2001 OPEN FORUM Abstracts
THE EFFECT OF A ONE-DAYASTHMA EDUCATION SEMINAR ON KNOWLEDGE OF PEAK EXPIRATORY FLOW RATE MEASUREMENTAND METERED DOSE INHALERS WITH SPACERS AMONG HEALTH CARE PROFESSIONALS.
Terry S. LeGrand,PhD, RRT, Donna D. Gardner, BS, RRT, and David C. Shelledy, PhD, RRT,The University of Texas Health Science Center at San Antonio, Texas.
Background: Morbidity andmortality among asthma patients have been on the rise in recent years, whileavailability of health care dollars is declining. In today?s managed care environment,it is important for health care professionals to effectively educate patientsto better manage this chronic disease.
Objective: To determine ifa one-day asthma education seminar results in enhanced understanding of peakexpiratory flow rate (PEFR) measurement and use of metered dose inhalers (MDIs)with spacers among members of the health care team.
Methods: Physicians (MD; n=12),respiratory therapists (RT; n=13), registered nurses (RN; n=73), and licensedvocational nurses (LVN; n=27) were given a written true/false pre-test on useof peak flow meters and MDI?s with spacers followed by a one-day asthma educationseminar, consisting of six one-hour lectures and an asthma fair emphasizinguse of medications and equipment. Following the seminar and fair the test wasrepeated, and scores within and between the four groups were compared usingpaired t-tests and ANOVA, with p < 0.05 considered significant.
Results: Mean scores (SD)are shown in Tables 1 and 2. There were no significant differences (p> 0.05) between MDs, RTs, RNs, and LVNs on the pre-test or post-test. Whengrouped together, posttest scores for all participants (n=125) improved significantlyover pre-test scores (p<0.0001). When scores were compared by profession,however, only RN?s showed an improvement in PEFR measurement test scores (p= 0.0001), while all groups improved their scores on MDI/spacer use (p<0.05).
Conclusions: All participantsshowed a significant improvement in knowledge of the proper use of MDIs andspacers following attendance at the asthma education seminar and fair, thoughonly RNs showed improvement in the use of peak flow measurements. Participationby MDs, RTs, and nurses in a common asthma education seminar is expected toprovide consistency in disease management strategies utilized by members ofthe health care team, resulting in more effective education of patients withasthma.