解决认知障碍慢性阻塞性肺病患者的吸入器技术挑战:定制培训计划的影响
Vaishnavi V Gaonkar1, Vinay V Shanbhag1, Shreya S Kajave1
1Department of Pharmacy Practice, KLE College of Pharmacy, Belagavi, KLE Academy of Higher Education and Research, Karnataka.
概括
慢性肺炎患者的认知障碍导致吸入器错误. 有针对性的培训可以显著改善技术,提高生活质量和呼吸结果.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 老年病的医生 老年病的医生
- 临床药房 临床药房
背景情况:
- 慢性阻塞性肺病 (COPD) 管理严重依赖于有效的吸入器使用.
- 认知障碍 (CI) 在老年COPD患者中很普遍,往往导致药物管理中的关键错误.
- 保持适当的吸入器技术对于控制COPD症状和预防恶化至关重要.
研究的目的:
- 评估和改善COPD患者的吸入器使用技能,这些患者有轻度认知障碍 (CI).
- 评估针对性,面对面的吸入器技术培训对患者结果的影响.
- 为了探索认知功能 (MoCA分数) 和吸入器管理错误之间的相关性.
主要方法:
- 这是一项前性干预研究,涉及56名COPD患者的CI (平均MoCA分数为17.02).
- 吸入器技术错误的初步评估,随后进行直接演示和培训.
- 在随访时重新评估吸入器技术,认知功能 (MoCA) 和临床结果 (CAT,SGRQ,mMRC,PFT).
主要成果:
- 在训练后,基线平均吸入器误差 (1.38) 显著降低至0.54 (p<0.001).
- 更高的MoCA分数与更少的吸入器错误相关 (r=-0.344).
- 在干预后观察到CAT,SGRQ,mMRC得分和FEV1/FVC比率的显著改善 (p<0.001).
结论:
- 药剂师领导的面对面吸入器技术培训对COPD患者有效.
- 认知评估应纳入常规COPD护理,以识别和解决管理障碍.
- 干预措施改善了患者的生活质量和治疗结果,突出显示了对该人群最佳吸入器策略的进一步研究的需要.
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