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Table 4 Technical and human factors that affect how patients use health technology in broader social life

From: Patients' perspectives on high-tech home care: a qualitative inquiry into the user-friendliness of four technologies

 

IV therapy (IV)

Parenteral nutrition (PN)

Oxygen therapy (O2)

Peritoneal dialysis (PD)

Technical factors

Portable systems may be heavy and limit mobility, while the gravity pole confines the patient to the home

Enables patients to be independent of the hospital and clinical staff

Treatment frequency is a major constraint

Patients are confined to a restricted space ("hooked up" to tubes)

The portable cylinders provide short periods of autonomy (2–4 hours)

The nocturnal automated exchange regulator enables a certain level of autonomy

Treatment frequency is a major constraint

Human factors

Professional and social life is slightly limited, albeit for a short period

Professional life is limited because of treatment frequency, the disease itself and the occasional-to-frequent re-hospitalisations

Social life is limited because so much of social life revolves around the sharing of meals

Professional life is limited because of the disease and being "hooked up" to the concentrator for up to 18 hours/day

Social life is limited because of the compromised self-image associated with wearing nasal tubes and portable cylinders

The oxygen-saving device generates noise similar to that of a ventilator

Professional life is still possible (and is less restricted than for patients on hospital-based hemodialysis)

Social life is still possible when using the nocturnal exchange regulator, but complicated when one wants to travel abroad or make short trips