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培训对 COPD 患者吸入器技术和生活质量的影响。

The effects of training on inhaler technique and quality of life in patients with COPD.

机构信息

1 Department of Medical Nursing, Erciyes University , Faculty of Health Sciences, 38039, Kayseri, Türkiye .

出版信息

J Aerosol Med Pulm Drug Deliv. 2013 Dec;26(6):336-44. doi: 10.1089/jamp.2012.1017. Epub 2013 Feb 19.

Abstract

OBJECTIVES

This experimental study was conducted to determine the effects of training on inhaler technique and quality of life in patients with chronic obstructive pulmonary disease (COPD).

METHODS

Among the patients who applied at the outpatient clinic of chest diseases between March 2009 and May 2010, a total of 69 with COPD who complied with the criteria of the study were recruited; of these, 34 subjects were put in the intervention group and 35 in the control group. The intervention group was educated on using an inhaler by verbal training, demonstration movie, and leaflet. A follow-up after 3 months was carried out in both groups.

RESULTS

Of the intervention group, 82.4% used the inhaler correctly; however, in the follow-up, all of the controls used it incorrectly (p<0.05). The number of attacks (p<0.001), emergency applications, and hospitalizations (p>0.05) of the intervention group was lower at the follow-up than in the control. Promotion in all areas of quality of life was determined in the intervention group (p<0.001).

CONCLUSION

Consequently, a planned inhaler training given to the patients with COPD was found to decrease attack frequency and dyspnea, and improve quality of life.

摘要

目的

本实验研究旨在确定培训对慢性阻塞性肺疾病(COPD)患者吸入器技术和生活质量的影响。

方法

2009 年 3 月至 2010 年 5 月期间,在胸部疾病门诊就诊的患者中,共招募了 69 名符合研究标准的 COPD 患者;其中 34 名患者纳入干预组,35 名患者纳入对照组。干预组通过口头培训、演示电影和宣传册接受吸入器使用教育。对两组患者均进行了 3 个月的随访。

结果

干预组中,82.4%的患者正确使用了吸入器;然而,在随访中,所有对照组患者均不正确使用(p<0.05)。干预组在随访时的发作次数(p<0.001)、急救应用和住院次数(p>0.05)均低于对照组。干预组在生活质量的所有领域均得到了改善(p<0.001)。

结论

因此,对 COPD 患者进行计划的吸入器培训可降低发作频率和呼吸困难,改善生活质量。

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