Eficacia de una intervención educativa en el manejo de dispositivos de inhalación

  1. Araceli Serrano Noguera
  2. Sánchez Martínez, Álvaro
  3. García Palacios, María
  4. Medina Abellán, María Dolores
  5. Arnau Sánchez, José
Revista:
Metas de enfermería

ISSN: 1138-7262

Ano de publicación: 2015

Volume: 18

Número: 5

Tipo: Artigo

Outras publicacións en: Metas de enfermería

Resumo

Objective: to assess the effect of educational intervention on the use of inhalation devices, Method: a controlled and randomized clinical trial at the Vistabella (Murcia) Health Centre, on patients with respiratory disease presenting a chronic obstruction in air flow (70 patients in the Control Arm (CA) and 69 in the Intervention Arm (AI)). The patients in the IA received training until they could do it adequately, and subsequently they were provided with support written materials; patients in the CA only received written information. At three months, the assessment measurement was conducted. A deep inhalation and 10-second apnea was considered an acceptable inhalation technique. For data treatment and analysis, McNemar Test for paired data was used (before and after the intervention), and Chi-Square Test was used for hypothesis contrast (post-intervention measurement). Results: the proportion of acceptable use of the technique with the pressurized inhaler was the one with a higher increase after the intervention (before: 13.5%, after: 703%; p= 0.001), though there was also a significant increase (p< 0.05) for the Turbuhaler and Accuhaler. In the post-intervention comparison, 49.1% (n= 27) of patients in the control arm conducted the technique in an acceptable manner, vs. 93.3% (n= 56) in the intervention group; and this represented a statistically significant difference (p< 0.05). Conclusion: training in the use of inhalation devices, together with support written information, will improve the technique used by the patient, vs. only providing written information.

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