准纳器训练哨干预老年慢性阻塞性肺疾病患者吸入治疗探讨

Effect of Diskus trainer on inhaled treatment of elderly patients with chronic obstructive pulmonary disease

目的探讨准纳器训练哨干预对老年慢性阻塞性肺疾病(COPD)患者吸入治疗效果的影响。方法选取60例COPD患者,随机分为观察组与对照组,均在病情缓解后使用沙美特罗替卡松粉吸入剂进行序贯吸入治疗。吸入治疗第1天,对照组按传统说明书四步法进行指导,观察组按准纳器训练哨说明书进行评估与训练。出院时让2组患者现场操作演练,统计吸入过程中的错误操作。治疗前及治疗1个月后随访时,2组均采用COPD自我评估测试问卷(CAT)评分进行评估。结果观察组操作总错误率显著低于对照组(P <0. 05);治疗1个月后,观察组CAT评分改善程度显著优于对照组(P <0. 05)。结论准纳器训练哨干预能协助医师与COPD患者更好地使用准纳器吸入装置,进而取得更好的临床效果。

Objective To investigate the effect of Diskus trainer on inhalation therapy for the elderly patients with chronic obstructive pulmonary disease（COPD）. Methods Sixty elderly patients with COPD were randomly divided into observation group and control group. Sequential inhalation of Salmeterol Xinafoate and Fluticasone Propionate Powder was treated after remission. On the first day of inhalation therapy, the control group was guided by four-step method according to traditional gudiance, while the observation group implemented Diskus trainer for inhalation. The operation were performed by patients of two groups on the spot at discharge, and the incorrect operation during the inhalation process was counted. One month after treatment, CAT score was used to evaluate the therapeutic effect. Results The observation group had fewer operational error rate than the control group（ P 〈 0.05） . One month after treatment, the observation group had better improvement in CAT scores than the control group（ P 〈0.05）. Conclusion Diskus trainer can help doctors and patients to better use inhaled device and produce perfect clinical efficacy.