2001 OPEN FORUM Abstracts
PATIENTS?UNDERSTANDING OF INCENTIVE SPIROMETRY
Marisa Ross,Sarah Polei, Respiratory Therapy Program Indiana University, Jo Ann Brooks-Brunn,DNS, RN, Division of Pulmonary, Allergy, Critical & Occupational Medicine,Indiana University School of Medicine, Linda Van Scoder, EdD, RRT, RespiratoryTherapy Program, Schools of Allied Health Sciences and Medicine, Indiana University.
BACKGROUND Incentive Spirometry(IS) is a procedure that is used to prevent lung collapse after a patient undergoessurgery. Minimizing patient complications through proper instruction on IS isthe goal.
PURPOSE This study was conductedto find out how well educated patients are on IS.
METHODS This descriptive studyincluded a convenience sample of 21 post-operative thoracic surgery patientsat a large university hospital once they reached the general care floors. Patientswere observed as they performed the procedure, following which we asked a seriesof questions relating to IS knowledge. Then the patients were asked open-endedquestions about their education on IS. Patients also used a 5-point Likert scaleto rate their overall perception of how well they were educated. The independentgroups t-test (p < .05) was used to compare group means.
RESULTS We found that 67%of the patients did not know the purpose of IS. Forty-eight percent of patientsdid not perform a slow breath while doing IS, and 62% did not perform a breathhold. Males scored significantly higher on IS knowledge with a mean score of6.6, while females had a mean score of 4.5 out of 11. There was not a significantdifference in scores based on age. When we asked their opinion on how well theywere taught IS we found that 28% of the participants strongly agreed that theywere well educated, 62% agreed, 5% were undecided, 5% disagreed, and none stronglydisagreed.
CONCLUSIONS In spite of themajority of patients agreeing that they had been educated well on IS, we foundthat they did not use IS correctly and had insufficient knowledge about theprocedure. More research should be conducted to find out in which areas properpatient instruction is lacking.