The Effect of Precise Aerosol Inhalation Nursing on Sputum Excretion in Elderly Patients With Lung Surgery

Inhalation Clinical Trial

Official title:

Study on the Effect of Precise Aerosol Inhalation Nursing Program on Effective Sputum Excretion in Elderly Patients With Lung Surgery

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05025215
• Other study ID #: 20210822
• Status: Recruiting
• Phase: N/A
• Start date: May 8, 2021
• Est. completion date: May 8, 2022

Study information

• Verified date: August 2021
• Source: The First Affiliated Hospital of Soochow University
• Contact: Jun Zhao
• Phone: 86-0512-67972216
• Email: zhaojia0327[@]126.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Comparing the effects of different kinds of aerosol inhalation nursing programs on effective sputum excretion in elderly patients with lung surgery.

Description:

Based on the traditional oxygen aerosol inhalation treatment, this study will improve it. In the process, precise body position care, time control, observation and treatment, evaluation, etc. will be used to form a precise aerosol inhalation care plan. To explore the effect of this program on effective sputum excretion in elderly patients undergoing lung surgery.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 200
• Est. completion date: May 8, 2022
• Est. primary completion date: May 8, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years to 79 Years

Eligibility

Inclusion Criteria:

• ?The patient underwent thoracoscopic lung surgery; ?There was no obvious pulmonary infection before the operation; ?Good audiovisual function, no communication barriers, able to cooperate with nebulized inhalation operation; ?Patients informed consent to this study.

Exclusion Criteria:

• ?Patients with mental illness; ?Acute COPD; ?Serious complications or failure of important organs after operation.

Related Conditions & MeSH terms

• Inhalation
• Respiratory Aspiration

Intervention

Behavioral:
• Precise Aerosol Inhalation Nursing Program
The precise aerosol inhalation nursing program was based on the traditional oxygen aerosol inhalation treatment, including precise body position care, time control, observation and treatment, evaluation, etc.
• Traditional Aerosol Inhalation Nursing Method
The traditional aerosol inhalation nursing method is carried out according to the operation of aerosol inhalation.

Locations

Country	Name	City	State
China	The First Affiliated Hospital of Soochow University	Suzhou

Sponsors (1)

Lead Sponsor	Collaborator
The First Affiliated Hospital of Soochow University

Country where clinical trial is conducted

China, 

References & Publications (9)

Bosnic-Anticevich SZ, Sinha H, So S, Reddel HK. Metered-dose inhaler technique: the effect of two educational interventions delivered in community pharmacy over time. J Asthma. 2010 Apr;47(3):251-6. doi: 10.3109/02770900903580843. — View Citation

Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care. 2005 Oct;50(10):1360-74; discussion 1374-5. Review. — View Citation

Klijn SL, Hiligsmann M, Evers SMAA, Román-Rodríguez M, van der Molen T, van Boven JFM. Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review. NPJ Prim Care Respir Med. 2017 Apr 13;27(1):24. doi: 10.1038/s41533-017-0022-1. Review. — View Citation

Pedersen S, Ostergaard PA. Nasal inhalation as a cause of inefficient pulmonal aerosol inhalation technique in children. Allergy. 1983 Apr;38(3):191-4. — View Citation

Press VG, Arora VM, Shah LM, Lewis SL, Charbeneau J, Naureckas ET, Krishnan JA. Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial. J Gen Intern Med. 2012 Oct;27(10):1317-25. Epub 2012 May 17. — View Citation

Press VG, Arora VM, Trela KC, Adhikari R, Zadravecz FJ, Liao C, Naureckas E, White SR, Meltzer DO, Krishnan JA. Effectiveness of Interventions to Teach Metered-Dose and Diskus Inhaler Techniques. A Randomized Trial. Ann Am Thorac Soc. 2016 Jun;13(6):816-24. doi: 10.1513/AnnalsATS.201509-603OC. — View Citation

Press VG, Kelly CA, Kim JJ, White SR, Meltzer DO, Arora VM. Virtual Teach-To-Goal™ Adaptive Learning of Inhaler Technique for Inpatients with Asthma or COPD. J Allergy Clin Immunol Pract. 2017 Jul - Aug;5(4):1032-1039.e1. doi: 10.1016/j.jaip.2016.11.018. Epub 2017 Jan 5. — View Citation

Price DB, Román-Rodríguez M, McQueen RB, Bosnic-Anticevich S, Carter V, Gruffydd-Jones K, Haughney J, Henrichsen S, Hutton C, Infantino A, Lavorini F, Law LM, Lisspers K, Papi A, Ryan D, Ställberg B, van der Molen T, Chrystyn H. Inhaler Errors in the CRITIKAL Study: Type, Frequency, and Association with Asthma Outcomes. J Allergy Clin Immunol Pract. 2017 Jul - Aug;5(4):1071-1081.e9. doi: 10.1016/j.jaip.2017.01.004. Epub 2017 Mar 9. — View Citation

Wu M, Woodrick NM, Arora VM, Farnan JM, Press VG. Developing a Virtual Teach-To-Goal(™) Inhaler Technique Learning Module: A Mixed Methods Approach. J Allergy Clin Immunol Pract. 2017 Nov - Dec;5(6):1728-1736. doi: 10.1016/j.jaip.2017.04.032. Epub 2017 Jun 7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Standardization of aerosol inhalation	The investigators use a self-made inhalation implementation standard evaluation form to evaluate whether inhalation was standard in postoperative patients.	From the first to the third day after surgery.
Secondary	Adverse events	Discomfort during inhalation: chest tightness, dyspnea, palpitations, elevated blood pressure, etc.	From the first to the third day after surgery.
Secondary	Viscosity of sputum	According to the viscosity, the sputum was divided into three types: ? degree (thin phlegm), ? degree (moderate phlegm), ? degree (severe phlegm).	From the first to the third day after surgery.
Secondary	Phlegm retention	Sputum sounds can be heard or ausculted at the bedside.	From the first to the third day after surgery.
Secondary	Patient satisfaction	Likert 5-level scoring method was adopted to allow patients to evaluate the nursing plan. The higher the score, the more satisfied the patients were.	The third day after surgery.