Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA.
Tufts University School of Medicine, 145 Harrison avenue, Boston, MA, USA.
Patient Educ Couns. 2019 May;102(5):932-936. doi: 10.1016/j.pec.2018.12.016. Epub 2018 Dec 13.
Identify inhaler use characteristics among English (ESP) and non-English speaking patients (NSP) to develop quality improvement efforts.
Outpatients were surveyed for technique confidence, education, preferences and disease control. We compared characteristics between ESP and NSP.
Of 197 respondents, 75% were ESP, 25% were NSP. Compared to NSP, ESP responders were more likely female (57% vs 31%, p = 0.001), used inhalers for a longer time (10 vs 6 years, p = 0.008) and had higher rates of metered dose inhaler use (85% vs. 60%, p < 0.001). Both language groups had similar confidence in inhaler use, after adjustment for age, gender and duration of use. Similar rates of inhaler technique education were reported by ESP and NSP at the initial visit. More NSP reported receiving education at subsequent visits (54% vs. 72%, p = 0.03). Education for both groups was mostly performed by a clinician. Both language groups reported low internet use for learning proper technique, low interest in a separate education session, preferred an active learning method.
These findings will be used to further develop quality inhaler education efforts at our institution.
Local patient preferences should be considered when designing inhaler education programs.
识别英语（ESP）和非英语患者（NSP）的吸入器使用特征，以开展质量改进工作。
对门诊患者进行技术信心、教育、偏好和疾病控制调查。我们比较了 ESP 和 NSP 之间的特征。
在 197 名受访者中，75%为 ESP，25%为 NSP。与 NSP 相比，ESP 应答者更有可能为女性（57%比 31%，p=0.001），使用吸入器的时间更长（10 年比 6 年，p=0.008），并且使用计量吸入器的比例更高（85%比 60%，p<0.001）。在调整年龄、性别和使用时间后，两种语言组对吸入器使用的信心相似。ESP 和 NSP 在首次就诊时报告了相似的吸入器技术教育率。更多的 NSP 报告在随后的就诊中接受了教育（54%比 72%，p=0.03）。两组的教育大多由临床医生进行。两组患者都报告说，他们很少通过互联网学习正确的技术，对单独的教育课程兴趣较低，更喜欢主动学习方法。
这些发现将用于进一步发展我们机构的质量吸入器教育工作。
在设计吸入器教育计划时，应考虑当地患者的偏好。
