Predictores de un adecuado uso de inhaladores de dosis medida en una población de pacientes pediátricos
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Las enfermedades del tracto respiratorio inferior susceptibles a manejo con inhaloterapia se encuentran en las principales causas de consulta a nuestros servicios de urgencias acarreando alta mortalidad y morbilidad; dentro de las principales causas de falla terapéutica se evidencia uso inadecuado de los inhaladores, motivación que llevo a realizar el siguiente estudio analítico de corte transversal, mediante el cual se evaluó la técnica de inhaloterapia y los predictores relacionados con el cuidador de su uso adecuado en 118 pacientes en una población pediátrica, encontrando como resultado una técnica inadecuada en 82% (n:97), técnica adecuada 18% (n:21), fallando principalmente en el ítem: el paciente exhala antes de realizar la inhalación (68%); se encontró relación estadísticamente significativa (p:0.027) entre quienes consideraban que el entrenamiento no había sido claro y quienes presentaron técnica adecuada. Estos resultados generan motivación a realizar mejor educación del uso de inhaladores en nuestros pacientes e impactar en su salud.
Abstract. Diseases of the lower respiratory tract susceptible to management with inhalotherapy are in the main causes of our emergency services carrying high mortality and morbidity; one of the main causes of treatment failure found is the inappropriate use of inhalers, motivation that led to perform the following analytical cross-sectional study, in which the technique of inhalation therapy and predictors of their proper use was evaluated in 118 patients in a pediatric population, finding improper technique resulted in 82% (n = 97), suitable technique 18% (n: 21), missing mainly in item: the patient exhales before inhalation (68%). Among those who felt that the training had not been clear and proper technique who presented a statistically significant relationship (p = 0.027) was observed, showing an OR of 0.310 with a confidence interval of 95%. These results generate motivation to make better use of inhalers education in our patients and impact on their health.
Abstract. Diseases of the lower respiratory tract susceptible to management with inhalotherapy are in the main causes of our emergency services carrying high mortality and morbidity; one of the main causes of treatment failure found is the inappropriate use of inhalers, motivation that led to perform the following analytical cross-sectional study, in which the technique of inhalation therapy and predictors of their proper use was evaluated in 118 patients in a pediatric population, finding improper technique resulted in 82% (n = 97), suitable technique 18% (n: 21), missing mainly in item: the patient exhales before inhalation (68%). Among those who felt that the training had not been clear and proper technique who presented a statistically significant relationship (p = 0.027) was observed, showing an OR of 0.310 with a confidence interval of 95%. These results generate motivation to make better use of inhalers education in our patients and impact on their health.