@article{oai:toyama.repo.nii.ac.jp:00002530, author = {松田, 美千代 and 松井, 祥子 and 村松, 理恵子 and 澤田, 愛子 and 小林, 正}, journal = {富山医科薬科大学看護学会誌}, month = {Apr}, note = {application/pdf, 慢性呼吸不全患者の在宅酸素療法(HOT)の有用性は米国, 英国により報告され, 広く普及するようになった.わが国においても1986年から厚生省特定疾患呼吸不全調査研究班によるHOT施行患者の予後と予後に関連する因子を明らかにする目的で全国調査が行われている.今回, 1985年から1997年12月までの富山医科薬科大学附属病院で施行されたHOT施行者64例の栄養状態と予後の関連性についてretrospectiveに検討した.対象の基礎疾患は, COPDが最も多く, 複数合併疾患, 肺結核後遺症, 間質性肺炎であった.全HOT施行者の3年生存率は28.1%であった.また, 予後因子としてとして血中Albumin値が有意に関連した.したがって, HOT施行者に対しては栄養管理に留意すべきであり, 医療者は施行者および家族に対して栄養管理の説明に配慮すべきであると思われる., The benefits of home oxygen therapy (HOT), and its effect on survival in particular, in hypoxic patients were originally established by two multicenter trials conducted in England and in the United States. A national survey on patients undergoing HOT throughout Japan was started in 1986 by the Respiratory Failure Research Group, supported by the Ministry of Health and Welfare, with the aim of acquiring national statistics on patients with HOT and also to help investigate prognosis and related factors in those patients on the largest scale ever. We retrospectively determined prognosis-related nutritional status in 64 patients on HOT at Toyama Medical and Pharmaceutical University Hospital from 1985 to December 1997. The studied patients suffered from various pulmonary diseases such as the obstructive pulmonary disease, the combination of the obstructive pulmonary disease and other pulmonary diseases, old pulmonary tuberculosis and interstitial pneumonia. The three-year survival rate for patients on HOT was 28.1% in all patients. Prognostic factor was significantly correlated with serum albumin levels. Careful attention should be paid on nutritional status of patients with HOT because it has significant impact on survival of these patients, and health care professionals should make more consideration about communication with patients and their families., Article, 富山医科薬科大学看護学会誌 3, 45-50.(2000)}, pages = {45--50}, title = {在宅酸素療法患者の栄養状態と予後の関連}, volume = {3}, year = {2000} }