Hoving, H.I.H. (Hester) (2017) The opinion of experienced healthcare providers about the instruction of inhalation technique to patients with Chronic Obstructive Pulmonary Disease : A qualitative, explorative study. thesis, Medicine.
![[img]](https://umcg.studenttheses.ub.rug.nl/style/images/fileicons/text.png) |
Text
HovingHIH.pdf Restricted to Registered users only Download (6MB) |
Abstract
Introduction: COPD is a disease with a high prevalence, morbidity and mortality. Despite the fact that inhalation medication is the key stone in the treatment of COPD, research revealed that many patients have an incorrect inhaler technique. This causes, among other things, poor symptom control, more side effects and increased pressure on healthcare systems. To improve the inhaler technique of patients, proper education about inhaler technique is important. Objective: The aim of this study is to identify the opinion of experienced healthcare providers about the current instruction method for inhalation medication and to obtain ideas to improve the current instruction method. Method: This study consists of three parts, the first two parts consist of a qualitative design, the last part is a quantitative design. In the first part results of a patient study are analyzed, to explore the meaning of patients about inhaler instructions. The results are used in the second part of this study, in which a focus group is performed. In this focus group a heterogeneous group of experienced healthcare providers discussed about the instructions for inhalation medication. To validate the results of the focus group, an online questionnaire is compiled and distributed among a large group of caregivers. In this way was tested whether the results of the focus group are shared among other healthcare providers. In the focus group and the questionnaire several topics were discussed, namely the current way of instruction, training of healthcare providers, eHealth and the communication between healthcare providers. Results: A total of 9 healthcare providers participated to focus group, all experienced in inhaler technique. A total of 93 respondents reacted to the questionnaire. The research indicated patients receive a systematic instruction about inhaler technique, namely demonstration of the technique, practicing and feedback and explanation about the disease and medication. Follow-up of the inhaler technique should be more frequent, and preferably within two weeks after the initial instruction. It appeared that caregivers make errors themselves in the technique in trainings sessions. The idea came up to repeat trainings sessions more frequently and to introduce a certificate for caregivers that are trained in inhaler technique. Currently eHealth is mainly applied in the form of instruction videos and webpages. In the future video consultation will possibly make a greater contribution of the instruction. Communication between caregivers is insufficient nowadays. There is, in particular, need for communication about task division and about the errors of patients. Conclusion: There is room for improvement in the current inhaler instruction method. Two interacting components were revealed: on the one hand improvements can be made to the content of the instruction and on the other hand the organization of care.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Metting, Drs. E.I. (daily supervisor) and Flokstra- de Blok Dr. B.M. J.(faculty supervisor) and Department of General practice and University Medical Centre Groningen, UMCG |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:57 |
| Last Modified: | 25 Jun 2020 10:57 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1806 |
Actions (login required)
 |
View Item |