Gaziantep University, Şahinbey, Research and Application Hospital, Gaziantep, Turkey.
İnonu University Faculty of Nursing, Department of Internal Medicine Nursing, Battalgazi/Malatya, 44000, Turkey.
Patient Educ Couns. 2020 Apr;103(4):709-716. doi: 10.1016/j.pec.2019.11.003. Epub 2019 Nov 5.
This study was conducted to examine the effect of inhaler drug education on fatigue, dyspnea severity, and respiratory function tests in patients with chronic obstructive pulmonary disease (COPD).
This randomized controlled study was conducted with a total of 85 patients treated at the chest diseases clinic and outpatient clinic of a state hospital. The data were collected using questionnaires, respiratory function tests, and the COPD and Asthma Fatigue Scale (CAFS) and Visual Analogue Scale (VAS-for dyspnea severity).
It was determined that after 4 weeks of inhaler drug education, the CAFS mean score decreased to 35.32 ± 14.36, the dyspnea severity mean score decreased to 4.76 ± 2.50, and the respiratory function tests mean scores increased to forced expiratory volume in 1 s (FEV) = 58.83 ± 25.48, forced vital capacity (FVC) = 59.04 ± 19.19, and FEV/FVC = 88.39 ± 21.59 in the intervention group (p < 0.05). No change was observed in the patients in the control group except for FEV and FVC mean scores (p > 0.05).
These results demonstrate that inhaler drug education can improve fatigue, dyspnea severity, and respiratory function tests of patients with COPD.
The training by nurses of every patient hospitalized in the clinic regarding inhaler drug therapy, and the regular checking of patients' way of using the inhaled drugs, will contribute to COPD management.
本研究旨在探讨吸入器药物教育对慢性阻塞性肺疾病（COPD）患者疲劳、呼吸困难严重程度和呼吸功能测试的影响。
这是一项在一家州立医院的胸科诊所和门诊进行的随机对照研究，共纳入 85 例患者。使用问卷、呼吸功能测试以及 COPD 和哮喘疲劳量表（CAFS）和视觉模拟量表（VAS-呼吸困难严重程度）收集数据。
经过 4 周的吸入器药物教育后，CAFS 平均评分降至 35.32±14.36，呼吸困难严重程度平均评分降至 4.76±2.50，呼吸功能测试平均评分升高，其中 1 秒用力呼气量（FEV）为 58.83±25.48，用力肺活量（FVC）为 59.04±19.19，FEV/FVC 为 88.39±21.59。对照组患者除 FEV 和 FVC 平均评分外（p＞0.05），无变化。
这些结果表明，吸入器药物教育可以改善 COPD 患者的疲劳、呼吸困难严重程度和呼吸功能测试。
对每个在诊所住院的患者进行吸入器药物治疗的培训，并定期检查患者使用吸入药物的方式，将有助于 COPD 的管理。
