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The objective of this study is to investigate the reliability and validity of the quality of life (QOL) scale for patients on home oxygen therapy (HOT), and to identify factors associated with QOL, as the first step in developing a rehabilitation program for HOT patients. The study also aims at formulating a tentative assessment plan for nursing intervention on the basis of these associated factors, and at evaluating its effectiveness. (1) Content validity of the QOL scale used in this study was determined by the degree of consensus among 10 researchers, the construct validity was determined on the basis of the results of factor analysis of the QOL scale for HOT patients, and reliability was determined by the Cronbach's a coefficient. (2) Four factors, i.e., "the degree of dyspnea," "the degree of independence in daily life activities," "stress recognition," and "psychological support by an important third person," were selected as the factors associated with the QOL of HOT patients. Significant differences in these associated factors were noted between the group with high QOL scale scores and the group with low QOL scale scores, and the necessity of nursing intervention was suggested. (3) The discriminating ability of this tentative assessment plan (NIA for HOTP) based on the associated factors in the HOT patients was supported by comparison of the scores on NIA for HOTP and the QOL scale score•} 1 SD in terms of the number of patients. The effectiveness of nursing intervention using NIA for HOTP could be confirmed by case studies. However, there appear to be some limitations in terms of making detailed assessments of individual cases.

Development of Assessment Indices Aimed at Improvement of Quality of Life for Patients on Home Oxygen Therapy