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[Health care providers' knowledge and abilities to use inhalation devices and spacers].

Authors
  • Orfanos, S1
  • Carsin, A2
  • Baravalle, M2
  • Dubus, J-C2
  • 1 Faculté de médecine, Aix Marseille université, 13000 Marseille, France. Electronic address: [email protected] , (France)
  • 2 Unité de pneumologie pédiatrique, CHU Timone Enfants, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France. , (France)
Type
Published Article
Journal
Revue des maladies respiratoires
Publication Date
May 01, 2017
Volume
34
Issue
5
Pages
561–570
Identifiers
DOI: 10.1016/j.rmr.2016.08.005
PMID: 27863828
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

Inhaled therapy is the mainstay of asthma treatment due to its local and rapid action. However, its efficiency relies on the teaching of a good inhalation technique by health care providers. We assessed health care providers' knowledge and practical skills in the use of inhalation devices. An observational multicenter study was conducted in the pulmonology and paediatric wards in Marseille. The departments' common practices, theoretical knowledge and practical skills were assessed through a questionnaire and a demonstration using a spacer device. Forty health care providers were interviewed (9 attending physicians, 14 residents, 16 nurses and 1 physiotherapist), in 8 different pulmonology and paediatric wards. A total of 42.5% reported previous training in inhalation device technique. When evaluating theoretical knowledge, we found a mean of 54% correct answers. Attending physicians did significantly better than residents and nurses. With regard to practical skills, we found a mean of 1.12 failed steps out of 7. Here again attending physicians did significantly better than residents and nurses. Based on the results of our study, we recommend that attending physicians provide training of inhalation technique to nurses and residents, as they did significantly better theoretically and practically. Copyright © 2016 SPLF. Published by Elsevier Masson SAS. All rights reserved.

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