Optimizing education on the use of inhalation devices to improve the care of patients with asthma and COPD

Improving the management of asthma and COPD through the appropriate use of inhalation devices

Abstract

Effective management of asthma and Chronic Obstructive Pulmonary Disease (COPD) relies heavily on the use of inhalation devices. These devices ensure that the active substances are delivered directly to the lungs efficiently and safely. Correct technique in using these devices is crucial, as it significantly enhances the effectiveness of the therapy. Therefore, monitoring and correcting the technique of inhalation device usage is a critical aspect of asthma and COPD treatment.

 Addressing the challenges associated with the use of inhalation devices can greatly improve the quality of patient care. Education on proper use of these devices is considered effective when it meets the following criteria: 1. Tailored to the patient's individual needs.  2. Provides detailed and clear instructions on correct device usage.  3. Includes an opportunity for the patient to practice with a demonstration device.  4. Offers feedback on the correctness of the inhalation technique.  5. Supplies written materials on proper device usage.

Study Overview

A survey was conducted in two lung clinics in Budapest to evaluate how asthma and COPD patients use their inhalation devices. A checklist was developed for this purpose. The study, conducted over two months, included 485 patients who attended outpatient clinics. The survey results identified areas needing attention during patient education and revealed that out of the 485 patients, 281 (58%) required corrections in their inhalation technique. Specifically, 22% made one error, 16% made two errors, and 20% made three or more errors. Notably, 5% of the patients could not use their inhalation devices correctly even after repeated training and practice.

Common Errors Identified

The most common mistakes observed were: In 116 cases (24%), patients did not exhale before inhaling the active substance, in 97 cases (20%), patients did not inhale the air/active substance deeply and long enough, in 75 cases (15%), patients failed to hold their breath for 5-10 seconds after inhaling the active substance.

Importance of the Checklist

The use of a checklist allows healthcare providers to quickly and effectively assess the appropriateness of a patient's inhalation technique. Personalized inspections based on the checklist significantly aid in medical decision-making. The key takeaway from the checklist is to determine whether the patient can use the inhalation device correctly after repeated training and practice, ensuring they can effectively collaborate to achieve the therapeutic goals.

Conclusion

Proper use of inhalation devices is critical in the management of asthma and COPD. Routine use of checklists and regular patient education can significantly improve patients' technique, thereby enhancing the effectiveness of the treatment. Implementing this approach requires no special investment, only additional time and attention to the patient.