Daily Observations of Nebuliser Use and Technique (DONUT) in children with cystic fibrosis

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• 作者：Aukje C. Bos^a ; ^{a.c.bos@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Harm A.W.M. Tiddens^a ; ^{h.tiddens@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Kirby Tong Minh^a ; ^{kirby.tongminh@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Inge Heeres^a ; ^{i.heeres@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Joke L. Overweel-Uijterlinde^a ; ^{j.overweel@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Annelies E. Kok^a ; ^{n.kok@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Eleni-Rosalina Andrinopoulou^b ; ^{e.andrinopoulou@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author} ; Hettie M. Janssens^a ; ^{h.janssens@erasmusmc.nl" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Cystic fibrosis ; Nebuliser ; Inhalation technique ; Children
• 刊名：Journal of Cystic Fibrosis
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：15
• 期：5
• 页码：645-651
• 全文大小：371 K

文摘

Cystic fibrosis (CF) caregivers focus on correct inhalation technique for nebulisers as this is essential to optimize efficacy of inhaled drugs. However, little is known on this nebuliser technique of patients at home.

Methods

Three “hidden” video registrations were made of 32 children with CF (6–18 years) nebulising at home. Videos were randomly scored on inhalation technique items using nebuliser-specific checklists and a total score was calculated.

Results

Median nebuliser technique was 91.9% of max score. Nebuliser technique was perfect (score 100%) in 23.3% of the patients and incorrect (score 0%) in 13.3%. Most mistakes were made in the required optimal breathing pattern.

Conclusion

Most CF patients had good nebuliser technique on a day-to-day basis. However, errors observed likely resulted in reduced treatment efficacy and, in 13%, no treatment at all. Regular “real life” evaluation by the CF-team can improve inhaled therapy substantially.