A study of Inhaler use Technique among Patients of Asthma and Chronic Obstructive Pulmonary Disease. | [Isra Medical Journal • 2017]

Author(s):

1. GHULAM MUSTAFA: Sheikh Zayed Medical College, Rahim Yar Khan, Pakistan

2. Mohammed Ibrahim: Sheikh Zayed Medical College, Rahim Yar Khan, Pakistan

3. Khalil Ahmed Shahid: Bakhtawar Amin Medical & Dental College, Multan, Pakistan

4. Hafiz Mohammed Yar Malik: Sheikh Zayed Medical College, Rahim Yar Khan, Pakistan

Abstract:

OBJECTIVE: To assess the technique of inhaler use among Chronic Obstructive Pulmonary Disease or Asthma patients. STUDY DESIGN: A Cross Sectional Study PLACE AND DURATION: Department of Pulmonology, Sheikh Zayed Hospital, Rahim Yar Khan, from 1st March to 30th June 2015. METHODOLOGY: A total of eighty consecutive patients with diagnosis of chronic obstructive Pulmonary Disease (COPD) or asthma, having history of inhaler use were included. Study subjects were asked to use inhaler while medical officer observed different steps of inhalation as performed by patients. A ten step questionnaire was devised to note inhalation technique by each study subject. Each step of inhalation technique was labeled as “correct” or “false” and noted in questionnaire. The data on demographic variables was also noted. RESULTS: it was noted that 6% even did not removed cap before use. Majority 87.5% shake inhaler well, whereas, 95% hold upright inhaler properly. According to this study 50% of study subjects did not breath out gently. 32.5% made ineffective mouth sealing and only 37.5% patients breath in while canister was pressed simultaneously, 42.5% continued breath in slowly after canister press and 42.5% hold of breath after canister push. Single actuation/single inhalation was done by only 47.5% of study subjects. Most 52.5% of study subjects also did not wait for one minute if more dose was required. CONCLUSION: Our study showed that half of the patients were not able to perform the basic essential steps required for effective delivery of drug.

Page(s): 38-40

DOI: DOI not available

Published: Journal: Isra Medical Journal, Volume: 9, Issue: 1, Year: 2017

Keywords:

Keywords are not available for this article.

References:

[1] WelteT,GronebergDA, 2006.Asthma and COPD,Exp Toxicol Pathol 57 35 -40

[2] AbramsonMJ,PerretJL,DharmageSC,McDonaldVM,McDonaldC, 2014.Distinguishing adult-onset asthma from COPD: a review and a new approach,Int J Chron Obstruct Pulmon Dis 9 945 -62

[3] NationalHeart, 2007.Lung and Blood Institute, National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma, 07 -4051

[4] RabeKF,HurdS,AnzuetoA, 2007.Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary,Am J Respir Crit Care Med 176 532 -55

[5] RuddRA,MoormanJE,JAsthma, 2007.Asthma incidence: data from the national health interview survey,, 44 65 -70

[6] Influenza vaccination coverage among children with asthma – United States, 2004–05 influenza season. MMWR Morb Mortal Wkly Rep. 2007;56:193–96

[7] Global, .Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. ( C i t e d d a t e : A p r i l 1 4 , 2 0 0 8 ),com/Guidelineitem.asp?l1=2&l2= 1&intId=989] -

[8] Pierce R. Spirometry, 2005.: an essential clinical measurement,Aust Fam Physician 34 535 -39

[9] BrocklebankD,RamF,WrightJ,BarryP,CatesC,DaviesL, 2001.Comparison of the effectiveness of inhaler devices in asthma and chronic obstructive airways disease: a systematic review of the literature,Health Technol Assess 5 1 -149

[10] RamFS., 2003.Clinical efficacy of inhaler devices containing beta(2)-agonist bronchodilators in the treatment of asthma: cochrane systematic review and meta-analysis of more than 100 randomized, controlled trials,Am J Respir Med 2 349 -65

[11] PothiratC,ChaiwongW,PhetsukN,PisalthanapunaS,ChetsadaphanN,ChoomuangW. Evaluating, 2015.inhaler use technique in COPD patients,Int J Chron Obstruct Pulmon Dis 10 1291 -98

[12] AydemirY., 2015.Assessment of the factors affecting the failure to use inhaler devices before and after training,Respir Med 109 451 -58

[13] RootmensenGN,van KeimpemaAR,JansenHM, 2010.Predictors of incorrect inhalation technique in patients with asthma or COPD: a study using a validated videotaped scoring method,J Aerosol Med Pulm Drug Deliv 23 323 -28

[14] LiH,ChenY,ZhangZ,DongX,ZhangG,ZhangH, 2014.Handling of Diskus dry powder inhaler in Chinese chronic obstructive pulmonary disease patients,J Aerosol Med Pulm Drug Deliv 27 219 -27

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