Abstract

ABAJO LARRIBA, Ana Beatriz de et al. Estimating the percentage of patients with COPD trained in the consultation for the management of inhalers: ADEPOCLE study. Nutr. Hosp. [online]. 2016, vol.33, n.6, pp.1405-1409. ISSN 1699-5198.  https://dx.doi.org/10.20960/nh.802.

Objectives: To estimate the percentage of patients with COPD trained in the consultation for the management of inhalers in the province of Leon. Methods: Multicenter epidemiological cross-sectional study (30 health centers in the province of Leon). It included patients older than 35 years diagnosed and treated for COPD. Study variables: age, sex, habitat, anthropometric data, nutritional status, smoking, post bronchodilator spirometry, dyspnea (mMRC), exacerbations, severity (Bodex Index), hospitalization, treatment, monitoring and characterization of the phenotype (GesEPOC 2014). Results are expressed with CI 95.5%. Results: Eight hundred and thirty-three patients were included. 85.8% male with an average age of 64.69 (53.66 to 75.61) and 20.65 years (4.47 to 36.8) years course of COPD. An average of 1.88% (1.64 to 2.16) employed inhaler devices, p = 0.006, (57% correctly, 23% regularly ok and 20% incorrectly). 20.9% received no training to use inhalers against 79.1% who were trained to do so, p < 0.001 (9.4% by pneumologists, 20.3% by nurses and 43.5% by family physicians, p = 0.002). Well-trained patients performed better the treatment in 60.60% of the cases (58.91 to 62.29), p = 0.002. There were no significant differences in training by smoking, severity, hospital admissions, or quality of life, resulting in a significant reduction in the number of exacerbations, being 1.59 (1.12 to 2.15) the average of exacerbations in the trained group versus 3.29 (2.50 to 4.11) in the untrained, p = 0.002. Conclusions: The degree of training in the use of inhalers in patients with COPD is poor in our midst. A better training of our professionals and simplifying the inhaler devices contribute to an increased number of patients who fulfill the treatment properly.

Keywords : COPD; Nutrition; Training; Inhaled therapy; Exacerbations; Health education.

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