Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2016 Oct;28(5):595-606. Korean.
    Published online Oct 31, 2016.
    https://doi.org/10.7475/kjan.2016.28.5.595
    © 2016 Korean Society of Adult Nursing
    Original Article

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

    Moon Sook Hwang, Ph.D., APN,1 Mi Kyung Lee, Ph.D., APN,2 and Jong Rye Song, Ph.D., APN3
      • 1Associate Professor, Department of Nursing Science, School of Oriental Medicine, WooSuk University, Wanju, Korea.
      • 2Clinical Assistant Professor, Department of Clinical Nursing Science, Samsung Medical Center, Seoul, Korea.
      • 3Head Nurse, Department of Home Health Nursing, Aju University Hospital, Suwon, Korea.
    • Corresponding author: Hwang, Moon Sook. Department of Nursing Science, School of Oriental Medicine in WooSuk University, 443 Samyre-Ro, Samyre-up, Wanju 55338, Korea. Tel: +82-63-291-1989, Fax: +82-63-291-1547, Email: msyellow45@hanmail.net
    Received September 02, 2016; Revised September 29, 2016; Accepted October 27, 2016.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    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.

    Keywords
    Ventilator; Respiration; Sleep; Anxiety; Depression

    Tables

    Table 1
    Comparisons of General Characteristics by Applied Method of HMV (N=157)

    Table 2
    Comparisons of Disease related Characteristics by Applied Method of HMV (N=157)

    Table 3
    Comparisons of Self Care by Applied Method of HMV (N=157)

    Table 4
    Comparisons by Applied Method and Influencing Factors on Respiratory Difficulty, Sleep Impediment, Anxiety, and Depression (N=157)

    Notes

    This study was supported by the research fund in National Research Foundation of Korea(No: 2012R1A1A3013441).

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