Abstract:

Introduction and Purpose: Home-type respiratory support devices are to patients with chronic respiratory failure, in order to reduce hospitalization, prevent long-term hospitalization complications, improve quality of life and survival. The aim of the study is to evaluate the compatibility of patients with the costly home-type respiratory support devices, the application of the device, and therefore the use efficiency of the devices. Patients are aimed at paying attention to the device, use tracking and application deficiencies and contributing to healing in this regard. Method and means: By February 2020, 147 patients with breast disease clinic application and primary diagnosis of chronic respiratory failure (Cronic Obstructive Lung Disease (KOAH), Asthma, Interstitial Lung Disease (IAH), Conjustive Heart Disability (KKY)) in the home with oxygen concentrator (USOT) and/or Bilevel Positive Airway Pressure (BIPAP) devices were assessed and volunteers to participate in the study. A total of 98 patients, including 76 with oxygen concentrators in the home and 22 with BIPAP, were included in the study. Patients have evaluated the characteristics and habits of the device use. Results: In the study, the recommended oxygen concentrator consumption of at least 15 hours/day was estimated at an average of 6.5 hours/day. A meaningful relationship between regular medical examination and the daily time of use of the device and the regular maintenance and setting conditions of the device has been established (respectively p=0,001 and p=0,005). In the use of BIPAP, such a relationship has not been found. The BIPAP day-to-day use time was not enough. In a study with 98 patients, including 76 with oxygen concentrates at home and 22 with BIPAP, 50 (65.8%) men and 26 (34.2%) women were evaluated. The average age of patients was 69.8 ± 9.8. The use and maintenance of home-type respiratory support devices has not been found to be effective. This causes frequent emergency applications of patients and the need for hospitalization. In order to activate the use of the devices, the patient's use of the device in the right technique and timely, the necessary maintenance, repairs and adjustments related to the device, the patient's clinical checks must be questioned, the patient and his relatives should be re-recorded.

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