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Patient Factors Associated with Successful Incentive Spirometry.

Thomas J Martin1, Shyam A Patel1, Megan Tran1

  • 1Warren Alpert Medical School of Brown University, Providence, RI.

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Summary

Many patients do not correctly use incentive spirometers (IS) after surgery. Correct IS use is linked to device accessibility and perceived benefits, highlighting the need for better patient education and placement.

Keywords:
Incentive spirometrydevice placementpatient factorspatient perspectivespostoperative pulmonary complicationsquality improvementrespiratory care

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Area of Science:

  • Pulmonary Medicine
  • Surgical Recovery
  • Medical Device Usability

Background:

  • Incentive spirometers (IS) are standard for reducing postoperative pulmonary complications.
  • Factors influencing correct IS use by patients post-surgery remain understudied.

Purpose of the Study:

  • To assess postoperative patients' correct usage of incentive spirometers.
  • To identify factors associated with correct IS utilization.

Main Methods:

  • Cross-sectional analysis of postoperative patients.
  • Data collected on device proximity, reported usage, perceived helpfulness, and confidence post-intervention.

Main Results:

  • 26.2% of patients used IS incorrectly; 38.1% reported no use.
  • Device location, perceived benefit, and prior use significantly impacted correct usage.
  • Post-intervention, 73.8% of patients felt more confident using IS.

Conclusions:

  • A significant number of postoperative patients struggle with correct IS utilization.
  • Device accessibility, patient perception of benefits, and prior experience influence correct use.
  • Improving IS compliance requires enhanced patient education and optimized device placement.