Education and metered dose inhaler and spacer use among hospitalized patients

Abstract

This descriptive study examined in-patient education and use of metered dose inhaler (MDI) and MDI with spacer devices. Staff inservices had attempted to standardize hospital personnel knowledge and use of MD Is and MD Is with spacers for the purpose of improving care provided to in-patients with obstructive lung disease in this study setting. A convenience sample of 36 adult in-patients, hospitalized at least 24 hours to allow time for patient teaching to occur, answered questions and demonstrated use of MD Is and MD Is with spacers for the researcher. The study found that only 19.4% of in-patients reported being taught MDI and MDI with spacer use during their hospitalization. Rates of incorrect use of MDI and MDI with spacer were high. Inhaler experience was not found to correlate with correct use. Report of respiratory healthcare by a pulmonary disease specialist provider was associated with correct use ofMDis (p=.028). This study's findings were similar to those of previous studies regarding rates and characteristics of inpatient misuse of MDIs and MDIs with spacers.