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Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients Cover

Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients

Frontiers of Nursing
Volume 10 (2023): Issue 3 (September 2023)
By:  and    
Open Access
|Sep 2023
Figures & tables

Figures & Tables

Table 1.

Rubric and using steps for inhaler technique scoring.

MDI using stepsPoints
Step 1: Removing cap1
Step 2: Shaking MDI well1
Step 3: Hold the inhaler with the mouth in line with the jaw, up right, and with the index finger on the drug tube1
Step 4: Exhaling before using MDI1
Step 5: Placing the lips between the lips of the MDI and closing the lips1
Step 6: Pressing the device and inhaling simultaneously1
Step 7: Holding breath for 3–10 s1
Step 8: Exhaling slowly after administering the drug and waiting for 1 min before the second dosage1
Step 9: Shaking the inhaler before the second dose1
Step 10: Closing the cover of the MDI1

1 Note: MDI, metered-dose inhaler.

Table 2.

Comparison of the descriptive characteristics of COPD patients in the intervention and control groups.

CharacteristicsIntervention groupControl groupχ2tP
X ± SDn%X ± SDn%
Year of disease13.38 ± 5.8912.24 ± 5.021.0830.301
Age (years)63.20 ± 8.5666.06 ± 8.731.6540.101
Time of receiving information (min)3.76 ± 2.834.32 ± 2.541.4020.3
Sociodemographic characteristics
Gender0.0430.836
   Male32643162
   Female18361938
Education level1.2080.547
   Not literate18361632
   Primary school23462856
   Secondary school/high school918612
Number of hospitalizations per year3.9380.414
   No36612
   16121122
   2510612
   312241020
   >424481734
Examine status/keep an appointment
   Yes5010050100
   No
Type of information3.7540.153
   Question–answer6121122
   Method of expression26521734
   Demonstration18362244
Informative person3.4990.174
   Nurse24482244
   Doctor18362550
   Pharmacist81636
Total5010050100

1 Note: COPD, chronic obstructive pulmonary disease.

Figure 1.

Evaluation of the steps in which intervention and control group patients made mistakes in the pretest.

Figure 2.

Evaluation of the steps in which intervention and control group patients made mistakes in the posttest.

Table 3.

Comparison of the erroneous MDI use steps performed by the intervention and control group patients in the pretest and posttest.

MeasurementPretestχ2PPosttestχ2P
ICIC
IncorrectIncorrect
MDI Using steps%%%%
1st Step--------
2nd Step56441.440P > 0.0516302.767P > 0.05
3rd Step28240.208P > 0.0522410.698P < 0.05*
4th Step84900.796P > 0.05289039.727P < 0.05*
5th Step24261.336P > 0.05-2212.360P < 0.05*
6th Step48581.406P > 0.0565427.429P < 0.05*
7th Step52641.478P > 0.0518469.007P < 0.05*
8th Step78881.772P > 0.05267827.083P < 0.05*
9th Step92940.154P > 0.05449226.471P < 0.05*
10th Step--------

1 Note: *There is statistically significant differences.

I, Intervention group; C, Control group; MDI, metered-dose inhaler.

DOI: https://doi.org/10.2478/fon-2023-0024 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Journal RSS Feed
Language: English
Page range: 347 - 356
Submitted on: Aug 3, 2022
Accepted on: Nov 23, 2022
Published on: Sep 21, 2023
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Keywords:
COPD,
demonstration,
education,
metered-dose inhaler technique,
one-to-one feedback method,
training of patient
Related subjects:
Medicine,
Assistive professions, nursing

© 2023 Çiğdem Gamze Özkan, Mağfiret Kaşikçi, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 10 (2023): Issue 3 (September 2023)
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