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护士使用定量吸入器加储雾罐装置的吸入技术操作情况。

Nurses' performance of inhalation technique with metered-dose inhaler plus spacer device.

作者信息

Self T H, Kelso T M, Arheart K L, Morgan J H, Umberto Meduri G

机构信息

Department of Pharmacy Services, UT Bowld Hospital, University of Tennessee Medical Center, Memphis 38103.

出版信息

Ann Pharmacother. 1993 Feb;27(2):185-7. doi: 10.1177/106002809302700211.

Abstract

OBJECTIVE

To determine if nurses could correctly use a metered-dose inhaler plus spacer (MDI-spacer) device after a brief description and demonstration of proper use by a clinical pharmacist.

DESIGN

Pretest, educational intervention, posttest.

SETTING

University hospital.

PARTICIPANTS

Twenty-three nurses.

INTERVENTIONS

Nurses were asked to use the MDI-spacer (Aerochamber) and were scored using a nine-point checklist (pretest). Educational intervention by the clinical pharmacist consisted of a five-minute discussion and correct demonstration of the device. Nurses were then asked to use the device again (posttest).

MAIN OUTCOME MEASURES

Pre- and posttest scores.

RESULTS

Total scores were improved after the educational intervention (66 percent pretest vs. 88 percent posttest, p = 0.0001). In an item analysis, four of the nine steps had improved significantly.

CONCLUSIONS

A brief discussion and demonstration of correct use of MDI-spacers is effective in improving nurses' skill in using the device.

摘要

目的

确定在临床药剂师对定量吸入器加储雾罐(MDI-储雾罐)装置的正确使用进行简短描述和演示后,护士能否正确使用该装置。

设计

前测、教育干预、后测。

地点

大学医院。

参与者

23名护士。

干预措施

要求护士使用MDI-储雾罐(爱全乐储雾罐),并使用九点检查表进行评分(前测)。临床药剂师的教育干预包括五分钟的讨论和对该装置的正确演示。然后要求护士再次使用该装置(后测)。

主要观察指标

前测和后测分数。

结果

教育干预后总分有所提高(前测为66%,后测为88%,p = 0.0001)。在项目分析中,九个步骤中的四个有显著改善。

结论

对MDI-储雾罐正确使用的简短讨论和演示可有效提高护士使用该装置的技能。

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