Volume 30, Issue 108 (October 2017)                   IJN 2017, 30(108): 72-78 | Back to browse issues page


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Mohammadi Khoshboo T, Tabarsy B, Moeeni F. The Effect of Using an Asthma Inhalers With and Without Spacer on O2 Saturation in Patients with Asthma. IJN. 2017; 30 (108) :72-78
URL: http://ijn.iums.ac.ir/article-1-2530-en.html
Lecturer, Department of Nursing and Midwifery, Islamic Azad University (Tehran Medical Sciences Branch), Tehran, Iran. (*Corresponding Author) Tel: 021-22006660 E-Mail: tabarsi_1383@yahoo.com
Abstract:   (396 Views)
Abstract
Background & Aim: Asthma is the most common respiratory tract disease. One of the drugs prescribing in the patients with asthma is inhalation spray or inhaler that is used with or without spacer. The effect of spacer on improving patients with asthma has always been under discussion. Hence, the aim of the current study was to determine the effectiveness of using inhaler on arterial O2 saturation (SaO2) with and without a spacer in patients with asthma.
Materials & Methods: This study was an interventional–experimental research that was conducted at hospitals affiliated to Kermanshah University of Medical Sciences in 2016. Sampling was done by random sampling method and 60 patients were selected and included in two groups, i.e. with spacer and without spacer. The data was collected within three consecutive days using questionnaire and data recording forms. The analyses were performed using SPSS 21 by two-way analysis of variance and independent t-test.
Results: The average oxygen saturation in the asthmatic group increased from 87.7667 ± 6.03257 on the first day to 88.9 ± 5.86251 on the third day; and in the asthmatic group, it increased from 89.9667 ± 5.01366 on the first day to 94.8 ± 3.38760 on the third day. Between the levels of time, there was a significant difference between the two groups in asthmatic and non-asthmatic groups (P < 0.001).
Conclusion: Given the results obtained from this study, it seems that using spacer with inhaler has a significantly positive impact on pulmonary function improvement and increasing blood oxygen saturation.
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Type of Study: Research | Subject: nursing
Received: 2017/07/26 | Accepted: 2017/10/23 | Published: 2017/10/23

References
1. Brunner L, Smeltzer S, Bare B, Hinkle J, Cheever K. Brunner & Suddarth's Textbook of Medical-surgical Nursing: 13th ed.Philadelphia Suzanne C. Smeltzer[et Al]: Wolters Kluwer Health. 2014.
2. Wiener C, Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, et al. Harrisons Principles of Internal Medicine Self-Assessment and Board Review 18th ed: McGraw Hill Professional; 2012. 96-7.
3. Rajabi R, Sabzevari S, Borhani F, Haghdoost A, Bazargan N. [The effect of family-centered Empowerment Model on quality of life school age children with asthma]. Journal of Health Promotion Management. 2013;2(4):7-15.
4. Himes BE, Lasky-Su J, Wu AC, Wilk JB, Hunninghake GM, Klanderman B, et al. Asthma-susceptibility variants identified using probands in case-control and family-based analyses. BMC Med Genet. 2010;11(1):122(1):11.
5. Drummond MF, Sculpher MJ, Claxton K, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes: Oxford university press; 2015.
6. Byers DE, Holtzman MJ. Alternatively activated macrophages as cause or effect in airway disease. Am Thoracic Soc; 2010; 120(12):511-7. [DOI:10.1165/rcmb.2009-0407ED]
7. Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing.12th ed.Philadelphia: lippincott williams & wilkins;2010:244-5.
8. Baur X, Aasen TB, Burge PS, Heederik D, Henneberger PK, Maestrelli P, Schlünssen V, Vandenplas O, Wilken D; . The management of work-related asthma guidelines: a broader perspective European Respiratory Review 2012. 21: 125-139;. [DOI:10.1183/09059180.00004711] [PMID]
9. Association AL. Epidemiology and Statistics Unit, Research and Program Services. Trends in asthma morbidity and mortality, July 2006. 2007.
10. Kim H, Mazza J. Asthma. Allergy Asthma Clin Immunol. 2011 10;7:S2. 7.
11. Bagheri Nesami M, Bandpey M, Haghani H. [The Assessment of the effects of verbal and performance education on nurses' skill in the use of metered dose inhaler]. Journal of Mazandaran University of Medical Sciences. 2007;16(56):29-36.
12. Newman KB, Milne S, Hamilton C, Hall K. A comparison of albuterol administered by metered-dose inhaler and spacer with albuterol by nebulizer in adults presenting to an urban emergency department with acute asthma. CHEST Journal. 2002;121(4):1036-41. [DOI:10.1378/chest.121.4.1036]
13. Lowe DO, Lummis H, Zhang Y, Sketris IS. Effect of educational and policy interventions on institutional utilization of wet nebulization respiratory drugs and portable inhalers. Can J Clin Pharmacol. 2008;15(2):e334-e43. [PMID]
14. Dhuper S, Chandra A, Ahmed A, Bista S, Moghekar A, Verma R, et al. Efficacy and cost comparisons of bronchodilatator administration between metered dose inhalers with disposable spacers and nebulizers for acute asthma treatment. The Journal of emergency medicine. 2011;40(3):247-55. [DOI:10.1016/j.jemermed.2008.06.029] [PMID]
15. Rahmati H, Ansarfard F, Ghodsbin F, Ghayumi MA, Sayadi M. [The effect of training inhalation technique with or without spacer on maximum expiratory flow rate and inhaler usage skills in asthmatic patients: a randomized controlled trial]. International journal of community based nursing and midwifery. 2014;2(4):211. [PMID] [PMCID]

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