@article{oai:toyama.repo.nii.ac.jp:00002512,
 author = {松田, 美千代 and 松井, 祥子 and 小林, 正 and 中林, 美奈子 and 澤田, 愛子},
 journal = {富山医科薬科大学看護学会誌},
 month = {Mar},
 note = {application/pdf, 1985年から1997年12月までの13年間で, 富山医科薬科大学附属病院で施行された在宅酸素療法(HOT)の現況を解析し, これらの患者のケアの問題点を明らかにすることが本論文の目的である.対象症例数は81例(男54例, 女27例, 導入時の平均年齢65.9歳)であり, 新規登録症例数は年々増加傾向を示していた.基礎疾患は慢性閉塞性肺疾患21例, 肺癌20例, 肺結核後遺症8例, 間質性肺炎5例, その他27例であった.HOT導入後の再入院症例数は54例, 延べ131回で, その原因は気道感染が最も多かった.1997年12月現在のHOT施行状況は, 継続20例, 転院20例, 死亡34例であった.このことから, HOT施行者に対して最も重要なケアは, 感染の予防および感染の早期治療である.このためには, '患者と医療施設との頻回の接触や患者教育が重要であることが考えられた.また, 肺癌患者でのquarity of lifeの改善にも役立っており, 積極的なHOT導入がこれらの患者でも望ましいものと考えられた., Since the introduction of home oxygen therapy(HOT) in Toyama Medical and pharmaceutical University-affliated hospital in 1985,the number of patients necessary for HOT has been increasing year by year. Under this situation, we reviewed the medical records of 81 patients, 54 males and 27 females(mean age 65.9 years), who received HOT from 1985 to December 1997,to obtain a better insight into care methods and risk factors for exacerbation. The studied patients suffered from various pulmonary diseases such as the obstructive pulmonary disease(21 patients), lung cancer(20 patients), lung tuberculous sequelae(8 patients), interstitial pneumonia (5 patients) and others(27 patients). During the study period, 131 exacerbation events required hospitalization were reported in 54 patients. The bronchopulmonary infection could be taken as the most important risk factor for exacerbation. Although 20 patients had transferred to other hospitals and 34 patients had died during the observation period for 13 years, 20 patients receive currently HOT as outpatients at this hospital. Among 26 patients died in this hospital, 12 patients had lung cancer. These findings suggest that the most important is cares for prevention and/or early treatment of bronchopulmonary infections through careful observation and frequent contacts with these patients., Article, 富山医科薬科大学看護学会誌 2, 41-48.(1999)},
 pages = {41--48},
 title = {富山医科薬科大学附属病院における在宅酸素療法の現状},
 volume = {2},
 year = {1999}
}