Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea
Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2024, v.87 no.1, pp.100-114
https://doi.org/10.4046/trd.2023.0077
Hyun-Kyung Lee, M.D., Ph.D. (Inje University Busan Paik Hospital, Busan, Korea)
Hyo Jin Kim, M.D. (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Hongyeul Lee, M.D. (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Ji Young Yang, M.D. (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Jae Ha Lee, M.D. (Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan,)
Seung Won Ra, M.D., Ph.D. (Division of Pulmonary Medicine, Department of Internal Medicine, Ulsan University Hospital)
SungMin Hong, M.D. (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Ho Young Lee, M.D. (1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Sung Hyun Kim, M.D. (1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Mi-Yeong Kim, M.D., Ph.D. (Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan)
Hyun-Kyung,
L.
M.
P.
, Hyo,
J.
K.
M.
, Hongyeul,
L.
M.
, Ji,
Y.
Y.
M.
, Jae,
H.
L.
M.
, Seung,
W.
R.
M.
P.
, SungMin,
H.
M.
, Ho,
Y.
L.
M.
, Sung,
H.
K.
M.
, &
Mi-Yeong,
K.
M.
P.
(2024). Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea. Tuberculosis & Respiratory Diseases, 87(1), 100-114, https://doi.org/10.4046/trd.2023.0077
Abstract
Background: Long-term oxygen therapy (LTOT) improves the survival of patients withhypoxemia due to chronic respiratory diseases. The clinical outcomes of LTOT arestrongly associated with patient adherence. To improve the adherence of patients,physicians have focused on the efficacy of LTOT. However, poor adherence may stemfrom patients’ perceptions of LTOT. Herein we evaluated patients’ perceptions of LTOTaffecting adherence.
Methods: We conducted a cross-sectional survey study using descriptive, open, andclosed-ended questionnaire. Patients using oxygen therapy (OT) or requiring it butavoiding OT responded to the questionnaires at three university hospitals.
Results: Seventy-nine patients responded to the questionnaires. The number of patientsusing home and portable OT was 69 (93%) and 37 (46.3%), respectively. Patientswith good adherence were 22 (30.1%). Among patients with good adherence, 90.9%used oxygen according to physicians’ prescriptions whereas only 37.3% of those withpoor adherence followed physicians’ prescriptions (p<0.01). The reasons for avoidingusing home OT were fear of permanent use (50%), unwanted attention (40%), and lackof symptoms (40%). They avoided portable OT because of unwanted attention (39%),heaviness (31.7%), and lack of symptoms (21.6%).
Conclusion: Patients on LTOT had the perception of the misunderstanding the effectsof OT and of psychosocial barriers to initiate or use LTOT. Considering these findings,health professionals need to provide effective education on the purpose of LTOT toimprove patient adherence to OT and provide sufficient support for the management ofpsychosocial barriers in patients using LTOT.
- keywords
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Chronic Respiratory Disease,
Long-Term Oxygen Therapy,
Perception