The use of metered-dose inhalers in hospital environments

O. Vargas, J. Martinez, M. Ibanez, C. Pena, M. Santamaria

Resultado de la investigación: Contribución a RevistaArtículo

7 Citas (Scopus)

Resumen

Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.
Idioma originalEnglish (US)
Páginas (desde-hasta)287-296
Número de páginas10
PublicaciónJournal of Aerosol Medicine and Pulmonary Drug Delivery
Volumen26
DOI
EstadoPublished - oct 1 2013

Huella dactilar

Metered Dose Inhalers
Nebulizers and Vaporizers
Chronic Obstructive Pulmonary Disease
Patient Care Team
Asthma
Inhalation Spacers
Education
Colombia
Patient Education
Chi-Square Distribution
Disease Management
Occupations
Social Class
Demography
Equipment and Supplies
Therapeutics

All Science Journal Classification (ASJC) codes

  • Health Professions(all)

Citar esto

Vargas, O. ; Martinez, J. ; Ibanez, M. ; Pena, C. ; Santamaria, M. / The use of metered-dose inhalers in hospital environments. En: Journal of Aerosol Medicine and Pulmonary Drug Delivery. 2013 ; Vol. 26. pp. 287-296.
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abstract = "Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2{\%} male, 50.8{\%} female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogot{\'a}, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5{\%} (p0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. {\circledC} Mary Ann Liebert, Inc.",
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The use of metered-dose inhalers in hospital environments. / Vargas, O.; Martinez, J.; Ibanez, M.; Pena, C.; Santamaria, M.

En: Journal of Aerosol Medicine and Pulmonary Drug Delivery, Vol. 26, 01.10.2013, p. 287-296.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - The use of metered-dose inhalers in hospital environments

AU - Vargas, O.

AU - Martinez, J.

AU - Ibanez, M.

AU - Pena, C.

AU - Santamaria, M.

PY - 2013/10/1

Y1 - 2013/10/1

N2 - Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.

AB - Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.

U2 - 10.1089/jamp.2011.0940

DO - 10.1089/jamp.2011.0940

M3 - Article

VL - 26

SP - 287

EP - 296

JO - Journal of Aerosol Medicine and Pulmonary Drug Delivery

JF - Journal of Aerosol Medicine and Pulmonary Drug Delivery

SN - 1941-2711

ER -