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基层医疗保健中慢性阻塞性肺疾病患者吸入器使用方面与装置及吸入技术相关的错误

Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care.

作者信息

Lindh Annika, Theander Kersti, Arne Mats, Lisspers Karin, Lundh Lena, Sandelowsky Hanna, Ställberg Björn, Westerdahl Elisabeth, Zakrisson Ann-Britt

机构信息

Faculty of Medicine and Health, School of Health Sciences Örebro University Örebro Sweden.

Centre for Clinical Research Region Värmland Karlstad Sweden.

出版信息

Nurs Open. 2019 Aug 20;6(4):1519-1527. doi: 10.1002/nop2.357. eCollection 2019 Oct.

Abstract

AIM

The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.

DESIGN

Observational study.

METHODS

COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD ( = 183) from primary healthcare centres. The STROBE checklist has been used.

RESULTS

The mean age of the patients was 71 ( 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.

摘要

目的

本研究旨在描述慢性阻塞性肺疾病(COPD)初级卫生保健患者吸入器的使用情况,并将这些患者分为与装置相关的错误使用者、与吸入技术相关的错误使用者以及与两者都相关的错误使用者。

设计

观察性研究。

方法

慢性阻塞性肺疾病护士使用检查表评估来自初级卫生保健中心的肺活量测定证实为慢性阻塞性肺疾病的患者(n = 183)吸入器的使用情况。采用了STROBE检查表。

结果

患者的平均年龄为71(9)岁。几乎一半(45%)的患者至少犯了一个错误;其中,50%的患者犯了与装置相关的错误,31%的患者犯了与吸入技术相关的错误,19%的患者犯了与装置和吸入技术都相关的错误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9608/6805258/7eda0984020a/NOP2-6-1519-g001.jpg

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