Avaliação do conhecimento sobre o uso de inaladores dosimetrados entre profissionais de saúde de um hospital pediátrico

Abstract

Objective: To evaluate health professionals working at a tertiary pediatric hospital in terms of their knowledge regarding the practical use of metered-dose inhalers. Methods: Practical and written tests on the use of metered-dose inhalers were applied to physicians, physical therapists, nurses and nursing assistants. A score from 0 to 10 was assigned to each evaluation, and median scores were calculated for each professional category. Questions with higher and lower correct values were identified, and a descriptive comparison was made regarding the performance of the various professional categories. Statistical analysis was performed using the Kruskal-Wallis method for comparison of medians. A sequential logistic multiple regression analysis was also performed. Results: A total of 30 resident physicians or interns in the pediatrics department, 23 attending physicians, 29 physical therapists, 33 nurses and 31 nursing assistants were evaluated. Resident physicians, physical therapists and attending physicians performed significantly better than did nurses and nursing assistants. Only resident physicians had a median score greater than 6. Conclusions: The health professionals evaluated, particularly the nurses and nursing assistants, who are directly involved in the practical use of metered-dose inhalers, possess insufficient knowledge regarding the use of such inhalers.

Acute cardiopulmonary repercussions in the correct use of the dry-powder inhalers

“…O uso de medicamentos por via inalatória é um aspecto básico do tratamento dos pacientes asmáticos, entretanto a falha terapêutica acontece, frequentemente da utilização incorreta dos inaladores dosimetrados. 3,33 Pode-se evidenciar por esta pesquisa que uma simples intervenção promove repercussões benéficas para o pneumopata, sendo assim, a orientação correta para melhorar a efetividade do tratamento em pacientes asmáticos deve ser realizada, levando a um processo de promoção da saúde pela educação. Esta pesquisa atual teve como limitação o fato dos pacientes serem de várias localidades fora do local do estudo o que dificultou seu retorno.…”

Avanços na inaloterapia em pediatria

“…There is evidence that not only patients, but also health professionals have serious deficiencies on how to correctly use these devices. 69 Finally, it is worth mentioning that in children older than 8 years dry powder devices are best suited for maintenance therapy, remembering that, for crisis management, metereddose inhalers should be used, since there are no short-acting bronchodilators in the form of dry powder inhalers currently available in the Brazilian market.…”

Metered-dose inhalers: knowledge of technicians and nursing assistants in pediatric units/Inaladores dosimetrados: conhecimento de técnicos e auxiliares de enfermagem de unidades pediátricas/Inhaladores de dosis medida: los conocimientos de los técnicos..

“…Com relação ao conhecimento da equipe, estudo (13) primeiro jato após o aguardo de trinta segundo a um minuto (14,15) . ser lenta e profunda (16,17) .…”