Egashira Y
Tamana Public Central Hospital, Kumamoto.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Dec;30 Suppl:180-8.
Home oxygen therapy (HOT) has released patients with chronic respiratory failure (CRF) from hospitalization for the rest of their lives, and has brought some relief from their physical restriction due to CRF. However, some new psychosocial problems have arisen from this home care treatment. Research has been performed on 85 patients in our hospital by: (1) comprehensive psychosomatic questionnaire for patients with long-term oxygen therapy, (2) CMI, (3) SRQ-D (depression), (4) MAS and Questionnaire C of JMHW-CRF research group. The results of (1) indicated some problems in the majority of patients. Also in SRQ-D, about half of the patients showed a depressive state. In MAS, more than a few patients revealed a high anxiety level concretely, recognized psychosocial problems with loss of desire for treatment pessimism recording their prognosis, in addition to loss of QOL. All the above and an understanding by the staff of the psychosocial situation of patients and a grasp of their mental state are extremely important in the long-term care of HOT patients.
家庭氧疗（HOT）使慢性呼吸衰竭（CRF）患者无需终身住院，并在一定程度上缓解了CRF导致的身体活动受限问题。然而，这种居家护理治疗也引发了一些新的心理社会问题。我们对我院85例患者进行了以下研究：（1）长期氧疗患者综合心身问卷；（2）康奈尔医学指数（CMI）；（3）抑郁自评量表（SRQ-D）；（4）医学应对问卷（MAS）以及日本厚生劳动省CRF研究组的问卷C。（1）的结果表明大多数患者存在一些问题。在SRQ-D中，约一半患者呈现抑郁状态。在MAS中，具体而言，相当一部分患者表现出高度焦虑，除了生活质量下降外，还存在对治疗失去信心、对预后悲观等心理社会问题。对于HOT患者的长期护理而言，上述所有情况以及工作人员对患者心理社会状况的了解和对其精神状态的掌握极为重要。
