Conocimientos sobre la correcta utilización de inhaladores por parte de los médicos residentes de atención primaria e impacto de una intervención formativa

Educacion Medica

article

Alicia Moscoso Jara¹  Luis Manuel Entrenas Costa²  Luis Ángel Pérula de Torres³  Cristina Aguado Taberné¹ 

[1] Distrito Sanitario Córdoba y Guadalquivir, Córdoba, España;Servicio de Neumología, Hospital Universitario Reina Sofía, Córdoba, España;Unidad Docente de Medicina Familiar y Comunitaria de Córdoba, Distrito Sanitario Córdoba y Guadalquivir. Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España

关键词: Inhalers;    Medical residents;    Training intervention;   

DOI  :  10.1016/j.edumed.2016.12.007

学科分类：社会科学、人文和艺术（综合）

来源: Fundacion Educacion Medica

【 摘 要 】

Introduction Ensuring patients use a correct inhalation technique is the main objective for effective treatment. It is of essential importance that health workers have the skills to teach these patients. However, the few existing studies show that the health workers have insufficient knowledge. Objective To determine the knowledge of the resident physicians of Family and Community Medicine about the use of pressurised metered-dose inhalers (pMDI) against dry powder inhalers and to verify if a training activity increases this previous level of knowledge. Methods Quasi-experimental before/after study. Participants were residents of Family and Community Medicine of the Teaching Unit of Family and Community Medicine of Cordoba during november and december 2015. At first, a questionnaire was completed, and then they were given a practical test. This was followed by a training session, and then completing the same questionnaire. Results A total of 59 residents participated. The mean pre-questionnaire score was 8.31 ± 2.05 (95% CI: 7.77-8.85) and in the post 9.67 ± 1.19 (95% CI: 9.24-10.09). There were statistically significant differences ( P = .001) between the results obtained before and after the training session. An optimal outcome was obtained in 5.4% when using pMDI inhalers, compared to 48.6% with Spiromax. No statistically significant differences were found when stratified by rotation into Chest Diseases Units or year of Residence. Conclusion A training activity by residents of Family and Community Medicine has a positive effect on knowledge about inhalers. The year of residence and rotation into Chest Diseases Units have no influence on this knowledge.

【 授权许可】

CC BY|CC BY-NC-ND