Structured Education Enhances Inhaler Technique and Asthma Management Skills of Health Care Providers in Pediatric Emergency Departments.

IF 2.4 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2026-08-01 DOI:10.1002/ppul.71803

Athina Karageorgiou, Eleni Papastergiou, John Tsanakas, Fotios Kirvassilis, Evangelia Desli, Persefoni Talimtzi, Aikaterini Fydantsi, Eleni Laguia, Maria Demiri, Elpis Hatziagorou

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引用次数: 0

Abstract

Background: Optimal inhaler technique (IT) is essential for effective asthma management, yet skill retention among health care professionals (HCPs) remains inconsistent.

Aim: To compare the long-term effectiveness of intensive versus brief educational interventions on IT retention among HCPs in pediatric emergency departments (PEDs) across Northern Greece.

Methods: We conducted a 12-month prospective, multicenter intervention study in 20 PEDs. Pediatric consultants, residents, and nurses were allocated to either an intensive education group-receiving IT training every 4 months-or a brief education group-receiving a single training session. Blinded assessments of IT skills were performed alongside structured questionnaires on asthma crisis management and IT with both a facemask and a mouthpiece. Final evaluations were conducted at 12 months.

Results: A total of 373 HCPs participated: 84 consultants, 178 residents, and 111 nurses. Post-intervention scores improved significantly for consultants (asthma crisis management: 69.94 to 76.54, p = 0.006; IT with facemask: 37.5 to 50, p = 0.003; IT with mouthpiece: 50 to 75, p = 0.005) and residents (61.15 to 70.89, p = 0.004; 25 to 50, p = 0.005; 50 to 75, p = 0.01, respectively). Intensive education was associated with significantly greater improvements compared with brief education, particularly among consultants (p = 0.003 for asthma crisis management). Nurses did not demonstrate statistically significant improvements.

Conclusions: Intensive, repeated training produces superior long-term retention of IT skills among HCPs in PEDs compared with a single educational session. Incorporating structured, ongoing educational strategies into routine practice may enhance asthma care delivery and reduce reliance on nebulizers in acute pediatric settings.

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结构教育提高吸入器技术和哮喘管理技能的卫生保健提供者在儿科急诊科。

背景：最佳吸入器技术（IT）对于有效的哮喘管理至关重要，然而卫生保健专业人员（HCPs）的技能保留仍然不一致。目的：比较希腊北部儿科急诊科（PEDs） HCPs中强化与短期教育干预对IT保留的长期效果。方法：我们对20名儿科患儿进行了一项为期12个月的前瞻性多中心干预研究。儿科顾问、住院医师和护士被分配到每4个月接受一次IT培训的强化教育组或接受一次培训的简短教育组。对IT技能进行盲法评估，同时对哮喘危机管理和IT进行结构化问卷调查。12个月时进行最后评价。结果：共有373名HCPs参与，其中咨询师84名，住院医师178名，护士111名。干预后，咨询医生（哮喘危机管理：69.94 ~ 76.54,p = 0.006；戴口罩的IT: 37.5 ~ 50, p = 0.003；戴口罩的IT: 50 ~ 75， p = 0.005）和住院医生（61.15 ~ 70.89,p = 0.004; 25 ~ 50, p = 0.005; 50 ~ 75, p = 0.01）的得分均有显著提高。与短暂教育相比，强化教育与显著更大的改善相关，特别是在咨询师中（哮喘危机管理的p = 0.003）。护士没有表现出统计学上显著的改善。结论：与单一的教育课程相比，强化的、重复的培训在儿科儿科的HCPs中产生了优越的长期IT技能保留。将结构化的、持续的教育策略纳入常规实践可能会增强哮喘护理的提供，并减少急性儿科环境对雾化器的依赖。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.