Service of Pneumology, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain.
J Aerosol Med Pulm Drug Deliv. 2012 Feb;25(1):16-22. doi: 10.1089/jamp.2011.0895. Epub 2011 Nov 2.
Studies in many countries in the 1990s revealed deficiencies in physicians' knowledge about inhalation therapy. In an attempt to remedy this situation, Spanish scientific societies implemented a variety of educational strategies. The objective of the present study was to assess changes in attitudes and knowledge about inhalers and inhalation techniques in a sizable sample of physicians.
An 11-question multiple choice test was developed and administered throughout Spain to practicing physicians from specialties that frequently prescribe inhaler devices. The survey collected demographic characteristics (four items), preferences (two items), and issues related to knowledge (three items) and education (two items) about devices and inhalation techniques. Completion of the questionnaire was voluntary, individual, and anonymous.
A total of 1514 respondents completed the questionnaire. Dry powder inhalers (DPI) were preferred by 61.2% physicians, but only 46.1% identified "inhale deeply and forcefully" as the most significant step in the inhalation maneuver using these devices. Only 27.7% stated that they always checked the patient's inhalation technique when prescribing a new inhaler. A composite variable, general inhaled therapy knowledge, which pooled the correct answers related to knowledge, revealed that only 14.2% physicians had an adequate knowledge of inhaled therapy. Multivariate analysis showed that this knowledge was lowest among internal medicine and primary care physicians.
Prescribers' knowledge of inhalers and inhalation techniques remains poor in Spain. The causes should be identified in further research to allow effective educational strategies to be developed. Specific educational policies should be addressed to general practitioners.
20 世纪 90 年代，许多国家的研究表明医生对吸入疗法的知识存在不足。为了改善这种情况，西班牙的科学协会实施了各种教育策略。本研究的目的是评估在相当数量的医生中，对吸入器和吸入技术的态度和知识是否发生了变化。
开发了一个包含 11 个多项选择题的测试，并在西班牙各地向经常开具吸入装置处方的专科医生进行了测试。该调查收集了人口统计学特征（四项）、偏好（两项）以及与设备和吸入技术相关的知识（三项）和教育（两项）问题。完成问卷是自愿的、个人的和匿名的。
共有 1514 名受访者完成了问卷。干粉吸入器（DPI）被 61.2%的医生首选，但只有 46.1%的医生认为“深而有力地吸入”是使用这些设备进行吸入操作的最重要步骤。只有 27.7%的医生表示他们在为新患者开吸入器时总是会检查患者的吸入技术。一个综合变量，一般吸入治疗知识，汇总了与知识相关的正确答案，显示只有 14.2%的医生对吸入治疗有足够的了解。多变量分析表明，内科和初级保健医生的知识最低。
西班牙的医生对吸入器和吸入技术的了解仍然不足。应在进一步的研究中确定原因，以便制定有效的教育策略。应针对全科医生制定具体的教育政策。
