Chafin C C, Tolley E, Demirkan K, Burbeck J, Self T H
Department of Clinical Pharmacy, University of Tennessee, Memphis 38163, USA.
J Asthma. 2000;37(7):585-8. doi: 10.3109/02770900009090813.
Several studies have shown that a significant percentage of housestaff and attending physicians are deficient in both skill and knowledge of the metered-dose inhaler (MDI). There are no studies involving medical students, or any including the peak flow meter (PFM). The setting was a large health science center with investigators in private conference rooms with individual medical students. Twenty-two medical students in the last semester before graduation were scored in the use of these devices pre-education and post-education (instruction included both discussion and demonstration). Results revealed a lack of skill initially, followed by dramatic improvement after the intervention. The total number of correct steps for each device (MDI with spacer and PFM) improved significantly (p < 0.0001). This group of medical students was deficient in the use of common asthma devices. A short educational intervention was effective in improving skill.
多项研究表明,相当比例的住院医师和主治医师在定量吸入器(MDI)的技能和知识方面存在欠缺。目前尚无涉及医学生的相关研究,也没有任何研究涵盖峰值流量计(PFM)。研究地点是一个大型健康科学中心,研究人员在私人会议室对个体医学生进行研究。对22名即将毕业的最后一学期医学生在接受这些设备使用教育前和教育后(教育包括讨论和演示)进行了评分。结果显示,起初他们缺乏技能,但在干预后有了显著提高。每种设备(带储雾罐的MDI和PFM)的正确操作步骤总数有显著改善(p < 0.0001)。这群医学生在常见哮喘设备的使用方面存在不足。短期的教育干预在提高技能方面是有效的。