Results of a Pulmonologist Survey Regarding Knowledge and Practices With Inhalation Devices for COPD
Autor: | Rajiv Dhand, Victor Pinto-Plata, Brian W. Carlin, Nicola A. Hanania, David Eubanks, Jill A. Ohar, Tina Shah, Donald A. Mahler, Sidney S. Braman |
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Rok vydání: | 2018 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Health Knowledge Attitudes Practice Respiratory Therapy Steering committee Severe copd Critical Care and Intensive Care Medicine 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine Medicine Humans 030212 general & internal medicine Medication use COPD business.industry Nebulizers and Vaporizers Inhalation Devices Pulmonologist General Medicine Device use Middle Aged medicine.disease Health Surveys Pulmonologists 030228 respiratory system Dry powder Family medicine Female business |
Zdroj: | Respiratory care. 63(7) |
ISSN: | 1943-3654 |
Popis: | BACKGROUND: COPD guidelines advise on inhaled medication use, yet no advice is offered on when to use and which type of patient could benefit from a specific delivery device. We investigated pulmonologists9 perception of their knowledge and practices with delivery devices for COPD management. METHODS: An online survey was designed by a steering committee of American Thoracic Society clinicians and scientists and conducted by a national market research firm between January 7 and 29, 2016. RESULTS: Two hundred and five respondents completed the survey. Nearly 80% of the respondents believed that they were very knowledgeable in COPD management and the use of medications; 68% believed that they were knowledgeable about preventing exacerbations. Ninety-eight percent of the respondents stated that they were at least somewhat knowledgeable about devices. Many respondents (70%) stated that small-volume nebulizers were more effective than dry powder inhalers and pressurized metered-dose inhalers in the management of COPD exacerbations, and 63% believed that these were more effective in severe COPD (modified Medical Research Council dyspnea scale grade 4). Only 54% of the respondents discussed device options with their patients. Physician screening for physical or cognitive impairments that could impact device choices was 53% and 16%, respectively. Seventy percent of the respondents discussed device use, whereas 9% discussed cleaning and storage during a patient9s first visit. Few respondents were very knowledgeable in teaching patients how to use devices (43%) and, specifically, how to use (32%) or clean and/or maintain (20%) small-volume nebulizers. CONCLUSIONS: Most respondents were confident in their knowledge about treating COPD. Fewer respondents were confident about the use and maintenance of inhalation devices, and most respondents desired to learn more about inhalation devices. |
Databáze: | OpenAIRE |
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