Duman Kirmaci Neslihan, Ağaçdiken Alkan Seval
Çatalzeytin, Vocational School, Kastamonu University, Kastamonu, Turkey.
Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey.
Scand J Caring Sci. 2025 Jun;39(2):e70042. doi: 10.1111/scs.70042.
Chronic Obstructive Pulmonary Disease (COPD) significantly impacts an individual's daily life. Inhaled medications form the cornerstone of COPD treatment. To ensure the efficacy of these treatments, individuals must use their inhalers correctly. It is crucial for nurses to identify the learning needs of individuals with COPD and relate these needs to their level of care dependency, ultimately improving their quality of life.
This study aimed to assess the learning needs of individuals with COPD concerning inhaler drug use and to determine their level of care dependency.
The study population comprised 400 individuals diagnosed with COPD who were treated at a chest diseases hospital between May 2019 and December 2019. Data were collected through a patient information form designed by the researcher, an inhaler medication use skill assessment form, the Katz Activities of Daily Living Scale (ADLS), the Lawton and Brody Instrumental Activities of Daily Living Scale (LADL) the Care Dependency Scale (CDS), and the Patient Learning Needs Scale (PLNS). Data normality was assessed using the Kolmogorov-Smirnov test. The independent samples t-test was employed for normally distributed data, while the Mann-Whitney U-test was used for non-normally distributed data. For comparisons between multiple groups, one-way ANOVA was used for normally distributed data and the Kruskal-Wallis test for non-normally distributed data. Dependent sample t-tests were utilised to analyse within-group changes in normally distributed variables. Pearson's correlation coefficient was employed to assess the relationships between normally distributed quantitative variables.
Of the study participants, 59.8% were male, 34% were in stage 2 of COPD, and 88.8% had been using inhaler medications since their diagnosis. The mean total score on the ADLS was 15.3 ± 3.6, while the mean total score on the LADL was 18.4 ± 5.2. The mean total CDS score was 67.5 ± 21.1, with a median of 79.5. The mean total importance and fulfilment scores on the PLNS were 187.1 ± 49.1 and 182.8 ± 51.7, respectively.
The study revealed that individuals with COPD have unmet learning needs concerning the correct use of inhaler medications. Additionally, it was found that care dependency levels were moderate, increasing with age, COPD stage, and improper inhaler use.
慢性阻塞性肺疾病（COPD）对个人日常生活有重大影响。吸入药物是COPD治疗的基石。为确保这些治疗的疗效，患者必须正确使用吸入器。护士识别COPD患者的学习需求并将这些需求与其护理依赖程度相关联，最终改善其生活质量至关重要。
本研究旨在评估COPD患者在吸入药物使用方面的学习需求，并确定其护理依赖程度。
研究人群包括2019年5月至2019年12月期间在一家胸科疾病医院接受治疗的400例确诊为COPD的患者。通过研究人员设计的患者信息表、吸入药物使用技能评估表、卡茨日常生活活动量表（ADLS）、劳顿和布罗迪日常生活工具性活动量表（LADL）、护理依赖量表（CDS）以及患者学习需求量表（PLNS）收集数据。使用柯尔莫哥洛夫-斯米尔诺夫检验评估数据正态性。对于正态分布的数据采用独立样本t检验，对于非正态分布的数据采用曼-惠特尼U检验。对于多组之间的比较，正态分布的数据使用单因素方差分析，非正态分布的数据使用克鲁斯卡尔-沃利斯检验。使用相关样本t检验分析正态分布变量的组内变化。采用皮尔逊相关系数评估正态分布的定量变量之间的关系。
研究参与者中，59.8%为男性，34%处于COPD 2期，88.8%自确诊以来一直在使用吸入药物。ADLS的平均总分是15.3±3.6，而LADL的平均总分是18.4±5.2。CDS的平均总分是67.5±21.1，中位数为79.5。PLNS上的平均总重要性得分和满足得分分别为187.1±49.1和182.8±51.7。
研究表明，COPD患者在正确使用吸入药物方面存在未满足的学习需求。此外，发现护理依赖程度为中度，随年龄、COPD分期和吸入器使用不当而增加。
