Promotive Factors and Obstructive Factors that Influence Adjustment to Disability in Patients Undergoing Home Oxygen Therapy

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  • 在宅酸素療法施行患者の障害受容の促進要因と阻害要因
  • ザイタク サンソ リョウホウ シコウ カンジャ ノ ショウガイ ジュヨウ ノ ソクシン ヨウイン ト ソガイ ヨウイン

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The purpose of this study was to explore factors which promote and obstruct the process of the disability adjustment in patients undergoing Home Oxygen Therapy (HOT). The study period was from September to October, 1999. We interviewed 27 patients who agreed to participate in this study. Each interview required approximately 40 minutes. The participants were asked to express their thought/feelings about the disability it's course and progression. Data taken from the interviews were analyzed with a qualitative description method. As a result, 291 items were extracted from the interviews. The 13 following categories were found to promote the process of disability adjustment:positive attitude towards individuals with disability, absence of worry, passion for life, having a role, discovery of self-worth, a sense of disability self-management, carefulness from oxygen inhalation in public, family support, communication with friends, sharing the pain with other patients suffering from the same disease, having a hobby / a definite aim, increasing social activity, and having a longer history of illness (total 136 items). On the other, the following 11 categories (155 items) were found to obstruct the process of disability adjustment. These are prejudice towards disabled individuals, anger, shock, a feeling of loss, depression, fear of disease, being worried about oxygen inhalation in public, lack of family support, decreasing social activity, decreasing of social contact, and lack of stress management. The results of this study suggest the need for psychosocial intervention, namely a sense of symptom management, family support, social awareness/role maintenance, having a positive attitude to life, and self-acceptance.

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