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Zakrisson, Ann-BrittORCID iD iconorcid.org/0000-0002-8370-8834
Publications (10 of 31) Show all publications
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B. & Mattebo, M. (2024). Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System. BMC Medical Informatics and Decision Making, 24(1), Article ID 64.
Open this publication in new window or tab >>Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
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2024 (English)In: BMC Medical Informatics and Decision Making, E-ISSN 1472-6947, Vol. 24, no 1, article id 64Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Because poor health in youth risk affecting their entry in adulthood, improved methods for their early identification are needed. Health and welfare technology is widely accepted by youth populations, presenting a potential method for identifying their health problems. However, healthcare technology must be evidence-based. Specifically, feasibility studies contribute valuable information prior to more complex effects-based research. The current study assessed the process, resource, management, and scientific feasibility of the Youth Health Report System prototype, developed within a youth health clinic context in advance of an intervention study.

METHODS: This mixed-methods feasibility study was conducted in a clinical setting. The process, resource, management, and scientific feasibility of the Youth Health Report System were investigated, as recommended in the literature. Participants were youth aged 16-23 years old, attending a youth health clinic, and healthcare professionals from three clinics. The youth participants used their smart phones to respond to Youth Health Report System health questions and healthcare professionals used their computer to access the results and for registration system entries. Qualitative data were collected from interviews with healthcare professionals, which were described with thematic analysis. Youth participants' quantitative Youth Health Report System data were analyzed for descriptive statistics.

RESULTS: Feasibility analysis of qualitative data from interviews with 11 healthcare professionals resulted in three themes: We expected it could be hard; Information and routines helped but time was an issue; and The electronic case report form was valuable in the health assessment. Qualitative data were collected from the Youth Health Report System. A total of 54 youth participants completed the evaluation questionnaire, and healthcare professionals retrieved information from, and made post-appointment system entries. Quantitative results revealed few missing items and acceptable data variability. An assessment template of merged qualitative and quantitative data guided a consensus discussion among the researchers, resulting in acceptable feasibility.

CONCLUSIONS: The process-, resource-, management-, and scientific feasibility aspects were acceptable, with some modifications, strengthening the potential for a successful Youth Health Report System intervention study.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Electronic patient-reported outcome, Feasibility study, Health and welfare technology, Medical informatics, Mixed-methods research, Young people, Youth health clinic
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-112126 (URN)10.1186/s12911-024-02465-8 (DOI)38443898 (PubMedID)
Available from: 2024-03-06 Created: 2024-03-06 Last updated: 2024-03-11Bibliographically approved
Tofiq, a., Eriksson Crommert, M., Zakrisson, A.-B., von Euler, M. & Nilsing Strid, E. (2023). Physical functioning post-COVID-19 and the recovery process: a mixed methods study. Disability and Rehabilitation, 1-10
Open this publication in new window or tab >>Physical functioning post-COVID-19 and the recovery process: a mixed methods study
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2023 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, p. 1-10Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: To describe physical functioning after severe COVID-19-infection.

MATERIALS AND METHOD: An explanatory sequential mixed method design was used. Thirty-nine participants performed tests and answered questionnaires measuring physical functioning six months after hospitalisation due to COVID-19. Thirty of these participants participated in semi-structured interviews with questions regarding how they perceived their physical functioning and recovery from COVID-19 at 12 months post-hospitalisation.

RESULTS: At six months, physical functioning measured via chair stand test and hip-worn accelerometers was lower than normal reference values. There was a reduction in breathing muscle strength. Participants estimated their functional status during different activities as lower compared to those before COVID-19-infection, measured with a patient-specific functional scale. At one year after infection, there were descriptions of a rough recovery process and remaining symptoms.

CONCLUSION: Patients recovering from severe COVID-19 seem to have reduced physical functioning and activity levels, and they perceive their recovery to be slow and difficult. They experienced a lack of clinical support and contradictory advice regarding rehabilitation. Coaching in returning to physical functioning after the infection needs to be better co-ordinated and there is a need for guidelines for health professionals to avoid patients receiving contradictory advice.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
COVID-19, SARS-CoV-2, exercise, physical activity, qualitative research, recovery of function, rehabilitation, severe acute respiratory syndrome
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:oru:diva-105614 (URN)10.1080/09638288.2023.2201512 (DOI)000971399700001 ()37078388 (PubMedID)2-s2.0-85153473582 (Scopus ID)
Available from: 2023-04-21 Created: 2023-04-21 Last updated: 2024-01-15Bibliographically approved
Giezeman, M., Theander, K., Zakrisson, A.-B., Sundh, J. & Hasselgren, M. (2022). Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy. Scandinavian Journal of Primary Health Care, 40(2), 208-216
Open this publication in new window or tab >>Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy
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2022 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 40, no 2, p. 208-216Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To compare the level of exercise self-efficacy, symptoms, functional capacity and health status and investigate the association between these variables in patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Additionally, to investigate how diagnosis, symptoms and patient characteristics are associated with exercise self-efficacy in these patient groups.

DESIGN: Cross-sectional study.

SETTING: Primary care.

SUBJECTS: Patients (n = 150) with COPD (n = 60), CHF (n = 60) and a double diagnosis (n = 30).

MAIN OUTCOME MEASURES: Swedish SCI Exercise Self-Efficacy score, modified Medical Research Council Dyspnea score (mMRC), fatigue score, pain severity score, Hospital Anxiety and Depression Scale, functional capacity measured as six-minute walking distance and health status measured by a Visual Analogue Scale.

RESULTS: Levels of exercise self-efficacy, health status and symptoms were alike for patients with COPD and patients with CHF. Functional capacity was similar after correction for age. Associations with exercise self-efficacy were found for slight dyspnea (mMRC = 1) (R -4.45; 95% CI -8.41- -0.50), moderate dyspnea (mMRC = 2) (-6.60;-10.68- -2.52), severe dyspnea (mMRC ≥ 3) (-9.94; -15.07- -4.80), fatigue (-0.87;-1.41- -0.32), moderate pain (-3.87;-7.52- -0.21) and severe pain (-5.32;-10.13- -0.52), symptoms of depression (-0.98;-1.42- -0.55) and anxiety (-0.65;-0,10- -0.32), after adjustment for diagnosis, sex and age.

CONCLUSION AND IMPLICATIONS: Patients with COPD or CHF have similar levels of exercise self-efficacy, symptoms, functional capacity and health status. More severe symptoms are associated with lower levels of exercise self-efficacy regardless of diagnosis, sex and age. When forming self-management groups with a focus on exercise self-efficacy, it seems more relevant to consider level of symptoms than the specific diagnosis of COPD or CHF.Key pointsExercise training is an important part of self-management in patients with COPD and chronic heart failure (CHF). High exercise self-efficacy is required for optimal exercise training.Patients with COPD and CHF have similar symptoms and similar levels of exercise self-efficacy, functional capacity and health status.Not the diagnosis, but symptoms of dyspnea, fatigue, pain, depression and anxiety are important factors influencing exercise self-efficacy and need to be addressed.When forming self-management groups with a focus on exercise self-efficacy, it seems more relevant to consider the level of symptoms than the specific diagnosis of COPD or CHF.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Pulmonary disease, chronic obstructive, exercise, feasibility studies, heart failure, self-efficacy, self-management
National Category
Respiratory Medicine and Allergy Physiotherapy
Identifiers
urn:nbn:se:oru:diva-99025 (URN)10.1080/02813432.2022.2073961 (DOI)000799416300001 ()35575429 (PubMedID)2-s2.0-85130564713 (Scopus ID)
Available from: 2022-05-17 Created: 2022-05-17 Last updated: 2024-01-03Bibliographically approved
Stridsman, C., Zakrisson, A.-B. & Sterner, T. (2022). Nurses specialized through higher education in asthma, allergy and COPD: Experiences from a Swedish perspective - A winning concept for the clinic. Paper presented at ERS International Congress 2022, Barcelona, Spain, September 4-6, 2022. European Respiratory Journal, 60(Suppl. 66), Article ID 153.
Open this publication in new window or tab >>Nurses specialized through higher education in asthma, allergy and COPD: Experiences from a Swedish perspective - A winning concept for the clinic
2022 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 60, no Suppl. 66, article id 153Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: In Sweden, asthma, allergy and COPD clinics are a successful model for evidence-based care. The main criteria for the clinic is that it should be led by an educated asthma, allergy and COPD-nurse. Further, allergy consultant nurses have the main task to be a bridge between health care and the family/preschool/school/work.

Aim: To describe the Swedish nursing education courses of an asthma, allergy and COPD nurse and an allergy consultant nurse.

Methods/results: To become specialized, the nurse need further university studies in asthma, allergy and COPD after bachelor degree, i.e. at least 15 credits. This can also be followed up by further credits and a master’s degree. The courses are designed with a person-centered approach as a mix of nursing and medicine. It includes early detection, screening and diagnosis of asthma, allergy and COPD and skills about spirometry, allergy testing, patient education, smoking cessation support and the use of a written treatment-plan as well as assessment of risk factors, comorbidities, and symptoms i.e. both non-pharmacological and pharmacological interventions. Self-management, interprofessional collaboration and how to evaluate adherence to guidelines by using the Swedish National Airway Register are highlighted in the course. The allergy consultant nurse receives deeper education in allergy and the immunological mechanisms. The consultant often has postgraduate credits in specialist nursing or a master of science with a specialisation in paediatric and adolescent healthcare.

Conclusion: Advanced education after bachelor’s degree has benefits both for the patient and for the society.

Place, publisher, year, edition, pages
European Respiratory Society, 2022
Keywords
Asthma, COPD, Education
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-104780 (URN)10.1183/13993003.congress-2022.153 (DOI)000893392400117 ()
Conference
ERS International Congress 2022, Barcelona, Spain, September 4-6, 2022
Available from: 2023-03-15 Created: 2023-03-15 Last updated: 2024-01-02Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2022). One additional educational session in inhaler use to patients with COPD in primary health care: A controlled clinical trial. Patient Education and Counseling, 105(9), 2969-2975
Open this publication in new window or tab >>One additional educational session in inhaler use to patients with COPD in primary health care: A controlled clinical trial
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2022 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, no 9, p. 2969-2975Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate whether one additional educational session about inhaler use, delivered to patients with COPD in primary healthcare, could affect the patients' skills in inhaler use. Specifically, to study the effects on errors related to handling the device, to inhalation technique, and to both.

METHODS: This nonrandomized controlled clinical trial included 64 patients who used devices and made errors. COPD nurses assessed inhaler use using a checklist and educated patients. Intervention group received one additional educational session after two weeks.

RESULTS: At baseline, patients in the IG had more devices (n = 2,1) compared to patients in the CG (n = 1,6) (p = 0.003). No other statistically significant differences were seen at baseline. At follow-up, intervention group showed a lower proportion of patients who made errors related to handling the device (p = 0.006). No differences were seen in the other categories.

CONCLUSION: One additional educational session in inhaler use for patients with COPD was effective in reducing the proportion of patients making errors related to handling of their devices.

PRACTICE IMPLICATIONS: Categorization of errors might help healthcare professionals to assess the suitability of patients' devices, tailor patient education, and thus improve patient health.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Chronic obstructive pulmonary disease, Device, Inhalation technique, Inhaler use, Patient education
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-99553 (URN)10.1016/j.pec.2022.05.013 (DOI)000863225900019 ()35672192 (PubMedID)2-s2.0-85131505862 (Scopus ID)
Funder
Region Värmland, LIVFOU-927791 LIVFOU-939697
Available from: 2022-06-15 Created: 2022-06-15 Last updated: 2024-01-02Bibliographically approved
Giezeman, M., Hasselgren, M., Sundh, J., Zakrisson, A.-B. & Theander, K. (2021). Exploration of the feasibility to combine patients with COPD and chronic heart failure in self management groups with focus on exercise self-efficacy. Paper presented at European Respiratory Society ERS International Congress 2021 (ERS2021), (Virtual congress), September 5-8, 2021. European Respiratory Journal, 58(Suppl. 65), Article ID PA3638.
Open this publication in new window or tab >>Exploration of the feasibility to combine patients with COPD and chronic heart failure in self management groups with focus on exercise self-efficacy
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2021 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 58, no Suppl. 65, article id PA3638Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: High exercise self-efficacy is required for optimal exercise training in both patients with COPD and chronic heart failure (CHF).

Aim: To compare exercise self-efficacy, symptoms, functional capacity and health status in COPD and CHF patients, and explore the association of symptoms and exercise self-efficacy.

Method: Baseline data from a self-management group-intervention on 150 primary care patients with COPD (n=60), CHF (n=60) and a possible double diagnosis (n=30). Exercise self-efficacy (Swedish SCI Exercise Self-Efficacy Score), dyspnea (mMRC), fatigue (Fatigue Score), pain (five-level question), anxiety and depression (Hospital Anxiety and Depression Scale), functional capacity (six-minute Walking Test) and health status (VAS) were assessed.

Results: The COPD group had fewer men than the CHF group (23vs 40 males; p<0.05) and lower mean age (69 (SD8) vs 78 (SD8) years; p<0.05), but had similar levels of self-efficacy, health status and symptoms. Functional capacity was similar after age-correction. Associations with self-efficacy were found for mMRC=1 (R -4.45; 95% CI-8.41- -0.50), mMRC=2 (-6.60;-10.68- -2.52), mMRC=3 (-9.94;-15.07- -4.80), fatigue (-0.87;-1.41- -0.32), moderate (-3.87;-7.52- -0.21) and severe pain (-5.32;-10.13- -0.52), depression (-0.98;-1.42- -0.55) and anxiety (-0.65;-0,10- -0.32) after adjustment for diagnosis, sex and age.

Conclusion: Similar levels of exercise self-efficacy, symptoms, functional capacity, and health status were found. Symptoms are associated with self-efficacy regardless of diagnosis, sex and age. Joint self-management groups with focus on self-efficacy seem feasible.

Place, publisher, year, edition, pages
European Respiratory Society, 2021
Keywords
COPD - management, Primary care, Physical activity
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:oru:diva-97669 (URN)10.1183/13993003.congress-2021.PA3638 (DOI)000747452104463 ()
Conference
European Respiratory Society ERS International Congress 2021 (ERS2021), (Virtual congress), September 5-8, 2021
Available from: 2022-02-25 Created: 2022-02-25 Last updated: 2024-01-03Bibliographically approved
Arranz Alonso, S., Christensen, H. M., Díaz-Pérez, D., Narsavage, G., Padilha, J. M., Quijano-Campos, J. C., . . . Clari, M. (2020). Do we need tailored training and development plans for European Union respiratory nurses?. Breathe, 16(2), Article ID 200010.
Open this publication in new window or tab >>Do we need tailored training and development plans for European Union respiratory nurses?
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2020 (English)In: Breathe, ISSN 1810-6838, E-ISSN 2073-4735, Vol. 16, no 2, article id 200010Article in journal, Editorial material (Refereed) Published
Abstract [en]

Nurses are critical players in healthcare and should be the next profession to standardise levels of education, preparing them for an active partnership with other healthcare professionals prepared to tackle the chronic disease problem in Europe.

Place, publisher, year, edition, pages
Maney Publishing, 2020
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-86278 (URN)10.1183/20734735.0010-2020 (DOI)000582737500013 ()32684996 (PubMedID)2-s2.0-85090100529 (Scopus ID)
Available from: 2020-10-07 Created: 2020-10-07 Last updated: 2024-01-02Bibliographically approved
Zakrisson, A.-B., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., Ställberg, B., . . . Theander, K. (2020). Improved quality of care by using the PRISMS form to support self-management in patients with COPD: A Randomized Controlled Trial. Journal of Clinical Nursing, 29(13-14), 2410-2419
Open this publication in new window or tab >>Improved quality of care by using the PRISMS form to support self-management in patients with COPD: A Randomized Controlled Trial
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2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 13-14, p. 2410-2419Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVE: To investigate the effects on the quality of care of the Patient Report Informing Self-Management Support (PRISMS) form compared with usual care among patients with Chronic Obstructive Pulmonary Disease (COPD) consulting a COPD nurse in primary health care.

BACKGROUND: Patients with COPD experience symptoms affecting their everyday lives and there is a need for interventions in self-management support. The delivery of chronic care in an organized, structured, and planned manner can lead to more productive relationships between professionals and patients.

DESIGN: A multicentre randomised controlled trial with a post-test design, according to the CONSORT checklist, in one intervention group (n=94) and one control group (n=108).

METHODS: In addition to usual care, the intervention group (n=94) completed the PRISMS form to indicate areas where they wanted self-management support before the consultation with the COPD nurse. This form comprises 17 items that patients with COPD commonly experience as problems. The control group received usual care (n=108). The primary outcome was patients' satisfaction with quality of care, assessed using the Quality from the Patient's Perspective (QPP) questionnaire. Means and (SD) are presented where applicable. Differences between the intervention and control group were analysed with Student's t-test for independent groups for interval data, and the Mann-Whitney U-test for ordinal data.

RESULTS: Participants in the intervention group were more satisfied with the QPP domains "personal attention", regarding both "Perceived reality" (p=0.021) and "Subjective Importance" (p=0.012). The PRISMS form revealed "Shortness of breath" as the most commonly experienced problem and the issue most desired to discuss.

CONCLUSION: The PRISMS form improved patient satisfaction with quality of care regarding personal attention, which is an important factor in patient participation and improving relationships and communication.

RELEVANCE TO CLINICAL PRACTICE: The PRISMS form can be a useful tool in improving person-centred care when delivering self-management support.

Place, publisher, year, edition, pages
Blackwell Science Ltd., 2020
Keywords
Chronic obstructive pulmonary disease, nursing, patient education, primary care, quality of care, self-management support
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-80909 (URN)10.1111/jocn.15253 (DOI)000529619900001 ()32220091 (PubMedID)2-s2.0-85084207598 (Scopus ID)
Note

Funding Agency:

Uppsala-Örebro Regional Research Council

Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-01-02Bibliographically approved
Zakrisson, A.-B., Arne, M., Hasselgren, M., Lisspers, K., Ställberg, B. & Theander, K. (2019). A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities: a longitudinal follow-up. Journal of Advanced Nursing, 75(1), 175-186
Open this publication in new window or tab >>A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities: a longitudinal follow-up
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2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 1, p. 175-186Article in journal (Refereed) Published
Abstract [en]

AIM: To test a self-management intervention in primary health care for patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure on self-efficacy, symptoms, functioning and health.

BACKGROUND: Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems.

DESIGN: A multicentre randomized control trial.

METHOD: The trial was conducted with one intervention group (n=73) and one control group (n=77). The trial was performed from September 2013 - September 2015 at nine primary health care centres in three county councils in Sweden. At baseline patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure experienced any symptom. Follow-ups were performed after three months and one year. The intervention was structured on Bandura's theory of self-efficacy in six meetings and individual action plans based on personal problems were performed and discussed.

RESULTS: At baseline, there were no differences between the groups except for SF-36 social function. After three months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found.

CONCLUSION: When designing a program, the patient's own difficulties must be taken into consideration if person-centered care is to be established. It is feasible to include both patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure in the same group in primary health care. Health care professionals need supervision in pedagogics during intervention in self-management.

Place, publisher, year, edition, pages
Blackwell Publishing, 2019
Keywords
Chronic heart failure, chronic obstructive pulmonary disease, nurses, patient education, primary health care, self-management support
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-70002 (URN)10.1111/jan.13899 (DOI)000453873300019 ()30375028 (PubMedID)2-s2.0-85057336384 (Scopus ID)
Note

Funding Agency:

Uppsala-Orebro Regional Research Council

Available from: 2018-11-06 Created: 2018-11-06 Last updated: 2024-01-03Bibliographically approved
Annika, L., Theander, K., Arne, M., Lisspers, K., Lundh, L., Sandelowsky, H., . . . Zakrisson, A.-B. (2019). Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care. Nursing Open, 6(4), 1519-1527
Open this publication in new window or tab >>Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 4, p. 1519-1527Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.

Design: Observational study. Methods COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD (N = 183) from primary healthcare centres. The STROBE checklist has been used.

Results: The mean age of the patients was 71 (SD 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
administration, inhalation, pulmonary disease, chronic obstructive, dry powder inhalers, inhaler technique, metered-dose inhalers, patient education
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-76052 (URN)10.1002/nop2.357 (DOI)000481947200001 ()2-s2.0-85070870779 (Scopus ID)
Note

Funding Agency:

Uppsala-Örebro Regional Research Council 

Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2024-01-30Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-8370-8834

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