Felez M A, González Clemente J M, Cardona Q, Montserrat J M, Picado C
Servei de Pneumología, Hospital Clínic i Provincial, Barcelona.
Rev Clin Esp. 1991 Mar;188(4):185-7.
Aerosol bronchodilators are extensively used in bronchial asthma treatment and other obstructive pulmonary diseases. Its therapeutic efficacy is closely related to a correct administration technique. We present the results obtained in a prospective study on the skill in the use of the health care professionals in our hospital. A total of 127 physicians and nurses were interviewed, being 110 finally included in the study. Only 22.7% of them used the aerosol correctly and we did not find significant differences between the three groups into which we divided the study (Staff physicians, Residents, and nurses). The most frequently found mistakes were not maintaining as correct apnea after inhalation (62.7%) and not shaking the aerosol before use (48.2%). Up to a 57.2% of those interviewed made two or more of the evaluated mistakes. We conclude that although aerosol bronchodilators and corticoids are extensively prescribed, the lack of knowledge about their correct use by health care professionals is very high, and this could contribute to their misuse by patients under their care.
气雾剂支气管扩张剂广泛应用于支气管哮喘治疗及其他阻塞性肺疾病。其治疗效果与正确的给药技术密切相关。我们展示了在我院进行的一项关于医护人员使用技能的前瞻性研究中所获得的结果。总共采访了127名医生和护士，最终110人被纳入研究。其中只有22.7%的人正确使用了气雾剂，并且我们在将研究对象分为三组（在职医生、住院医生和护士）后未发现显著差异。最常见的错误是吸入后未保持正确的屏气（62.7%）以及使用前未摇晃气雾剂（48.2%）。高达57.2%的受访者出现了两个或更多所评估的错误。我们得出结论，尽管气雾剂支气管扩张剂和皮质类固醇被广泛处方，但医护人员对其正确使用的知识匮乏程度很高，这可能导致他们所护理的患者误用这些药物。
