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Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients

Çiğdem Gamze Özkan
Çiğdem Gamze Özkan
 and 
Mağfiret Kaşikçi
Mağfiret Kaşikçi
   | Sep 21, 2023
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Article Category: Original Article
Published Online: Sep 21, 2023
Page range: 347 - 356
Received: Aug 03, 2022
Accepted: Nov 23, 2022
DOI: https://doi.org/10.2478/fon-2023-0024
Keywords
© 2023 Çiğdem Gamze Özkan et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Evaluation of the steps in which intervention and control group patients made mistakes in the pretest.
Evaluation of the steps in which intervention and control group patients made mistakes in the pretest.

Figure 2.

Evaluation of the steps in which intervention and control group patients made mistakes in the posttest.
Evaluation of the steps in which intervention and control group patients made mistakes in the posttest.

Comparison of the descriptive characteristics of COPD patients in the intervention and control groups.

Characteristics Intervention group Control group χ2 t P
X ± SD n % X ± SD n %
Year of disease 13.38 ± 5.89 12.24 ± 5.02 1.083 0.301
Age (years) 63.20 ± 8.56 66.06 ± 8.73 1.654 0.101
Time of receiving information (min) 3.76 ± 2.83 4.32 ± 2.54 1.402 0.3
Sociodemographic characteristics
Gender 0.043 0.836
   Male 32 64 31 62
   Female 18 36 19 38
Education level 1.208 0.547
   Not literate 18 36 16 32
   Primary school 23 46 28 56
   Secondary school/high school 9 18 6 12
Number of hospitalizations per year 3.938 0.414
   No 3 6 6 12
   1 6 12 11 22
   2 5 10 6 12
   3 12 24 10 20
   >4 24 48 17 34
Examine status/keep an appointment
   Yes 50 100 50 100
   No
Type of information 3.754 0.153
   Question–answer 6 12 11 22
   Method of expression 26 52 17 34
   Demonstration 18 36 22 44
Informative person 3.499 0.174
   Nurse 24 48 22 44
   Doctor 18 36 25 50
   Pharmacist 8 16 3 6
Total 50 100 50 100

Rubric and using steps for inhaler technique scoring.

MDI using steps Points
Step 1: Removing cap 1
Step 2: Shaking MDI well 1
Step 3: Hold the inhaler with the mouth in line with the jaw, up right, and with the index finger on the drug tube 1
Step 4: Exhaling before using MDI 1
Step 5: Placing the lips between the lips of the MDI and closing the lips 1
Step 6: Pressing the device and inhaling simultaneously 1
Step 7: Holding breath for 3–10 s 1
Step 8: Exhaling slowly after administering the drug and waiting for 1 min before the second dosage 1
Step 9: Shaking the inhaler before the second dose 1
Step 10: Closing the cover of the MDI 1

Comparison of the erroneous MDI use steps performed by the intervention and control group patients in the pretest and posttest.

Measurement Pretest χ2 P Posttest χ2 P
I C I C
Incorrect Incorrect
MDI Using steps % % % %
1st Step - - - - - - - -
2nd Step 56 44 1.440 P > 0.05 16 30 2.767 P > 0.05
3rd Step 28 24 0.208 P > 0.05 2 24 10.698 P < 0.05*
4th Step 84 90 0.796 P > 0.05 28 90 39.727 P < 0.05*
5th Step 24 26 1.336 P > 0.05 - 22 12.360 P < 0.05*
6th Step 48 58 1.406 P > 0.05 6 54 27.429 P < 0.05*
7th Step 52 64 1.478 P > 0.05 18 46 9.007 P < 0.05*
8th Step 78 88 1.772 P > 0.05 26 78 27.083 P < 0.05*
9th Step 92 94 0.154 P > 0.05 44 92 26.471 P < 0.05*
10th Step - - - - - - - -
eISSN:
2544-8994
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Assistive Professions, Nursing
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