Subject Preferences and Psychological Implications of Portable Oxygen Concentrator Versus Compressed Oxygen Cylinder in Chronic Lung Disease.
BACKGROUND: Oxygen therapy represents the elective therapy to improve the quality of life for patients with chronic respiratory diseases like COPD and interstitial lung disease. Lightweight portable oxygen concentrators (POCs) are a valid alternative to traditional systems such as portable compresse...
| Publicado en: | Respiratory Care Vol. 66; no. 1; pp. 33 - 41 |
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| Autores principales: | , , , , , , , , |
| Formato: | CEU questionnaire/scale research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jan2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147933470&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147933470 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Jan2021 vid: 66 iid: 1 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 147933470 147933470 147933470 10.4187/respcare.07829 147933470 ppf: 33 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Subject Preferences and Psychological Implications of Portable Oxygen Concentrator Versus Compressed Oxygen Cylinder in Chronic Lung Disease. aug: au: Moretta, Pasquale Molino, Antonio Martucci, Michele Fuschillo, Salvatore De Felice, Alberto Guida, Pietro Motta, Andrea Vitacca, Michele Maniscalco, Mauro affil: Neurology Rehabilitation Unit, ICS Maugeri SpA SB, Institute of Telese Terme, Benevento, Italy sug: subj: Pulmonary Disease, Chronic Obstructive Therapy Lung Diseases, Interstitial Therapy Oxygen Therapy Equipment and Supplies Patient Preference Evaluation Oxygen Saturation Rehabilitation, Pulmonary Treatment Outcomes Psychosocial Factors Human Randomized Controlled Trials Male Female Middle Age Aged Education, Continuing (Credit) Patient Attitudes Mechanics Quality of Life Anxiety Symptoms Depression Symptoms Random Assignment Comparative Studies Questionnaires Clinical Assessment Tools Descriptive Statistics Age Factors Personal Satisfaction Correlational Studies Psychological Tests Sensitivity and Specificity Wilcoxon Rank Sum Test Nonparametric Statistics Spearman's Rank Correlation Coefficient Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Oxygen therapy represents the elective therapy to improve the quality of life for patients with chronic respiratory diseases like COPD and interstitial lung disease. Lightweight portable oxygen concentrators (POCs) are a valid alternative to traditional systems such as portable compressed oxygen cylinders. However, patient preference and the possible psychological implications related to the use of both devices have been poorly assessed. We sought to evaluate patient preference between the ambulatory oxygen systems (ie, a POC or a small cylinder) for patients with COPD and interstitial lung disease experiencing exertional desaturation in a rehabilitation setting. Furthermore, the use of one device in comparison with the other was related to specific mechanical characteristics and related to perceived quality of life, anxiety, and depressive symptoms. METHODS: 30 subjects with COPD and interstitial lung disease, who demonstrated exertional desaturation on room air during 6-min walk test (6MWT), were recruited. Each subject performed 2 6MWTs, in random order: one breathing oxygen via a POC and one with a portable compressed oxygen cylinder. Both devices were set up to ensure oxyhemoglobin saturation between 92% and 95% during the 6MWTs. All subjects completed a questionnaire assessing anxiety, depression, and quality of life. Each device was randomly assigned to each subject for 1 week, and then replaced with the other in the following week. At the end of the trial period, all subjects completed a questionnaire evaluating several aspects of the oxygen therapy devices. RESULTS: There were no significant differences in oxygen saturation or the mean distances achieved during the 6MWTs between the 2 portable oxygen devices. The subjects expressed greater preference for the POC (73.3%), basing their choice mainly on ease of transport and lower weight. Subjects' age also correlated with preferences: younger subjects were more negatively focused on the weight of the portable compressed oxygen cylinder, whereas older subjects considered the POC easier to manage. No significant differences in preferences were present between COPD and interstitial lung disease. CONCLUSIONS: The POC and the portable compressed oxygen cylinder performed in a comparable manner during 6MWT for subjects with COPD and interstitial lung disease and exertional desaturation. Subjects preferred the POC because it was associated with better mobility. pubtype: Academic Journal doctype: CEU questionnaire/scale research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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