Kemerink, A.H.M. (2015) Het aanleren van inhaleren bij patiënten met astma en COPD: kan het beter? : Een onderzoek naar verschillende manieren van inhalatie-instructie voorhet aanleren van correct gebruik van inhalatiemedicatie bij patiënten met astma of COPD. thesis, Medicine.
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Abstract
Background: Inhaled mediation is the cornerstone of the management of asthma and COPD. Adequate inhaler technique is crucial to maximise the benefits of inhaled medication treatment. However, inadequate inhaler technique is a common and widespread issue. Although inhaler education has been shown to improve outcomes, research into the most optimal method or content of inhaler education is scarce. The newly developed inhaler-specific patient instruction cards might have an additional value in optimising inhaler technique. This study evaluates the inhaler technique in patients with asthma or COPD visiting the outpatient department of Pulmonary Diseases of the Martini Hospital and to investigate the additional value of the use of inhaler-specific instruction cards. Methods: Prospective randomised controlled trial in 100 patients with asthma or COPD. Patients are randomly assigned to either the usual care group (receiving standard inhaler education) or the usual care + group (receiving a patient instruction card additional to the standard inhaler education). Inhaler technique is assessed using an inhaler-specific checklist at baseline and at follow-up (6-8 weeks later). In addition, patients in both groups fill out questionnaires asking for symptoms, adherence, patient perceived side effects and satisfaction. Results: At baseline only 8% of the patients demonstrated adequate inhaler technique. An improvement in inhaler technique was found at follow up (70% correct). The improvement found in the usual care+ group was significantly (P<0.001) higher as compared to the improvement in the usual care group (respectively from 4% to 85% (P<0.001) and from 12% to 57% (P<0.001)). Conclusion: Improper use of inhaled medication is common in patients with asthma or COPD. This study emphasises the need of more awareness for regular monitoring of the inhaler technique and providing inhaler instruction. The newly developed inhaler-specific instruction card might be a helpful tool in optimising inhaler technique.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Schokker, Dr. S. |
| Supervisor name: | Medebegeleiders: and Vroegop, J.S. longarts & and Klemmeier-Boekhout, T.J.astma/COPD-verpleegkundige and Locatie: polikliniek Longziekten Martini Ziekenhuis te Groni |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:53 |
| Last Modified: | 25 Jun 2020 10:53 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1359 |
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