Results of standardized device education in asthmatic children and their families; [Astimli çocuklarda ve ailelerinde standart cihaz eǧitiminin sonuçlari]
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Date
2014
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Abstract
Objective: Inhalation is an efficacious and advatageous route of drug application. Therefore, systemic side effects decrease while treatment efficacy increases. However, use of inhalation devices requires specific skills therefore children need to be prescribed these devices according to their neuromotor development. Delivery of drug dose requires technically correct device use. Bu In this study, we aimed to determine the influence of standardized practical inhalation device education on correct device use as well as asthma symptomatology and control. Material and Methods: Thirty two children (6-12 ages) were enrolled in the study. Discus use skills were scored before and after receiving standard practical education. Asthma symptom score and asthma control questionnaire (ACQ) were also evaluated before education and at the end of first month after education. Results: Average discus use skill scores were 4.9±1.32 and 7,6±0.59 pre- and post-education respectively (p<0.001). Frequency of correct performance on the most commonly skipped step, that is "holding the breath for five seconds", increased from 34.4% to 87.5% (p<0,001). Average asthma symptom score was determined as 5.8±3.4 pre-education and 0.43±0.89 post-education (p<0.001). Average ACQ score decreased significantly post-education compared to pre-education (1.27±0.99 vs 0.11±0.22) (p<0.001). Conclusion: Education significantly improves the wrong application of discus use. This is associated with a significant improvement in asthma symtom score and asthma control. Therefore, device use education needs to be an essential component of treatment and follow up of asthmatic children. © 2014 by Türki ye Klinikleri.