Department of Diving and Hyperbaric Medicine, Royal Hobart Hospital, Hobart, Tasmania, Australia.
Corresponding author: Dr Carol Baines, Department of Diving and Hyperbaric Medicine, Royal Hobart Hospital, Tasmania 7000, Australia,
Diving Hyperb Med. 2021 Mar 31;51(1):72-77. doi: 10.28920/dhm51.1.72-77.
This paper presents a quantitative and qualitative study exploring patients' knowledge and experience of hyperbaric oxygen treatment (HBOT).
Participants included 29 patients with appropriate indications who were undertaking HBOT at facilities in two different locations: Hobart, Australia, and Plymouth, United Kingdom. Participants completed surveys prior to commencing HBOT, after five sessions, and on completion of HBOT. Semi-structured one-to-one interviews were conducted with each individual on conclusion of their course. Data were analysed using descriptive statistics and interpretive description.
Prior to referral, 15/29 (52%) of participants knew HBOT was used to treat divers, and of these, 9/15 (60%) were familiar with its use for non-divers. Only one third sought additional information about the process between referral for HBOT and attending their medical assessment. Anxiety was a pre-treatment concern amongst participants. However, when re-measured after five sessions and upon completion of the HBOT course, anxiety was reduced. The interview data revealed themes based around the physical, emotional and social aspects of HBOT: (1) anxiety within self; (2) naivety to normalisation; (3) enjoyment being a 'diver'; and (4) burdens of HBOT.
Many patients experienced anxiety prior to commencing HBOT but, with support, quickly adjusted to treatment, transitioning from a state of naivety to normalisation in their experience of the hyperbaric chamber. They enjoyed feeling like a 'diver' and considered aspects of the burdens of treatment, such as finances or logistics, a minor inconvenience. These results highlight the need for psychosocial support during treatment by identifying gaps in patient preparation for HBOT.
本文通过定量和定性研究，探讨了患者对高压氧治疗（HBOT）的认知和体验。
研究对象为在澳大利亚霍巴特和英国普利茅斯的两个不同地点接受 HBOT 的 29 名符合适应证的患者。参与者在开始 HBOT 之前、完成五个疗程后和 HBOT 结束后完成了问卷调查。在疗程结束时，对每个人进行了一对一的半结构式访谈。采用描述性统计和解释性描述对数据进行分析。
在转诊前，29 名参与者中有 15 名（52%）知道 HBOT 用于治疗潜水员，其中 9 名（60%）熟悉其用于非潜水员的用途。只有三分之一的人在转诊接受 HBOT 治疗和参加医疗评估之间寻求有关该过程的额外信息。在接受治疗之前，参与者感到焦虑。然而，在完成五个疗程和 HBOT 疗程后再次测量时，焦虑程度降低。访谈数据揭示了围绕 HBOT 的身体、情感和社会方面的主题：（1）自我内部的焦虑；（2）对正常化的天真；（3）作为“潜水员”的享受；和（4）HBOT 的负担。
许多患者在开始 HBOT 之前感到焦虑，但在得到支持后，很快就适应了治疗，从对高压舱体验的天真状态过渡到正常化状态。他们喜欢像“潜水员”一样的感觉，并认为治疗负担的某些方面，如财务或后勤问题，只是一个小麻烦。这些结果通过确定患者接受 HBOT 治疗前准备工作中的差距，突出了在治疗期间需要提供心理社会支持的必要性。
