肺部疾病患者吸入技术知识和技能的评价

A. Hiasat, Bara’ah Wleed Amireh, Ahmad Mohammad Alamareen, Razan Mohammad Rawwaqa, Ruba Daher Quraan
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引用次数: 0

摘要

背景:使用一种或多种吸入装置通常是治疗哮喘和慢性阻塞性肺疾病(COPD)最有效的方法。与口服疗法相比,吸入疗法需要使用患者必须学会自我管理的设备。直到大约十年或二十年前,大多数吸入药物(MDI)都可以使用标准的计量吸入器给药。现在,每一种药物都必须使用特定的设备,病人必须学会使用。所有哮喘和慢性阻塞性肺病患者都应学习如何正确使用该设备,因为使用不当将导致治疗无效。目的:本研究的目的是评估皇家医疗服务的阿利亚女王军事医院(QAMH) COPD和支气管哮喘(BA)患者关于吸入技术的知识和技能。方法:对在QAMH内科门诊或肺科门诊就诊的已知或确诊的COPD或BA患者进行观察性研究。年龄、性别、教育程度、疾病持续时间和使用的器械类型属于人口统计学和基线临床数据。使用器械专用清单进行评估,其中包括MDI、Breezhaler、Respimat和Turbuhaler。本研究采用评分系统;成功完成的步骤将得到1分,而不正确或执行不佳的步骤将得到0分。7分或更高,对关键阶段的有效展示被认为是“优秀”,5分或更高,对关键阶段的有效展示被认为是“中等”,4分或更低,对关键阶段的无效展示被认为是“差”。结果:200名参与者的平均年龄为51岁(SD: 14.2),其中122名(61%)为男性。慢性阻塞性肺病(n=118,占呼吸系统疾病的59%)最为普遍。最常用的是........
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Evaluation of Knowledge and Skills of Using Inhalation Techniques among Patients with Pulmonary Diseases
Background: The use of one or more inhalation devices is frequently the most efficient method for managing asthma and chronic obstructive pulmonary disease (COPD). In contrast to oral therapies, inhalation therapy requires the use of equipment that patients must learn to self-administer. The majority of inhaled medications (MDI) could be administered using a standard metered dose inhaler until about ten or twenty years ago. Every medication must now be given using a particular device that the patient must learn to use. All asthmatic and COPD patients should learn how to use the device correctly because improper use will lead to ineffective treatment. Objective: This study's objective is to evaluate the knowledge and skills of COPD and bronchial asthma (BA) patients at Queen Alia Military Hospital (QAMH) in the Royal Medical Services regarding the inhaling technique. Method: An observational study was conducted on COPD or BA patients with known or confirmed diagnoses who attended the outpatient internal medicine or pulmonology clinics in QAMH. Age, sex, education, disease duration, and the type of device being used, are among the demographic and baseline clinical data. A device-specific checklist was used to conduct the evaluation, which covered the MDI, Breezhaler, Respimat, and Turbuhaler. A scoring system was used in this study; a successfully completed step received a score of 1, whereas an incorrect or poorly performed step will receive a score of 0. Scores of seven or higher with an effective demonstration of the crucial stages were deemed "excellent," scores of five or higher with an effective demonstration of the crucial stages were deemed "moderate," and scores of four or lower with any ineffective demonstration of the crucial stages were deemed "poor." Results: The mean age of the 200 participants was 51 years (SD: 14.2), and 122 (61%) of them were men. COPD (n=118, 59% of the respiratory conditions) was the most prevalent. The most frequently used ........
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