在尼泊尔甘达基省一家三级保健医院门诊部就诊的患者中使用鼻腔喷雾技术。

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Integrated Pharmacy Research and Practice Pub Date : 2020-09-22 eCollection Date: 2020-01-01 DOI:10.2147/IPRP.S266191
Binita Kc, Gulam Muhammad Khan, Niranjan Shrestha
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引用次数: 1

摘要

背景:鼻喷雾剂用于将药物局部输送到鼻腔。据观察,大多数患者鼻喷雾剂使用技术不充分。本研究旨在评估干预对鼻腔喷雾剂使用技术的影响。方法:采用前瞻性的介入前后研究方法,采用鼻喷雾剂检查表对被试进行鼻喷雾剂使用技术评价。2019年7月至10月在尼泊尔博卡拉马尼帕尔教学医院进行的研究中使用了一份标准化的世卫组织鼻喷雾剂清单。受试者被要求演示该技术,并在研究人员干预前后应用评分系统。干预技术总分为0 - 11分。在第一次访问时对该技术进行评估后,向受试者提供了一份信息小册子,其中包含使用喷雾的所有步骤,并在10天后对该技术进行重新评估。结果:共有81名受试者参与研究,其中男性51.9%,女性48.1%。鼻腔用药的平均持续时间为15天。干预前的总平均±SD评分为4.31±1.625,干预后为9.84±1.699。干预后,正确使用鼻腔喷雾剂的受试者比例增加了50.27%。Wilcoxon sign - drunk检验显示,对鼻腔喷雾剂使用技术的干预是有效的(p=0.0001)。结论:干预前受试者鼻喷剂使用技术较差。干预在改善使用鼻腔喷雾剂的技术方面是非常有效的。卫生专业人员定期评估和加强正确的技术,将改善鼻喷雾剂的正确使用技术,从而提高治疗的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nasal Spray Use Technique Among Patients Attending the Out-Patient Department of a Tertiary Care Hospital, Gandaki Province, Nepal.

Background: Nasal sprays are used to deliver the medications locally to the nasal cavity. The majority of patients have been observed to perform nasal spray use techniques inadequately. This study was conducted to evaluate the impact of the intervention on nasal spray use technique.

Methods: This was a prospective pre- and post-interventional study to evaluate the nasal spray use technique among the subjects with the help of nasal spray checklist. A standardized WHO nasal spray checklist was used on the study conducted in Manipal Teaching Hospital, Pokhara, Nepal from July to October 2019. Subjects were asked to demonstrate the technique and a scoring system was applied before and after the intervention by the researcher. The total score of the intervention technique ranges from 0 to 11. After evaluation of the technique at the first visit, subjects were provided with an informative leaflet having all the steps to be followed to use the spray and the technique was re-evaluated after 10 days.

Results: A total of 81 subjects (51.9% male and 48.1% female) participated in the study. The average duration of nasal drug use was 15 days. The overall mean±SD score was 4.31±1.625 before intervention and 9.84±1.699 after intervention. After the intervention, the percentage of subjects using the nasal spray correctly increased by 50.27%. Wilcoxon signedrank test showed intervention on nasal spray use technique was effective (p=0.0001).

Conclusion: The nasal spray use technique was poor among the subjects before the intervention. The intervention was substantially effective in improving the technique to use the nasal spray. Regular assessment and reinforcement of correct technique by health professionals will improve the proper use technique of nasal spray, hence increasing the effectiveness of the therapy.

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