Results of Development and Testing of Video for the Instruction of Metered Dose Inhaler (MDI) Use in Karen Language for Patients with Chronic Obstructive Pulmonary Disease at Thasongyang Hospital
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Abstract
Objectives: To develop and evaluate of video instruction for metered dose inhaler (MDI) use in Karen language for patients with chronic obstructive pulmonary disease (COPD) at Thasongyang hospital. Methods: The researchers developed the MDI video instruction in Karen language based on the relevant content in the handbook of Pharmacy Council of Thailand in 2019. The subjects were Karen patients diagnosed with COPD by physicians, unable to communicate in Thai, being over eighteen years old, visiting the COPD clinic on Monday between November 11 and December 2, 2019, and using MDI for at least one month. The researchers asked the subjects to demonstrate how they used MDI. When assessed by the researchers as having at least one incorrect step out of the total 6 steps, the subjects were asked to watch the video. After watching, the subjects immediately demonstrated MDI use again and its appropriateness was assessed by the researchers using the same procedure as done during pre-test. Each correct step of MDI use got one point of score. Subsequently, the patients rated their satisfaction towards MDI video instruction on 5 point scale by the help of interpreters. Results: The MDI video instruction in Karen language were 2 minutes in length. The contents included the demonstration of MDI use with Karen language narration, and Thai subtitle presented at below. The total of 21 subjects were recruited with 10 male and 11 female, having an average age of 62.86±12.26 years old, having an average duration of disease 51.71±45.40 months, with 14 having no comorbidity and 17 being non-smoker. Six subjects correctly used MDI in all 6 steps, leaving 15 subjects undergoing video watching. The average scores on correct use of MDI before and after watching video for these subjects were 2.4±1.76 and 4.0±2.14, respectively, showing statistically significant increase (P=0.001). Overall satisfaction with video was 4.05±0.05 (from the full score of 5). Conclusion: Patients used MDI more correctly after watching MDI video instruction in Karen language developed in the study and reported high satisfaction with the video. Therefore, this video should be used and disseminated to other hospitals with same context.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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