Authors (including presenting author) :
FUNG KY(1), Chan C(2), Chan CY(2), Chan KY(1), Ho SF,I(4), Lai LP(1), Lai SF(1), Leung MY(1), Leung MY,R(3), Luk W(5), Tso PS,M(3)
Affiliation :
(1)RN, (2)APN, (3)WM, (4)DOM, (5)COS of Family Medicine and Primary Health Care, Kowloon West Cluster
Introduction :
Inhaled bronchodilators are the first line of treatment for Chronic Obstructive Pulmonary Disease (COPD) and asthma. It can only be effective if patients could demonstrate the correct inhalation technique. An internal CMS record review on patients’ inhaler technique was conducted across 3 spirometry centres in KWC FM & PHC from Jan to Dec 2017. It was reviewed that 77% of 238 inhaler users had incorrect inhaler technique.
Objectives :
To improve & sustain patients’ inhaler technique through multimedia video and pictorial education pamphlet during nursing education.
Methodology :
An educational pamphlet with pictures and simple wordings to describe the inhalation technique was designed. A 2-minutes video on inhaler technique was incorporated into the educational program. A pilot study was conducted from May to July 2017. Ventolin users were recruited in 5 GOPCs of KWC FM & PHC. An education video on inhaler technique was displayed to patients via tablets or computer. Their inhaler technique was reviewed by the trained nursing staff. For patients with smart phone, they were educated to download the mobile application to retrieve the video in home setting so as to promote the sustainability of correct inhaler technique. Besides, the pictorial education pamphlets were given to patients.
Result & Outcome :
Patients’ inhaler technique was reviewed through departmental inhaler checklist. Through the new initiation of nurse education program, patients' inhalation technique were significantly improved with the mean score increased from 3.73 (before intervention) to 7.13 (immediately post-intervention), with the mean difference 3.40 (p<0.05). At 1-month follow up, the mean score sustained in 6.84 with the mean difference 0.29 (p<0.05) as compared with immediate post-intervention. Patients’ satisfaction survey was conducted. 99% of patients agreed that the education program was helpful and able to enhance their understanding on inhaler technique. Improvement of patients’ inhaler techniques could relieve their symptoms, minimize the chance of COPD exacerbation and asthmatic attack which might eventually result in reduction of unplanned hospital admission. In long term, the health care system’s burden could be alleviated.
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