视频通话教育在老年COPD患者干粉吸入剂使用技术中的作用
|
摘要
目的:观察视频通话教育在老年慢性阻塞性肺疾病(COPD)患者干粉吸入剂使用技术中的作用。方法:选取96例老年COPD患者作为观察对象,依据随机数字表法将其分为观察组49例及对照组47例,其中对照组给予常规操作指导,观察组在对照组基础上给予为期1个月的视频通话教育,比较随访1、6个月时两组吸入装置操作技术完全正确的人数、吸入装置操作技术评分、肺功能改善情况及COPD急性加重的次数。结果:干预后1个月和6个月时,观察组吸入技术完全正确的例数均明显多于对照组,差异有统计学意义(P<0.05),观察组吸入装置操作技术评分均明显高于对照组,差异有统计学意义(P<0.05);随访6个月时,两组FEV1占预计值%比较,差异有统计学意义(P<0.05),观察组的COPD急性加重的次数较对照组减少,且两组比较差异有统计学意义(P<0.05)。结论:视频通话教育可以明显改善老年COPD患者的干粉吸入剂使用技术,吸入技术的改善可以使得COPD的病情得到更好的控制。
Objective: To observe role of video call education in the use of dry powder inhalers in elderly patients with chronic obstructive pulmonary disease(COPD). Methods: 96 elderly patients with COPD were selected as observation subjects. According to the random number table method, they were divided into observation group(n=49) and control group(n=47). The control group was given routine operation guidance, while the observation group was given the video call education foe one month on the basis of that of the control group. The two groups were followed up. The number of people with completely correct inhaler operation technique, the inhaler operation technique score, lung function improvement and the number of COPD acute exacerbation at 1 and 6 months follow-up were compared between the two groups. Results: 1 month and 6 months after the intervention, the number of the cases with completely correct inhaler operation technique in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). The inhaler operation technique score in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). At the 6-month follow-up, the difference in the FEV1% was statistically significant(P<0.05). Further, the number of COPD acute exacerbation in the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: The video call education can significantly improve the use of dry powder inhalers in the elderly patients with COPD, and the improvements in the inhalation technique can lead to better control of COPD.
Objective: To observe role of video call education in the use of dry powder inhalers in elderly patients with chronic obstructive pulmonary disease(COPD). Methods: 96 elderly patients with COPD were selected as observation subjects. According to the random number table method, they were divided into observation group(n=49) and control group(n=47). The control group was given routine operation guidance, while the observation group was given the video call education foe one month on the basis of that of the control group. The two groups were followed up. The number of people with completely correct inhaler operation technique, the inhaler operation technique score, lung function improvement and the number of COPD acute exacerbation at 1 and 6 months follow-up were compared between the two groups. Results: 1 month and 6 months after the intervention, the number of the cases with completely correct inhaler operation technique in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). The inhaler operation technique score in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). At the 6-month follow-up, the difference in the FEV1% was statistically significant(P<0.05). Further, the number of COPD acute exacerbation in the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: The video call education can significantly improve the use of dry powder inhalers in the elderly patients with COPD, and the improvements in the inhalation technique can lead to better control of COPD.
引文
[1]葛均波,徐永健.内科学[M]. 8版,北京:人民卫生出版社,2013:21-22.
[2]Sulaiman I,Cushen B,Greene G,et al. Objective Assessment of Adherence to Inhalers by patients with Chronic Objective pulmonary Disease[J]. Am J Respir Crit Care Med,2017,195(10):1333-1343.
[3]Vestbo J,Hurd SS,Agust AG,et al. Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary[J]. Am J Respir Crit Care Med,2013,187(4):347-365.
[4]Reznik M,Silver EJ,Cao Y. Evaluation of MDI-spacer utilization and technique in caregivers of urban minority children with persistent asthma[J]. J Asthma,2014,51(2):149-154.
[5]Lewis A,Torvinen S,Dekhuijzen PNR,et al. The economic burben of asthma and chronic obstructive pulmonary disease and the impact of poor inhalation technique with commonly prescribed dry powder inhalers in three European countries[J]. BMC Health Serv Res,2016,16(1):251.
[6]许杰,罗维贵,罗章伟.普米克气雾吸入对COPD患者肺功能影响[J].中国组织工程研究,2001,5(3):100-101.
[7]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[8]Poudel RS,Shrestha S,Bhatta P,et al. Do face-to-face trainning and telephonic reminder improve dry powder inhaler technique in patients with COPD?[J]. Int J Telemed Appl,2017(3).
[9]Bouwmeester C,Kraft J,Bungay KM. Optimizing inhaler ues by pharmacist-provided education to community-dwelling elderly[J].Respir Med,2015,109(10):1363-1368.
[10]Takaku Y,Kurashima K,Ohta C,et al. How many instructions are required to correct inhalation errors in patients with asthma and Chronic obstructive pulmonary diseases?[J]. Respir Med,2017,123:110-115.
[11]Aleksandra DI,Vladimir Z,Biljana Z,et al. Influence of inhaler technique on asthma and COPD control:a multicenter experience.[J]. Int J Chron Obstruct Pulmon Dis,2016,11(1):2509-2517.
[2]Sulaiman I,Cushen B,Greene G,et al. Objective Assessment of Adherence to Inhalers by patients with Chronic Objective pulmonary Disease[J]. Am J Respir Crit Care Med,2017,195(10):1333-1343.
[3]Vestbo J,Hurd SS,Agust AG,et al. Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary[J]. Am J Respir Crit Care Med,2013,187(4):347-365.
[4]Reznik M,Silver EJ,Cao Y. Evaluation of MDI-spacer utilization and technique in caregivers of urban minority children with persistent asthma[J]. J Asthma,2014,51(2):149-154.
[5]Lewis A,Torvinen S,Dekhuijzen PNR,et al. The economic burben of asthma and chronic obstructive pulmonary disease and the impact of poor inhalation technique with commonly prescribed dry powder inhalers in three European countries[J]. BMC Health Serv Res,2016,16(1):251.
[6]许杰,罗维贵,罗章伟.普米克气雾吸入对COPD患者肺功能影响[J].中国组织工程研究,2001,5(3):100-101.
[7]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[8]Poudel RS,Shrestha S,Bhatta P,et al. Do face-to-face trainning and telephonic reminder improve dry powder inhaler technique in patients with COPD?[J]. Int J Telemed Appl,2017(3).
[9]Bouwmeester C,Kraft J,Bungay KM. Optimizing inhaler ues by pharmacist-provided education to community-dwelling elderly[J].Respir Med,2015,109(10):1363-1368.
[10]Takaku Y,Kurashima K,Ohta C,et al. How many instructions are required to correct inhalation errors in patients with asthma and Chronic obstructive pulmonary diseases?[J]. Respir Med,2017,123:110-115.
[11]Aleksandra DI,Vladimir Z,Biljana Z,et al. Influence of inhaler technique on asthma and COPD control:a multicenter experience.[J]. Int J Chron Obstruct Pulmon Dis,2016,11(1):2509-2517.