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Evaluation of soft mist inhaler technique and effects of educational training
( Jonggeol Jang ),( Kwan Ho Lee ),( Jin Hong Jung ),( Kyeong Cheol Shin ),( Eun Yeung Choi ),( Hyun Jung Jin ),( June Hong Ahn ),( Kyung Soo Hong ),( Young Seok Lee ),( Euna Lee ),( Mi Jung Nam ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-
Purpose: Inhaled medications play a key role in symptom control and prevention of acute exacerbation in patients with chronic obstructive pulmonary disease (COPD). Errors in inhaler handling are common and may result in suboptimal disease control. The aim of this study was to assess the misuses of soft mist inhaler (SMI) and determines the effects of training on inhaler technique (IT). Method: The study subjects included patients diagnosed with COPD, above the age of 40 and who had been using SMI for more than 3 months. The patients received two sessions of face-to-face educational intervention of IT at the start of study and at the 3 months follow up visit. Primary outcome was IT. Secondary outcomes were symptom control, quality of life, medication adherence and Feeling of Satisfaction with Inhaler (FSI-10). Result: Of 145 patients, 125 (86.2%) subjects made at least one error and 66 (45.5%) subjects made at least one critical error at baseline. The risk of error at the baseline was increased in patients with low degree of education (p=0.004) and poor medical adherence (p=0.014). After education, the number of subjects who made at least one error or at least one critical error were both decreased to 49 (33.8%) and 18 (12.4%), respectively. Poor adherence rate was decreased after education (20.7% vs. 11.7%, p=0.038). FSI-10 was also improved after education (43.73±6.51 vs. 49.00±0.00, p<0.001). Quality of life assessed using COPD assessment test and EQ-5D showed no significant change after education. Conclusion: Poor SMI technique is common among patients with COPD, and intensive training in inhaler use can improve IT, medical adherence and FSI-10. Educational intervention in inhaler use is a key part in COPD management.
Effects of Self-Help group program on patients with chronic obstructive pulmonary disease
( Jonggeol Jang ),( Kwan Ho Lee ),( Jin Hong Chung ),( Kyeong Cheol Shin ),( Eun Young Choi ),( Hyun Jung Jin ),( June Hong Ahn ),( Mi Sook Lee ),( So Hee Bang ),( Da Yeong Park ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-
Purpose: Psychological problem such as anxiety and depression are the main comorbidities of COPD, and the prevalence is reported at 17-55%. However, the management of these psychological problems in the treatment of COPD is not well known. The purpose of this study is to provide a self-help group (SHG) program for patients with COPD and to assess the effects on mental disorders such as anxiety, depression and self-esteem. Method: This study was conducted on patients over 40 years of age who were diagnosed with COPD. We recruited the subjects and conducted three sessions of SHG programs at intervals of three months for each group. SHG program consisted of 20 minutes of education on the overall management of COPD, followed by 50 minutes of sharing the knowledge and experience between patients freely, and then followed by 20 minutes of rehabilitation exercises. Result: From 2017 to 2018, a total of 18 patients were enrolled. The mean age was 68.22 ± 1.45. The mean FEV1 (% predicted) was 57.17 ± 14.46 and Group B by GOLD criteria was the most common group (66.7%). After conducting SHG program, the Hospital Depression Scale was significantly decreased from 8.28 ± 4.10 to 6.89 ± 2.89 (p=0.011). The Rosenberg self-esteem scale also showed significant improvement of 26.72 ± 5.96 and 29.00 ± 5.27 (p=0.026) before and after the SHG program. COPD Assessment Test, modified Medical Research Council Dyspnea Scale which is associated with symptom control did not show any significant change. Conclusion: Three SHG sessions consisting of 90 minutes showed improvement in patients’ depression and self-esteem. Further study is needed on the emotional effects of SHG in the future.