Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients
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21 sept 2023
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Categoría del artículo: Original Article
Publicado en línea: 21 sept 2023
Páginas: 347 - 356
Recibido: 03 ago 2022
Aceptado: 23 nov 2022
DOI: https://doi.org/10.2478/fon-2023-0024
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© 2023 Çiğdem Gamze Özkan et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.
Figure 2.
Comparison of the descriptive characteristics of COPD patients in the intervention and control groups_
| Characteristics | Intervention group | Control group | t | ||||||
|---|---|---|---|---|---|---|---|---|---|
| X ± SD | n | % | X ± SD | n | % | ||||
| 13.38 ± 5.89 | 12.24 ± 5.02 | 1.083 | 0.301 | ||||||
| 63.20 ± 8.56 | 66.06 ± 8.73 | 1.654 | 0.101 | ||||||
| 3.76 ± 2.83 | 4.32 ± 2.54 | 1.402 | 0.3 | ||||||
| 0.043 | 0.836 | ||||||||
| Male | 32 | 64 | 31 | 62 | |||||
| Female | 18 | 36 | 19 | 38 | |||||
| 1.208 | 0.547 | ||||||||
| Not literate | 18 | 36 | 16 | 32 | |||||
| Primary school | 23 | 46 | 28 | 56 | |||||
| Secondary school/high school | 9 | 18 | 6 | 12 | |||||
| 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 | |||||
| Yes | 50 | 100 | 50 | 100 | |||||
| No | |||||||||
| 3.754 | 0.153 | ||||||||
| Question–answer | 6 | 12 | 11 | 22 | |||||
| Method of expression | 26 | 52 | 17 | 34 | |||||
| Demonstration | 18 | 36 | 22 | 44 | |||||
| 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 | Posttest | ||||||
|---|---|---|---|---|---|---|---|---|
| I | C | I | C | |||||
| Incorrect | Incorrect | |||||||
| MDI Using steps | % | % | % | % | ||||
| 1st Step | - | - | - | - | - | - | - | - |
| 2nd Step | 56 | 44 | 1.440 | 16 | 30 | 2.767 | ||
| 3rd Step | 28 | 24 | 0.208 | 2 | 24 | 10.698 | ||
| 4th Step | 84 | 90 | 0.796 | 28 | 90 | 39.727 | ||
| 5th Step | 24 | 26 | 1.336 | - | 22 | 12.360 | ||
| 6th Step | 48 | 58 | 1.406 | 6 | 54 | 27.429 | ||
| 7th Step | 52 | 64 | 1.478 | 18 | 46 | 9.007 | ||
| 8th Step | 78 | 88 | 1.772 | 26 | 78 | 27.083 | ||
| 9th Step | 92 | 94 | 0.154 | 44 | 92 | 26.471 | ||
| 10th Step | - | - | - | - | - | - | - | - |