A Study of Nursing Interventions for Patients with Chronic Respiratory Insufficiency Living at Home

慢性呼吸功能不全居家患者的护理干预研究

• 批准号: 10672212
• 负责人: IMANAKA Etsuko
• 金额: $ 2.05万
• 依托单位: KAGAWA MEDICAL UNIVERSITY (1999)Nagasaki University (1998)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672212/
• 关键词: chronic respiratory insufficiency; home care; home oxygen therapy(HOT); 慢性呼吸不全患者; HOT(在宅酸素療法); 地域ケアシステム

The purpose of this investigation is to clarify the role of nursing for patients with chronic respiratory insufficiency living at home.This study was carried out to determine two aspects: To determine 1) whether patient education given before discharge from hospital was appropriated to their living condition at home; and 2)whether collaboration between health and welfare was effective in terms of QOL.Home-visiting interviews were carried out and questionnaires were sent to the patient. Self-help organizations and patients during the study periods.The following results were obtained:1) Subjects reported decrease in 'taking baths and negotiating stairs' as well as 'opportunities and length of time to go out'. On the other hand, positive factors were 'improvement in sleeping', 'increased communication between patients and their families', and 'increase of their zest with life'.2) Concerning the nation wide survey of patient self-help organizations it was found that they serve to improve QOL and acquire knowledge of medical treatment.Moreover, because of sickness and disability it is difficult to administer/handle their organizations . Therefore, these results suggest that it is important and necessary to support the organizations in the view of comprehensive. Respiratory rehabilitation, by means of health and welfare collaboration.3) Thirdly, we made a survey via questionnaire of patients' Living conditions, psychological affects, and used social resources. At the moment, the processing of the questionnaire data is still ongoing. We will consider nurses' role based on the patients' needs identified from the results.

为了解慢性呼吸功能不全患者居家护理的作用，本研究从两个方面进行探讨：1）出院前对患者进行的教育是否与居家生活条件相适应;（2）卫生与福利合作是否对生活质量有影响。结果发现：（1）受试者在“洗澡、爬楼梯”、“外出的机会和时间”等方面都有减少;另一方面，积极因素是“改善睡眠”、“增加患者与家人之间的沟通”和“增加他们对生活的热情”。2）关于全国范围内的患者自助组织的调查，发现它们有助于提高生活质量和获得医疗知识。因此，这些结果表明，从全面的角度支持组织是重要的和必要的。3）采用问卷调查的方式，对患者的生活状况、心理影响、社会资源利用情况进行调查。目前，调查表数据的处理工作仍在进行中。我们将根据从结果中确定的患者需求考虑护士的角色。