Inhaler training and asthma knowledge are associated with a higher proportion of patients with correct inhaler technique in young but not in elderly asthmatic patients
| العنوان: | Inhaler training and asthma knowledge are associated with a higher proportion of patients with correct inhaler technique in young but not in elderly asthmatic patients |
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| المؤلفون: | Maria Jesus Valente, Adriana Pascoal, Eduardo Freitas Ferreira, Luís Taborda-Barata, Marli Loureiro, Salete Valente, Olga Lourenço, João Fonseca, Patrícia Silva, Jorge Gama |
| المساهمون: | uBibliorum |
| المصدر: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, Adult, Male, Study groups, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Asthma knowledge, Specialty, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Patient Education as Topic, Inhalers, Surveys and Questionnaires, Administration, Inhalation, medicine, Inhaler technique, Immunology and Allergy, Outpatient clinic, Asthmatic patient, Humans, 030212 general & internal medicine, Anti-Asthmatic Agents, Determinants, Asthma, Aged, Aged, 80 and over, business.industry, Inhaler, Nebulizers and Vaporizers, social sciences, Middle Aged, medicine.disease, humanities, Exact test, 030228 respiratory system, Pediatrics, Perinatology and Child Health, Physical therapy, Female, business, Self-perception |
| الوصف: | Objective: Incorrect inhaler usage is frequent, particularly in elderly asthmatic patients. This study aimed at comparing inhaler technique errors and their determinants, as well inhaler technique self-perception versus real performance, between elderly and non-elderly asthmatics. Methods: Cross-sectional assessment of 92 elderly and 100 non-elderly asthmatics followed at specialty clinics. A standardized questionnaire was applied and inhaler technique demonstration was requested. Errors were assessed using checklists based on manufacturers’ instructions and inhaler technique was graded as correct, acceptable or incorrect. Chi-Square Test and Fischer’s Exact Test were used for comparative analysis of nominal variables. A p value equal to or less than 0.05 was considered statistically significant. Results: Inhaler technique was correct in a minority of elderly and young patients, without significant differences between study groups. Only 11.1% of the elderly who classified their inhaler as easy and 12.7% who stated their technique was correct had no errors. Previous regular inhaler training was associated with better actual performance in young but not in elderly patients. Conclusion: Our study showed that in spite of regular follow up at specialized outpatient clinics, inhaler devices are associated with a high frequency of errors in elderly and non-elderly asthmatics. In addition, most patients tend to overestimate their technique as correct. Finally, previous, frequent training was associated with a significantly higher percentage of patients showing correct or acceptable technique but only in non-elderly asthmatics, which suggests that elderly asthmatics may need specifically tailored inhaler education programs. POCI-COMPETE 2020- Operational Programme Competitiveness and Internationalization in Axis I - Strengthening research, technological development and innovation (Project No. 007491) |
| وصف الملف: | application/pdf |
| تدمد: | 1532-4303 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::161bd44fc7fff29b8c89d55a718fb134Test https://pubmed.ncbi.nlm.nih.gov/30810421Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....161bd44fc7fff29b8c89d55a718fb134 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15324303 |
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