Araştırma Makalesi
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Which Method is More Effective in Aerochamber Training in Pediatric Age Group?

Yıl 2019, Cilt: 46 Sayı: 1, 85 - 90, 03.03.2019
https://doi.org/10.5798/dicletip.534836

Öz

Objective:
Spacer and metered-dose inhaler use is widespread especially among pediatric
population. In children, training in medication use is provided both for the
family and the child. The aim of the present study was to investigate whether
this training is well comprehended and which training method is more effective
to achieve that goal.



Methods:
This study included patients presenting to our outpatient clinic who were in
need of spacer and metered-dose inhaler use. The study subjects had an age
range of 2-16 years. The patients were randomized into two groups. The first
group was trained on metered-dose inhaler use by video demonstration. The
second group was trained by applied verbal training. They asked to use spacer
and metered-dose inhaler, and they were rated from 0 to 6, as in previous
studies. Errors and deficiencies of use were re-explained. They were informed
about their scores and were told that they would be rated again in the next
follow-up appointment. They were asked again to use spacer and metered-dose
inhaler and rated between 0 and 6 at the second-month control visit.



Results:
The intra-group analysis of the video group showed a significant difference
between the first-month and second-month total scores (p<0,01). The
intra-group analysis of the verbal training group also showed a significant
difference between the first-month and second-month total scores (p<0,01).



Conclusion:
In conclusion, we demonstrated the positive effect of actively inclusion of
patients with asthma into the training about spacer and metered-dose inhaler
use. We ensured active participation by exam motivation. Here in we aimed to
contribute to the existing literature.

Kaynakça

  • 1. Price D, Bosnic-Anticevich S, Briggs A, et all. Inhaler competence in asthma: common errors, barriers to use and recommended solutions. Respir Med 2013; 107: 37-46.
  • 2. Chorão P, Pereira AM, Fonseca JA. Inhaler devices in asthma and COPD--an assessment of inhaler technique and patient preferences. Respir Med 2014; 108: 968-75.
  • 3. Braido F, Chrystyn H, Baiardini I, et all. "Trying, But Failing" - The Role of Inhaler Technique and Mode of Delivery in Respiratory Medication Adherence. J Allergy Clin Immunol Pract 2016; 4: 823-32.
  • 4. Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest 2016; 150: 394-406.
  • 5. Marguet C, Couderc L, Le Roux P, et all. Inhalation treatment: errors in application and difficulties in acceptance of the devices are frequent in wheezy infants and young children. Pediatr Allergy Immunol 2001; 12: 224-30.
  • 6. Turkeli A, Yilmaz O, Yuksel H. Metered dose inhaler-spacer use training effects on achieve asthma control in children. Tuberk Toraks 2016; 64: 105-11.
  • 7. Dekhuijzen PN, Bjermer L, Lavorini F, et all. Guidance on handheld inhalers in asthma and COPD guidelines. Respir Med 2014; 108: 694-700.
  • 8. Melzer AC, Ghassemieh BJ, Gillespie SE, et all. Patient characteristics associated with poor inhaler technique among a cohort of patients with COPD. Respir Med 2017; 123: 124-30.
  • 9. Arora P, Kumar L, Vohra V, et all. Evaluating the technique of using inhalation device in COPD and bronchial asthma patients. Respir Med 2014; 108: 992-8.
  • 10. Oliveira PD, Menezes AM, Bertoldi AD, Wehrmeister FC, Macedo SE. Assessment of inhaler techniques employed by patients with respiratory diseases in southern Brazil: a population-based study. J Bras Pneumol 2014; 40: 513-20.
  • 11. Mason N, Roberts N, Yard N, Partridge MR. Nebulisers or spacers for the administration of bronchodilators to those with asthma attending emergency departments? Respir Med 2008; 102: 993-8.
  • 12. Melani AS, Bonavia M, Cilenti V, et all. Gruppo Educazionale Associazione Italiana Pneumologi Ospedalieri. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med 2011; 105: 930-8.
  • 13. Giraud V, Allaert FA, Roche N. Inhaler technique and asthma: feasability and acceptability of training by pharmacists Respir Med 2011; 105: 1815-22.
  • 14. Kshatriya RM, Khara NV, Paliwal RP, Patel SN. Evaluation of proficiency in using different inhaler devices among intern doctors. J Family Med Prim Care 2016; 5: 362-66.
  • 15. Benjaponpitak S, Kraisarin C, Direkwattanachai C, Sasisakunporn C. Incorrect use of metered dose inhaler by pediatric residents. J Med Assoc Thai 1996; 79: 122-6.
  • 16. Sanchis J, Corrigan C, Levy ML, Viejo JL; ADMIT Group. Inhaler devices - from theory to practice. Respir Med 2013; 107: 495-502.
  • 17. Dekhuijzen PN, Vincken W, Virchow JC, et all. Prescription of inhalers in asthma and COPD: towards a rational, rapid and effective approach. Respir Med 2013; 107: 1817-21.
  • 18. Chrystyn H, Small M, Milligan G, et all. Impact of patients' satisfaction with their inhalers on treatment compliance and health status in COPD. Respir Med 2014; 108: 358-65.
  • 19. Rahmati H, Ansarfard F, Ghodsbin F, Ghayumi MA, Sayadi M. The Effect of Training Inhalation Technique with or without Spacer on Maximum Expiratory Flow Rate and Inhaler Usage Skills in Asthmatic Patients: A Randomized Controlled Trial. Int J Community Based Nurs Midwifery 2014; 2: 211-9.
  • 20. Guss D, Barash IA, Castillo EM. Characteristics of spacer device use by patients with asthma and COPD. J Emerg Med 2008; 35: 357-61.
  • 21. Leiva-Fernández J, Leiva-Fernández F, Vázquez-Alarcón RL, et all. Study protocol for a randomized, controlled trial comparing the efficacy of two trainingal interventions to improve inhalation techniques in patients with chronic obstructive pulmonary disease (COPD): TIEPOC Study. Drugs Context 2014; 3: 212261.
  • 22. Aydemir Y. Assessment of the factors affecting the failure to use inhaler devices before and after training. Respir Med 2015; 109: 451-8.
  • 23. Haidl P, Heindl S, Siemon K, Bernacka M, Cloes RM. Inhalation device requirements for patients' inhalation maneuvers. Respir Med 2016; 118: 65-75.
  • 24. Takaku Y, Kurashima K, Ohta C, et all. How many trainings are required to correct inhalation errors in patients with asthma and chronic obstructive pulmonary disease? Respir Med 2017; 123: 110-15.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Mehmet Yaşar Özkars Bu kişi benim 0000-0003-1290-8318

Serkan Kırık 0000-0002-8658-2448

Yayımlanma Tarihi 3 Mart 2019
Gönderilme Tarihi 13 Ağustos 2018
Yayımlandığı Sayı Yıl 2019 Cilt: 46 Sayı: 1

Kaynak Göster

APA Özkars, M. Y., & Kırık, S. (2019). Which Method is More Effective in Aerochamber Training in Pediatric Age Group?. Dicle Tıp Dergisi, 46(1), 85-90. https://doi.org/10.5798/dicletip.534836
AMA Özkars MY, Kırık S. Which Method is More Effective in Aerochamber Training in Pediatric Age Group?. diclemedj. Mart 2019;46(1):85-90. doi:10.5798/dicletip.534836
Chicago Özkars, Mehmet Yaşar, ve Serkan Kırık. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Tıp Dergisi 46, sy. 1 (Mart 2019): 85-90. https://doi.org/10.5798/dicletip.534836.
EndNote Özkars MY, Kırık S (01 Mart 2019) Which Method is More Effective in Aerochamber Training in Pediatric Age Group?. Dicle Tıp Dergisi 46 1 85–90.
IEEE M. Y. Özkars ve S. Kırık, “Which Method is More Effective in Aerochamber Training in Pediatric Age Group?”, diclemedj, c. 46, sy. 1, ss. 85–90, 2019, doi: 10.5798/dicletip.534836.
ISNAD Özkars, Mehmet Yaşar - Kırık, Serkan. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Tıp Dergisi 46/1 (Mart 2019), 85-90. https://doi.org/10.5798/dicletip.534836.
JAMA Özkars MY, Kırık S. Which Method is More Effective in Aerochamber Training in Pediatric Age Group?. diclemedj. 2019;46:85–90.
MLA Özkars, Mehmet Yaşar ve Serkan Kırık. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Tıp Dergisi, c. 46, sy. 1, 2019, ss. 85-90, doi:10.5798/dicletip.534836.
Vancouver Özkars MY, Kırık S. Which Method is More Effective in Aerochamber Training in Pediatric Age Group?. diclemedj. 2019;46(1):85-90.