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已发表论文
慢性阻塞性肺疾病老年患者吸入器依从性的障碍与促进因素：一项定性研究
Authors Liu YR, Zhang W, Huang Y, Peng X, Sun K, Wu Z, Wang H, Ji X, Wang J
Received 13 July 2025
Accepted for publication 4 November 2025
Published 27 November 2025 Volume 2025:20 Pages 3827—3838
DOI https://doi.org/10.2147/COPD.S553540
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Vanesa Bellou
You-Ran Liu,1 Wenzhong Zhang,2 Yaqi Huang,3 Xiulan Peng,4 Kangming Sun,5 Zhiying Wu,6 Huadong Wang,4 Xiaomei Ji,7 Jie Wang7
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People’s Republic of China; 2School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, People’s Republic of China; 3School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China; 4Department of Respiratory Medicine, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, People’s Republic of China; 5Nursing Department, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, People’s Republic of China; 6School of Nursing, Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 7School of Nursing, Bengbu Medical University, Bengbu, Anhui Province, People’s Republic of China
Correspondence: Jie Wang, School of nursing, Bengbu Medical University, No. 2600 Donghai Avenue, Bengbu, People’s Republic of China, Tel +86 18255208691, Email 0700066@bbmu.edu.cn
Background: Inhalation therapy is the mainstay of pharmacological treatment for patients with chronic obstructive pulmonary disease (COPD). Elderly individuals with COPD often face greater challenges in using inhalers, and their experiences with inhaler use significantly influence treatment adherence and outcomes. Therefore, it is imperative to understand barriers and facilitators influencing inhaler adherence among elderly COPD patients, based on their perceptions and experiences with inhaled medications.
Methods: A descriptive qualitative study was conducted using semi-structured interviews with elderly COPD patients recruited from a tertiary hospital in China. Data were analyzed through conventional content analysis with NVivo 11.
Results: A total of 20 participants (mean age: 75.9 years; 35% female) completed the interviews. Two themes with six subthemes were identified. The two themes were facilitators for inhaler adherence and barriers to inhaler adherence. Facilitators included perceived manageability of inhaler devices and perceived benefits of inhalation therapy. Barriers involved physical limitations, communication challenges between patients and health providers, forgetfulness, and inconvenient refill policies.
Conclusion: Adapting and optimizing inhaler devices to patient needs, increasing patient awareness of the benefits of inhalation therapy, and establishing continuous, effective pathways of patient-provider communication may represent promising approaches to improve inhaler adherence in elderly individuals with COPD.
Keywords: adherence, COPD, inhalation therapy, qualitative study, barriers, facilitators
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People’s Republic of China; 2School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, People’s Republic of China; 3School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China; 4Department of Respiratory Medicine, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, People’s Republic of China; 5Nursing Department, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, People’s Republic of China; 6School of Nursing, Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 7School of Nursing, Bengbu Medical University, Bengbu, Anhui Province, People’s Republic of China
Correspondence: Jie Wang, School of nursing, Bengbu Medical University, No. 2600 Donghai Avenue, Bengbu, People’s Republic of China, Tel +86 18255208691, Email 0700066@bbmu.edu.cn
Background: Inhalation therapy is the mainstay of pharmacological treatment for patients with chronic obstructive pulmonary disease (COPD). Elderly individuals with COPD often face greater challenges in using inhalers, and their experiences with inhaler use significantly influence treatment adherence and outcomes. Therefore, it is imperative to understand barriers and facilitators influencing inhaler adherence among elderly COPD patients, based on their perceptions and experiences with inhaled medications.
Methods: A descriptive qualitative study was conducted using semi-structured interviews with elderly COPD patients recruited from a tertiary hospital in China. Data were analyzed through conventional content analysis with NVivo 11.
Results: A total of 20 participants (mean age: 75.9 years; 35% female) completed the interviews. Two themes with six subthemes were identified. The two themes were facilitators for inhaler adherence and barriers to inhaler adherence. Facilitators included perceived manageability of inhaler devices and perceived benefits of inhalation therapy. Barriers involved physical limitations, communication challenges between patients and health providers, forgetfulness, and inconvenient refill policies.
Conclusion: Adapting and optimizing inhaler devices to patient needs, increasing patient awareness of the benefits of inhalation therapy, and establishing continuous, effective pathways of patient-provider communication may represent promising approaches to improve inhaler adherence in elderly individuals with COPD.
Keywords: adherence, COPD, inhalation therapy, qualitative study, barriers, facilitators