¿Siguen utilizando incorrectamente los inhaladores nuestros pacientes asmáticos?

Escriche, Xavier Flor; Mas, Magali; Alvarez, Liliana; Luque, I. Álvarez; Gorgals, J. Juvanteny; Rivero, Marı́a J.; Pinacho, L. Sánchez

doi:10.1016/s0212-6567(03)79273-7

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…These results are consistent with what was described by Flor et al ( 12 ) Studies of inhaler technique have established that the most common errors are, in order of incidence, as follows: poor coordination between actuation and inhalation; an insufficient breath-hold after inhalation; excessive inhalation flow; failing to shake the canister vigorously before use; failing to continue to inhale after actuation; pressing the canister down several times during the course of a single inhalation; exhaling during actuation; and failing to hold the inhaler upright. ( 13 )…”

Section: Discussionsupporting

confidence: 94%

“…Estos resultados coinciden con lo descrito por Flor et al ( 12 ) Estudios sobre la TI establecen que los errores más comunes por orden de incidencia son: mala coordinación entre pulsación del dispositivo e inspiración; periodos de apnea tras la maniobra demasiados cortos; flujo inspiratorio excesivo; no agitar bien el cartucho antes de usarlo; interrumpir la inhalación después de la activación; presionar el cartucho varias veces durante una única maniobra respiratoria; exhalar durante el disparo y no colocar el inhalador en posición vertical. ( 13 )…”

Section: Discussionunclassified

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Study of inhaler technique in asthma patients: differences between pediatric and adult patients

et al. 2015

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Objective: Inhaler technique comprises a set of procedures for drug delivery to the respiratory system. The oral inhalation of medications is the first-line treatment for lung diseases. Using the proper inhaler technique ensures sufficient drug deposition in the distal airways, optimizing therapeutic effects and reducing side effects. The purposes of this study were to assess inhaler technique in pediatric and adult patients with asthma; to determine the most common errors in each group of patients; and to compare the results between the two groups. Methods: This was a descriptive cross-sectional study. Using a ten-step protocol, we assessed inhaler technique in 135 pediatric asthma patients and 128 adult asthma patients. Results: The most common error among the pediatric patients was failing to execute a 10-s breath-hold after inhalation, whereas the most common error among the adult patients was failing to exhale fully before using the inhaler. Conclusions: Pediatric asthma patients appear to perform most of the inhaler technique steps correctly. However, the same does not seem to be true for adult patients.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionunclassified

Study of inhaler technique in asthma patients: differences between pediatric and adult patients

et al. 2015

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“…Por parte de los pacientes se refiere, como causa de la misma, la escasa información y la falta de percepción de los beneficios, junto a factores sociales y culturales. Otros estudios en nuestro medio identifican el mismo problema, tanto en atención especializada (AE) 24 como en AP 25 . Constatan una mejor realización de la técnica inhalatoria a menor edad y mayor nivel de estudios.…”

Section: Resultados Y Discusiónunclassified

Percepciones de pacientes y profesionales sobre la calidad de la atención a personas con enfermedad pulmonar obstructiva crónica

et al. 2016

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“…One point is assigned for each manoeuvre correctly performed. A technique is considered to have been correctly performed if the score achieved is 9 or more [ 45 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a combined strategy directed towards health-care professionals and patients with chronic obstructive pulmonary disease (COPD): Information and health education feedback for improving clinical monitoring and quality-of-life

Valero¹,

Monteagudo

Llagostera

et al. 2009

BMC Public Health

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BackgroundChronic obstructive pulmonary disease (COPD) is a health problem that is becoming increasingly attended-to in Primary Care (PC). However, there is a scarcity of health-care programs and studies exploring the implementation of Clinical Practice Guidelines (CPG). The principal objective of the present study is to evaluate the effectiveness of a combined strategy directed towards health-care professionals and patients to improve the grade of clinical control and the quality-of-life (QoL) of the patients via a feedback on their state-of-health. A training plan for the health-care professionals is based on CPG and health education.Method/DesignMulti-centred, before-after, quasi experimental, prospective study involving an intervention group and a control group of individuals followed-up for 12 months. The patients receive attention from urban and semi-urban Primary Care Centres (PCC) within the administrative area of the Costa de Ponent (near Barcelona). All the pacients corresponding to the PCC of one sub-area were assigned to the intervention group and patients from the rest of sub-areas to the group control. The intervention includes providing data to the health-care professionals (clinician/nurse) derived from a clinical history and an interview. A course of training focused on aspects of CPG, motivational interview and health education (tobacco, inhalers, diet, physical exercise, physiotherapy). The sample random includes a total of 801 patients (≥ 40 years of age), recorded as having COPD, receiving attention in the PCC or at home, who have had at least one clinical visit, and who provided written informed consent to participation in the study. Data collected include socio-demographic characteristics, drug treatment, exacerbations and hospital admissions, evaluation of inhaler use, tobacco consumption and life-style and health-care resources consumed. The main endpoints are dyspnoea, according to the modified scale of the Medical Research Council (MRC) and the QoL, evaluated with the St George's Respiratory Questionnaire (SGRQ). The variables are obtained at the start and the end of the intervention. Information from follow-up visits focuses on the changes in life-style activities of the patient.DiscussionThis study is conducted with the objective of generating evidence that shows that implementation of awareness programs directed towards health-care professionals as well as patients in the context of PC can produce an increase in the QoL and a decrease in the disease exacerbation, compared to standard clinical practice.Trial RegistrationClinical Trials.gov Identifier: NCT00922545;

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¿Siguen utilizando incorrectamente los inhaladores nuestros pacientes asmáticos?

Cited by 6 publications

References 8 publications

Study of inhaler technique in asthma patients: differences between pediatric and adult patients

Study of inhaler technique in asthma patients: differences between pediatric and adult patients

Percepciones de pacientes y profesionales sobre la calidad de la atención a personas con enfermedad pulmonar obstructiva crónica

Evaluation of a combined strategy directed towards health-care professionals and patients with chronic obstructive pulmonary disease (COPD): Information and health education feedback for improving clinical monitoring and quality-of-life

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