천식 환자를 위한 흡입기 교육 프로그램의 효과 = Evaluation of an Education Program for Patients with Asthma who use Inhalers

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to evaluate the effectiveness of an education program for patients with asthma who use inhalers. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Participants in this study were 36 patients for the control group, and 43 patients for the experimental group. The experimental group participated in the education program. The control group received the usual care. Data were collected before and 1month and 2 months after the program finished and were analyzed using the SPSS 12.0 program. Results: The experimental group had significantly higher scores of knowledge of inhalers, and inhalation technique compared to the control group. However, no significant differences were found between two groups for PEFR, asthma instability, and satisfaction with inhalers. Conclusion: According to the results, the education program was effective in improving knowledge of inhalers,and inhalation technique. Therefore, it is recommended that this education program be used in clinical practice as an effective nursing intervention for patients with asthma on inhalers.

참고문헌 (Reference)

1 유성근, "흡입제의 올바른 흡입방법 교육 시 전산화 평가프로그램을 이용한 반복교육의 효과" 대한결핵및호흡기학회 63 (63): 491-496, 2007

2 손호연, "호흡기약물 상담의 환자 만족도 평가" 한국병원약사회 24 (24): 1-7, 2007

3 박소연, "기관지천식 환자의 흡입제 사용 수행 평가" 대한천식알레르기학회 23 (23): 781-787, 2003

4 Kwak, J. H, "Validity of peak expiratory flow for assessing reversible airflow obstruc" 48 : 522-529, 2000

5 Kim, S. G, "The effect of patient education on correct use of metered dose inhalers in patients with asthma" 20 : 695-701, 2000

6 Kwon, M. G, "The approaches to enhance the efficiency of patient education for chronic respiratory diseases" 22 : 19-22, 2005

7 Luk, H. H, "Teaching chronic obstructive airway disease patients using a metered-dose inhaler" 119 : 1669-1672, 2006

8 Cohen, J, "Statistical power analysis for the behavioral science (2nd ed.)" Lawrence Erbaum Associates Publishers 1988

9 Savage, I, "Providing information on metered dose inhaler technique: Is multimedia as effective as print?" 20 : 552-557, 2003

10 Fink, J. B, "Problems with inhaler use: A call for improved clinician and patient education" 50 : 1360-1375, 2005

11 Epstein, S, "Patient handling of a dry powder inhaler in clinical practice" 120 : 1480-1484, 2001

12 Nunn, A. J, "New regression equations for predicting peak expiratory flow in adults" 298 (298): 1068-1070, 1989

13 National Heart, Lung, "National Asthma Education and Prevention Program Expert Panel Report III: Guidelines for the diagnosis and management of asth-ma"

14 Giraud, V, "Misuse of corticosteroid metereddose inhaler is associated with decreased asthma stability" 19 : 246-251, 2002

15 Mogil, J, "Many asthma patients experience persistent symptoms despite appropriate clinical and guideline-based treatment with inhaled corticosteroids" 19 : 459-470, 2007

16 Song, W. S, "Instruction of hospitalized patients by respiratory therapists on metereddose inhaler use leads to decrease in patient errors" 50 : 1040-1045, 2005

17 Markson, L. E, "Insight into patient dissatisfaction with asthma treatment" 161 : 379-384, 2001

18 Johnson, D. H, "Inhaler technique of outpatients in the home" 45 : 1182-1187, 2000

19 Prabhakaran, L, "Impact of an asthma education programme on patients’ knowledge, inhaler technique and compliance to treatment" 47 : 225-231, 2006

20 Khassawneh, B. Y, "Handling of inhaler devices in actual pulmonary practice: Metered-dose inhaler versus dry power inhalers" 53 : 324-328, 2008

21 Basheti, I. A, "Evaluation of a novel educational strategy, including inhaler-based reminder labels, to improve asthma inhaler technique" 72 : 26-33, 2008

22 Basheti, I. A, "Counseling about turbuhaler technique: Needs assessment and effective strategies for community Pharmacists" 50 : 617-623, 2005

23 Lee, M. B, "Clinical outcome of educational program using self-monitoring of peak expiratory flow rate for asthma patients" Sookmyung Women’s University 1999

24 Scarpaci, L. T, "Assessment of hospice nurses’ technique in the use of inhalers and nebulizers" 10 : 665-676, 2007

25 Molimard, M, "Assessment of handling of inhaler devices in real life: An observational study in 3,811 patients in primary care" 16 : 249-254, 2003

26 National Health Insurance Corporation, "Analysis of patients with environmental disease in 2007"

27 Hilton, S, "An audit of inhaler technique among asthma patients of 34 general practitioners" 40 : 505-506, 1990