Karayazı TEB State Hospital, Ministry of Health, Karayazı, Erzurum, Turkey.
Department of Pulmonology, Faculty of Medicine, Sakarya University, Adnan Menderes Caddesi Sağlık Sokak No: 195 Adapazarı, Sakarya, Turkey.
Heart Lung. 2021 Mar-Apr;50(2):323-328. doi: 10.1016/j.hrtlng.2021.01.009. Epub 2021 Jan 20.
BACKGROUND/AIM: Nonadherence to inhalation therapy and incorrect inhalation technique is an important problem for optimal disease management in patients with chronic respiratory disease. The aim of the study is to investigate the effectiveness of an inexpensive and effortless method which would be able to improve the inhalation technique of patients.
The video showing the correct use of inhaler devices was played continuously for 3 months in the waiting room of the chest diseases polyclinic, on the big screen TV. The patients, who were not prompted to watch the video, were divided into two groups, as those who visited the outpatient clinic before (n = 300, Group 1) and after (n = 300, Group 2) the video playback began. Patients' ability to use their own inhaler devices was observed without intervention, scored according to the standard 'Ability of Inhaler Device Use' scale and the two groups were compared.
The inhaler use skill of the patients in the second group was significantly higher except for the Turbuhaler. In Group 2, among the "video watchers" subgroup, there was significant improvement in all device types.
Presentation of the use of inhaler devices on the screens in the waiting area of the outpatient clinics of health facilities will provide significant benefits and allow reducing the failure of treatment due to incorrect/incomplete device usage.
背景/目的:在慢性呼吸道疾病患者中,不遵守吸入疗法和不正确的吸入技术是实现最佳疾病管理的一个重要问题。本研究的目的是调查一种廉价且不费力的方法的有效性,该方法能够改善患者的吸入技术。
在胸科诊所的候诊室的大屏幕电视上连续播放展示正确使用吸入器装置的视频,时长为 3 个月。未提示观看视频的患者被分为两组,即视频播放开始前(n=300,第 1 组)和开始后(n=300,第 2 组)就诊的患者。在不干预的情况下观察患者使用自己的吸入器装置的能力,根据标准的“吸入器装置使用能力”量表进行评分,并对两组进行比较。
除了 Turbuhaler 以外,第 2 组患者的吸入器使用技能明显更高。在第 2 组中,在“观看视频”亚组中,所有装置类型均有显著改善。
在卫生设施的门诊候诊室的屏幕上展示吸入器装置的使用方法将带来显著的益处,并有助于减少因不正确/不完整的装置使用而导致的治疗失败。