The effect of repeated video-training session on metered doseinhaler skills among individuals with COPD: Prospective randomised controlled study.

OBJECTIVE: This study was undertaken to assess the effect of repeated video-training sessions on the adequacy of metered-dose inhaler (MDI) among individuals with COPD. BACKGROUND: MDI devices facilitate the use of inhalation drugs in COPD patients and have become ever more important over the years. However, this device requires a certain level of hand-to-mouth coordination and cognitive ability. Since it has a high risk of application errors, training in its use is important to treatment success. DESIGN: Randomised controlled trial. METHODS: This study was carried out from 1 February to 1 July 2017 with the participation of 40 COPD patients. The data were collected using a 'Patient Information Request Form' and an 'MDI Skill Evaluation Form'. CONSORT checklist was used to report the current study. RESULTS: It was found that there was no significant difference between the experimental and control groups in terms of the mean scores of the 1st measurement (p > .05), though the mean scores of the 5th measurement were significantly higher in the experimental group (p < .001). In the 5th measurement, it was identified that the control group had 'moderate' adequacy (3.20 ± 1.6), while the experimental group had 'satisfactory' adequacy (8.70 ± 1.17), indicating that the patients in the experimental group made fewer mistakes and showed improved adequacy. CONCLUSION: It was found that repeated video-training sessions materially improved MDI skills. RELEVANCE TO CLINICAL PRACTICE: Supporting the training on inhaler drug therapy with visual technological tools and regular checking of drug use will contribute to COPD management.

The effect of hand and foot massage on fatigue in hemodialysis patients: A randomized controlled trial.

OBJECTIVE: The aim of this study was to examine the effect of hand massage and foot massage on fatigue in hemodialysis patients. METHODS: This randomized, controlled and quasi-experimental study was conducted between October 19, 2018 and February 11, 2019 with patients receiving hemodialysis therapy in the dialysis unit of a public hospital in Turkey. Data were collected using a Patient Identification Form and the Visual Analogue Scale for Fatigue. The study was carried out with 82 patients in three groups: a hand massage group (n = 27), a foot massage group (n = 27) and a control group (n = 28). The patients in the control group were not administered any treatments except for standard nursing interventions in the hemodialysis unit. RESULTS: In between-groups comparison the hand and foot massage groups' mean fatigue score decreased after the application compared to that of the control group (p < 0.05). CONCLUSIONS: Hand and foot massage were found to reduce fatigue in patients receiving hemodialysis.