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...
- 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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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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1814167539616317440 |