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The use of metered-dose inhalers in hospital environments

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dc.creatorVargas Pinilla, Olga Ceciliaspa
dc.creatorMartinez, J.spa
dc.creatorIbanez, M.spa
dc.creatorPena, C.spa
dc.creatorSantamaria, M.spa
dc.date.accessioned2020-05-25T23:55:48Z
dc.date.available2020-05-25T23:55:48Z
dc.date.created2013spa
dc.description.abstractBackground: Metered-dose inhalers (MDIs) have become a firsthand therapeutic strategy for the management of respiratory diseases, mainly for chronic obstructive pulmonary disease (COPD) and asthma. It has been determined, however, that patients do not always use these devices correctly. Our primary goal was to establish the level of technical knowledge of patients with COPD and/or asthma on the use of MDIs, as well as other associated factors related to the effective use of this delivery method. Methodology: This study was performed with 191 patients (49.2% male, 50.8% female) diagnosed with COPD and/or asthma at Hospital Universitario Mayor (Bogotá, Colombia). The agreement between different observers on nine aspects of the use of the inhaler was assessed by testing the unweighted kappa correlation coefficient and its significance. The correlations between demographic variables, risk factors, and proper knowledge of the adequate use of inhalers were established by means of the Pearson chi-square test (also called Fisher exact test) (expected values less than 5). Statistical tests were evaluated at a significance level equivalent to 5% (p less than 0.05). Results and Conclusions: The study detected deficiencies in educational factors, specifically regarding the initial contact with the patient and regular follow-up by the team of health professionals. It also showed insufficient strategies for the training of patients in the use of the inhalers. There were no significant differences by gender (p>0.05) in the implementation of the various aspects of the proper use sequence for MDIs. However, there were significant differences related to education levels, socioeconomic status, age, and current occupation. A worse inhaler technique was associated with lower education level (0.034), higher age (p=0.003), and absence of job (p=0.005). Changes in the education of patients on the issue, together with the use of the spacer/valved holding chamber proved to be valid strategies that, with the support of the patients' health-care team, were able to improve the MDI technique of the studied group. © Mary Ann Liebert, Inc.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1089/jamp.2011.0940
dc.identifier.issn19412711
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22220
dc.language.isoengspa
dc.relation.citationEndPage296
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage287
dc.relation.citationTitleJournal of Aerosol Medicine and Pulmonary Drug Delivery
dc.relation.citationVolumeVol. 26
dc.relation.ispartofJournal of Aerosol Medicine and Pulmonary Drug Delivery, ISSN:19412711, Vol.26, No.5 (2013); pp. 287-296spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84884993727&doi=10.1089%2fjamp.2011.0940&partnerID=40&md5=03624168b2906ac9ef259b1310aa0885spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordBeclometasonespa
dc.subject.keyworduniversityeng
dc.subject.keywordchronic obstructiveeng
dc.subject.keywordIpratropium bromidespa
dc.subject.keywordSalbutamolspa
dc.subject.keywordAdultspa
dc.subject.keywordAge distributionspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordAsthmaspa
dc.subject.keywordChronic obstructive lung diseasespa
dc.subject.keywordDemographyspa
dc.subject.keywordDrug delivery systemspa
dc.subject.keywordDyspneaspa
dc.subject.keywordEducational statusspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow upspa
dc.subject.keywordHealth practitionerspa
dc.subject.keywordHospitalspa
dc.subject.keywordHospitalizationspa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMarriagespa
dc.subject.keywordMetered dose inhalerspa
dc.subject.keywordOccupationspa
dc.subject.keywordPatient compliancespa
dc.subject.keywordQuality of lifespa
dc.subject.keywordRisk factorspa
dc.subject.keywordSex differencespa
dc.subject.keywordSmokingspa
dc.subject.keywordSocial statusspa
dc.subject.keywordAdolescentspa
dc.subject.keywordAdultspa
dc.subject.keywordAge factorsspa
dc.subject.keywordAgedspa
dc.subject.keywordAged, 80 and overspa
dc.subject.keywordAsthmaspa
dc.subject.keywordColombiaspa
dc.subject.keywordEducational statusspa
dc.subject.keywordEmploymentspa
dc.subject.keywordFemalespa
dc.subject.keywordHospitalizationspa
dc.subject.keywordHospitalseng
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMetered dose inhalersspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPatient education as topicspa
dc.subject.keywordPulmonary diseaseeng
dc.subject.keywordRisk factorsspa
dc.subject.keywordSocioeconomic factorsspa
dc.subject.keywordYoung adultspa
dc.subject.keywordAsthmaspa
dc.subject.keywordChronic obstructive pulmonary disease (copd)spa
dc.subject.keywordInhalerspa
dc.subject.keywordMetered-dose inhalerspa
dc.subject.keywordRespiratory medicationspa
dc.titleThe use of metered-dose inhalers in hospital environmentsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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