Table 3 Technical and human factors that affect how patients use health technology at home
| Â | IV therapy (IV) | Parenteral nutrition (PN) | Oxygen therapy (O2) | Peritoneal dialysis (PD) |
|---|---|---|---|---|
Technical factors | Relatively few manipulations are required, but these may become problematic for older people lacking fine manual dexterity The alarm system of the programmable pump frequently disturbs sleep | Technical tasks are numerous and require dexterity The alarm system of the programmable pump frequently disturbs sleep Aseptic procedures are crucial Storage space is required for feeding solutions (extra fridge) and durables The gravity pole bumps against carpet edges and door ledges, creating bubbles in the bag | Technical tasks are simple (changing filters, connecting tubes to cylinders) Concentrator generates noise and heat, while 15-metre long tubes run along the floor | Technical tasks are numerous and require dexterity The bedroom resembles an hospital room, and waste solutions have to be emptied into the toilet |
Human factors | Anxiety is triggered by the possibility of the catheter becoming dislodged Daily activities such as cooking or taking care of a child are compromised | Anxiety is triggered by the possibility of the catheter becoming dislodged Women feel their body is not attractive anymore because of the catheter Patients attempt to hide medical equipment from the eyes of visitors | Anxiety is triggered by the dangers associated with getting too close to smokers or flames Daily activities such as cooking or taking care of a child are compromised | Patients are struggling to control their health by balancing their dietary regimen and treatments The permanent catheter alters the patient's body image |