Al-Otaibi Hajed M
Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
J Family Community Med. 2020 Jan-Apr;27(1):62-66. doi: 10.4103/jfcm.JFCM_138_19. Epub 2020 Jan 13.
Aerosolized drugs are widely used to treat and control a variety of pulmonary diseases. However, there is increasing evidence that patients are unable to use their drug delivery device correctly. The failure of aerosolized treatment is usually the result of poorly communicated instructions. The aim of this investigation was to evaluate the knowledge of health-care providers in the science of aerosol drug delivery (ADD) and assess the impact of further education on their knowledge.
One hundred and seventeen health-care providers attended a 4-hour educational course on ADD science. The course was conducted from June to August 2018 in Jeddah, Riyadh, and Dammam. Pre-course assessment done with a 12-item multiple-choice questionnaire. Post-course assessment was conducted after the end of course in which participants were asked to rate their knowledge of ADD on a scale of 1-10 (before and after the course).
Sixty-six health-care providers (physicians, pharmacists, respiratory therapists, and health educators) completed the course. The participants' clinical experience, on average (±standard deviation), was 7.6 ± 7.3 years. Clinical experience favored physicians over other groups. The precourse score for all participants was 3.2 ± 1.9 out of 12 and the postcourse score was 6.97 ± 2.7. There was a significant statistical difference between pre- and postcourse assessment scores ( < 0.05). Differences between the four specialties were insignificant ( = 0.216), without a correlation between clinical experience and preassessment scores ( = 0.202).
The present data indicate that health-care providers' knowledge of ADD is completely inadequate. There is an urgent need to introduce an ADD educational package in the curricula. An annual competency-based evaluation for health-care providers is critical as well.
雾化药物被广泛用于治疗和控制多种肺部疾病。然而，越来越多的证据表明患者无法正确使用其给药装置。雾化治疗失败通常是由于说明沟通不畅所致。本调查的目的是评估医护人员对雾化药物递送（ADD）科学的了解，并评估继续教育对其知识的影响。
117名医护人员参加了为期4小时的ADD科学教育课程。该课程于2018年6月至8月在吉达、利雅得和达曼进行。课前通过一份包含12个项目的多项选择题问卷进行评估。课程结束后进行课后评估，要求参与者在1 - 10分的量表上对他们对ADD的知识进行评分（课程前后）。
66名医护人员（医生、药剂师、呼吸治疗师和健康教育工作者）完成了课程。参与者的临床经验平均（±标准差）为7.6 ± 7.3年。临床经验方面医生优于其他组。所有参与者的课前分数在12分中为3.2 ± 1.9分，课后分数为6.97 ± 2.7分。课前和课后评估分数之间存在显著统计学差异（<0.05）。四个专业之间的差异不显著（=0.216），临床经验与课前评估分数之间无相关性（=0.202）。
目前的数据表明医护人员对ADD的知识完全不足。迫切需要在课程中引入ADD教育包。对医护人员进行基于能力的年度评估也至关重要。
