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Updated: Oct 25, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
The effect of repeated video-training session on metered doseinhaler skills among individuals with COPD: Prospective
Ebru Yildiz1, Sultan Çeçen2, Didem Lafci1
1Department of Nursing Fundamentals, Mersin University Nursing Faculty, Mersin, Turkey.
Objective:
This study was undertaken to assess the effect of repeated video-training sessions on the adequacy of metered-dose inhaler (MDI) among individuals with COPD.
Background:
MDI devices facilitate the use of inhalation drugs in COPD patients and have become ever more important over the years. However, this device requires a certain level of hand-to-mouth coordination and cognitive ability. Since it has a high risk of application errors, training in its use is important to treatment success.
Design:
Randomised controlled trial.
Methods:
This study was carried out from 1 February to 1 July 2017 with the participation of 40 COPD patients. The data were collected using a 'Patient Information Request Form' and an 'MDI Skill Evaluation Form'. CONSORT checklist was used to report the current study.
Results:
It was found that there was no significant difference between the experimental and control groups in terms of the mean scores of the 1st measurement (p > .05), though the mean scores of the 5th measurement were significantly higher in the experimental group (p < .001). In the 5th measurement, it was identified that the control group had 'moderate' adequacy (3.20 ± 1.6), while the experimental group had 'satisfactory' adequacy (8.70 ± 1.17), indicating that the patients in the experimental group made fewer mistakes and showed improved adequacy.
Conclusion:
It was found that repeated video-training sessions materially improved MDI skills.
Relevance To Clinical Practice:
Supporting the training on inhaler drug therapy with visual technological tools and regular checking of drug use will contribute to COPD management.
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