Chan Amy Hai Yan, Harrison Jeff, Black Peter N, Mitchell Edwin A, Foster Juliet M
School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand; Department of Pediatrics, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
J Allergy Clin Immunol Pract. 2015 May-Jun;3(3):335-49.e1-5. doi: 10.1016/j.jaip.2015.01.024. Epub 2015 Apr 1.
Use of electronic monitoring devices (EMDs) for inhalers is growing rapidly because of their ability to provide objective and detailed adherence data to support clinical decision making. There is increasing potential for the use of EMDs in clinical settings, especially as cost-effectiveness is realized and device costs reduce. However, it is important for clinicians to know about the attributes of different EMDs so that they can select the right device for their patients and understand the factors that affect the reliability and accuracy of the data EMDs record. This article gives information on where to obtain EMDs, describes device specifications, and highlights useful features for the clinician and the patient, including user feedback data. We discuss the benefits and potential drawbacks of data collected by EMDs and provide device users with a set of tools to optimize the use of EMDs in clinical settings, such as advice on how to carry out brief EMD checks to ensure data quality and device reliability. New EMDs on the market require pretesting before use by patients. We provide information on how to carry out EMD pretesting in the clinic and patients' homes, which can be carried out by health professionals or in collaboration with researchers or manufacturers. Strategies for interpreting and managing common device malfunctions are also discussed.
由于电子监测设备（EMDs）能够提供客观且详细的依从性数据以支持临床决策，其在吸入器方面的应用正在迅速增长。在临床环境中使用EMDs的潜力越来越大，尤其是在实现成本效益和设备成本降低的情况下。然而，临床医生了解不同EMDs的特性很重要，这样他们就能为患者选择合适的设备，并理解影响EMDs记录数据可靠性和准确性的因素。本文提供了获取EMDs的途径信息，描述了设备规格，并突出了对临床医生和患者有用的功能，包括用户反馈数据。我们讨论了EMDs收集数据的益处和潜在缺点，并为设备用户提供了一套工具，以优化EMDs在临床环境中的使用，比如关于如何进行简短的EMD检查以确保数据质量和设备可靠性的建议。市场上的新型EMDs在患者使用前需要进行预测试。我们提供了关于如何在诊所和患者家中进行EMD预测试的信息，这可以由卫生专业人员或与研究人员或制造商合作进行。还讨论了解释和处理常见设备故障的策略。
