a Servicio de Neumología y Alergia, Hospital Clínic. Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) , Centro de Investigaciones Biomédicas en Red de Enfermedades Respiratorias (CIBERES) , Barcelona , Spain.
b Pneumology Department , Hospital Ramón y Cajal , Madrid , Spain.
Expert Rev Respir Med. 2019 Feb;13(2):133-138. doi: 10.1080/17476348.2019.1567339. Epub 2019 Jan 21.
The preferences and opinions of patients are important when choosing the optimal inhaler device for asthma management. We compared patient satisfaction of three dry powder inhalers in patients with moderate to severe asthma.
We selected a group of patients treated with Easyhaler (n = 164) and a second group of patients treated with Turbuhaler (n = 100) or Diskus (Accuhaler) (n = 64) from the register of an observational, multicenter study. Data of patients were paired according to age, gender, and asthma severity. Patient satisfaction with the inhaler type was assessed with the specific 'Feeling of Satisfaction with Inhaler' (FSI-10) questionnaire.
Specific satisfaction with inhaler was statistically significantly higher with Easyhaler, as well as the percentage of patients with high satisfaction with inhaler. (FSI-10 score ≥43). Scores for Easyhaler were also statistically significantly better for individual FSI-10 items such as learning how to use, inhaler preparation, inhaler use, weight and size, and portability. There were no significant differences in asthma control (ACT, Mini-AQLQ) and adherence (TAI global score).
Specific satisfaction with inhaler was higher with Easyhaler in a homogeneous population of patients with moderate to severe asthma. However, the relationship between satisfaction with the inhaler and adherence and asthma control deserves more investigation.
在选择哮喘管理的最佳吸入器设备时，患者的偏好和意见很重要。我们比较了三种干粉吸入器在中重度哮喘患者中的患者满意度。
我们从一项观察性、多中心研究的登记处选择了一组接受 Easyhaler（n=164）治疗的患者和第二组接受 Turbuhaler（n=100）或 Diskus（Accuhaler）（n=64）治疗的患者。根据年龄、性别和哮喘严重程度对患者数据进行配对。使用特定的“对吸入器的满意度”（FSI-10）问卷评估患者对吸入器类型的满意度。
Easyhaler 的特定吸入器满意度以及对吸入器高度满意的患者比例（FSI-10 评分≥43）具有统计学意义。Easyhaler 的 FSI-10 单项评分（如学习使用、吸入器准备、吸入器使用、重量和尺寸以及便携性）也具有统计学意义。哮喘控制（ACT、Mini-AQLQ）和依从性（TAI 全球评分）没有显著差异。
在中重度哮喘的同质患者群体中，Easyhaler 的特定吸入器满意度更高。然而，吸入器满意度与依从性和哮喘控制之间的关系值得进一步研究。
