Abstract
Introduction: The effects of inhaler education in chronic obstructive pulmonary disease (COPD) patients remain unclear.
Objectives: The purpose of this study was to evaluate techniques and adherence in using inhaler devices and to investigate the effects of educational intervention using inhaler in COPD patients.
Methods: We prospectively enrolled COPD patients who used their particular inhaler device for more than 1 month and evaluated the efficacy of educational intervention for COPD.
Results: A total of 75 COPD patients (61.2 ± 18.6 predicted FEV1) performing a total of 94 inhaler devices were included in the study. 70 (93.3%) were men and the mean age was 69.3 ± 7.0. Respimat users (n=42, 44.7%) were the highest among the enrolled patients. Education significantly decreased in percentage of incorrect techniques and poor adherence (94.7% vs 51.6%, P<0.001; 16.0% vs 6.7%, P=0.04, respectively). Feeling of satisfaction with inhaler questionnaire (FSI-10) was significantly improved after education (44.2 ± 4.6 vs 46.1 ± 5.1, P=0.015). mMRC (1.5 ± 0.8 vs 1.55 ± 1.0, P=0.856), COPD assessment tests (CAT) (10.9 ± 5.1 vs 11.0 ± 6.4, P=0.865), EuroQol-5D (EQ-5D) (0.8 ± 0.1 vs 0.8 ± 0.2, P=0.567) and patient health questionnaire (PHQ-9) (1.4 ± 1.6 vs 1.1 ± 2.9, P=0.467) were not significantly improved after education.
Conclusions: Face-to-face inhaler technique education by advanced practice nurse significantly improved the inhaler technique, adherence and feeling of satisfaction with inhaler.
Footnotes
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4193.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2019