Domiciliary Nebuliser Therapy — A Valuable Option in Chronic Asthma and Chronic Obstructive Pulmonary Disease?
Autor: | J. A. R. Friend, J. S. Legge, D. J. Godden, N. Currie, J. G. Douglas, A. Robertson |
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Rok vydání: | 1998 |
Předmět: |
Adult
Male Spirometry medicine.medical_specialty Pulmonary disease 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Chronic asthma Surveys and Questionnaires Administration Inhalation Humans Medicine Nebuliser therapy Lung Diseases Obstructive 030212 general & internal medicine Aged Asthma COPD medicine.diagnostic_test business.industry Nebulizers and Vaporizers General Medicine Middle Aged medicine.disease Bronchodilator Agents Treatment Outcome Scotland Lung disease Chronic Disease Emergency medicine Quality of Life Physical therapy Female business Patient education |
Zdroj: | Scottish Medical Journal. 43:48-51 |
ISSN: | 2045-6441 0036-9330 |
DOI: | 10.1177/003693309804300207 |
Popis: | Domiciliary nebulisers are in widespread use for patients who have severe chronic airways disease, both asthma and chronic obstructive pulmonary disease (COPD). We report a study of the use of domiciliary nebulisers designed to assess practical problems and the value of such therapy in preventing hospital admissions. A total of 405 patients underwent a structured interview at home and their case records were reviewed. Technical performance of the nebuliser compressors was assessed The mean (SD) age of those interviewed was 64.5 (12) years. 185 patients had a physician diagnosis of asthma, and 208 had COPD. 87% patients used their nebuliser at least once daily. Side effects, reported by 54%, were related to frequency of use and commoner in younger patients. 29 subjects (7%) died within 2 years of receiving their nebuliser. Among the survivors, the 2 year periods before and after supply of the nebuliser were compared The percentage of patients requiring hospital admission for exacerbations of lung disease fell from 56% to 46% (p The provision of domiciliary nebuliser can influence hospital admission inpatients with obstructive airways disease. There is also a need for improved patient education and for technical support which may require the development of a nurse-run nebuliser service. |
Databáze: | OpenAIRE |
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