Muchão Fábio Pereira, Silva Filho Luiz Vicente Ribeiro Ferreira da, Pastorino Antonio Carlos, Rodrigues Joaquim Carlos
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo, SP, BR.
Einstein (Sao Paulo). 2011 Sep;9(3):337-42. doi: 10.1590/S1679-45082011AO2115.
To evaluate the effect of a theoretical and practical guidance on knowledge of pediatricians regarding the use of metered dose inhalers with spacers. To identify major deficiencies, correct them and train these physicians on the correct use of the devices.
Pediatricians who participated in a theoretical-practical program focusing on the use of inhaler devices answered a questionnaire with five questions about the use of these devices before and after the program. A comparison of the scores obtained in the pre- and post-training tests was performed by Wilcoxon test for related samples, and a significance level of 0.05 was adopted.
Twenty pediatricians performed pre- and post-training tests. The performance of pediatricians in the post-training test was significantly better than baseline (p<0.001).
A brief orientation program for pediatricians significantly improved their knowledge on the use of metered-dose inhalers with spacers, which may translate into an improvement in quality and quantity of prescriptions of these devices in clinical practice. The questions with higher rates of errors in the pre-training test were the questions about the waiting time between two sprays in successive applications and about the correct way to attach the inhaler to the spacer, both with high levels of success in the post-training test.
评估理论与实践指导对儿科医生使用带储雾罐的定量吸入器知识的影响。识别主要缺陷，加以纠正，并培训这些医生正确使用这些装置。
参加了聚焦于吸入器装置使用的理论-实践项目的儿科医生，在项目前后回答了一份关于这些装置使用的包含五个问题的问卷。通过对相关样本的 Wilcoxon 检验对培训前和培训后测试中获得的分数进行比较，采用的显著性水平为 0.05。
20 名儿科医生进行了培训前和培训后测试。儿科医生在培训后测试中的表现显著优于基线水平（p<0.001）。
为儿科医生开展的简短培训项目显著提高了他们关于使用带储雾罐的定量吸入器的知识，这可能转化为临床实践中这些装置处方的质量和数量的改善。培训前测试中错误率较高的问题是关于连续使用两次喷雾之间的等待时间以及将吸入器连接到储雾罐的正确方法的问题，这两个问题在培训后测试中的正确率都很高。
