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The relationship between cognitive function and competence in inhaler technique in older adults with airway disease

Authors
 Myung Jin Song  ;  Song Yee Kim  ;  Young Ae Kang  ;  Young Sam Kim  ;  Moo Suk Park  ;  Byoung Seok Ye  ;  Ji Ye Jung 
Citation
 GERIATRIC NURSING, Vol.43 : 15-20, 2022-01 
Journal Title
GERIATRIC NURSING
ISSN
 0197-4572 
Issue Date
2022-01
Keywords
Airway disease ; Asthma ; Chronic obstructive pulmonary disease ; Cognitive function ; Inhaler ; Mini-mental state examination
Abstract
Cognitive impairment has high prevalence in older adults with airway diseases, and may influence their competence in inhaler use, thereby negatively affecting patient prognosis. We aimed to evaluate the relationship between cognitive function and competence in inhaler technique. We enrolled 108 inhaler naïve older adults (≥60 years) with airway disease in this prospective observational study and performed the Korean version of the Mini-Mental State Examination (K-MMSE). After explaining the inhaler technique, we scored its competence. While the total K-MMSE score was unrelated to the inhaler score, the orientation for place (estimates=0.62, p = 0.009), registration (estimates=0.988, p = 0.037), and recall (estimates=0.161, p = 0.048) were positively associated with the score. Low K-MMSE scores were associated with lower odds ratio for the competence of the "exhale" step (adjusted odds ratio= 0.23, p = 0.018). Thus, a K-MMSE-mediated evaluation of cognitive function in older adults with airway disease can be a useful tool to predict inhaler competence.
Full Text
https://www.sciencedirect.com/science/article/pii/S0197457221003451
DOI
10.1016/j.gerinurse.2021.10.025
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Young Ae(강영애) ORCID logo https://orcid.org/0000-0002-7783-5271
Kim, Song Yee(김송이) ORCID logo https://orcid.org/0000-0001-8627-486X
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Song, Myung Jin(송명진) ORCID logo https://orcid.org/0000-0003-2218-8959
Ye, Byoung Seok(예병석) ORCID logo https://orcid.org/0000-0003-0187-8440
Jung, Ji Ye(정지예) ORCID logo https://orcid.org/0000-0003-1589-4142
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187851
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