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題名：胸腔科護士及病患使用定量噴霧劑技術正確性之探討
書刊名：長庚護理
作者：何瓊芳／陳綱華
作者(外文)：Ho, C. F.／Chen, K. H.
出版日期：1997
卷期：8:2=18
頁次：頁29-42
主題關鍵詞：定量噴霧劑；護士；病患；技術；影響因素；Metered dose inhaler；Nurse；Patient；Technique；Affecting factors
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:1
  • 點閱點閱:23
　　　　　本研究目的主要在確立正確使用定量噴霧劑技術之方法，探討胸腔科護士和住院 病患，使用定量噴霧劑技術正確性之差異。研究採描述性比較性研究法，以描述性統計分析 法、t 考驗、單因子變異數分析及卡方檢定進行分析。結果顯示：(1) 胸腔科護士定量噴霧 劑的平均正確率為 70.3 ％，病患為 48.2 ％。(2) 護士使用定量噴霧劑最常見的問題步驟 為「閉氣 5-10 秒鐘」、「再慢慢吐氣呼吸」及「至少等一分鐘再吸入第二口」；在病患方 面則為「至少等一分鐘後再吸入第二口」、「吐氣到底」及「閉氣 5-10 秒鐘」。(3) 護士 與病患使用定量噴霧劑有明顯差異的分別是「充分振搖」、「吐氣到底」、「手口配合」及 「至少等一分鐘再吸入第二口」等步驟。(4) 胸腔科護士使用定量噴霧劑的正確性主要受專 科病房年資的顯著影響。(5) 胸腔科病患使用定量噴霧劑正確性則主要受教育程度的顯著影 響。
　　　　　The purpose of this study was to establish the metered dose inhaler (MDI) and to explore the differences of accuracy of MDI utilized by nurses and patients of chest ward. Data analyses of this descriptive-comparative research involved descriptive statistical methods, t-test, One-Way ANOVA and Chi-Squire test. The major findings of this study were as follow: (1) Assessement of MDI technique revealed that the performance score of nurses is 70.3% and 48.2% in patients. (2) The most common errors aroused by nurse were 「 hold the breath for 5-10 seconds 」, 「 breathe out 」, and 「 wait 1 minute between puffs 」. Those errors made by patient were 「 wait 1 minute between puffs 」, 「 breathe out fully 」, and 「 hold the breath for 5-10 seconds 」. (3) The steps of MDI performed by nurses and patients which made significant difference were 「 shaking fully 」, 「 breathe out fully 」, 「 hand-1 ung coordination 」, and 「 wait 1 minute between puffs 」.(4) The MDI score of nurses was significant correlated with expirtise expirience. (5) The MDI score of patients was significant correlated with education degree.
期刊論文
1.Larsen, Julie S.、Hahn, Mary、Ekholm, Bruce、Wick, Karen A.(1994)。Evaluation of conventional press-and-breathe metered-dose inhaler technique in 501 patients。J Asthma，31(3)，193-199。  new window
2.Crompton, G. K.(1982)。Promblems patients have using pressurized aerosols。European Journal of Respiratory Disease，119(63)，101-104。  new window
3.Chhabra, S. K.(1994)。Acomparison of closed and open mouth techniques of inhalation of Salbutamol metered dose inhaler。Journal of Asthma，31(1)，123-125。  new window
4.Blaquiere, P. D.、Christensen, D. B.、Carter, W. B.、Martin, T. R.(1989)。Use and misuse of metered-dose inhalers by patients with chronic lung disease。American Review of Respiratory Disease，140(4)，910-916。  new window
5.Allen, S. C.、Prior, A.(1986)。What determines an elderly patient can use a metered dose inhaler correctly。British Journal of Disease of The Chest，80(1)，745-779。  new window
6.朱嘉麗(19870200)。教導慢性阻塞性肺病患者使用定量吸入器。榮總護理，4(1)，13-16。new window  延伸查詢new window
7.Guidry, G. C.、Brown, W. D.、Stogner, S. W.、George, R. B.(1992)。Incorrect use of metered dose inhalers by medical personnel。Chest，101(1)，31-33。  new window
8.Goodman, D. E.、Israel, Rosenberg M.、Johnston, R.、Weiss, S. T.、Drazen, J. M.(1994)。The influence of age, diagnosis, and gender on proper use of metered dose inhalers。American Journal of Respiratory & Critical Care Medicine，150(5)，1256-1261。  new window
9.Everard, M. L.、Devadason, S. G.、Summers, Q. A.、Souef, P. N. L.(1995)。Factors affecting total and respirable dose delivered by a Salbutamol metered dose inhaler。Thorax，50(7)，746-749。  new window
10.Epstein, S. W.、Parsons, J. E.、Corey, P. N.、Worsley, G. H.、Reilly, P. A.(1983)。A comparison of three means of pressurized aerosol inhaler use。American Review of Respiratory Disease，128，253-255。  new window
11.Epstein, S. W.、Manning, C. P. R.、Aschley, M. J.、Corey, P. N.(1979)。Survery of the clinical use of pressurized aerosal inhaiers。Canadian Medical Association Journal，120(7)，813-816。  new window
12.Lawford, P.、Mckenzie, D.(1982)。Pressurized bronchodilator aerosal techniqueinfluence of breath - holding time and relationship of inhaler to the mouth。British Journal of Disease of The Chest，73，229-233。  new window
13.Larsen, J. S.、Honn, M.、Kochevar, J. W.、Morris, P. J.、Kaiser, H. B.、Weisberg, S. C.、Havleer, P. C.、Quessy, N. N.(1993)。Administration errors with a conventionol metered dose inhaler versus a novel breath actuated device。Annals of Allergy，71(2)，103-106。  new window
14.Jones, J. S.、Holstege, C. P.、Riekse, R.、White, L.、Bergquist, T.(1995)。Metered-dose inhalers: Do emergency health core providers know what to teach。Annals of Emergency Medicine，26(3)，308-311。  new window
15.Interian, B.、Guntupalli, K. K.(1993)。Metered-dose inhalers: Do health care providers know what to teach。Archives of internal Medicine，153(11)，81-85。  new window
16.O'Connell, M. B.、Hewitt, J. M.、Lackner, T. J. E.、Pastor, J. D. III、Wong, M. T.、Bishop, A. L.(1992)。Short-and long term retention of a nursing home education program on metered-dose inhalertechnique。The Annals of Pharma，26(7)，980-984。  new window
17.Nimmo, C. J. R.、Chen, D. N. M.、Martinusen, S. M.、Ustad, T. L.、Ostrow, D. N.(1993)。Assessment of patient acceptance and inhalation technique of a pressured aerosol inhaler and two breath actuated devices。The Annals of Pharmacotherapy，27(7/8)，922-927。  new window
18.Newman, S. P.、Pavia, D.、Garland, N.、Clarke, W.(1982)。Effects of various inhalation modes on the deposition of radioactive pressurized aerosals。European Journal of Respiratory Diseases，119 (63 suppl.)，57-65。  new window
19.McFadden, E. R.(1995)。Improper patient techniques with metered dose inhalers:Clinical consequences and solutions to misuse。Journal of Allergy & Clinical Immunology，96(5)，278-283。  new window
20.Lawford. P.、Mckenzie, D.(1983)。Pressurized aerosal in haler technique: How important are inhalation from residual volume, inspiratory flow rate and the time interval between puffs。Britis Journal of Disease of The Chest，77(3)，276-281。  new window
21.Thompson, C. J.、Irvine, M. T.、Guthwohl, C. K.、Roth, M. B.(1994)。Misuse of metered-dose inhalers in hospitalized patients。Chest，105(3)，715-717。  new window
22.Self, T. H.、Kelso, T. M.、Arheort, K. L.、Morgan, J. H.、Meduri, G. U.(1993)。Nurses' performance of inhalation tech-nique with metered dose inhaler plus spacer devices。The Annals of Pharma cotherapy，27(2)，185-187。  new window
圖書
1.Witek, T. J.、Schachter, E. N.(1994)。Pharmacology and therapeutics in respiratory care。Philadelphia：W. B..Saunders。  new window
 
 
 
 
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