Oksijen konsantratörü reçete edilmesi ve kullanımındaki hatalar
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Uzun süreli oksijen tedavisi (USOT) kronik solunum yetmezliğinde yeterli süre kullanıldığında; yaşam kalitesini arttırırken, morbidite ve mortaliteyi azaltır. Bu çalışma, Malatya ilinde oksijen konsantratörü (OK) reçete edilen 20 hasta üzerinde yapılmıştır. Evlerinde ziyaret edilen hastaların demografik özellikleri, anamnezleri, solunum muayeneleri, solunum fonksiyon testleri, oksijen satürasyon ölçümleri, oksijen kullanım alışkanlıkları ve OK'ların üzerindeki sayaç süreleri kaydedildi. Hastaların 15'i erkek, 5'i kadın olup, ortalama yaş 67.9 ± 11.88 yıldır. OK'un 9 (%45) hastada uygun endikasyonla yazılmadığı (uygunsuz kan gazı değerleri, yetersiz tedavi süresi, sigara kullanımı), hastaların 13 (%65)'ünün tanılarına uygun ilaçları kullanmadıkları ya da eksik kullandıkları, hiçbirisine ilaç ve oksijen kullanımıyla ilgili yeterli eğitim verilmediği tespit edilmiştir. Hastalar OK'larını ortalama 6.17 ± 5.56 saat/gün kullandıklarını ifade etmelerine karşın, OK sayaçlarına göre bu değer ortalama 4.86 ± 5.50 saat/gün bulunmuştur. Sadece 4 (%20) hastada günlük oksijen kullanımı 15 saatin üzerindedir. OK'u sağlayan firmaların cihazlara periyodik bakım yapmadıkları görülmüştür. Sonuç olarak, USOT'un reçete edilmesi ve kullanımında; hekim, hasta ve OK'u sağlayan firmadan kaynaklanan ciddi sorunlar vardır ve tedavinin optimal olabilmesi için acilen giderilmelidir.
Abstract: Long-term oxygen therapy (LTOT) increases the quality of life and also decreases morbidity and mortality in chronic respiratory failure when used sufficient time. This study was performed on 20 patients are using oxygen concentrator in Malatya. We visited all patient at home and recorded demographic features, history, physical and respiratory examinations, the results of pulmonary function tests and oxygen saturation, their habits in oxygen usage and counter results on oxygen concentrators related to each patient. Fifteen of patients were male (5 female) and average age was 67.9 ± 11.88 years. The indication for oxygen concentrator prescription was incorrect in 9 (45%) patients (improper arterial blood gas results, insufficient duration of therapy, smoking). Improper or insufficient drug prescription related to their diagnosis and insufficient education of patients about how to use oxygen and drugs were observed in 13 (65%) patients. Although medium duration of oxygen concentrator usage was 6.17 ± 5.56 hours/day according to patients' statements, it was 4.86 ± 5.50 hours/day according to counter results on oxygen concentrators. Daily oxygen consumption was 15 hours only in 4 (20%) patients. Related medical firm did no periodical care of oxygen concentrators. As a conclusion, we thought that there were serious problems related to physicians, patients and medical firms in LTOT practice.
Abstract: Long-term oxygen therapy (LTOT) increases the quality of life and also decreases morbidity and mortality in chronic respiratory failure when used sufficient time. This study was performed on 20 patients are using oxygen concentrator in Malatya. We visited all patient at home and recorded demographic features, history, physical and respiratory examinations, the results of pulmonary function tests and oxygen saturation, their habits in oxygen usage and counter results on oxygen concentrators related to each patient. Fifteen of patients were male (5 female) and average age was 67.9 ± 11.88 years. The indication for oxygen concentrator prescription was incorrect in 9 (45%) patients (improper arterial blood gas results, insufficient duration of therapy, smoking). Improper or insufficient drug prescription related to their diagnosis and insufficient education of patients about how to use oxygen and drugs were observed in 13 (65%) patients. Although medium duration of oxygen concentrator usage was 6.17 ± 5.56 hours/day according to patients' statements, it was 4.86 ± 5.50 hours/day according to counter results on oxygen concentrators. Daily oxygen consumption was 15 hours only in 4 (20%) patients. Related medical firm did no periodical care of oxygen concentrators. As a conclusion, we thought that there were serious problems related to physicians, patients and medical firms in LTOT practice.
Açıklama
Anahtar Kelimeler
Kaynak
Solunum Hastalıkları
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
1
