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Analyses of Factors Affecting Home Oxygen Therapy (HOT) Patients' Quality of Life:Focusing on Their Life Satisfaction Tomoko Fukanoki 1 , Sachiyo Murashima 2 , Sumiko Iida 2 1Tokyo Medical and Dental University 2St. Luke's College of Nursing pp.9-21
Published Date 1991/6/15
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Abstract

 The purposes of this study were to clarify the structure of HOT patients' Quality of Life (QOL) and to examine an affective system of nursing care for them. We used Maslow A.H.'s theory of human needs as the conceptual framework. HOT patients' QOL was defined as their own “subjective life satisfaction,” and The Philadelphia Geriatric Center (PGC) Morale Scale was used as its indicator. The subjects were thirty-two adult patients suffering from chronic respiratory failure with HOT, including fourteen females, who were registered at one city office and two hospitals in the Kanto area, and their families. Their average age was 67.4, and the average HOT period was two years and four months. The data was collected by questionnaire, interview and observation methods at their homes. The data analyses were conducted in two steps-quantitative and qualitative methods. The results were as follows:

 (1) Among the three institutions, no difference was detected in the subjects' disease nor HOT conditions. (2) The average score on the PGC Scale was 10.6, which was as high as some healthy elderly persons. The average PGC scores of the subjects at the two hospitals were significantly higher than those of the city office though there was no difference among the three institutions in the other items. In these two hospitals, public health nurses cared for the patients as soon as the physician decided on the therapy in the hospital, then while they are being transferred to their homes, and after their conditions have stabilized continuously in a timely manner. Such support by the hospital public health nurses was very effective and recommended. (3) By path analyses, it was pointed out that the HOT patients' QOL was positively affected by their physical factors-less subjective symptoms of respiratory failure and independent ADL- through their psychological factors-positive self-esteem and less anxiety-and sociological factors-patients' roles at home and continuation of their jobs. The existence of a support network-emotional support and care provided by specialists-contributed indirectly to a higher QOL. (4) The above relationships among QOL and the other four factors were verified concretely in each case by qualitative analyses. (5) In order to expand the HOT patients' activity in various fields, it is necessary to make networks to provide support and information to them.


Copyright © 1991, Japan Academy of Nursing Science. All rights reserved.

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電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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