权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

An investigation on the application of a portable pulse oximetory to the home care

便携式脉搏血氧仪在家庭护理中的应用研究

基本信息

批准号：
02807221
负责人：
USHIGOME Miwako
金额：
$ 1.15万
依托单位：
TOKYO METROPOLITAN INSTITUTE FOR NEUROSCIENCES
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1992
项目状态：
已结题

项目摘要

The number of patients with respiratory dysfunction has been increasing among the home care patients. The needs for the safety respiratory home care procedure is now intensifying, especially in the patients with neurological disease. It is very helpful to using some adequate monitoring devices for the respiratory and circulation system of the patient. In this research, we discussed on the applicability of the portable pulse oximetory to the home respiratory care. Eighteen patients with neurological disease were studied who had respiratory dysfunction and six of them were using mechanical ventilation. The results were as follows. 1. In order to carry out a safety home care, the respiratory monitoring was very important especially when (1) the respiratory dysfunction getting worse, (2)planning to develop patient's daily exercise, (3)doing some nursing procedure such as suctioning tracheostomy tube. 2. Application of the portable pulse oximetory was effective particularly when (1) long-term observation of respiratory function, (2) prevention of diminishing of SaO2 during under nursing, (3) determinate the schedule of developing patient's daily exercise. 3. For the safety use of portable pulse oximetory in home care, it should be needed (1) improvement of the hardware/software specification (easy to manipulate and safety to misuse), (2) training system for users, (3) information net work among the home care members, (4) development of other adequate monitors for respiratory functions, which could be using with the portable pulse oximetory.

在家庭护理患者中，呼吸功能障碍患者的数量一直在增加。对安全的呼吸道家庭护理程序的需求正在加强，特别是在神经系统疾病患者中。使用一些适当的监测设备对患者的呼吸和循环系统非常有帮助。本研究探讨便携式脉搏血氧仪在家庭呼吸监护中的适用性。18例神经系统疾病患者有呼吸功能障碍，其中6例使用机械通气。结果如下。1.为了进行安全的家庭护理，呼吸监测是非常重要的，特别是当（1）呼吸功能障碍加重，（2）计划发展患者的日常锻炼，（3）进行一些护理程序，如吸气管切开管。2.应用便携式脉搏血氧仪监测呼吸功能，预防护理过程中SaO_2下降，制定患者日常运动计划，效果显著。3.为了在家庭护理中安全使用便携式脉搏血氧仪，应（1）改进硬件/软件规范（易于操作和安全误用），（2）用户培训系统，（3）家庭护理成员之间的信息网络，（4）开发其他适当的呼吸功能监测仪，可与便携式脉搏血氧仪一起使用。