中华护理杂志 ›› 2021, Vol. 56 ›› Issue (9): 1426-1430.DOI: 10.3761/j.issn.0254-1769.2021.09.025
收稿日期:
2021-04-20
出版日期:
2021-09-15
发布日期:
2021-09-17
通讯作者:
作者简介:
赵茜:女,本科(硕士在读),主管护师,护士长,E-mail: <email>zhaoxi@suda.edu.cn</email>。
基金资助:
ZHAO Qian(),NIU Mei’e(),WU Zhenyun
Received:
2021-04-20
Online:
2021-09-15
Published:
2021-09-17
摘要:
药物吸入治疗是哮喘和COPD等呼吸系统疾病患者重要的治疗手段,但成人呼吸系统疾病患者正确掌握药物吸入技术的比例较低。该文总结了药物吸入技术正确性的评估方法,从患者、医护人员、设备等角度分析了影响呼吸系统疾病患者药物吸入技术正确性的因素,并从培养呼吸系统慢病管理专职护士、推广呼吸系统慢病分级诊疗模式、发展移动医疗服务等方面梳理了干预措施,旨在为提高呼吸系统疾病患者药物吸入技术的正确性提供科学依据。
赵茜, 钮美娥, 吴振云. 呼吸系统疾病患者正确掌握药物吸入技术的研究进展[J]. 中华护理杂志, 2021, 56(9): 1426-1430.
ZHAO Qian, NIU Mei’e, WU Zhenyun. Research progress on factors affecting the accuracy of drug inhalation techniques in patients with respiratory diseases[J]. Chinese Journal of Nursing, 2021, 56(9): 1426-1430.
[1] | Global Initiative for Asthma. Global strategy for asthma mana-gement and prevention 2020 report[EB/OL].( 2020- 04- 06)[2021-03-18].http://www.ginasthma.org . |
[2] | Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of chro-nic obstructive pulmonary disease 2020 report[EB/OL].(2019-11-05)[2021-03-18]. https://goldcopd.org/goldreports/. |
[3] | Manríquez P, Acuña AM, Muñoz L, et al. Study of inhaler technique in asthma patients:differences between pediatric and adult patients[J]. J Bras Pneumol, 2015,41(5):405-409. |
[4] | Ngo CQ, Phan DM, Vu GV, et al. Inhaler technique and adherence to inhaled medications among patients with acute exacerbation of chronic obstructive pulmonary disease in Vietnam[J]. Int J Environ Res Public Health, 2019,16(2):E185. |
[5] | 中国医学装备协会呼吸病学专委会吸入治疗与呼吸康复学组, 中国慢性阻塞性肺疾病联盟. 稳定期慢性气道疾病吸入装置规范应用中国专家共识[J]. 中华结核和呼吸杂志, 2019,42(4):241-253. |
Inhalation Therapy and Respiratory Rehabilitation Group, Respiratory Diseases Committee of China Association of Medical Equipment, the Chinese Chronic Obstructive Pulmonary Disease Coalition. Chinese expert consensus on standard application of inhalation device in stable chronic airway disease patients[J]. Chin J Tuberc Respir Dis, 2019,42(4):241-253. | |
[6] | Press VG, Arora VM, Kelly CA, et al. Effectiveness of virtual vs in-person inhaler education for hospitalized patients with obs-tructive lung disease: a randomized clinical trial[J]. JAMA Netw Open, 2020,3(1):e1918205. |
[7] | Duarte-de-Araújo A, Teixeira P, Hespanhol V, et al. COPD:misuse of inhaler devices in clinical practice[J]. Int J Chron Obstruct Pulmon Dis, 2019,14:1209-1217. |
[8] | 张素, 韩春燕. 中国成人慢性呼吸疾病患者护理管理指南[M]. 北京: 人民卫生出版社, 2018: 2-4. |
Zhang S, Han CY. Guidelines for nursing management of adult patients with chronic respiratory diseases in China[M]. Beijing: People’s Medical Publishing House, 2018: 2-4. | |
[9] | 崔金锐, 陈英. 中文版吸入糖皮质激素相关健康状况简明问卷的信效度检验[J]. 中华护理杂志, 2016,51(7):863-868. |
Cui JR, Chen Y. Reliability and validity of the Chinese version of inhaled corticosteroids related health status questionnaire-short form[J]. Chin J Nurs, 2016,51(7):863-868. | |
[10] | Hesso I, Nabhani Gebara S, Greene G, et al. A quantitative eva-luation of adherence and inhalation technique among respiratory patients:an observational study using an electronic in-haler assessment device[J]. Int J Clin Pract, 2020,74(2):e13437. |
[11] | Taylor TE, Zigel Y, Egan C, et al. Objective assessment of patient inhaler user technique using an audio-based classification approach[J]. Sci Rep, 2018,8(1):2164. |
[12] | Ditcham W, Murdzoska J, Zhang GC, et al. Lung deposition of 99mTc-radiolabeled albuterol delivered through a pressurized metered dose inhaler and spacer with facemask or mouthpiece in children with asthma[J]. J Aerosol Med Pulm Drug Deliv, 2014,27(Suppl 1):S63-S75. |
[13] | Blum E, Thavarajah K, Martirosov AL. Optimization of patient-specific inhaler regimens with the use of the aerosol inhalation monitor[J]. J Am Pharm Assoc, 2019,59(2):252-257. |
[14] | Barbara S, Kritikos V, Bosnic-Anticevich S. Inhaler technique:does age matter? A systematic review[J]. Eur Respir Rev, 2017,26(146):170055. |
[15] | Pothirat C, Chaiwong W, Phetsuk N, et al. Evaluating inhaler use technique in COPD patients[J]. Int J Chron Obstruct Pulmon Dis, 2015,10:1291-1298. |
[16] | 张冉, 田庆秀, 姚丽娜, 等. 支气管哮喘患者糖皮质激素吸入技术的评价[J]. 中华护理杂志, 2015,50(8):975-980. |
Zhang R, Tian QX, Yao LN, et al. A study of evaluating inhalation technique for glucocorticoids in patients with asthma[J]. Chin J Nurs, 2015,50(8):975-980. | |
[17] | Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire:the development and evaluation of a new method for assessing the cognitive representation of medication[J]. Psychol Heal, 1999,14(1):1-24. |
[18] | Kova$\check{c}$evi$\acute{c}$ M, $\acute{C}$ulafi$\acute{c}$ M, Jovanovi$\acute{c}$ M, et al. Impact of commu-nity pharmacists’ interventions on asthma self-management care[J]. Res Social Adm Pharm, 2018,14(6):603-611. |
[19] | 王艳, 朱素翠, 何志萍. COPD患者吸入制剂用药信念现状及影响因素分析[J]. 中国护理管理, 2020,20(2):285-288. |
Wang Y, Zhu SC, He ZP. Analysis of the current status and influencing factors of medication belief of inhaled drug use in patients with COPD[J]. Chin Nurs Manag, 2020,20(2):285-288. | |
[20] | Azzi E, Srour P, Armour C, et al. Practice makes perfect:self-reported adherence a positive marker of inhaler technique maintenance[J]. NPJ Prim Care Respir Med, 2017,27(1):29. |
[21] | Ciciliani AM, Langguth P, Wachtel H. Handling forces for the use of different inhaler devices[J]. Int J Pharm, 2019,560:315-321. |
[22] | 方利文, 包鹤龄, 王宝华, 等. 2014年中国40岁及以上人群肺功能检查率调查与分析[J]. 中华流行病学杂志, 2018,39(5):593-599. |
Fang LW, Bao HL, Wang BH, et al. Survey and analysis of rate of spirometry examination in adults aged 40 years and older in China in 2014[J]. Chin J Epidemiol, 2018,39(5):593-599. | |
[23] | Karle E, Patel TP, Zweig J, et al. Understanding the knowledge gap and assessing comfort level among healthcare profession-als who provide inhaler education[J]. COPD, 2020,17(2):197-204. |
[24] | 黄少俊. 上海市某区社区卫生服务中心吸入给药的现状调查[D]. 上海:第二军医大学, 2017. |
Huang SJ. Investigation on the present situation of inhalation administration in some community health service centers in Shanghai[D]. Shanghai:Second Military Medical University, 2017. | |
[25] | Price D, Keininger DL, Viswanad B, et al. Factors associated with appropriate inhaler use in patients with COPD-lessons from the REAL survey[J]. Int J Chron Obstruct Pulmon Dis, 2018,13:695-702. |
[26] | Newman S. Improving inhaler technique,adherence to therapy and the precision of dosing:major challenges for pulmonary drug delivery[J]. Expert Opin Drug Deliv, 2014, 11(3):365-378. |
Price DB, Price DB, Thomas V,et al. Evaluation of inhaler technique and achievement and maintenance of mastery of budesonide/formoterol Spiromax compared with budesonide/formoterol Turbuhaler in adult patients with asthma:the Easy Low Instruction Over Time(ELIOT) study[J]. BMC Pulm Med, 2018,18(1):107. | |
[28] | Nguyen TS, Nguyen TLH, van Pham TT, et al. Pharmacists’ training to improve inhaler technique of patients with COPD in Vietnam[J]. Int J Chron Obstruct Pulmon Dis, 2018,13:1863-1872. |
[29] | Bournival R, Coutu R, Goettel N, et al. Preferences and inhalation techniques for inhaler devices used by patients with chronic obstructive pulmonary disease[J]. J Aerosol Med Pulm Drug Deliv, 2018,31(4):237-247. |
[30] | Ammari WG, Obeidat NM, Anani AR, et al. ATTACHED,DETACHED and WITHOUT inhaler technique coaching tools to optimize pMDI use competence,asthma control and quality-of-life in asthmatic adults[J]. J Thorac Dis, 2020,12(5):2415-2425. |
[31] | Ghosh S, Pleasants RA, Ohar JA, et al. Prevalence and factors associated with suboptimal peak inspiratory flow rates in COPD[J]. Int J Chron Obstruct Pulmon Dis, 2019, 14:585-595. |
[32] | Molimard M, Raherison C, Lignot S, et al. Chronic obstructive pulmonary disease exacerbation and inhaler device handling:real-life assessment of 2935 patients[J]. Eur Respir J, 2017,49(2):1601794. |
[33] | Chouaid C, Germain N, De Pouvourville G, et al. Patient pref-erence for chronic obstructive pulmonary disease(COPD) treat-ment inhalers:a discrete choice experiment in France[J]. Curr Med Res Opin, 2019,35(5):785-792. |
[34] | 朱玉芬, 毛冰佳, 杨园园, 等. 呼吸慢性病管理专职护士培养与实践[J]. 中华护理教育, 2020,17(5):396-400. |
Zhu YF, Mao BJ, Yang YY, et al. The training of professional nurses for chronic respiratory disease management[J]. Chin J Nurs Educ, 2020,17(5):396-400. | |
[35] | 朱亚珍, 朱凌燕, 许燕玲. 社区卫生站护士对医院-社区-家庭慢性病一体化管理体验的质性研究[J]. 中华护理杂志, 2018,53(5):528-532. |
Zhu YZ, Zhu LY, Xu YL. District nurses’ experience with integrated management of chronic disease:a qualitative study[J]. Chin J Nurs, 2018,53(5):528-532. | |
[36] | 刘丹丹, 段娟, 蔡田培, 等. 慢性阻塞性肺疾病患者居家管理平台的应用及效果评价[J]. 中华护理教育, 2020,17(5):406-410. |
Liu DD, Duan J, Cai TP, et al. The effects of a home-based management platform for patients with chronic obstructive pulmonary disease[J]. Chin J Nurs Educ, 2020,17(5):406-410. |
[1] | 韩冬芳, 田甜, 高畅, 张婧珺, 李小妹. 肺结核患者健康促进行为与健康心理控制源关系的混合研究[J]. 中华护理杂志, 2024, 59(9): 1029-1036. |
[2] | 司茜茜, 王莹, 赵福云, 马晓骁, 刘均娥. A型主动脉夹层患者Ⅰ期心肺康复护理方案的构建及应用[J]. 中华护理杂志, 2024, 59(9): 1037-1042. |
[3] | 沈支佳, 陈新宇, 钱志杰, 殷丽梅. 反复低血糖患者血糖管理行为退化特征的混合研究[J]. 中华护理杂志, 2024, 59(9): 1043-1050. |
[4] | 王丽梅, 李露, 李玉霞, 喻鹏, 罗倩, 张翀旎. 糖尿病周围神经病理性疼痛患者运动恐惧现状及影响因素分析[J]. 中华护理杂志, 2024, 59(9): 1051-1056. |
[5] | 丁慧敏, 戴莉敏, 蔡冬青, 杨群. 糖尿病前期患者自我管理潜在剖面分析及影响因素研究[J]. 中华护理杂志, 2024, 59(9): 1057-1064. |
[6] | 刘海婷, 王咏梅, 郑贝贝, 蔡丽丽, 叶林斌, 吴佳芸, 宁丽, 李益民, 陈为霞. 冠心病合并糖尿病患者药物素养自评量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(9): 1065-1071. |
[7] | 陈丽霞, 施慧, 朱德政, 曾莹. 成人低血糖恐惧评估工具的质量评价[J]. 中华护理杂志, 2024, 59(9): 1072-1079. |
[8] | 中国研究型医院学会过敏医学专业委员会, 中华医学会变态反应分会过敏性疾病护理学组(筹), 中华预防医学会过敏病预防与控制专业委员会, (执笔:王青 刘君 支凡 万文锦 田丰英 霍晓鹏 周文华 杨永仕 王田田 孙劲旅). 变应原特异性免疫治疗皮下注射护理的专家共识[J]. 中华护理杂志, 2024, 59(9): 1080-1083. |
[9] | 李琪, 苏晴晴, 张瑶瑶, 王田田, 吕静, 李亚可, 李海燕. 全膝关节置换患者关节遗忘变化轨迹及影响因素研究[J]. 中华护理杂志, 2024, 59(9): 1084-1090. |
[10] | 刘娅, 刘晓晴, 杨雪凝, 王平, 刘学奎, 罗丹. 结肠镜检查患者肠道准备失败风险预测模型的构建及验证[J]. 中华护理杂志, 2024, 59(9): 1091-1098. |
[11] | 孙晓晴, 张爱霞, 朱珠, 樊雪梅, 梅士娟, 黄欣欣, 丛胜楠, 谢红燕. 分娩心理创伤评估量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(9): 1099-1105. |
[12] | 谢玉生, 黄蓉蓉, 赵雪, 马蕾, 胡雁, 杨倩, 王乾沙, 明玥. 成人重度烧伤患者肠内肠外营养的证据总结[J]. 中华护理杂志, 2024, 59(9): 1106-1113. |
[13] | 李旭琴, 冯洁惠, 黄昉芳, 俞超, 梁诗雨, 王晓, 李旭芳, 朱含. 1例行机械循环辅助桥接心脏移植患者的术前护理[J]. 中华护理杂志, 2024, 59(9): 1114-1117. |
[14] | 贾晓静, 陈一竹, 许志英, 和霞, 耿超. 1例尿黑酸尿症双膝关节置换术后患者并发急性心肌梗死的护理[J]. 中华护理杂志, 2024, 59(9): 1118-1121. |
[15] | 顾培培, 曾妃, 兰美娟, 梁江淑渊, 郭璐瑶, 蔡凌云, 朱岩, 郭鸽. 肺移植患者衰弱影响因素的Meta分析[J]. 中华护理杂志, 2024, 59(9): 1122-1129. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||