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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Correct Use Of A Metered Dose Inhaler: A Prospective Interventional Study Among Healthcare Professionals In A Nepalese Teaching Hospital
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Correct Use Of A Metered Dose Inhaler: A Prospective Interventional Study Among Healthcare Professionals In A Nepalese Teaching Hospital

机译：正确使用计量吸入器：尼泊尔一家教学医院的医护人员进行的前瞻性干预研究

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Background: Asthma and Chronic Obstructive Pulmonary Disease (COPD) are common in Nepal. Inhaled medications form the cornerstone of the management of these diseases. Metered Dose Inhalers (MDIs) are a common mode of delivering inhaled medications, and hence knowledge of the healthcare professionals regarding MDIs is the cornerstone for educating the patients about the correct use of MDIs. Objectives: To study the correct use of MDIs by the doctors, nurses, pharmacists and medical interns, and to evaluate the impact of an educational intervention on the use. Methods: A prospective, interventional study was carried out at the Manipal Teaching Hospital, Pokhara, Nepal. The subjects were asked to demonstrate the technique using a placebo inhaler, and the steps were graded as per the National Asthma Education and Prevention Program (NAEPP) criteria. Intervention was done by demonstrating correct MDI use with the help of placebo inhalers and an information leaflet. The post intervention response was analyzed using appropriate statistical tests. Results: Altogether 143 health professionals (male 53.8%, female 46.1%) were studied prior to intervention, and 101 (male 41.5%, female 58.4%) of them in the post interventional phase. The overall mean ± SD score obtained by the professionals was 4.44 ± 2.07 (pre intervention), and 7.68 ± 1.74 (post intervention). (P< 0.001, Z value - 10.020, Mann Whitney test). With regard to the individual scores of different categories of healthcare professionals, the scores for the nurses were 3.99 pre intervention and 8.14 post intervention, for doctors it was 5.96 and 7.18, for pharmacists it was 5.8 and 7.1, and for interns it was 4.72 and 7.12. None of the professionals could initially demonstrate all the ten steps involved in the correct use of MDI. Following the intervention one doctor, four medical interns, and eight nurses all demonstrated the steps correctly. Conclusion: MDI use among healthcare professionals was poor before the intervention. The intervention was substantially effective in improving the technique.
机译：背景：哮喘和慢性阻塞性肺疾病（COPD）在尼泊尔很常见。吸入药物构成了控制这些疾病的基石。计量吸入器（MDI）是输送吸入药物的常见方式，因此，医护专业人员对MDI的了解是教育患者正确使用MDI的基石。目的：研究医生，护士，药剂师和医学实习生对MDI的正确使用，并评估教育干预措施对MDI的影响。方法：在尼泊尔博克拉的马尼帕尔教学医院进行了一项前瞻性干预研究。要求受试者使用安慰剂吸入器演示该技术，并根据国家哮喘教育和预防计划（NAEPP）标准对这些步骤进行分级。通过在安慰剂吸入器和信息单张的帮助下证明正确使用MDI来进行干预。使用适当的统计检验分析干预后的反应。结果：干预前共研究了143名卫生专业人员（男性53.8％，女性46.1％），干预后共101名（男性41.5％，女性58.4％）。专业人士获得的总体平均±SD评分为4.44±2.07（干预前）和7.68±1.74（干预后）。 （P <0.001，Z值-10.020，Mann Whitney检验）。对于不同类别的医疗保健专业人员的个人评分，护士的评分分别为干预前3.99和干预后8.14，医生的分别为5.96和7.18，药剂师的分别为5.8和7.1，实习生的分别为4.72和7.72。 7.12。最初，没有任何专业人员能够证明正确使用MDI涉及的所有十个步骤。干预后，一名医生，四名医疗实习生和八名护士都正确演示了这些步骤。结论：在干预之前，医疗专业人员的MDI使用率很低。干预在改善技术方面是有效的。

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