Introduction and objectives

Allergic rhinitis is a common disorder. Intranasal corticosteroid sprays are used to control symptoms. However, incorrect use of these sprays can decrease efficacy and lead to side effects such as nose bleeding. We studied if watching an age-adjusted instruction video is effective to improve administration technique.

Materials and methods

We invited children who used intranasal corticosteroid sprays. We examined their administration technique before, directly after, and one month after showing them an age-adjusted instruction video. We compared their administration technique with the instructions in the patient information leaflet. We assessed whether the children performed the seventeen maneuvers mentioned in the patient information leaflet and the eight we considered essential.

Results

Of the 99 eligible children, 23 (15 boys, median age nine years) participated. Before watching the instruction video none of them administered according to all maneuvers in the patient information leaflet or showed all essential maneuvers. One month after seeing the instruction video, three children demonstrated correct inhalation as per the patient information leaflet. Three performed the essential maneuvers. When a 75% threshold level for carrying out all 17 maneuvers was used, still none showed 75% of all or of the essential maneuvers before watching the video. Yet, after one month 12 children showed sufficient administration technique (52%, 95% confidence interval (CI) 31%–73%, p = 0.004). Nine showed all essential manoeuvres (47%, 95%CI 24%–71%, p = 0.004).

Conclusions

An age-adjusted instruction video is a useful and easy method to teach children to administer nasal intranasal corticosteroid sprays correctly.

中文翻译：

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调整了年龄的教学视频可增强儿童正确使用鼻皮质类固醇喷雾剂的正确性。

介绍和目标

过敏性鼻炎是一种常见的疾病。鼻内糖皮质激素喷雾剂可用于控制症状。但是，不正确使用这些喷剂会降低药效并导致副作用，例如鼻出血。我们研究了观看年龄调整后的教学视频是否有效改善了管理技巧。

材料和方法

我们邀请使用鼻内皮质类固醇喷雾剂的儿童。我们在向他们展示经过年龄调整的教学视频之前，之后和一个月后检查了他们的管理技术。我们将他们的给药技术与患者信息手册中的说明进行了比较。我们评估了孩子们是否执行了患者信息手册中提到的17项操作，以及我们认为必不可少的8项操作。

结果

在99名合格儿童中，有23名（男孩15名，中位年龄9岁）参加了比赛。在观看说明视频之前，他们均未按照患者信息手册中的所有操作进行管理，也未显示所有基本操作。观看说明视频一个月后，根据患者信息手册，三个孩子表现出正确的吸入。三人进行了必要的演习。当使用75％的阈值水平来执行所有17次演习时，在观看视频之前，仍然没有一项显示全部或全部基本演习的75％。然而，一个月后，有12名儿童表现出足够的给药技术（52％，95％置信区间（CI）31％–73％，p = 0.004）。9名表现出所有必要的动作（47％，95％CI 24％–71％，p = 0.004）。

结论

调整年龄的教学视频是一种有用且简便的方法，可以教孩子正确使用鼻内滴鼻类固醇喷雾剂。