Computer supported peak inspiratory flow guided inhalation training in patient education of adult asthmatics

C. Schacher, J. Krafft, M. Karg, H. Worth (Fürth, Germany)

Source: Annual Congress 2005 - Health status in COPD and asthma: its relevance in pulmonary rehabilitation
Session: Health status in COPD and asthma: its relevance in pulmonary rehabilitation
Session type: Thematic Poster Session
Number: 2060
Disease area: Airway diseases

Congress or journal article abstract

Abstract

Background: In this study the training of a correct inhalation by demonstration and visual control was compared to a computer supported peak inspiratory flow guided inhalation device. Material and mehtods: 36 adult asthmatics (17-64 y) participated. All patients took part of a structured 4x2 hours asthma education program. In the control group, the training of the correct use of an MDI was performed by explaining and demonstrating by the educater, whereas the intervention group was trained by a computer supported peak inspiratory flow guided inhalation unit. Results: No differences were found comparing the 7 point inhalation score. Six month after education the intervention group had 6.6+1.8 versus 6.4+2.0 points of the control group. The intervention group got closer to the targeted peak inspiratory flow of 30 l/min. with 34.6+4.2 l/min versus 39.8+9.7 l/min of the control group (p=0.004). Comparing the frequency of mild and severe asthma attacks and the variability of peak flow during the follow up, we found no differences in both groups as well. Conclusions: Although the patients of the intervention group reached the targeted peak inspiratory flow of 30 l/min significantly more frequently, no differences were observed regarding the inhalation score and indices of morbidity between both groups. Therefore no benefit of implementing a computer supported inhalation training to asthma education programs could be observed.


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C. Schacher, J. Krafft, M. Karg, H. Worth (Fürth, Germany). Computer supported peak inspiratory flow guided inhalation training in patient education of adult asthmatics. Eur Respir J 2005; 26: Suppl. 49, 2060

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