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폐쇄성 폐질환 노인 환자와 성인 환자의 흡입제 사용 숙련도와 투약이행도

Title
폐쇄성 폐질환 노인 환자와 성인 환자의 흡입제 사용 숙련도와 투약이행도
Other Titles
Inhaler Competency and Medication Adherence in Older Adults and Adults with Obstructive Lung Disease
Author
신용순
Keywords
Prescription drug misuse; Metered dose inhalers; Lung disease obstructive; Age groups; 약물 오용; 정량식 흡입제; 폐쇄성 폐질환; 연령 집단
Issue Date
2015-12
Publisher
Korean Association of Medical Journal Edirors
Citation
Korean Journal of Adult Nursing, v. 27, NO 6, Page. 665-672
Abstract
Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (≥65) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p <.001) and poorer medication adherence (67.7 vs 91.8, χ2=14.06, p <.001) than adults (< 65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation. © 2015 Korean Society of Adult Nursing.
URI
http://www.dbpia.co.kr/Journal/ArticleDetail/NODE06577927?TotalCount=1&amp;Seq=1&amp;q=%5B%ED%8F%90%EC%87%84%EC%84%B1%20%ED%8F%90%EC%A7%88%ED%99%98%20%EB%85%B8%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%99%80%20%EC%84%B1%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%9D%98%20%ED%9D%A1%EC%9E%85%EC%A0%9C%20%EC%82%AC%EC%9A%A9%20%EC%88%99%EB%A0%A8%EB%8F%84%EC%99%80%20%ED%88%AC%EC%95%BD%EC%9D%B4%ED%96%89%EB%8F%84%C2%A7coldb%C2%A72%C2%A751%C2%A73%5D&amp;searchWord=%EC%A0%84%EC%B2%B4%3D%5E%24%ED%8F%90%EC%87%84%EC%84%B1%20%ED%8F%90%EC%A7%88%ED%99%98%20%EB%85%B8%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%99%80%20%EC%84%B1%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%9D%98%20%ED%9D%A1%EC%9E%85%EC%A0%9C%20%EC%82%AC%EC%9A%A9%20%EC%88%99%EB%A0%A8%EB%8F%84%EC%99%80%20%ED%88%AC%EC%95%BD%EC%9D%B4%ED%96%89%EB%8F%84%5E*&amp;Multimedia=0&amp;isIdentifyAuthor=0&amp;Collection=0&amp;SearchAll=%ED%8F%90%EC%87%84%EC%84%B1%20%ED%8F%90%EC%A7%88%ED%99%98%20%EB%85%B8%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%99%80%20%EC%84%B1%EC%9D%B8%20%ED%99%98%EC%9E%90%EC%9D%98%20%ED%9D%A1%EC%9E%85%EC%A0%9C%20%EC%82%AC%EC%9A%A9%20%EC%88%99%EB%A0%A8%EB%8F%84%EC%99%80%20%ED%88%AC%EC%95%BD%EC%9D%B4%ED%96%89%EB%8F%84&amp;isFullText=0&amp;specificParam=0&amp;SearchMethod=0&amp;Sort=1&amp;SortType=desc&amp;Page=1&amp;PageSize=20http://hdl.handle.net/20.500.11754/29341
ISSN
1225-4886; 2288-338X
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