Peters-Geven, Marije (2020) Patiënten stellen een gebruikersinstructie voor nasale medicatie bij allergische rhinitis op prijs, maar krijgen deze niet van hun zorgverlener. Een kwalitatief, exploratief onderzoek naar instructies bij het gebruik van nasale medicatie voor allergische rhinitis. thesis, Medicine.
Full text available on request.Abstract
Introduction: Allergic rhinitis (AR) is a common condition with symptoms such as sneezing, rhinorrhoea, fatigue and nasal obstruction. Although not life-threatening, the condition has a major impact on patients’ quality of life. More than 90% of patients do not administer the nasal spray correctly. As a result, the effect of the medication is less, side effects occur more frequently and therapy adherence decreases. Because good information in package leaflets for nasal corticosteroids is often lacking, patients depend on health care providers for proper instructions. It is unclear whether care providers give this instruction, what the content of this instruction is and if patients appreciate an instruction. Purpose: To investigate whether patients receive instructions for the use of their nasal spray, the content of these instructions and patient’s opinion about these instructions. In addition, we want to investigate whether package leaflets give instructions in accordance with the LANprotocol and whether patients use the nasal spray in accordance with the LAN-protocol. Method: In this partly qualitative study, semi-structured interviews were used for asking the opinion of patients between 18 and 55 years of age, who are taking medication for allergic rhinitis on prescription or through self-care. They received questions about the treatment, the instruction received and their wishes for an instruction. These questions were also asked to healthcare providers. The way in which patients use their nasal spray was recorded on video and analysed. Prior to the interviews, a questionnaire was completed for background information. In addition, package leaflets from nasal medication for AR were analysed and a larger online background study was conducted by means of a questionnaire. Results: Patients currently receive almost no explanation about the use of their nasal spray. Moreover, they are insufficiently aware that an instruction is necessary; no patient administered the nasal spray in a completely correct manner and the patients themselves did not see this. Leaflets are often not read or misunderstood and, in many cases, are incomplete or even incorrect in the description of the user instructions: only 19% (n = 23) of the leaflets described ≥10 of the steps correctly. After explanation of the correct technique and the necessity of correct use, all patients did indicate that an instruction was important. They would like the oral instruction by their healthcare provider to be supported with information in a brochure or on a website with an instructional video. Practicing with a healthcare provider is also appreciated. Healthcare providers do not see the necessity of an instruction or believed providing an instruction is the job of the pharmacy-assistant. Background research has shown that patients' complaints are generally insufficiently controlled and have a great impact on patients’ quality of life. Conclusion: Patients do not receive proper instructions in accordance with the LAN-protocol for the use of nasal medication for AR, while they do appreciate this. They do not use their nasal spray properly when compared with the LAN-protocol. Information leaflets are incorrect and incomplete and care providers do not pay sufficient attention to provide proper instructions. Given the many complaints of AR and the impact on patients’ quality of life, it is of great importance that more attention is paid to the correct administration of nasal sprays in the treatment of AR.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Prof. Dr. Sanderman, R. and Dr. Metting, E.I. and Dr. van Boven, J.F.M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 20 Sep 2023 11:32 |
| Last Modified: | 20 Sep 2023 11:32 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3691 |
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