DOI QR코드

DOI QR Code

Correct Use of Inhalers in Patients with Obstructive Pulmonary Disease

폐쇄성 폐질환자의 흡입기 사용 정확성 정도

  • Received : 2010.03.08
  • Accepted : 2010.06.10
  • Published : 2010.06.30

Abstract

Purpose: The purpose of this study was to evaluate the correct use of inhalers and to examine the patients characteristics affecting correct use of inhalers in patients with obstructive pulmonary disease. Method: Subjects were 280 patients with obstructive pulmonary disease who visited the internal pulmonary outpatient departments in 2 university hospitals in Korea. Inhaler use of each patient was assessed using a checklist recommended by the National Asthma Education and Prevention Program Expert Panel. Result: Most subjects used a DPI or MDI. The overall mean score of correct use was 72.09. Most subjects responded they knew well how to use their inhalers. Most frequent error was 'not fully exhaling before inhalation'. A younger age, higher educational level, living with family, and awareness of inhaler use were significantly associated with correct use of inhalers. Conclusion: The findings of this study showed that most of patients were unable to use inhalers correctly even though they had prior educational experiences. Regular assessing of inhaler use and adequate inhaler education considering patients characteristics by nurses are needed.

Keywords

References

  1. 권미경, 정현미, 진영대 (2005). 호흡기 약물상담 효율성 향상을 위한 방법 모색. 병원약사회지, 22(1), 19-22.
  2. 김상국, 장안수, 김윤경, 이숭, 서정평, 양승원, 최수인, 박상후, 이경록, 박재홍 (2000). 천식환자에서 올바른 정량식 분무흡입기 사용 교육에 대한 효과. 천식 및 알레르기, 20(5), 695-701.
  3. 박소연, 조유숙, 지형석, 이재천, 김윤이, 이태훈, 이창근, 유빈, 문희범 (2003). 천식 및 알레르기, 23(4), 781-787.
  4. 손호연, 김미경, 권미경, 정현미, 진영대 (2007). 호흡기약물 상담의 환자 만족도 평가. 병원약사회지, 24(2), 124-130.
  5. 신미정 (2001). 노인에서의 흡입제 사용평가. 중앙대학교 대학원 석사학위 논문. 서울.
  6. 우승희, 김경희 (2008). 천식환자의 질병관련 지식과 흡입기 사용에 대한 인지 및 실천. 기본간호학회지, 15(4), 418-427.
  7. 유성근, 박성임, 박소영, 박정규, 김성은, 김정엽, 신경철, 정진홍, 이관호 (2007). 흡입제의 올바른 흡입방법 교육시 전산화 평가프로그램을 이용한 반복교육의 효과. Tuberc Respir Dis, 63(6), 491-496. https://doi.org/10.4046/trd.2007.63.6.491
  8. 통계청 (2009). 2008 사망원인 통계. Retrieved August 30, 2009, from 통계청 웹사이트: http://kostat go. kr/ 보도자료 (748번).
  9. Fink, J. B. (2005). Inhalers in asthma management : is demonstration the key to compliance? (editorial) Respir Care, 50(5), 598-600.
  10. Fink, J. B., & Rubin, B. K. (2005). Problems with inhaler use: A Call for improved clinician and patient education. Respir Care, 50(10), 1360-1375.
  11. Giraud, V., & Roche, N. (2002). Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. Eur Respir J, 19(2), 246-251. https://doi.org/10.1183/09031936.02.00218402
  12. Ho, S. F., O`Mahony, M. S., Steward, J. A., Breay, P., & Burr, M. L. (2004). Inhaler technique in order people in the community. Age Ageing, 33(2), 185-188. https://doi.org/10.1093/ageing/afh062
  13. Lavorini, E., Magnan, A., Dubus, J. C., Voshaar, T., Corbetta, L. ,Broeders, M., Dekhuijzen, R., Sanchis, J., Viejo, J. L., Barnes, P., Corrigan, C., Levy, M., & Crompton, G. K. (2008). Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respir Med, 102(4), 593-604. https://doi.org/10.1016/j.rmed.2007.11.003
  14. Luk, H. H., Chan, P. M., Lam, F. F., Lau, K. Y., Chiu, S. Y., Fung, Y. L., & Pang, J. (2006). Teaching chronic obstructive airway disease patients using a metered-dose inhaler. Chin Med J, 119(19), 1669-1672.
  15. Markson, L. E., Vollmer, W. M., Fitterman, L., O'Connor, E., Narayama, S., Berger, M., & Buist, A. S. (2001). Insight into patient dissatisfaction with asthma treatment. Arch Intern Med, 161(3), 379-384. https://doi.org/10.1001/archinte.161.3.379
  16. Molimard, M., Raherison, C., Lignot, S., Depont, F., Abouelfath, A., & Moore, N. (2003). Assessment of handling of inhaler devices in real life: an observational study in 3,811 patients in primary care. J Aerosol Med, 16(3), 249-254. https://doi.org/10.1089/089426803769017613
  17. National Asthma Education and Prevention Program Expert Panel Report III (2007). Guidelines for the diagnosis and management of asthma(EPR-3). retrieved July 8, 2008, from the National Heart Lung and Blood Institute web site: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm.
  18. Newman, S. P., Weisz, A. W., Talaee, N., & Clarke, S. W. (1991). Improvement of drug delivery with a breath actuated pressurized aerosol for patients with poor inhaler technique. Thorax, 46(10), 712-716. https://doi.org/10.1136/thx.46.10.712
  19. Rau, J. L. (2006). Practical problems with aerosol therapy in COPD. Respir Care, 51(2), 158-172.
  20. Scarpaci, L. T., Tsoukleris, M. G., & McPherson, M. L. (2007). Assessment of hospice nurses` technique in the use of inhalers and nebulizers. J Palliat Med, 10(3), 665-676. https://doi.org/10.1089/jpm.2006.0180
  21. Sestini, P., Cappiello, V., Aliani, M., Martucci, P., Sena ,A., Vaghi, A., Canessa, P. A., Neri, M., & Melani, A. S. (2006). Prescription bias and factors associated with improper use of inhalers, J Aerosol Med, 19(2), 127-136. https://doi.org/10.1089/jam.2006.19.127
  22. Welch, M., Nelson, H. S., Shapiro, G., Bensch, G. W., Sokol, W. N., Smith, J. A., & Parasuraman, B. M. (2004). Comparison of patient preference and ease of teaching inhaler technique for Pulmicort turbuhaler versus pressurized metered-dose inhalers. J Aerosol Med, 17(2), 129-139. https://doi.org/10.1089/0894268041457174

Cited by

  1. Accuracy of Inhaler Use in Patients With Chronic Obstructive Pulmonary Disease vol.23, pp.5, 2014, https://doi.org/10.1177/1054773813498269
  2. Computational Analysis of Airflow in Upper Airway for Drug Delivery of Asthma Inhaler vol.2, pp.2, 2014, https://doi.org/10.3795/KSME-C.2014.2.2.073