Inhaler competency and medication adherence in older adults and adults with obstructive lung disease

Soo Jin Kim, Yong Soon Shin

Research output: Contribution to journalArticle

Abstract

Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (≥65) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p <.001) and poorer medication adherence (67.7 vs 91.8, χ2=14.06, p <.001) than adults (< 65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

Original languageEnglish
Pages (from-to)665-672
Number of pages8
JournalKorean Journal of Adult Nursing
Volume27
Issue number6
DOIs
StatePublished - 2015 Jan 1

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Obstructive Lung Diseases
Medication Adherence
Nebulizers and Vaporizers
Metered Dose Inhalers
Research Ethics Committees
Smoking Cessation
Chronic Obstructive Pulmonary Disease
Nursing
Asthma
Education
Lung

Keywords

  • Age groups
  • Lung disease obstructive
  • Metered dose inhalers
  • Prescription drug misuse

Cite this

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abstract = "Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (≥65) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p <.001) and poorer medication adherence (67.7 vs 91.8, χ2=14.06, p <.001) than adults (< 65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50{\%} of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.",
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Inhaler competency and medication adherence in older adults and adults with obstructive lung disease. / Kim, Soo Jin; Shin, Yong Soon.

In: Korean Journal of Adult Nursing, Vol. 27, No. 6, 01.01.2015, p. 665-672.

Research output: Contribution to journalArticle

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