Literature DB >> 30013256

Knowledge of spacer device, peak flow meter and inhaler technique (MDIs) among health care providers: an evaluation of doctors and nurses.

Bamidele O Adeniyi1, Ayodeji M Adebayo2, Olayinka S Ilesanmi3, Daniel O Obaseki4, Olubukola O Akinwalere1, Gregory E Erhabor4.   

Abstract

BACKGROUND: Metered dose inhalers are cornerstone in effective management of bronchial asthma when correctly used. Most studies hitherto have focused on assessing patient's knowledge of inhaler technique. We sought to assess the knowledge of inhaler technique, spacer device and peak flow meter among doctors and nurses in a tertiary healthcare institution in Nigeria.
METHOD: A cross sectional survey of nurses and doctors from emergency department, family and internal medicine; who were attending a continuous professional development lecture, was carried out. From a total of 100 questionnaires administered, we retrieved 87 of which 75 were completed, giving a response rate of 75%. It was a self-administered questionnaire. Data was analysed with SPSS version 21.0. Descriptive statistics were done. Association was examined using chi-square test. RESULT: Mean age of respondent was 35.8 years ± 8.7, 47(62.7%) were < 40 years, 33(44%) were male, nurses were 30(40.0%). Only 28(37.3%) had ever used a peak flow meter. Only 4(14.3%) used peak flow meter frequently, while 12(26.7%) checked patient's inhaler technique often. Only 9 out of the 75 (12%) participants all of who are doctors knew at least 3 essential steps of the techniques in using the metered dose inhaler correctly. None of the participants got all the steps for the use of pMDI totally correct.
CONCLUSION: Knowledge regarding the use of the metered dose inhaler and spacer device was poor. Health practitioners should have constant reminders in the form of continuous medical education to update their knowledge regarding correct inhaler technique. FUNDING: self-funded.

Entities:  

Keywords:  asthma; doctors; inhalers; knowledge; nurses

Mesh:

Year:  2018        PMID: 30013256      PMCID: PMC6026947          DOI: 10.4314/gmj.v52i1.4

Source DB:  PubMed          Journal:  Ghana Med J        ISSN: 0016-9560


  25 in total

1.  Substitution of metered-dose inhalers for hand-held nebulizers. Success and cost savings in a large, acute-care hospital.

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Journal:  Chest       Date:  1992-02       Impact factor: 9.410

Review 2.  The role of the peak flow meter in the diagnosis and management of asthma.

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3.  Asthma in Nigeria: are the facilities and resources available to support internationally endorsed standards of care?

Authors:  Olufemi Olumuyiwa Desalu; Cajetan Chigozie Onyedum; Kufre Robert Iseh; Fatai Kunle Salawu; Alakija Kazeem Salami
Journal:  Health Policy       Date:  2010-11-05       Impact factor: 2.980

4.  Home-made spacers for bronchodilator therapy in children with acute asthma: a randomised trial.

Authors:  H J Zar; G Brown; H Donson; N Brathwaite; M D Mann; E G Weinberg
Journal:  Lancet       Date:  1999-09-18       Impact factor: 79.321

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Authors:  G K Crompton
Journal:  Eur J Respir Dis Suppl       Date:  1982

Review 6.  Practical problems with aerosol therapy in COPD.

Authors:  Joseph L Rau
Journal:  Respir Care       Date:  2006-02       Impact factor: 2.258

7.  Comparison of peak expiratory flow and FEV1 admission criteria for acute bronchial asthma.

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Journal:  Ann Emerg Med       Date:  1982-02       Impact factor: 5.721

8.  Effectiveness of Interventions to Teach Metered-Dose and Diskus Inhaler Techniques. A Randomized Trial.

Authors:  Valerie G Press; Vineet M Arora; Kristin C Trela; Richa Adhikari; Frank J Zadravecz; Chuanhong Liao; Edward Naureckas; Steven R White; David O Meltzer; Jerry A Krishnan
Journal:  Ann Am Thorac Soc       Date:  2016-06

Review 9.  Challenges in the management of bronchial asthma among adults in Nigeria: a systematic review.

Authors:  Cc Onyedum; Kn Ukwaja; Oo Desalu; C Ezeudo
Journal:  Ann Med Health Sci Res       Date:  2013-07

10.  Use of simulated patient approach to assess the community pharmacists' knowledge of appropriate use of metered dose inhaler.

Authors:  Sunday O Nduka; Maureen U Anetoh; Kosisochi C Amorha; Okechukwu O Henry; Mathew J Okonta
Journal:  J Basic Clin Pharm       Date:  2016-09
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  2 in total

1.  Is Inhaler Technique Associated with Quality of Life in Patients with Chronic Obstructive Pulmonary Disease?

Authors:  Shahideh Amini; Arezou Ghasemi; Mohammad Solduzian; Besharat Rahimi; Kazem Heidari; Molouk Hadjibabaie; Mona Kargar
Journal:  Curr Ther Res Clin Exp       Date:  2020-10-20

2.  Observational study of administering intranasal steroid sprays by healthcare workers.

Authors:  Marielle de Boer; Corine Rollema; Eric van Roon; Tjalling de Vries
Journal:  BMJ Open       Date:  2020-08-30       Impact factor: 2.692

  2 in total

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