Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD

被引：14

作者：

Plaza, Vicente ^{[1
,2
,8
]}

Giner, Jordi ^{[1
,2
]}

Curto, Elena ^{[1
,2
]}

Belen Alonso-Ortiz, M. ^{[3
]}

Itxaso Orue, Miren ^{[4
]}

Maria Vega, Jose ^{[5
]}

Cosio, Borja G. ^{[6
,7
]}

Bellido Linares, Virginia ^{[9
]}

Bernabeu Mora, Roberto ^{[11
]}

Cabrera Cesar, Eva ^{[12
]}

Callero Viera, Ariel ^{[13
]}

Castillo, Rafael ^{[14
]}

Delgado Romero, Julio ^{[9
]}

Espinosa de los Monteros-Garde, Ma Jose ^{[10
,15
,16
]}

Fernandez Rodriguez-Lacin, Jose Maria ^{[17
]}

Hernandez Rey, Jose Miguel ^{[17
]}

Mazo Echaniz, Francisco Javier

Moreno Perez, Nuria ^{[20
]}

Arrondo, Antonio Parra ^{[21
]}

Portillo Sanchez, Jose ^{[22
]}

Rodriguez Encinar, Jose Ramon ^{[18
]}

Rodriguez Plata, Elena

Roman Bernal, Berta ^{[23
]}

Molina Osora, Jose

Sala Cunill, Anna ^{[24
]}

Sanchez Lora, Fernando J. ^{[25
]}

Sanchez Nieto, Juan Miguel ^{[19
,26
]}

Serra Batlles, Joan ^{[27
]}

Torres Relucio, Jose Joaquin ^{[28
]}

Valido Morales, Agustin ^{[9
]}

Vazquez Alarcon, Ruben Luciano ^{[29
]}

Velasco Garrido, Jose Luis ^{[30
]}

机构：

[1] Hosp Santa Creu & Sant Pau, Dept Resp Med, Barcelona, Spain

[2] Univ Autonoma Barcelona, Inst Invest Biomed St Pau IIB St Pau, Dept Med, Barcelona, Spain

[3] Hosp Univ Gran Canaria Doctor Negrin Las Palmas d, Dept Resp Med, Las Palmas Gran Canaria, Spain

[4] Ctr Salud Javier Saenz de Buruaga, Bilbao, Spain

[5] Hosp Reg Univ Malaga, Dept Allergy, Malaga, Spain

[6] Hosp Univ Espases IdISBa, Dept Resp Med, Mallorca, Spain

[7] CIBERES, Mallorca, Spain

[8] Hosp Santa Creu & Sant Pau, Serv Pneumol & Allergia, C St Antoni M Claret 167, E-08025 Barcelona, Spain

[9] Hosp Univ Virgen Macarena, Seville, Spain

[10] Hosp Virgen Salud, Toledo, Spain

[11] Hosp Gen Univ Morales Meseguer, Murcia, Spain

[12] Hosp Univ Virgen Victoria, Malaga, Spain

[13] Hosp Univ Ntra Sra Candelaria, Malaga, Spain

[14] Hosp Lliria, Valencia, Spain

[15] Hosp Univ Virgen Macarena, Seville, Spain

[16] Hosp Virgen Salud, Toledo, Spain

[17] Ctr Salud Natahoyo, Gijon, Spain

[18] Hosp Univ Ntra Sra Candelaria, Gijon, Spain

[19] Hosp Comarcal Laredo, Seville, Spain

[20] Hosp Valle De Hebron, Barcelona, Spain

[21] Hosp Abente & Lago, La Coruna, Spain

[22] Hosp Gen Univ Ciudad Real, Ciudad Real, Spain

[23] Hosp Dr Jose, Ciudad Real, Spain

[24] Hosp Valle De Hebron, Barcelona, Spain

[25] Hosp Univ Virgen Victoria, Malaga, Spain

[26] Hosp Gen Univ Morales Meseguer, Murcia, Spain

[27] Hosp Univ Vic, Vic, Spain

[28] Hosp Gen Univ Castellon, Castellon de La Plana, Spain

[29] Ctr Salud VERA, Vera, Spain

[30] Hosp Univ Virgen Victoria, Malaga, Spain

来源：

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE | 2020年 / 8卷 / 02期

关键词：

Asthma; Pulmonary disease; Chronic obstructive; Self-reported success; Patient compliance; Patient satisfaction; Nebulizers; Vaporizers; ADHERENCE; PREFERENCES; DEVICES; NONADHERENCE; VALIDATION;

D O I：

10.1016/j.jaip.2019.09.020

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

BACKGROUND: Satisfaction with the inhaler is an important determinant of treatment adherence in patients with asthma and chronic obstructive pulmonary disease (COPD). However, few studies have compared these 2 groups to identify the factors associated with satisfaction with the inhaler. OBJECTIVE: To assess and compare satisfaction with the inhaler in patients with asthma or COPD and to determine the variables associated with high inhaler satisfaction. METHODS: A multicenter, cross-sectional study of 816 patients (406 with asthma and 410 with COPD) was conducted. Satisfaction was assessed with the Feeling of Satisfaction with Inhaler (FSI-10) questionnaire. All participants completed the Test of Adherence to Inhalers and either the Asthma Control Test (ACT) or the COPD Assessment Test (CAT). RESULTS: Overall, the asthma group was significantly more satisfied with the inhaler (mean [standard deviation] FSI-10 scores: 44.1 [6.5] vs 42.0 [7.7]; P < .001) and more satisfied on most (7 of 10; 70%) items. Patients with asthma were significantly more satisfied with the inhaler regardless of the adherence level or the type of nonadherence pattern. Younger age, good disease control (ACT >= 20 or CAT <= 10), previous inhaler training, and absence of unwitting nonadherence were all independently and significantly associated with high inhaler satisfaction. CONCLUSIONS: Age, disease control, and training in inhalation technique all play a more significant role than the specific diagnosis in explaining satisfaction with the device in patients with asthma and COPD. These findings underscore the need to provide better training and more active monitoring of the inhalation technique to improve patient satisfaction, treatment adherence, and clinical outcomes. (C) 2019 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：645 / 653

页数：9

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