[Effectiveness of the correct use of inhalation devices in patients with COPD: randomized clinical trial].
OBJECTIVE
We aimed yo assess whether an educational intervention on the use of inhalational devices improve the functional status of patients with COPD.


METHODS
Randomized controlled trial with parallel design and simple blind trial performed in a clinic with 94 patients diagnosed with COPD and who used inhaled devices. Participants were randomized into 2 groups: the intervention group held a training session on the use of inhalers at baseline and one month and strengthening the control group with routine monitoring. The main outcome measure was the change in the synthetic index BODE (Body-Mass Index, Airflow Obstruction, Dyspnea and Exercise Capacity).


RESULTS
Patients in the intervention group (n=48) experienced an improvement in the sensation of breathlessness decreasing by 0.85 points (95% CI -1.14 to -0.56) on the MMRC dyspnea scale, while the control group (n=46) did not show any significant change p<0.0001. On the walking test the intervention group walked 6.19 meters (95% CI -4.02 to 16.40) while the control group walked 20.55 meters lower (95% CI -37.80 to -3.28), significant differences with p=0.009. The BODE index decreased (improved) -0.82 points in the intervention group (95% CI -1.16 to -0.46) and increased (worsened) 0.20 in control group (95% CI -0.16 to 0.56) p<0.0001.


CONCLUSIONS
Patients with COPD who receive specific training on inhaler use as compared with those with regular monitoring experience improvement in their functional state.
Centro de Salud Barranquet, Castellón, Espana. pikin21@hotmail.com
Vicente Ramón
VR
Cabedo García
Christian Rodrigo
CR
Garcés Asemany
Amparo
A
Cortes Berti
Jesús Tomás
JT
Oteo Elso
Francisco Javier
FJ
Ballester Salvador
D000368:Aged; D000369:Aged, 80 and over; D001993:Bronchodilator Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D004417:Dyspnea / Q000188:drug therapy / Q000209:etiology; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009330:Nebulizers and Vaporizers; D010349:Patient Compliance; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000188:drug therapy*; D012720:Severity of Illness Index; D016037:Single-Blind Method; D013147:Spirometry; D016896:Treatment Outcome
D001993:Bronchodilator Agents