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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:
Open Access
|Sep 2023

Figures & Tables

Figure 1.

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

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 ± 5.89 12.24 ± 5.02 1.0830.301
Age (years)63.20 ± 8.56 66.06 ± 8.73 1.6540.101
Time of receiving information (min)3.76 ± 2.83 4.32 ± 2.54 1.4020.3
Sociodemographic characteristics
Gender 0.043 0.836
   Male 3264 3162
   Female 1836 1938
Education level 1.208 0.547
   Not literate 1836 1632
   Primary school 2346 2856
   Secondary school/high school 918 612
Number of hospitalizations per year 3.938 0.414
   No 36 612
   1 612 1122
   2 510 612
   3 1224 1020
   >4 2448 1734
Examine status/keep an appointment
   Yes 50100 50100
   No
Type of information 3.754 0.153
   Question–answer 612 1122
   Method of expression 2652 1734
   Demonstration 1836 2244
Informative person 3.499 0.174
   Nurse 2448 2244
   Doctor 1836 2550
   Pharmacist 816 36
Total 50100 50100

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

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--------
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
Publication frequency: 4 times per year
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.

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