Influence of Gender on Inhaler Technique
| Autor: | Birsen Ocakli, Sinem Güngör, Yesim Yasin, Eylem Tuncay, Nalan Adiguzel, Ipek Ozmen, Zuhal Karakurt, Gokay Gungor, Aylin Ozalp |
|---|---|
| Přispěvatelé: | Acibadem University Dspace |
| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Critical Care and Intensive Care Medicine Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Administration Inhalation gender Humans Medicine Metered Dose Inhalers Inhalation business.industry Nebulizers and Vaporizers Inhaler Direct observation Dry Powder Inhalers General Medicine Asthma inhaler therapy Cross-Sectional Studies inhaler technique 030228 respiratory system Physical therapy Female Observational study business |
| Zdroj: | Respiratory Care. 65:1470-1477 |
| ISSN: | 1943-3654 0020-1324 |
| Popis: | This study was designed to evaluate the influence of gender on the inhaler technique of subjects on inhaler therapy and to determine the factors predicting the correct inhaler technique and a change of inhaler device. METHODS: A total of 568 adult subjects (276 male, 292 female) on inhaler therapy were included in this cross-sectional, observational study. Data on sociodemographic characteristics, inhaler therapy, subject-reported difficulties, and technician-reported errors in inhaler technique were recorded. RESULTS: A change of inhaler device was noted in 71.0\% of male subjects and 77.4\% of female subjects, and this was based on the physicians' decision in most cases (41.7\% and 51.7\%, respectively). A higher percentage of female subjects reported difficulties with using inhalers (63.7\% vs 40.6\%, P < .001). Overall, having received training on the inhaler technique was associated with a higher likelihood of correct inhaler technique (odds ratio 12.56, 95\% CI 4.44-35.50, P < .001) and a lower risk of device change (odds ratio 0.46, 95\% CI 0.27-0.77, P = .004). CONCLUSIONS: Errors in the inhaler technique, including inhalation maneuvers and device handling, were common in subjects on inhaler therapy. Subject-reported difficulties with using inhalers were more prevalent among female subjects, whereas errors in the inhaler technique identified by direct observation were similarly high in both genders. Overall, a lack of training on the inhaler technique predicted a higher likelihood of errors in the inhaler technique and a change of inhaler device. |
| Databáze: | OpenAIRE |
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