Impact of Home Oxygen Therapy for Bronchopulmonary Dysplasia on Families With Neonates: A Survey Conducted in Japan.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-06-01 DOI:10.1002/ppul.71179

Masaki Hasebe, Ryo Ogawa, Takeshi Arimitsu, Fumihiko Namba, Tomohiko Nakamura

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引用次数: 0

Abstract

Introduction: Bronchopulmonary dysplasia (BPD) often necessitates home oxygen therapy (HOT) in children. Although HOT facilitates early hospital discharge and provides security, its impact on families remains unclear. This study examined family experiences with HOT to identify challenges and strategies for enhanced implementation.

Methods: A web-based survey was conducted with 113 families of children with BPD who used HOT within the past 3 years. Questions included the preparation for HOT, postdischarge challenges, and home monitoring devices.

Results: HOT enabled early discharge; however, 42% families felt anxious upon leaving the hospital. Postdischarge life was harder than expected for 72% families, with mobility (82%) and equipment handling (82%) being major concerns. Coordination with home nursing services (55%) was helpful, whereas trial home stays (17%) and home visits (17%) were less commonly cited as beneficial. Home monitoring devices, used by 92% families, led to false alarms (75%). Despite such challenges, 99% considered it vital. A total of 26% adjusted oxygen flow independently, raising safety concerns.

Discussion: The findings highlight the need for improved predischarge education, enhanced outpatient support, and technological advancements. Comprehensive preparation programs, improved home monitoring accuracy, and increased social awareness are essential to optimize HOT management and improve family quality of life.

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家用氧疗治疗支气管肺发育不良对有新生儿家庭的影响：一项在日本进行的调查。

儿童支气管肺发育不良（BPD）经常需要家庭氧疗（HOT）。尽管HOT有助于尽早出院并提供安全保障，但它对家庭的影响尚不清楚。本研究调查了HOT的家庭经验，以确定加强实施的挑战和战略。方法：对过去3年内使用HOT的113个BPD患儿家庭进行网络调查。问题包括热疗的准备、出院后的挑战和家庭监控设备。结果：HOT启用提前出院；然而，42%的家庭在离开医院时感到焦虑。对于72%的家庭来说，出院后的生活比预期的要困难，其中行动能力（82%）和设备处理（82%）是主要问题。与家庭护理服务的协调（55%）是有帮助的，而试用家庭住宿（17%）和家访（17%）则不太常被认为是有益的。92%的家庭使用家庭监控设备，导致误报（75%）。尽管面临这些挑战，99%的人认为它至关重要。总共26%的氧气流量是独立调节的，这引起了人们对安全的担忧。讨论：研究结果强调了改善出院前教育、加强门诊支持和技术进步的必要性。全面的准备计划、提高家庭监测的准确性和提高社会意识对于优化热疗管理和改善家庭生活质量至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.