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The competence of community pharmacists in Lagos, Nigeria, on correct inhaler techniques

机译:尼日利亚拉各斯社区药师的技能,正确的吸入器

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Background and Objectives: Community pharmacists are in an excellent position to train asthma patients on inhaler techniques. Their competence in the use of these devices contributes to the effectiveness of their training. We aimed to evaluate the knowledge and competence in the use of various inhaler devices among community pharmacists in Lagos, Nigeria. Subjects and Methods: This was a cross-sectional study using standard checklists and dummy devices to evaluate the competence of pharmacists on the use of the metered-dose inhaler (MDI), Diskus, Turbuhaler, and the MDI with spacer. Results: There were 42 participants, 66.7% male and median age of 40.5 (interquartile range: 34.6–50.0) years. All were familiar with the MDI, 60%, 7%, and 5% were familiar with the Diskus, Turbuhaler, and the spacer, respectively. The mean checklist scores on the MDI and Diskus were 5.3 ± 3.0 and 2.3 ± 3.3 (maximum 11), respectively. One participant performed all the steps correctly on either device. Only one participant scored a point on the Turbuhaler, and the mean score for the spacer was 0.8 ± 2.9 (maximum 13). No participant performed all the steps correctly on either the Turbuhaler or the spacer. Previous training on inhaler technique was the only independent determinant of better performance on the MDI (odds ratio 0.44; 95% confidence interval 0.97–4.74). Conclusion: The competence of community pharmacists in Lagos, Nigeria, on inhaler techniques is poor. Their awareness of the Diskus, Turbuhaler, and spacer devices is also very low. Educational interventions are needed to improve competence in correct use of inhalers among pharmacists to enable them effectively play their role in asthma care.
机译:背景与目的:社区药剂师在培训哮喘患者吸入技术方面处于非常有利的位置。他们在使用这些设备方面的能力有助于其培训的有效性。我们旨在评估尼日利亚拉各斯社区药剂师使用各种吸入器设备的知识和能力。受试者和方法:这是一项横断面研究,使用标准清单和虚拟设备评估药剂师在使用定量吸入器(MDI),Diskus,Turbuhaler和带有间隔物的MDI方面的能力。结果:共有42名参与者,男性占66.7%,中位年龄为40.5岁(四分位间距:34.6-50.0)。所有人都熟悉MDI,分别对Diskus,Turbuhaler和spacer熟悉60%,7%和5%。 MDI和Diskus的平均清单得分分别为5.3±3.0和2.3±3.3(最高11分)。一位参与者在任一设备上正确执行了所有步骤。只有一名参与者在Turbuhaler上得分,间隔垫的平均得分为0.8±2.9(最高13分)。没有参与者正确地在Turbuhaler或垫片上执行所有步骤。先前对吸入器技术的培训是在MDI上表现更好的唯一独立决定因素(赔率0.44; 95%置信区间0.97-4.74)。结论:尼日利亚拉各斯社区药剂师在吸入技术方面的能力很差。他们对Diskus,Turbuhaler和垫片设备的了解也很低。需要采取教育干预措施来提高药剂师正确使用吸入器的能力,以使他们有效地发挥其在哮喘护理中的作用。

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