Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices

Detalhes bibliográficos
Autor(a) principal: Muniz,Janaína Barbosa
Data de Publicação: 2003
Outros Autores: Padovani,Carlos Roberto, Godoy,Irma
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pneumologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862003000200006
Resumo: Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.
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spelling Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devicesAsthmaAdministration, inhalationTechniquesStudents, medicalMedical Staff, hospitalAsthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.Sociedade Brasileira de Pneumologia e Tisiologia2003-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862003000200006Jornal de Pneumologia v.29 n.2 2003reponame:Jornal de Pneumologiainstname:Sociedade Brasileira de Pneumologia e Tisiologia da Universidade de São Paulo (SBPT-USP)instacron:USP10.1590/S0102-35862003000200006info:eu-repo/semantics/openAccessMuniz,Janaína BarbosaPadovani,Carlos RobertoGodoy,Irmaeng2003-06-23T00:00:00Zoai:scielo:S0102-35862003000200006Revistahttps://www.scielo.br/j/jpneu/gridPUBhttp://www.scielo.br/oai/scielo-oai.phpjpneumo@terra.com.br0102-35861678-4642opendoar:2003-06-23T00:00Jornal de Pneumologia - Sociedade Brasileira de Pneumologia e Tisiologia da Universidade de São Paulo (SBPT-USP)false
dc.title.none.fl_str_mv Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
title Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
spellingShingle Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
Muniz,Janaína Barbosa
Asthma
Administration, inhalation
Techniques
Students, medical
Medical Staff, hospital
title_short Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
title_full Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
title_fullStr Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
title_full_unstemmed Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
title_sort Inhaled medication for asthma management: evaluation of how asthma patients, medical students, and doctors use the different devices
author Muniz,Janaína Barbosa
author_facet Muniz,Janaína Barbosa
Padovani,Carlos Roberto
Godoy,Irma
author_role author
author2 Padovani,Carlos Roberto
Godoy,Irma
author2_role author
author
dc.contributor.author.fl_str_mv Muniz,Janaína Barbosa
Padovani,Carlos Roberto
Godoy,Irma
dc.subject.por.fl_str_mv Asthma
Administration, inhalation
Techniques
Students, medical
Medical Staff, hospital
topic Asthma
Administration, inhalation
Techniques
Students, medical
Medical Staff, hospital
description Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.
publishDate 2003
dc.date.none.fl_str_mv 2003-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-35862003000200006
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-35862003000200006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal de Pneumologia v.29 n.2 2003
reponame:Jornal de Pneumologia
instname:Sociedade Brasileira de Pneumologia e Tisiologia da Universidade de São Paulo (SBPT-USP)
instacron:USP
instname_str Sociedade Brasileira de Pneumologia e Tisiologia da Universidade de São Paulo (SBPT-USP)
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institution USP
reponame_str Jornal de Pneumologia
collection Jornal de Pneumologia
repository.name.fl_str_mv Jornal de Pneumologia - Sociedade Brasileira de Pneumologia e Tisiologia da Universidade de São Paulo (SBPT-USP)
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