Author/Editor		Perdija, Željko; Primožič, Stanislav
Title		Pravilnost uporabe pršil in inhalatorjev s prahom pri odraslih in otrocih na področju mariborske regije v letu 1997
Translated title		Patient adherence in the use of metered dose inhalers and dry powder inhalers by adults and children in Maribor area in 1997
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 68, št. 4
Publication year		1999
Volume		str. 221-5
Language		slo
Abstract		Background. Inhalation therapy is an important and widespread method of treatment of obstructive pulmonary diseases. Among its advantages one finds high concentration of the drug at the site of action and lowered frequency and intensity of systemic side effects. For ane effective inhalation treatment, a high degree of patient adherence based on adequate education, appropriately trained medical and nursing staff, and the use of respective inhalers and spacers are necessary. In the present investigation, the degree of appropriate use of inhalers and spacers was studied. Reasons for the inappropriate use of medicines and for inadequate patient awareness of the inhalation therapy specifics were addressed. The usage distribution of particular forms of inaddressed. The usage distribution of particular forms of inhalers and inhalation medicines were surveyed. Methods. Questionnaire was prepared for adult patients and the paretns of pediatric patients treated in the Pulmology department of the Maribor General Hospital, in Pulmologic Clinic Slovenska Bistrica, in a private general practice ambulatory care, and in Alergology-Pulmology Clinic of the Pediatric Clinical department at the Maribor General Hospital. The patients who were on inhalation drug therapy in the period of March 1997 to August 1997 were included. The appropriatenes of the use of inhalation medicines was assessed by competent physicians. Results. Among 164 participating patients, 117 were adults and 47 pediatric patients. In the adult and pediatric groups, 45% and 26% of the patients were not using the medicines appropriately, respictively.(Abstract truncated at 2000 characters)
Summary		Izhodišča. Inhalacijsko zdravljenje je pomembna in razširjena oblika zdravljenja obstruktivnih pljučnih bolezni. Prednosti tega načina zdravljenja so visoka koncentracija zdravila na mestu delovanja in manj sistemskih stranskih učinkov. Za učinkovito inhalacijsko zdravljenje je potrebno popolno sodelovanje bolnika, dobra seznanjenost zdravstvenega osebja in bolnika ter uporaba ustreznih inhalatorjev in podaljškov. Z raziskavo smo preverjali pravilno uporabo inhalatorjev in podaljškov. Ugotavljali smo vzroke za nepravilno uporabo in za slabo seznanjenost z inhalacijskim zdravljenjem. Spremljali smo razširjenost uporabe posameznih oblik inhalatorjev in inhalacijskih zdravil. Metode. Anketirali smo vse bolnike oziroma starše otrok, zdravljene na pljučnem oddelku Splošne bolnišnice Maribor, v pljučnem dispanzerju Slovenska Bistrica, zasebni ordinaciji za splošno in družinsko medicino in alergološko-pulmološki ambulanti Kliničnega oddelka za pediatrijo Splošne bolnišnice v Mariboru. Vključili smo bolnike, ki so uporabljali inhalacijska zdravila v obdobju od marca do avgusta 1997. Pravilnost uporabe so ocenjevali pristojni zdravniki. Rezultati. Med 164 anketiranimi bolniki je bilo 117 odraslih in 47 otrok oziroma njihovih staršev. Pri odraslih ugotavljamo, da jih 45% inhalatorjev ne uporablja pravilno, pri otrocih pa 26%. 70% odraslih je menilo, da so ustrezno seznanjeni z inhalacijskim zdravljenjem. Pripadajoči delež pri otrocih je bil 100%. Najpogostejši napaki pri uporabi pršil pri odraslih sta napačen začetni volumen pred začetkom inhalacije (50%) in prehiter vdih (57%).(Izvleček prekinjen pri 2000 znakih)
Descriptors		LUNG DISEASES, OBSTRUCTIVE RESPIRATORY THERAPY ADMINISTRATION, INHALATION NEBULIZERS AND VAPORIZERS ADULT CHILD PATIENT COMPLIANCE QUESTIONNAIRES