes. These themes included the following: adapting oxygen to life's circumstances, living in a restricted world, self-management is fostered by oxygen, and submission and dependency. From the four thematic categories established, meta-synthesis resulted in two major results: persons prescribed oxygen rationalize its use while negotiating lifestyle interference and physical restrictions and the drive to care for one's self is conflicted. This meta-synthesis showed that each oxygen user faces tremendous physical, psychological, and emotional challenges. They strive to adapt and maintain mastery but eventually oxygen dependency results. These challenges affect the patient's ability to adhere to their treatment guidelines. These barriers and challenges are seldom addressed and are under-treated. Clinicians involved in LTOT need to be aware and work with the patients to facilitate their use of oxygen. Inclusion of the patients' perspective can guide practice and assist with the development of new interventions and management strategies.