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1.
Arq. Asma, Alerg. Imunol ; 4(3): 277-288, jul.set.2020. ilus
Article in Portuguese | LILACS | ID: biblio-1381995

ABSTRACT

A via inalatória é a mais adequada para o tratamento das doenças respiratórias. Muitos fatores influenciam na deposição pulmonar do fármaco inalado, e, consequentemente, no sucesso terapêutico, desde fatores relacionados ao indivíduo, como questões anatômicas das vias aéreas, dinâmica respiratória, doença de base e técnica correta, até situações relacionadas às questões aerodinâmicas das partículas que compõem o aerossol, como o tamanho (diâmetro aerodinâmico mediano de massa) e a homogeneidade das partículas (desvio padrão geométrico). Nos últimos anos os dispositivos inalatórios se aperfeiçoaram, buscando atender às características necessárias que garantam uma deposição pulmonar satisfatória dos fármacos. A escolha do dispositivo inalatório deve ser individualizada, e o conhecimento das particularidades de cada dispositivo e das vantagens e desvantagens instrumentaliza o profissional na decisão, e impacta diretamente no sucesso terapêutico da medicação utilizada.


The inhalation route is the most adequate for the treatment of respiratory diseases. Many factors influence pulmonary deposition of the inhaled drug and, consequently, therapeutic success. They include individual factors such as airway anatomy, respiratory dynamics, underlying disease, and correct technique, as well as factors related to the aerodynamics of aerosol particles such as size (mass median aerodynamic diameter) and homogeneity of the particles (geometric standard deviation). In recent years, inhalation devices have improved to comply with the necessary characteristics that guarantee a satisfactory pulmonary deposition of drugs. The choice of the inhalation device must be individualized, and the knowledge about the features of each device and their advantages and disadvantages instrumentalizes health professionals in the decision and impacts directly the therapeutic success of the medication used.


Subject(s)
Humans , Male , Female , Child , Adolescent , Societies, Medical , Nebulizers and Vaporizers , Aerosols , Pediatrics , Respiratory Tract Diseases , Therapeutics , Pharmaceutical Preparations , Inhalation , Allergy and Immunology , Equipment and Supplies , Particulate Matter
2.
Rev. Univ. Ind. Santander, Salud ; 48(4): 508-515, Octubre 27, 2016. ilus, tab
Article in Spanish | LILACS | ID: biblio-957491

ABSTRACT

Introducción: Los programas de rehabilitación pulmonar deben incluir actividades educativas encaminadas a que el paciente conozca la enfermedad y reciba el adiestramiento que le permita abordar adecuadamente su tratamiento. Objetivo: Analizar la adherencia y la técnica inhalatoria en pacientes remitidos al programa de rehabilitación pulmonar de la Fundación Neumológica Colombiana y evaluar los cambios que se presentaron en éstas al finalizar el programa ambulatorio. Metodología: Estudio no experimental preprueba postprueba en pacientes mayores de 18 años. Se calificó la técnica inhalatoria utilizando la escala EDEN y la adherencia utilizando preguntas adaptadas de la escala de adherencia a la medicación de Morisky. Resultados: Se analizaron 320 pacientes; el porcentaje de pacientes que utilizaba correctamente los dispositivos inhalados al iniciar el programa de rehabilitación osciló entre 9% y19%; el error más común en todos los dispositivos fue no expulsar el aire antes de iniciar la inhalación. Después del programa de rehabilitación el porcentaje de pacientes que empleaban una técnica inhalatoria correcta fue en promedio 61% para inhaladores de dosis medida y 83% para dispositivos de polvo seco. La adherencia a los inhaladores antes del programa fue 58%, siendo descuido y olvido las principales razones que explican la no adherencia. Al finalizar el programa 86% de los pacientes eran adherentes. Conclusiones: Un porcentaje bajo de pacientes remitidos al programa de rehabilitación pulmonar aplicaba correctamente la técnica inhalatoria, la instrucción educativa dentro de un programa de rehabilitación pulmonar mejoró la técnica y la adherencia a los inhaladores en un porcentaje importante de pacientes.


Introduction: Pulmonary rehabilitation programs must include educational activities focused on the acquisition of necessary knowledge and skills to control the disease and approach treatment appropriately. Objective: To analyze treatment adherence and inhalation technique in patients referred to pulmonary rehabilitation program of Fundación Neumológica Colombiana and evaluate changes in them at the end of the outpatient program. Methodology: Pretest - posttest design in patients older than 18 years. The inhalation technique was assessed using the EDEN scale, and adherence was scored with modified questions from the Morisky medication adherence scale. Results: We analyzed 320 patients. The percentage of patients who used inhalers correctly before starting the rehabilitation program ranged between 9% and 19%; the most common mistake was not exhale the air before starting inhalation. Upon completion of the program the percentage of patients performing a correct inhalation technique ranged between 61% for metered dose inhalers to 83% for dry powder inhalers. Adherence to inhalers before the program was 58%, with neglect and forget being the main reasons encountered. It improved in 86% of evaluated patients. Conclusion: A small percentage of patients referred to pulmonary rehabilitation program applied the inhalation technique correctly; educational instruction in a pulmonary rehabilitation program improved the technique and adherence to inhalers in a significant percentage of patients.


Subject(s)
Humans , Nebulizers and Vaporizers , Rehabilitation , Treatment Outcome , Education , Medication Adherence
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