RT Journal Article
SR Electronic
T1 Effectiveness of supervised training program about spirometry in primary care
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p3769
VO 38
IS Suppl 55
A1 Cristina Represas-Represas
A1 Virginia Leiro-Fernández
A1 Maribel Botana-Rial
A1 Ana Isabel González-Silva
A1 Alberto Fernández-Villar
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p3769.abstract
AB Spirometry is an essential technique for diagnosing respiratory diseases but it is underused at Primary Care (PC) level. Training could help to improve the situation.Objectives: To analyze the effectiveness of 2 months supervised training program about spirometry performance and interpretation.Methodology: Interventional study, with measurements before and after, to improve the quality. Target population: doctors and nurses team, of 26 PC centers. Teachers: pulmonologists from our hospital (CHUVI). We designed a structured program showed in figure 1.Figure 1To assess the effectiveness of the course, students were evaluated with a test-exam composed of 5 spirometries with 2 questions each one, at three diferents times: before initial training (test 1), at the end of the first working day (test 2), and on the 2nd working day (final test).Results: Of 74 students, 72 (97.2%) completed training and 90% passed the exam. The mean punctuation in the different tests were: 4.1±1.9 in test 1, 7.5±1.6 in test 2 and 8.9±1.3 in the final test (p <0.0001). The number of supervised spirometries performed and interpreted correctly was 370 of 521 (71%) during the first month and 562 of 619 (91%) during the second month (p <0.0001).Conclusions: An spirometry training program based on theoretical and practical workshops, and practical monitoring improves significantly the competence of PC professionals in the performance and interpretation of this technique.