Back to Browse Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 7

The importance of knowing the home conditions of patients receiving long-term oxygen therapy

Authors Godoy I, Tanni SE, Hernández C, Godoy I

Published Date July 2012 Volume 2012:7 Pages 421—425

DOI http://dx.doi.org/10.2147/COPD.S31378

Received 2 March 2012, Accepted 15 April 2012, Published 5 July 2012

Ilda Godoy,1 Suzana Erico Tanni,2 Carme Hernández,3 Irma Godoy2

1Department of Nursing, Botucatu School of Medicine, Universidade Estadual Paulista, Botucatu, São Paulo, Brazil; 2Department of Pulmonology, Botucatu School of Medicine, Universidade Estadual Paulista, São Paulo, Brazil; 3Integrated Care Unit, Hospital Clinic, Barcelona, Spain

Purpose: Long-term oxygen therapy (LTOT) is one of the main treatments for patients with chronic obstructive pulmonary disease. Patients receiving LTOT may have less than optimal home conditions and this may interfere with treatment. The objective of this study was, through home visits, to identify the characteristics of patients receiving LTOT and to develop knowledge regarding the home environments of these patients.
Methods: Ninety-seven patients with a mean age of 69 plus or minus 10.5 years were evaluated. This study was a cross-sectional descriptive analysis. Data were collected during an initial home visit, using a questionnaire standardized for the study. The results were analyzed retrospectively.
Results: Seventy-five percent of the patients had chronic obstructive pulmonary disease, and 11% were active smokers. The patients’ mean pulse oximetry values were 85.9% plus or minus 4.7% on room air and 92% plus or minus 3.9% on the prescribed flow of oxygen. Most of the patients did not use the treatment as prescribed and most used a humidifier. The extension hose had a mean length of 5 plus or minus 3.9 m (range, 1.5–16 m). In the year prior to the visit, 26% of the patients received emergency medical care because of respiratory problems. Few patients reported engaging in leisure activities.
Conclusion: The home visit allowed us to identify problems and interventions that could improve the way LTOT is used. The most common interventions related to smoking cessation, concentrator maintenance and cleaning, use of a humidifier, and adjustments of the length of the connector hose. Therefore, the home visit is a very important tool in providing comprehensive care to patients receiving LTOT, especially those who show lack of adequate progress and those who show uncertainty about the treatment method.

Keywords: LTOT, home visits, chronic obstructive pulmonary disease (COPD), treatment compliance

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Ten years of tiotropium: clinical impact and patient perspectives

Yohannes AM, Connolly MJ, Hanania NA

International Journal of Chronic Obstructive Pulmonary Disease 2013, 8:117-125

Published Date: 15 March 2013

Clinical diaries in COPD: compliance and utility in predicting acute exacerbations

Walters EH, Walters J, Wills KE, Robinson A, Wood-Baker R

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:427-435

Published Date: 10 July 2012

Bronchial hyperresponsiveness in women with chronic obstructive pulmonary disease related to wood smoke

González-García M, Torres-Duque CA, Bustos A, Jaramillo C, Maldonado D

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:367-373

Published Date: 15 June 2012

Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors

Eduardo Pimenta, Suzanne Oparil

Vascular Health and Risk Management 2009, 5:453-463

Published Date: 19 May 2009