The effects of repeated inhaler device handling education in COPD patients: a prospective cohort study

Inhaler education for chronic obstructive pulmonary disease (COPD) patients improves inhaler technique and adherence. However, the effects of such education on the quality of life and inhaler satisfaction remain unclear. Here, we evaluated inhaler handling and adherence, and changes in quality of li...

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Bibliographic Details
Published in:Scientific reports 2020-11, Vol.10 (1), p.19676-19676, Article 19676
Main Authors: Ahn, June Hong, Chung, Jin Hong, Shin, Kyeong-Cheol, Jin, Hyun Jung, Jang, Jong Geol, Lee, Mi Suk, Lee, Kwan Ho
Format: Article
Language:English
Subjects:
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Administration, Inhalation
Advanced practice nurses
Aged
Chronic obstructive pulmonary disease
Cohort analysis
Cohort Studies
Education
Female
House Calls
Humanities and Social Sciences
Humans
Inhalers
Lung diseases
Male
Medical research
multidisciplinary
Nebulizers and Vaporizers
Obstructive lung disease
Patient Compliance
Patient Education as Topic
Patient Satisfaction
Prospective Studies
Pulmonary Disease, Chronic Obstructive - drug therapy
Quality of Life
Questionnaires
Science
Science (multidisciplinary)
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Summary:Inhaler education for chronic obstructive pulmonary disease (COPD) patients improves inhaler technique and adherence. However, the effects of such education on the quality of life and inhaler satisfaction remain unclear. Here, we evaluated inhaler handling and adherence, and changes in quality of life and inhaler satisfaction, after repeated education for COPD patients. We prospectively enrolled COPD patients who had used inhalers for over 1 month and evaluated the effects of repeated education. Three visits were made over 6 months; an advanced practice nurse evaluated inhaler technique and adherence, and instructed the patients in inhaler technique during face-to-face sessions. Inhaler technique and adherence were assessed at every visits, and the modified Medical Research Council (mMRC) test, COPD Assessment Test (CAT), EuroQol-5D (EQ-5D), Patient Health Questionnaire (PHQ-9), and Feeling of Satisfaction with Inhaler questionnaire (FSI-10) were administered before (visit 1) and after two educational sessions (visit 3). A total of 261 COPD patients (308 inhalers) were included. Education significantly reduced the proportion of critical errors after two educational sessions (visit 3), from 43.2 to 8.8% (p 
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-76961-y