Analysis Of Home Care Need Among Patients With Chronic Respiratory Disease

Abstract

Chronic respiratory diseases are chronic diseases of airways and other structures of the lung. People with chronic respiratory disease have difficulties breathing, primarily due to the narrowing of their airway. They need to admit in hospital for getting treatment from medical services to improve health status and reduce dyspnea. However this condition need long term care and need rehabilitation program that can be planed by home care. The objective of study was to identify kind of needs among patients with respiratory disease (chronic respiratory dieases) and to prevent exacerbation and also to increase quality of life for patient with chronic respiratory dieases. This study was conducted at Arifin Achmad Goverment Hospital Pekanbaru, Indonesia. Participant was eligible if they have diagnosis chronic respiratory problem and selected by purposive sampling. A total of 60 patients are agreeing to participate in this study. Each participant recruited was required to complete home care chronic respiratory disease (HCCRD) questioner. The questioner used rating scale 1 to 4(1: not all need, 2: somewhat need, 3: Pretty need, and 4: very need). Content validity index of HCCRD questioner at level 0, 82 and reliability was tested by 20 respondents at level 0, 92. The study design was descriptive analysis. The result study showed that, male more than female have chronic respiratory diseases. The mean of age was 47,5 years old; 37 % were men, majority were employee clerical and trade job. Over a half (56%) of respondents have secondary education and were current smoker (45%) and also had limited exercise (52%).There was 37% respondents need to make oxygen available at their home; most of them also need more information related to their diseases, physical exercise, deep breathing relaxation technique, consult to dietary consultant and also need medical checkup for lung function. However majority of them didn’t need pot sputum and wheel chair but almost of them need to follow up their health status regularly by health care provider. Patient with chronic respiratory dieases need home care to improve their quality of life. Home care services can increase quality of daily activity by follow up health condition regularly, provide information and show kind of exercise to prevent exacerbation.