The Effect of Teaching the Use of Inhaler to a Family Caregiver on its Correct Use By the Elderly Patients: A Randomized Clinical Trial

Roghayeh Eslami, H. Ebrahimi, Solmaz Talebi, Mehdi Mansouri, Hossein Bagheri
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Abstract

Background and Objectives Due to the high rate of inhalers’ incorrect use by the elderly, this study aims to evaluate the effect of teaching the use of inhalers to a family caregiver on its correct use by the elderly patients. Subjects and Methods This is a parallel-group randomized clinical trial on 80 older people with a lung disease aged >60 years who use the inhaler incorrectly and their family caregivers. Participants were randomly assigned to group A (education) and group B (control) using a block randomization method (4×4 blocks). In group A, teaching of the correct use of inhaler was provided to the caregivers of the elderly orally and practically in one session, while in group B, training was provided only to the elderly. Three weeks later, the two groups were evaluated using a researcher-made inhaler use checklist. Results There was no significant difference in the use of inhaler before and after the intervention in group A (2.58±1.26) and B (2.55±1.22) (P<0.05). Pearson correlation test results showed a significant decrease in the correct use of inhaler with the increase of patients’ age (r=-0.24). Conclusion Further studies on the use of family members in elderly patients care, various educational programs by health care providers, and periodic evaluation of the performance of the elderly regarding the use of inhalers are recommended.
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向家庭护理人员教授吸入器使用对老年患者正确使用的影响:一项随机临床试验
背景与目的由于老年人吸入器的错误使用比例较高,本研究旨在评估向家庭护理人员传授吸入器使用方法对老年患者正确使用吸入器的影响。受试者和方法这是一项平行组随机临床试验,对80名年龄在bb0 - 60岁的肺部疾病患者及其家庭护理人员进行了不正确使用吸入器。参与者被随机分配到A组(教育组)和B组(对照组),采用块随机化方法(4×4块)。在A组中,对老年人的护理人员进行口头和实践的正确使用吸入器的教学,而在B组中,仅对老年人进行培训。三周后,使用研究人员制作的吸入器使用清单对两组进行评估。结果A组吸入器使用次数(2.58±1.26)、B组吸入器使用次数(2.55±1.22)干预前后比较差异无统计学意义(P<0.05)。Pearson相关检验结果显示,随着患者年龄的增加,正确使用吸入器的比例显著降低(r=-0.24)。结论建议进一步研究家庭成员在老年患者护理中的应用,卫生保健提供者开展各种教育活动,并定期评估老年人吸入器使用的表现。
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