在慢性阻塞性肺病的老年患者中影响适当吸入器使用的患病率和因素:一项前性研究
Le Khac Bao1, Nguyen Dang Khoa1, Le Thi Kim Chi1
1Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City 700000, Vietnam.
Journal of clinical medicine
|July 14, 2023
概括
只有不到20%的慢性阻塞性肺病 (COPD) 的老年患者正确使用吸入器. 通过最近的指导和考虑mMRC分数来改进吸入器技术可以提高患者管理.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 老年医疗护理 医疗护理
- 肺部疾病管理管理
背景情况:
- 慢性阻塞性肺病 (COPD) 主要影响60岁及以上的人.
- 有效的吸入器使用对于控制COPD症状和疾病进展至关重要.
- 这项研究调查了老年COPD患者正确吸入器使用的患病率和决定因素.
研究的目的:
- 确定老年COPD患者中适当的吸入器技术的使用率.
- 在这个人口群体中确定与正确吸入器使用相关的因素.
- 为更好的COPD管理提供临床实践的信息.
主要方法:
- 从呼吸部门招募了91名老年COPD患者的队列.
- 吸入器的使用被视频记录并由两位呼吸专家分析.
- 评估了133个视频演示的技术准确性.
主要成果:
- 只有18.7%的患者表现出正确的吸入器技术.
- 压力计量剂量吸入器 (pMDI) 和Turbuhaler的正确使用率最低 (11.9%和10.0%).
- 常见的错误包括喘息持续时间和缓慢的呼气;更低的医学研究委员会 (mMRC) 评分和最近 (<3个月) 的吸入器说明预测了正确的使用.
结论:
- 在老年COPD患者中,正确的吸入器技术惊人地低 (<20%).
- 不充分的屏息和轻轻的呼气是常见的错误.
- 临床医生应专注于患者教育,特别是最近的指导,并考虑mMRC分数以改善吸入器管理.
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