Korean J Adult Nurs.  2016 Oct;28(5):595-606. 10.7475/kjan.2016.28.5.595.

Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator

• Hwang MS
• Lee MK
• Song JR

• KMID: 2358732
• DOI: http://doi.org/10.7475/kjan.2016.28.5.595

Abstract

PURPOSE
This study aimed to investigate the influencing factors on self care, respiratory difficulty, sleep impediment, anxiety and depression among patients with neuromuscular disease who are dependent on Home Mechanical Ventilator (HMV).
METHODS
157 patients were recruited through hospital based home nursing care departments and HMV rental centers. Data were collected by questionnaires. The analytic methods were n (%) / M±SD, χ² / t-test or ANOVA and multiple linear regression.
RESULTS
Patients with Amyotrophic lateral sclerosis were more likely to utilize HMV, had shorter periods of morbidity and the most extended daily use of HMV. As for medical equipment, they had ambu-bag (87.2%) and oxygenator (15.4%). Reports of respiratory difficulty and sleep impediment were low. There were no significant difference. In contrast, reported anxiety and depression were high and showed significant difference between non invasive HMV and invasive HMV. Anxiety contributes to respiratory difficulty (t=3.62, p=.002), sleep impediment (t=2.06, p=.042), and depression (t=7.24, p<.001). However, home nursing care exerts a positive influence in reducing anxiety (t=-2.73, p=.008).
CONCLUSION
Anxiety contributes to respiratory difficulty, sleep impediment, and depression. However, those who use home nursing care reported less anxiety. Home nursing care positively impacts patients dependent on HMV as a practical service and available resource.

MeSH Terms

Amyotrophic Lateral Sclerosis
Anxiety*
Depression*
Home Nursing
Humans
Linear Models
Neuromuscular Diseases*
Oxygen
Oxygenators
Respiration
Self Care*
Ventilators, Mechanical*
Oxygen

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