The use of metered-dose inhalers in hospital environments

Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary...

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Autores:
Tipo de recurso:
Fecha de publicación:
2013
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22220
Acceso en línea:
https://doi.org/10.1089/jamp.2011.0940
https://repository.urosario.edu.co/handle/10336/22220
Palabra clave:
Beclometasone
Ipratropium bromide
Salbutamol
Adult
Age distribution
Aged
Article
Asthma
Chronic obstructive lung disease
Demography
Drug delivery system
Dyspnea
Educational status
Female
Follow up
Health practitioner
Hospital
Hospitalization
Human
Major clinical study
Male
Marriage
Metered dose inhaler
Occupation
Patient compliance
Quality of life
Risk factor
Sex difference
Smoking
Social status
Adolescent
Adult
Age factors
Aged
Aged, 80 and over
Asthma
Colombia
Educational status
Employment
Female
Hospitalization
Humans
Male
Metered dose inhalers
Middle aged
Patient education as topic
Risk factors
Socioeconomic factors
Young adult
Asthma
Chronic obstructive pulmonary disease (copd)
Inhaler
Metered-dose inhaler
Respiratory medication
university
chronic obstructive
Hospitals
Pulmonary disease
Rights
License
Abierto (Texto Completo)
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network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling 633147906005c40fe6a-11f3-44dc-bd02-67827573d0fa5cc3ee5f-8a79-4bda-9430-170a35056698d14be215-521e-4742-a6f6-3a9a4b04093892fa6884-ab37-4f11-b717-cecf030460f42020-05-25T23:55:48Z2020-05-25T23:55:48Z2013Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p less than 0.05). Results and Conclusions: The study detected deficiencies in educational factors, specifically regarding the initial contact with the patient and regular follow-up by the team of health professionals. It also showed insufficient strategies for the training of patients in the use of the inhalers. There were no significant differences by gender (p>0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.application/pdfhttps://doi.org/10.1089/jamp.2011.094019412711https://repository.urosario.edu.co/handle/10336/22220eng296No. 5287Journal of Aerosol Medicine and Pulmonary Drug DeliveryVol. 26Journal of Aerosol Medicine and Pulmonary Drug Delivery, ISSN:19412711, Vol.26, No.5 (2013); pp. 287-296https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884993727&doi=10.1089%2fjamp.2011.0940&partnerID=40&md5=03624168b2906ac9ef259b1310aa0885Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURBeclometasoneIpratropium bromideSalbutamolAdultAge distributionAgedArticleAsthmaChronic obstructive lung diseaseDemographyDrug delivery systemDyspneaEducational statusFemaleFollow upHealth practitionerHospitalHospitalizationHumanMajor clinical studyMaleMarriageMetered dose inhalerOccupationPatient complianceQuality of lifeRisk factorSex differenceSmokingSocial statusAdolescentAdultAge factorsAgedAged, 80 and overAsthmaColombiaEducational statusEmploymentFemaleHospitalizationHumansMaleMetered dose inhalersMiddle agedPatient education as topicRisk factorsSocioeconomic factorsYoung adultAsthmaChronic obstructive pulmonary disease (copd)InhalerMetered-dose inhalerRespiratory medicationuniversitychronic obstructiveHospitalsPulmonary diseaseThe use of metered-dose inhalers in hospital environmentsarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Vargas Pinilla, Olga CeciliaMartinez, J.Ibanez, M.Pena, C.Santamaria, M.10336/22220oai:repository.urosario.edu.co:10336/222202022-05-02 07:37:17.595331https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv The use of metered-dose inhalers in hospital environments
title The use of metered-dose inhalers in hospital environments
spellingShingle The use of metered-dose inhalers in hospital environments
Beclometasone
Ipratropium bromide
Salbutamol
Adult
Age distribution
Aged
Article
Asthma
Chronic obstructive lung disease
Demography
Drug delivery system
Dyspnea
Educational status
Female
Follow up
Health practitioner
Hospital
Hospitalization
Human
Major clinical study
Male
Marriage
Metered dose inhaler
Occupation
Patient compliance
Quality of life
Risk factor
Sex difference
Smoking
Social status
Adolescent
Adult
Age factors
Aged
Aged, 80 and over
Asthma
Colombia
Educational status
Employment
Female
Hospitalization
Humans
Male
Metered dose inhalers
Middle aged
Patient education as topic
Risk factors
Socioeconomic factors
Young adult
Asthma
Chronic obstructive pulmonary disease (copd)
Inhaler
Metered-dose inhaler
Respiratory medication
university
chronic obstructive
Hospitals
Pulmonary disease
title_short The use of metered-dose inhalers in hospital environments
title_full The use of metered-dose inhalers in hospital environments
title_fullStr The use of metered-dose inhalers in hospital environments
title_full_unstemmed The use of metered-dose inhalers in hospital environments
title_sort The use of metered-dose inhalers in hospital environments
dc.subject.keyword.spa.fl_str_mv Beclometasone
Ipratropium bromide
Salbutamol
Adult
Age distribution
Aged
Article
Asthma
Chronic obstructive lung disease
Demography
Drug delivery system
Dyspnea
Educational status
Female
Follow up
Health practitioner
Hospital
Hospitalization
Human
Major clinical study
Male
Marriage
Metered dose inhaler
Occupation
Patient compliance
Quality of life
Risk factor
Sex difference
Smoking
Social status
Adolescent
Adult
Age factors
Aged
Aged, 80 and over
Asthma
Colombia
Educational status
Employment
Female
Hospitalization
Humans
Male
Metered dose inhalers
Middle aged
Patient education as topic
Risk factors
Socioeconomic factors
Young adult
Asthma
Chronic obstructive pulmonary disease (copd)
Inhaler
Metered-dose inhaler
Respiratory medication
topic Beclometasone
Ipratropium bromide
Salbutamol
Adult
Age distribution
Aged
Article
Asthma
Chronic obstructive lung disease
Demography
Drug delivery system
Dyspnea
Educational status
Female
Follow up
Health practitioner
Hospital
Hospitalization
Human
Major clinical study
Male
Marriage
Metered dose inhaler
Occupation
Patient compliance
Quality of life
Risk factor
Sex difference
Smoking
Social status
Adolescent
Adult
Age factors
Aged
Aged, 80 and over
Asthma
Colombia
Educational status
Employment
Female
Hospitalization
Humans
Male
Metered dose inhalers
Middle aged
Patient education as topic
Risk factors
Socioeconomic factors
Young adult
Asthma
Chronic obstructive pulmonary disease (copd)
Inhaler
Metered-dose inhaler
Respiratory medication
university
chronic obstructive
Hospitals
Pulmonary disease
dc.subject.keyword.eng.fl_str_mv university
chronic obstructive
Hospitals
Pulmonary disease
description Background: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p less than 0.05). Results and Conclusions: The study detected deficiencies in educational factors, specifically regarding the initial contact with the patient and regular follow-up by the team of health professionals. It also showed insufficient strategies for the training of patients in the use of the inhalers. There were no significant differences by gender (p>0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.
publishDate 2013
dc.date.created.spa.fl_str_mv 2013
dc.date.accessioned.none.fl_str_mv 2020-05-25T23:55:48Z
dc.date.available.none.fl_str_mv 2020-05-25T23:55:48Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1089/jamp.2011.0940
dc.identifier.issn.none.fl_str_mv 19412711
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/22220
url https://doi.org/10.1089/jamp.2011.0940
https://repository.urosario.edu.co/handle/10336/22220
identifier_str_mv 19412711
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationEndPage.none.fl_str_mv 296
dc.relation.citationIssue.none.fl_str_mv No. 5
dc.relation.citationStartPage.none.fl_str_mv 287
dc.relation.citationTitle.none.fl_str_mv Journal of Aerosol Medicine and Pulmonary Drug Delivery
dc.relation.citationVolume.none.fl_str_mv Vol. 26
dc.relation.ispartof.spa.fl_str_mv Journal of Aerosol Medicine and Pulmonary Drug Delivery, ISSN:19412711, Vol.26, No.5 (2013); pp. 287-296
dc.relation.uri.spa.fl_str_mv https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884993727&doi=10.1089%2fjamp.2011.0940&partnerID=40&md5=03624168b2906ac9ef259b1310aa0885
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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