Background: Physiological studies have shown that many preterm infants and infants with chronic lung disease may suffer chronic hypoxaemia, which possibly leads to poor growth and development. Anecdotal reports indicate that there is a drive to increase the oxygen saturation target range to a higher level in these infants due primarily to perceived benefits derived from clinical experience and from uncontrolled observational studies of babies discharged on home oxygen. Objective The BOOST (Benefits Of Oxygen Saturation Targeting) trial is the first randomised trial to assess the long-term benefits and harms of two different oxygen saturation target ranges. Methods: BOOST was a multicentre, double blinded, randomised controlled trial that enrolled 358 infants born at less than 30 weeks� gestation who remained oxygen-dependent at 32 weeks postmenstrual age. They were randomly assigned to target either a functional oxygen saturation range of 91-94% (standard or control group) or 95-98% (higher or treatment group). The primary outcomes were growth and neurodevelopmental measures at 12 months corrected age. Secondary outcomes included length of hospital stay, retinopathy of prematurity, health service utilisation, parental stress, and infant temperament. Results: Prognostic baseline characteristics did not differ between the two groups. Mean birth weight and gestational age of enrolled infants was 917g and 26.5 weeks respectively. The rate of antenatal corticosteroid use was 83%.

The present research sought to understand patient experiences during Hyperbaric Oxygen Therapy (HBOT) by using 24 HBOT patients (17 men, 7 women) to examine the relationship between individual variables and anxiety, and providing One Session Exposure Therapy (OSET; Öst, 1989) if necessary. Pre-HBOT participants completed the following measures: State-Trait Anxiety Inventory (STAI; Spielberger, 1983), Claustrophobia Questionnaire (CLQ; Radomsky, Rachman, Thordarson, McIsaac, & Teachman, 2001), Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986), and Treatment Credibility/Expectancy Questionnaire (CEQ; Devilly & Borkovec, 2000). State Anxiety was assessed pre-HBOT and at the tenth and last sessions. Findings suggest Dispositional Anxiety (STAI-Trait + ASI), Expectancy of symptom improvement (CEQ), and gender were significantly predictive of State Anxiety before and during HBOT. Limitations and directions for future research are discussed.

Background: Physiological studies have shown that many preterm infants and infants with chronic lung disease may suffer chronic hypoxaemia, which possibly leads to poor growth and development. Anecdotal reports indicate that there is a drive to increase the oxygen saturation target range to a higher level in these infants due primarily to perceived benefits derived from clinical experience and from uncontrolled observational studies of babies discharged on home oxygen. Objective The BOOST (Benefits Of Oxygen Saturation Targeting) trial is the first randomised trial to assess the long-term benefits and harms of two different oxygen saturation target ranges. Methods: BOOST was a multicentre, double blinded, randomised controlled trial that enrolled 358 infants born at less than 30 weeks� gestation who remained oxygen-dependent at 32 weeks postmenstrual age. They were randomly assigned to target either a functional oxygen saturation range of 91-94% (standard or control group) or 95-98% (higher or treatment group). The primary outcomes were growth and neurodevelopmental measures at 12 months corrected age. Secondary outcomes included length of hospital stay, retinopathy of prematurity, health service utilisation, parental stress, and infant temperament. Results: Prognostic baseline characteristics did not differ between the two groups. Mean birth weight and gestational age of enrolled infants was 917g and 26.5 weeks respectively. The rate of antenatal corticosteroid use was 83%.

Hyperbaric oxygen therapy is a treatment method that involves inhalation of 100% oxygen, and under higher pressure than the atmospheric. Blood has the ability to deliver more oxygen authorities. Treatment takes place in facilities called the hyperbaric chamber. During treatment, patients must adhere to certain principles that are given by the doctors and nurses working in these workplaces.The main objectives of this thesis were to map the influence of preparation on the course of treatment in a hyperbaric chamber and to determine how the patients are instructed by nurses during treatment in the hyperbaric chamber. Three research questions were set up to clarify how the preparation affects the patient during treatment in a hyperbaric chamber, as the patient is educated before treatment and what output the patient receives after leaving the hyperbaric chamber. In order to fulfill the objectives qualitative research methods were done, using a semi structured interview. The survey was conducted in two selected hospitals, in the České Budejovice Hospital, and at the University Hospital Plzeň - Lochotin. An individual, semi-structured interview was used as data collection technique, which was initially recorded on a cell phone and then transcribed into written form. At the beginning of the research interviews were conducted with nurses, who gave a comprehensive view of their job description. These conversations only complement the research. We included the brochure with basic information in our research and that was supplemented by information obtained from these interviews. The sample included patients treated in a hyperbaric chamber. They were subsequently divided into three subgroups. The first subgroup consisted of chronic patients, the second subgroup of patients undergoing hyperbaric oxygen therapy for the first time and who got the booklet with background information before their first exposure and in the third were also new patients but who were given a booklet after their first exposure. The survey was conducted in January and February 2015. Analyzed data formed four categories. Careful preparation of the patient is an essential part of treatment in a hyperbaric chamber, largely because of the specificity of this treatment, which consists mainly of placing the patient in an enclosed space, the need for a breathing mask and the inability to quickly leave the hyperbaric chamber without health risks. Therapy in a hyperbaric chamber alone is, in compliance with the indication, contraindication and dosing schedules and well-executed preparation, relatively safe and simple. From the above mentioned reasons it is necessary that the nurses in the area are sufficiently educated and that the patient who enters the hyperbaric chamber is properly prepared. Nurses educate each patient just before their first exposure, but also before every following one. There is very much information given to patients during preparation for entry into a hyperbaric chamber. The research showed that almost all the respondents had difficulty to remember all the details. Nurses tell them about hyperbaroxy essence, indications, contraindications, the exposure pattern, they select a breathing mask with them, and teach the patients to equalize the pressure in their ears, check their clothes and what they have with them. The nurses also check whether they are greased with creams, makeup and other cosmetics, and in the case of wounds if they are treated using a moist treatment instead of greasy. Before each exposure, the patient is asked about their health (a cold is a contraindication), their blood pressure is measured and the necessary nasal drops are applied. Precisely because of the considerable amount of information that patients get at their first exposure, we decided to include the booklet, which contains basic information for patients who are treated in a hyperbaric chamber for the first time, in our research.

Made available in DSpace on 2014-08-13T14:50:57Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-02-28Bitstream added on 2014-08-13T17:59:56Z : No. of bitstreams: 1 000768733.pdf: 2847086 bytes, checksum: faf752d33027c91e03bd95adc9243cc2 (MD5) / A insuficiência respiratória costuma estar presente no quadro clínico de pacientes com doença pulmonar avançada, como a doença pulmonar obstrutiva crônica (DPOC), doença pulmonar intersticial (DPI) e hipertensão pulmonar (HP). A oxigenoterapia domiciliar prolongada (ODP) faz parte do tratamento e está associado no controle da progressão da doença e na sobrevida. Entretanto, há poucos dados na literatura sobre o efeito da ODP na evolução da doença em pacientes de diversas patologias pulmonares e que apresentam hipoxemia arterial transitória ao esforço. Avaliar as características evolutivas de pacientes de diversas patologias pulmonares e portadores de hipoxemia transitória ao esforço que utilizam ODP durante o sono e aos esforços no período de um ano. Foram acompanhados 60 pacientes com DPOC, 16 com DPI e 15 com HP. A hipoxemia transitória ao esforço foi confirmada pelo teste de caminhada de seis minutos (TC6) e pela gasometria arterial em repouso. Para todos os pacientes foi indicada suplementação de ODP 0,5L/min por 12h/dia que incluísse os períodos de esforço e durante o sono. No momento basal e após um ano os pacientes foram avaliados em relação aos fármacos pulmonares utilizados, a comorbidades pelo índice de Charlson, a composição corporal, a espirometria, a oximetria de pulso (SpO2), a gasometria arterial, hemograma, a qualidade de vida através do questionário de qualidade de vida na doença respiratória do Hospital Saint George (SGRQ), o índice de dispneia pelo índice basal de dispneia (BDI) e Medical Research Council Modificado (MMRC), escore de ansiedade e depressão, TC6 com suplementação de ODP, aderência ao tratamento, frequência de exacerbação e óbitos. Foi realizada a análise descritiva dos dados, comparação entre os momentos nos pacientes que mantiveram hipoxemia transitória ao esforço e suas associações dos grupos de DPOC, DPI e HP. Além disso, foi realizada análise ... / Respiratory failure is usually present in clinical status of patients with advanced lung disease such as chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD) and pulmonary hypertension (PH). Long Term Oxygen Therapy (LTOT) as part of the treatment and is associated with control of disease progression and survival. However, there are little data in the literature about the effect of the LTOT in disease progression in patients with chronic lung diseases and exertional desaturation. Evaluate the influence of LTOT used during sleep and exertion in characteristics of patients with chronic lung diseases and exertional desaturation followed for one year. We evaluated 60 patients with COPD, 16 with ILD and 15 with PH. The exertional desaturation was confirmed by the six-minute walk test (6MWT) and the room air arterial blood gases. All patients received a recommendation to use 0.5 L/min during 12h/day of LTOT, including sleep and exertion periods. At baseline and after one year we assessed pulmonary pharmacological treatment, adherence to treatment, comorbidities by the Charlson index, body composition, spirometry, pulse oximetry (SpO2), arterial blood gas analysis, CBC, 6MWT supplemented with LTOT, Saint George Respiratory Questionnaire (SGRQ), dyspnea sensation according to baseline dyspnea index (BDI) and the Modified Medical Research Council (MMRC), score of anxiety and depression, frequency of exacerbation and mortality rate. We performed descriptive analysis of data comparing the moments of patients who presented stable exertional desaturation according to the group (COPD, ILD and PH patients). We compared groups according to the presence of stable exertional desaturation or severe hypoxemia and death. 39 patients with COPD, 11 with ILD and 11 with PH showed stable exertional desaturation. We observed that patients with stable exertional desaturation showed symptom improvement after one year, however, it was not ...

Made available in DSpace on 2014-11-10T11:09:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-02-24Bitstream added on 2014-11-10T11:58:03Z : No. of bitstreams: 1 000783118.pdf: 1298013 bytes, checksum: f1b17a80a1bdc67262d8a24d79155e40 (MD5) / Considerando a importância da ODP, a existência de pacientes com doenças respiratórias crônicas no município de Bauru e a portaria nº 2.029, de 24 de agosto de 2011 que institui a atenção domiciliar, o objetivo deste estudo foi caracterizar o perfil dos pacientes em uso da ODP para a elaboração de um protocolo de atendimento com atuação de equipe multiprofissional. Métodos: Trata-se de um estudo descritivo transversal. Os dados foram coletados por meio de visita domiciliar, utilizando um questionário elaborado para o estudo. Resultados: 54 pacientes com idade média de 67 (± 11,7 anos) foram estudados. A maioria dos pacientes (96%) tinha como diagnóstico principal a DPOC, sendo que 14,8% eram fumantes ativos. O valor médio da SpO2 dos pacientes foi 86 % (±0,05) em ar ambiente e 96%(±0,04) com o fluxo de oxigênio prescrito. A maioria dos pacientes não segue o tratamento como prescrito e todos fazem uso de umidificador. O comprimento médio da extensão foi de 2,6 metros (±2,3). No ano anterior à visita, 57,4% dos pacientes receberam cuidados médicos de emergência por causa de problemas respiratórios. A qualidade de vida foi considerada inadequada, apenas um paciente realizava atividade física e de lazer rotineiramente e este relatou requerer esforço físico elevado para desenvolver tal atividade. Conclusão: A visita domiciliar permitiu identificar e conhecer a população em uso de ODP. Os resultados do estudo sugerem que os pacientes estão sem acompanhamento, com dúvidas de como se beneficiar da terapia e com baixa adesão, em vulnerabilidade biopsicossocial, justificando a necessidade de equipes multidisciplinares para acompanhar estes pacientes nas residências. Portanto, como produto deste estudo foi elaborado um protocolo de atendimento domiciliar com objetivo de proporcionar um melhor acompanhamento aos pacientes e a integração de uma rede de serviços de atendimentos em todos os níveis de atenção à saúde / Considering the LTOT importance, the existence of patients with chronic respiratory diseases in Bauru, and the ordinance No 2.029, in August 24, 2011, which establish home care, the goal of this study was to characterize the profile of patients using the LTOT for the creation of a service protocol with a multidisciplinary team performance. Methods: This is a descriptive cross-sectional study. Data were collected through home visits using a questionnaire developed for the study. Results: 54 patients with a mean age of 67 (± 11.7 years) were studied. Most patients (96%) had COPD as the principal diagnosis, and 14.8% were active smokers. The average value of SpO2 of the patients was 86% (± 0.05) in ambient air and 96% (± 0.04) with the prescribed oxygen flow. Most patients do not follow treatment as prescribed and all make use of humidifier. The average extension length was 2.6 m (± 2.3). In the year prior to the visit, 57, 4 % of patients received emergency medical care due to respiratory problems. Quality of life was considered inadequate, only one patient routinely performed physicall and leisure activities and reported that such activities require much effort to develop such activities. Conclusion: Home visits allowed us to identify and meet the population using LTOT. The results of the study suggest that patients are no follow up, with questions of how to benefit from therapy and with poor adherence, in biopsychosocial vulnerability, justifying the need for multidisciplinary teams to monitor these patients in their homes. Therefore, as a product of this study, a protocol for home care in order to provide better tracking of patients and the integration of a care services network at all levels of health care was prepared

Orientador: Ilda de Godoy / Banca: Maria Virgínia Martins Faria Faddul Alves / Banca: Déborah Maciel Cavalcanti Rosa / Resumo: Considerando a importância da ODP, a existência de pacientes com doenças respiratórias crônicas no município de Bauru e a portaria nº 2.029, de 24 de agosto de 2011 que institui a atenção domiciliar, o objetivo deste estudo foi caracterizar o perfil dos pacientes em uso da ODP para a elaboração de um protocolo de atendimento com atuação de equipe multiprofissional. Métodos: Trata-se de um estudo descritivo transversal. Os dados foram coletados por meio de visita domiciliar, utilizando um questionário elaborado para o estudo. Resultados: 54 pacientes com idade média de 67 (± 11,7 anos) foram estudados. A maioria dos pacientes (96%) tinha como diagnóstico principal a DPOC, sendo que 14,8% eram fumantes ativos. O valor médio da SpO2 dos pacientes foi 86 % (±0,05) em ar ambiente e 96%(±0,04) com o fluxo de oxigênio prescrito. A maioria dos pacientes não segue o tratamento como prescrito e todos fazem uso de umidificador. O comprimento médio da extensão foi de 2,6 metros (±2,3). No ano anterior à visita, 57,4% dos pacientes receberam cuidados médicos de emergência por causa de problemas respiratórios. A qualidade de vida foi considerada inadequada, apenas um paciente realizava atividade física e de lazer rotineiramente e este relatou requerer esforço físico elevado para desenvolver tal atividade. Conclusão: A visita domiciliar permitiu identificar e conhecer a população em uso de ODP. Os resultados do estudo sugerem que os pacientes estão sem acompanhamento, com dúvidas de como se beneficiar da terapia e com baixa adesão, em vulnerabilidade biopsicossocial, justificando a necessidade de equipes multidisciplinares para acompanhar estes pacientes nas residências. Portanto, como produto deste estudo foi elaborado um protocolo de atendimento domiciliar com objetivo de proporcionar um melhor acompanhamento aos pacientes e a integração de uma rede de serviços de atendimentos em todos os níveis de atenção à saúde / Abstract: Considering the LTOT importance, the existence of patients with chronic respiratory diseases in Bauru, and the ordinance No 2.029, in August 24, 2011, which establish home care, the goal of this study was to characterize the profile of patients using the LTOT for the creation of a service protocol with a multidisciplinary team performance. Methods: This is a descriptive cross-sectional study. Data were collected through home visits using a questionnaire developed for the study. Results: 54 patients with a mean age of 67 (± 11.7 years) were studied. Most patients (96%) had COPD as the principal diagnosis, and 14.8% were active smokers. The average value of SpO2 of the patients was 86% (± 0.05) in ambient air and 96% (± 0.04) with the prescribed oxygen flow. Most patients do not follow treatment as prescribed and all make use of humidifier. The average extension length was 2.6 m (± 2.3). In the year prior to the visit, 57, 4 % of patients received emergency medical care due to respiratory problems. Quality of life was considered inadequate, only one patient routinely performed physicall and leisure activities and reported that such activities require much effort to develop such activities. Conclusion: Home visits allowed us to identify and meet the population using LTOT. The results of the study suggest that patients are no follow up, with questions of how to benefit from therapy and with poor adherence, in biopsychosocial vulnerability, justifying the need for multidisciplinary teams to monitor these patients in their homes. Therefore, as a product of this study, a protocol for home care in order to provide better tracking of patients and the integration of a care services network at all levels of health care was prepared / Mestre

The present study evaluated the frequency of major risk factors for atherothrombosis in patients with Chronic Obstructive Pulmonary Disease (COPD) in oxygen in both gender. The sample consisted of 62 individuals, 28 men and 34 women, mean age 71.8 ± 8.7 years, all members of the Home Care Program, Hospital de Clinicas, Universidade Federal de Uberlândia. COPD was diagnosed when there were clinical signs and symptoms with changes in spirometry [(Forced Expiratory Volume in one second by forced vital capacity (FEV1/FVC) &#8804; 0.7 boncodilatador post (BD)]. All subjects received regular treatment with inhaled corticosteroids, Tiotropium and ß-2 agonist with long duration. We evaluated the following risk factors for atherothrombosis: body composition [(body weight, body mass index (BMI) and waist to hip index (WHI)], fasting plasma glucose, plasma lipid profile [(Total Cholesterol (TC), HDL-cholesterol (HDL-C) and triglycerides (TG)], smoking and tobacco intake, sedentary lifestyle, blood pressure at rest, C-reactive protein highly sensitive (hsCRP), forced expiratory volume in first second (FEV1), heart rate (HR), hypoxemia and calculation of Framingham risk score (FRS). The statistical analysis used SPSS 13.0 for Windows and BioEstat 5.0. Mean comparisons were made using T test and U test of Mann-Whitney, adopting, as significant, p values <0.05. At final evaluation, it was observed that all subjects were sedentary, the rate of type 2 diabetes mellitus (T2DM) was 11.3%, the rate of hypertension (HBP) was 41.9% and 19.4% of the subjects smoked actively. The mean HR was 82.8 ± 13.9 bpm; partial pressure of oxygen in the blood (PO2) found the average was 48.4 ± 8.8 mmHg, the mean FEV1 was 35 ± 15%, median hsCRP was found to be 6.5 ± 13.6 mg / l. The average weight (kg) was 59, 3 ± 15.3, BMI 24.4 ± 5.5 and ICQ 1.0 ± 0.1. The ERF was below average in this population, probably by correcting hypoxemia and oxygen provided by the appropriate treatment of COPD . The elevated serum levels of TG, TC, LDL-C and fasting glucose, and presence of high levels of blood pressure and smoking were equally distributed in both gender. Serum HDL-C were significantly lower in men. Variables such as hsCRP, FC, and PO2 were also equally distributed between men and women, except for the FEV1, lower in men. Men had higher ERF (higher risk for MI or death in 10 years) and low HDL-C in men contributed decisively to this finding. FEV1 reduced CRP levels and hypoxemia characteristics were found across the sample, and these items are included in the risk factors for atherothrombosis. / O presente estudo investigou a frequência dos principais fatores de risco para aterotrombose em pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC) em oxigenoterapia em ambos os sexos. A amostra foi constituída por 62 indivíduos, 28 homens e 34 mulheres, com idade média de 71,8 ± 8,7 anos, todos integrantes do Programa de Assistência Domiciliar do Hospital de Clínicas da Universidade Federal de Uberlândia. A DPOC foi diagnosticada quando havia sinais e sintomas clínicos com alteração na espirometria [(Volume Expiratório Forçado no primeiro segundo pela Capacidade Vital Forçada (VEF1/CVF) &#8804; 0.7 pós broncodilatador (BD)]. Todos os indivíduos recebiam tratamento regular com corticóide inalatório, Tiotrópio e ß-2 agonista de longa duração. Foram avaliados os seguintes fatores de risco para aterotrombose: composição corporal [(peso corporal, Índice de Massa Corpórea (IMC) e Índice Cintura Quadril (ICQ)], glicemia de jejum, perfil lipídico plasmático [(Colesterol Total (CT), HDL-Colesterol (HDL-C) e triglicérides (TG)], tabagismo e carga tabágica, sedentarismo, pressão arterial sistêmica de repouso, Proteína C reativa ultra-sensível (PCRus), volume expiratório forçado no primeiro segundo (VEF1), frequência cardíaca de repouso (FC), hipoxemia e cálculo do Escore de Risco de Framingham (ERF). Para análise estatística foram utilizados os programas SPSS 13.0 for Windows e BioEstat 5.0. Foram feitas comparações de médias utilizando-se o teste T e o teste U de Mann-Whitney, adotando-se, como significantes, valores de p < 0,05. Ao final da avaliação foi observado que todos os indivíduos eram sedentários, a taxa de diabete melito tipo 2 (DM2) foi 11,3%, a taxa de Hipertensão Arterial Sistêmica (HAS) foi 41,9% e 19,4% dos indivíduos fumavam ativamente. A FC média foi 82,8 ± 13,9 bpm; a pressão parcial de oxigênio no sangue (PO2) média encontrada era 48,4 ± 8,8 mmHg; o VEF1 médio foi 35 ± 15%; a mediana do PCRus encontrada foi 6,5 ± 13,6 mg/l. A média de peso (kg) foi 59,3 ± 15,3 com IMC de 24,4 ± 5,5 e ICQ de 1,0 ± 0,1. O ERF em média foi baixo na população estudada, provavelmente por correção da hipoxemia proporcionada pela oxigenoterapia e pelo adequado tratamento da DPOC. Os valores séricos elevados de TG, CT, LDL-C e glicose de jejum, e presença de níveis altos da pressão arterial sistêmica e tabagismo estavam igualmente distribuídos em ambos os sexos. Níveis séricos de HDL-C foram significantemente mais baixos no homem. As variáveis como PCRus, FC e PO2 também estavam igualmente distribuídas entre homens e mulheres, exceto quanto ao VEF1, mais baixo nos homens. Os homens apresentaram ERF mais elevado (maior risco para IAM ou morte em 10 anos) e a redução do HDL-C em homens contribuiu de forma determinante para este achado. O VEF1 reduzido, PCR aumentada e hipoxemia foram características encontradas em toda a amostra estudada e estes itens estão incluídos nos fatores de risco para aterotrombose. / Mestre em Ciências da Saúde

Orientador: Maria Aparecida Marques dos Santos Mezzacappa / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-13T02:03:07Z (GMT). No. of bitstreams: 1 Garcia_ElaineAparecidaLopes_M.pdf: 1473575 bytes, checksum: 01d35bb5235e84857de2b64859a0bbd1 (MD5) Previous issue date: 2009 / Resumo: Objetivo descrever aspectos relacionados ao programa de oxigenoterapia domiciliar utilizado pelos RN egressos do Centro de Atenção à Saúde da Mulher-CAISM- UNICAMP, e analisar a evolução desta modalidade terapêutica ao longo dos seus primeiros dez anos. Métodos: foi realizado um estudo, observacional, descritivo, retrospectivo, com componente analítico, para avaliar o programa de oxigenoterapia domiciliar de uma unidade neonatal de um Hospital Universitário, do interior do estado de São Paulo, no período de novembro de 1996 a dezembro de 2006. Resultados: foram identificados 160 RN com indicação de oxigenterapia domiciliar, 63,3% apresentavam displasia broncopulmonar. A média de duração do uso de O2 no domicilio foi de 42,3±54,0 dias. Na comparação das características demográficas da população e do tempo de uso de O2 domiciliar, entre os anos, não se observaram diferenças significativas. Não houve correlação entre o tempo de ventilação mecânica e a duração da terapia domiciliar. Necessitaram de cuidados especiais, além do uso de O2 e medicações, 22,3% dos casos. Nos primeiros dois anos de vida a taxa de morbidade foi de 40%, e a de mortalidade 11,4%. Conclusão: o uso de oxigênio domiciliar foi uma alternativa terapêutica factível em nosso meio, merecendo mais atenção das instituições de saúde. É necessário que mais estudos nacionais sejam realizados, visando aprimorar a qualidade de atendimento a estes RN e garantir que possam participar de programas domiciliares com segurança / Abstract: Objective: to describe aspects related to the program of home oxygen therapy used by infants after discharge from neonatal unit, and to analyze the tendencies of this therapeutic method along its first ten years. Methods: an observational, descriptive, retrospective study was carried out with analytical component to evaluate the program of home oxygen therapy of a neonatal unit from Center of Integral Attention Woman's Health- CAISM-UNICAMP from November 1996 to December 2006. Results: 160 infants used home oxygen therapy in the period, 63,3% presented bronchopulmonary dysplasia. The average length of O2 use at home was 42.3 ± 54.0 days. Significant differences were not observed when comparing demographic characteristics of the population and length of O2 home supply between the years. There was no correlation between the time of mechanical ventilation and the duration of the home therapy. 22.3% of the infants needed special care besides the use of O2 and medications. In the first two years of the infants lives the morbidity rate reached 40%, and the mortality rate 11,4%. Conclusion: the use of home oxygen has been a feasible therapeutic alternative in our environment, deserving more attention of the institutions of health. More national studies need to be carried out in order to improve the service's quality and to guarantee the security of the home oxygen therapy / Mestrado / Saude da Criança e do Adolescente / Mestre em Saude da Criança e do Adolescente

Bakgrund: Kronisk obstruktiv lungsjukdom (KOL) är en folksjukdom, sompåverkar kroppen både fysiskt och emotionellt. Enligt världshälsoorganisationenberäknas sjukdomen öka och bli den tredje största dödsorsaken år 2030. Syfte:Syftet med litteraturstudien var att belysa patienters upplevelser av att leva medKOL genom frågeställningen; hur upplevs det emotionellt av att leva med KOL.Metod: En litteraturstudie bestående av tio kvalitativa artiklar genomdatabassökning i CINAHL, Medline och PubMed. Resultat: Det framkom en radolika känslor i relation till olika upplevelser. Fyra huvudkategorier identifieradestill: upplevelser av fysiska begränsningar, upplevelser av att leva med syrgas,upplevelser av minskad självständighet och betydelsen av sociala relationer. Denförsta kategorin delades in i en underkategori som var upplevelser av att leva meddyspné. Slutsats: Att leva med KOL kan upplevas med varierande emotioner. Detär viktigt vid omvårdnad av dessa patienter att ha en förståelse för derasupplevelser. / Background: Chronic obstructive pulmonary disease (COPD) is a common disease that affects the body both physically and emotionally. According to the World Health Organization it is estimated that the disease will increase in number and become the third largest cause of death in 2030. Aim: The aim of this literature review was to elucidate patients' experiences of living with COPD through the question of issue; how it is perceived emotionally by living with COPD. Method: A literature review consisting of ten qualitative articles through database search in CINAHL, Medline and PubMed. Results: There emerged a range of emotions in relation to different experiences. Four main categories were identified: experiences of physical limitations, experiences of living with oxygen therapy, experiences of reduced independence and significance of social relationships. The first category was divided into a subcategory that was experiences of living with dyspnoea. Conclusion: Living with COPD can be experienced with varying emotions. It is important when caring for these patients to have an understanding of their experiences.