Patients with chronic respiratory disease repeat hospitalization-discharge and their struggles with disease are of long duration. The purpose of this study is to explore the factors facilitating patients to live in optimal health conditions in a home setting. Methods: Subjects are those who have been treated and discharged from the hospitals with emergency center from October 1, 1999 to March 1, 2000. 101 individuals were hospitalized and statistical analysis has been done on the 96 subjects excluding those who refused participation and had difficulty of communication. Study variables are demographic data, living environment, physical condition, use of social resources, and treatment. To obtain information, the researchers used medical charts and interviewed patients and their families when they were discharged from the hospital. Findings: 1) 31％ of the subjects are over 80 years old and close to 90％ of the subjects are 65 years or older. Furthermore, those who have hobbies and are motivated are 70％ and 50％ respectibly. About two-thirds of subjects live with family in two generations. From this living condition, it is assumed that family support is obtained. 2) 72％ of the subjects were diagnosed as COPD and many were suffered from multiple respiratory complications. 80％ of participants had difficulty of breath at walking; cough, sputum, and difficulty of breathing at walking are common symptoms and 70％ were discharged from hospital with two symptoms. Patients need assistance for activity that requires increased oxygen consumption, such as showering. 3) The most common causes of re-hospitalization are pneumonia, bronchial pneumonia, and asthma attack. Still 20％ of the subjects smoke. According to the values of BMI, serum total protein and serum albumin, poor nutrition is suspected. From these consequences, it is important for care providers to educate patients regarding smoking-secession and improvement of nutritional condition. To facilitate patients with chronic respiratory disease living in a home setting, it is important to maintain their respiratory function and prevention of infection. Pivotal factors which encourage patients self care at home setting are to know their respiratory function and health condition, to use social resources, and to obtain family support.
呼吸障害を有する慢性呼吸器疾患患者の在宅療養に関する研究 患者の特性に焦点をあてて
No2p98
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