Abstract
Objective: Describe the current status of knowledge and practice of using metered dose inhalers of COPD patients treated at Tuyen Quang Provincial General Hospital in 2024.
Subjects and methods of research: Cross-sectional descriptive study using direct interview questionnaire and practice assessment when observing patients using metered dose inhalers, selecting the entire sample.
Results: The average age of patients is 70.18 ± 11.04, the proportion of patients is 80% male, 64.8% of patients live in rural areas, 31.4% of patients have had the disease for less than 5 years, Patients with educational level from secondary school account for 77.1%. The rate of patients with knowledge of using metered dose inhalers was 46.2%. Some knowledge contents had low results such as: 49.5% of patients had correct knowledge about the time to use the drug; 47.6% of patients knew what to do when using a metered dose inhaler but had difficulty breathing or symptoms did not improve; The rate of patients who practiced correctly in all steps was 21.9%. Education level (p < 0,001), place of residence (p < 0,001), duration of illness (p = 0,035), and knowledge were determined to be related to the knowledge and practice of using metered dose inhalers of patients.
Conclusion: Knowledge and practice of use of dose inhaler within the study was limited.
Keywords
References
Bộ Y Tế. Hướng dẫn chẩn đoán và điều trị bệnh phổi tắc nghẽn mạn tính, theo Quyết định số 2767/QĐ-BYT, ngày 04 tháng 7 năm 2023. 2023.
Organization WH. Chronic obstructive pulmonary disease (COPD) in Viet Nam. https://www.who.int/vietnam/health-topics/chronic-obstructive-pulmonary-disease-copd#.
Standard for the diagnosis and care of patient with Chronic Obstructive Pulmonary Disease 2020 report. https://goldcopd.org/.
Eisner MD, Anthonisen N, Coultas D, et al. An official American Thoracic Society public policy statement: Novel risk factors and the global burden of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2010 Sep 1;182(5):693-718. doi: 10.1164/rccm.200811-1757ST.
Jørgen Vestbo, Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2013 Feb 15;187(4):347-65. doi: 10.1164/rccm.201204-0596PP.
Chan-Yeung M, Ait-Khaled N, White N, Ip M, Tan W. The burden and impact of COPD in Asia and Africa [state of the art]. The International Journal of Tuberculosis and Lung Disease. 2004;8(1):2-14.
Jamison DT, Breman JG, Measham AR, et al. Disease control priorities in developing countries. 2006.
Đinh Thị Thu Huyền. Thay đổi kiến thức, thực hành sử dụng bình hít của người bệnh phổi tắc nghẽn mạn tính điều trị ngoại trú tại Bệnh viện Đa khoa tỉnh Nam Định sau can thiệp [Luận văn thạc sĩ]. Trường Đại học Điều dưỡng Nam Định. 2020.
Đào Thị Ngọc Mai. Thực trạng kiến thức và thực hành sử dụng bình xịt/hít định liều của người bệnh COPD điều trị ngoại trú tại Bệnh viện Thanh Nhàn năm 2022 [Luận văn thạc sĩ]. Trường Đại học Điều dưỡng Nam Định; 2022.
Hoàng Thị Bé. Kiến thức và thực hành về sử dụng bình xịt định liều của người bệnh copd sau can thiệp giáo dục sức khỏe tại bệnh viện Hữu Nghị Đa khoa Nghệ An năm 2021 [Luận văn thạc sĩ]. Trường Đại học Điều dưỡng Nam Định; 2021.
Lee HY, Song JH, Won H-K, et al. Comparing inhaler use technique based on inhaler type in elderly patients with respiratory disease. Tuberculosis and Respiratory Diseases. 2021;84(1):46. doi: 10.4046/trd.2020.0021.
Ngo CQ, Phan DM, Vu GV, et al. Inhaler technique and adherence to inhaled medications among patients with acute exacerbation of chronic obstructive pulmonary disease in Vietnam. International journal of environmental research and public health. 2019;16(2):185. doi: 10.3390/ijerph16020185.
Pothirat C, Chaiwong W, Phetsuk N, Pisalthanapuna S, Chetsadaphan N, Choomuang W. Evaluating inhaler use technique in COPD patients. International journal of chronic obstructive pulmonary disease. 2015:1291-1298. doi: 10.2147/COPD.S85681.
Ramadan WH, Sarkis A, Aderian SS, Milane A. Asthma and COPD patients’ perception of appropriate metered-dose inhaler technique. Dose-Response. 2020;18(2):1559325820917832. doi: 10.1177/1559325820917832.
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