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Abstract(s)
Introdução: A administração de terapêutica por via inalatória oral é considerada de
primeira linha para alívio e controlo da sintomatologia associada a doenças crónicas
respiratórias. O conhecimento acerca da técnica inalatória de dispositivos pMDI e DPI é
fundamental para o sucesso de deposição pulmonar de fármaco.
Objetivo: Avaliar o conhecimento dos Enfermeiros acerca da técnica inalatória de
dispositivos pMDI e DPI.
Metodologia: Estudo descritivo, transversal, num paradigma quantitativo, numa
amostra de 346 enfermeiros. O instrumento de colheita de dados foi construido tendo por
base a evidência científica e a Orientação 010/2017 da DGS (2017); foi disponibilizado na
plataforma online Google drive (aplicativo Google forms) no período de 5 de Agosto de 2020 a
5 de Setembro de 2020. A estratégia usada na divulgação e difusão do instrumento de colheita
de dados foi, fundamentalmente, o uso de serviços, aplicativos e plataformas online de
mensagens.
Resultados: A amostra do estudo (n=346) é constituída por 80,3% de mulheres, 43,1%
são enfermeiros especialistas (dos quais 59,1% são enfermeiros de reabilitação), sendo que
13,7% têm mestrado. Na amostra estudada, 57,8% autoavaliaram-se como tendo “bastante
conhecimento” da técnica inalatória (TI) e verificou-se que o conhecimento da TI é, em grande
medida, “ausente” [TI/pMDI – n=215(62,1%) e TI/DPI – n=290(83,8%)]. O “conhecimento
presente “ é superior para os pMDI [n=38(46,3%)] relativamente aos DPI [n=56(16,2%)]. Os
enfermeiros com grau académico de mestrado têm maior percentagem de “conhecimento
presente” na TI/pMDI [n=38(46,3%)] e TI/DPI [n=17(20,7%)] relativamente enfermeiros
licenciados TI/pMDI [n=93(35,2%)] e na TI/DPI [n=39(14,8%)]. Os que não têm formação prévia
em uso de inaladores apresentam maioritariamente “conhecimento ausente” na TI/pMDI
[n=137; 67,5%] e TI/DPI [n=177; 87,2%].
Conclusões: Com base nos resultados existe necessidade efetiva de formação
continuada da técnica inalatória para os profissionais de enfermagem.
Introduction: The inhaled oral delivery drugs is considered the first-line control and relief of symptoms associated with chronic respiratory diseases. However, knowledge of proper pMDI and DPI inhaler technique is critical to the success of drug lung deposition. Objectives: Evaluate nurses’ knowledge on pMDI and DPI inhaler technique. Methods: Descriptive, cross-sectional study, in a quantitative paradigm, in a sample of 346 nurses. The data collection instrument was built based on scientific evidence and Orientação 010/2017 (DGS, 2017). It was available on the Google Drive online platform (Google forms application) from August 5, 2020 to September 5, 2020. The strategy used in the dissemination of the data collection instrument was, fundamentally, the use of services, applications and online messaging platforms. Results: The study sample (n=346) consists of 80,3% women, 43,1% are specialist nurses (59,1% of whom are rehabilitation nurses), 13,7% have a master's degree. In the sample studied, 57.8% rated themselves as having “enough knowledge” on the inhaler technique, it was found that knowledge on inhaler technique is, to a large extent, “absent” (93,6%: pMDI + DPI). Knowledge on inhaler technique is greater on pMDI (37,9%) than that on DPI (16,2%). Nurses with a master's degree have a higher percentage of "knowledge" on inhaler technique/pMDI [n=38(46,3%)] and on inhaler technique/DPI [n=17(20,7%)] compared to graduate nurses on inhaler technique/pMDI [n=93(35,2%)] and on inhaler technique/DPI [n=39(14,8%)]. Those who did not have previous inhalor training technique have mostly “missing knowledge” on inhaler technique/pMDI [n=137(67.5%)] and on inhaler technique/DPI [n=177(87.2%)]. Conclusion: Based on the results, nurses have an effective need for continued training on inhaler technique.
Introduction: The inhaled oral delivery drugs is considered the first-line control and relief of symptoms associated with chronic respiratory diseases. However, knowledge of proper pMDI and DPI inhaler technique is critical to the success of drug lung deposition. Objectives: Evaluate nurses’ knowledge on pMDI and DPI inhaler technique. Methods: Descriptive, cross-sectional study, in a quantitative paradigm, in a sample of 346 nurses. The data collection instrument was built based on scientific evidence and Orientação 010/2017 (DGS, 2017). It was available on the Google Drive online platform (Google forms application) from August 5, 2020 to September 5, 2020. The strategy used in the dissemination of the data collection instrument was, fundamentally, the use of services, applications and online messaging platforms. Results: The study sample (n=346) consists of 80,3% women, 43,1% are specialist nurses (59,1% of whom are rehabilitation nurses), 13,7% have a master's degree. In the sample studied, 57.8% rated themselves as having “enough knowledge” on the inhaler technique, it was found that knowledge on inhaler technique is, to a large extent, “absent” (93,6%: pMDI + DPI). Knowledge on inhaler technique is greater on pMDI (37,9%) than that on DPI (16,2%). Nurses with a master's degree have a higher percentage of "knowledge" on inhaler technique/pMDI [n=38(46,3%)] and on inhaler technique/DPI [n=17(20,7%)] compared to graduate nurses on inhaler technique/pMDI [n=93(35,2%)] and on inhaler technique/DPI [n=39(14,8%)]. Those who did not have previous inhalor training technique have mostly “missing knowledge” on inhaler technique/pMDI [n=137(67.5%)] and on inhaler technique/DPI [n=177(87.2%)]. Conclusion: Based on the results, nurses have an effective need for continued training on inhaler technique.
Description
Keywords
Terapia por inalação Inaladores de pó seco Inaladores dosimetrados Enfermeiros Conhecimento