吸入器技术不当对越南儿童哮喘控制的影响：一项横断面研究。
Impact of Improper Inhaler Technique on Pediatric Asthma Control in Vietnam: A Cross-Sectional Study.
作者信息
Tran Ly Cong, Le My Hoang, Bui Nghia Quang, Le Thang Hoang, Vo Chau Bao, Luu Hanh Hong, Giang Thao Thanh Thi, Le Duy-Truong Khac, Nguyen Phuong Minh
机构信息
Department of Pediatrics, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam.
出版信息
Sage Open Pediatr. 2025 Apr 15;12:30502225251325625. doi: 10.1177/30502225251325625. eCollection 2025 Jan-Dec.
BACKGROUND
Improper inhaler technique negatively impacts asthma control, yet data on this issue in Vietnam remain limited. This study assessed the prevalence and impact of improper inhaler technique on pediatric asthma control and examined the role of caregivers in this context.
METHODS
An analytical cross-sectional study was conducted among children with asthma and their caregivers. Logistic regression analyzed associations between improper inhaler technique, uncontrolled asthma, and caregivers' attitudes and practices in asthma management.
RESULTS
Among 186 children, 45.2% had improper inhaler technique, which was independently associated with uncontrolled asthma (AOR = 2.33, 95% CI: 1.27-4.3, = .006). Regarding caregivers, failure to ensure adherence to prescribed controller medications and inadequate monitoring of remaining MDI medication were significantly associated with improper technique ( < .05).
CONCLUSION
Improper inhaler technique is common and associated with poor asthma control. Caregivers' involvement in medication adherence and monitoring plays a crucial role in addressing this issue.
背景
吸入器使用技术不当会对哮喘控制产生负面影响，但越南在这一问题上的数据仍然有限。本研究评估了吸入器使用技术不当对儿童哮喘控制的患病率和影响，并探讨了照顾者在这方面的作用。
方法
对哮喘儿童及其照顾者进行了一项分析性横断面研究。逻辑回归分析了吸入器使用技术不当、哮喘控制不佳与照顾者在哮喘管理中的态度和行为之间的关联。
结果
在186名儿童中，45.2%的儿童吸入器使用技术不当，这与哮喘控制不佳独立相关（比值比=2.33，95%置信区间：1.27-4.3，P=0.006）。关于照顾者，未能确保坚持使用规定的控制药物以及对剩余定量吸入器药物监测不足与技术不当显著相关（P<0.05）。
结论
吸入器使用技术不当很常见，且与哮喘控制不佳有关。照顾者在药物依从性和监测方面的参与对解决这一问题起着至关重要的作用。
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