ASSESSMENT OF METERED DOSE INHALER TECHNIQUE IN PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE

Dr maliha Batool, Dr savida ilyas dar DAR, DR RIZWAN AHMAD, Dr hareema saeed khan Khan, DR SHABIH HAIDER HAIDER, Dr aroosa Farid
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 Appropriate selection and correct use of inhalation devices is an integral component in the management of asthma and chronic obstructive lung disease (COLD). It is well known that no one device suits all patients. Metered Dose Inhalers (MDIs) and Soft Mist Inhalers (SMIs) are widely used even if benefits to patients are strictly related to their usability. Our aim of the study was to assess the frequency of patients with chronic obstructive lung diseases having improper metered dose inhaler technique.
 Methodology
 It was a cross-sectional study done at outpatient Department of Medical Department, Federal Government Polyclinic Hospital, Islamabad over a period of 3.All Patients with COLD presenting in OPD were assessed as having either a correct (performed ALL 6 steps correctly) or incorrect (not performed all steps correctly) inhaler technique, data being recorded on proforma.
 RESULTS
 A total of 250 patients were included in the study ranged between 14-70 years with mean age of patients 46.5±15.7 years. Total of 6 steps of inhalation technique was observed. Mean steps was 3.8±1.4. Incorrect inhaler technique (≤5 steps) was adopted by 220 patients (88%) and correct technique (6 steps) adopted by only 30 patients (12%). Stratification for age, gender, duration of COLD, education, marital status, occupation and BMI was also carried out.
 CONCLUSION
 Our study demonstrates that incorrect technique during inhalation is common among our patients with COLD hence it emphasizes an essential role of health professionals in regular evaluation of their patients and caregivers to ensure correct application of inhalation devices.
 
 KEY WORDS
 Metered dose inhalers (MDI), Chronic obstructive lung disease (COLD), Correct technique
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引用次数: 0

Abstract

Background Appropriate selection and correct use of inhalation devices is an integral component in the management of asthma and chronic obstructive lung disease (COLD). It is well known that no one device suits all patients. Metered Dose Inhalers (MDIs) and Soft Mist Inhalers (SMIs) are widely used even if benefits to patients are strictly related to their usability. Our aim of the study was to assess the frequency of patients with chronic obstructive lung diseases having improper metered dose inhaler technique. Methodology It was a cross-sectional study done at outpatient Department of Medical Department, Federal Government Polyclinic Hospital, Islamabad over a period of 3.All Patients with COLD presenting in OPD were assessed as having either a correct (performed ALL 6 steps correctly) or incorrect (not performed all steps correctly) inhaler technique, data being recorded on proforma. RESULTS A total of 250 patients were included in the study ranged between 14-70 years with mean age of patients 46.5±15.7 years. Total of 6 steps of inhalation technique was observed. Mean steps was 3.8±1.4. Incorrect inhaler technique (≤5 steps) was adopted by 220 patients (88%) and correct technique (6 steps) adopted by only 30 patients (12%). Stratification for age, gender, duration of COLD, education, marital status, occupation and BMI was also carried out. CONCLUSION Our study demonstrates that incorrect technique during inhalation is common among our patients with COLD hence it emphasizes an essential role of health professionals in regular evaluation of their patients and caregivers to ensure correct application of inhalation devices. KEY WORDS Metered dose inhalers (MDI), Chronic obstructive lung disease (COLD), Correct technique
慢性阻塞性肺疾病患者计量吸入器技术的评估
背景# x0D;适当选择和正确使用吸入装置是哮喘和慢性阻塞性肺疾病(COLD)管理的一个组成部分。众所周知,没有一种设备适合所有的病人。计量吸入器(mdi)和软雾吸入器(SMIs)被广泛使用,即使对患者的益处与它们的可用性严格相关。我们的研究目的是评估慢性阻塞性肺疾病患者使用不正确的计量吸入器技术的频率。方法# x0D;这是一项横断面研究,在伊斯兰堡联邦政府综合医院内科门诊部进行,为期3年。所有在门诊就诊的感冒患者被评估为吸入器技术正确(正确执行所有6个步骤)或不正确(未正确执行所有步骤),数据记录在形式表上。 结果# x0D;研究共纳入250例患者,年龄在14-70岁之间,平均年龄46.5±15.7岁。观察吸入技术共6个步骤。平均步数为3.8±1.4。220例(88%)患者采用不正确的吸入器技术(≤5步),只有30例(12%)患者采用正确的吸入器技术(6步)。对年龄、性别、感冒持续时间、教育程度、婚姻状况、职业和BMI进行分层。 结论# x0D;我们的研究表明,在吸入过程中不正确的技术在感冒患者中很常见,因此强调了卫生专业人员在定期评估患者和护理人员以确保正确使用吸入装置方面的重要作用。 & # x0D;关键字# x0D;计量吸入器(MDI),慢性阻塞性肺疾病(COLD),正确技术
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审稿时长
16 weeks
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