3 years ago

Évaluation des techniques d’inhalation dans l’asthme et la bronchopneumopathie chronique obstructive

M. Loukil, I. Mejri, I. Khalfallah, H. Ghrairi

Publication date: September 2018

Source: Revue de Pneumologie Clinique, Volume 74, Issue 4

Author(s): M. Loukil, I. Mejri, I. Khalfallah, H. Ghrairi

Résumé
Introduction

Une bonne méthode d’utilisation des dispositifs d’inhalation (DI) est indispensable pour optimiser l’efficacité du traitement.

Objectif

Évaluer la qualité de la technique d’inhalation et mesurer l’impact d’une méthode éducative directe et individuelle, centrée sur la technique d’utilisation des DI, sur l’amélioration de cette technique et sur le contrôle de la maladie.

Méthodes

Étude prospective incluant 54 patients. Le programme d’éducation thérapeutique a comporté 3 niveaux d’action : identification des erreurs dans la technique d’inhalation, démonstration de la technique d’inhalation et évaluation de l’éducation thérapeutique.

Résultats

Le DI le plus utilisé a été les aérosols doseurs (AD) (66,67 %). La moyenne d’erreurs a été de 4,63 erreurs/patient pour les AD et de 5,11 pour les inhalateurs de poudre sèche. Les principaux facteurs corrélés à la mauvaise utilisation des DI ont été le bas niveau d’instruction et l’âge avancé. L’éducation thérapeutique a permis une amélioration significative du nombre d’erreurs/patient avec une amélioration du contrôle de l’asthme (p < 0,05) et du COPD Assessment Test (CAT) dans le cas de la BPCO.

Conclusion

Notre étude confirme le rôle important de l’éducation thérapeutique centrée sur les techniques d’inhalation dans l’amélioration de la technique d’utilisation des DI en cas d’asthme et de la BPCO.

Summary
Introduction

The correct method for using inhalation devices (DI) is essential to optimize treatment efficacy.

Objective

To evaluate the method of inhalation technique, study the correlations with patient characteristics, disease, treatment and measure the impact of direct and individual educational method, centered on the use of technical DI, on improving this technique and control of the disease.

Method

Prospective study of 54 patients. The therapeutic education program included 3 levels of action: identifying errors in the inhalation technique, demonstrating the inhalation technique and evaluation of therapeutic education.

Result

The most used DI was metered-dose inhalers (AD) (66.67%). The average error was 4.63 errors/patient for AD and 5.11 for dry powder inhalers. The main factors related to the misuse of DI were lower advanced level of education and age. The therapeutic education has significantly improved the number of errors/patient with improved asthma control (P < 0.05) and COPD assessment test (CAT) in the case of COPD.

Conclusion

Our study confirms the important role of therapeutic education focused on inhalation techniques in improving the use of DI technology and the evolution of asthma and COPD.

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