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The Impact of Theoretical and Practical Guidance Regarding Metered Dose Inhaler Technique on Asthma Patients

1,2★, 3, 1, 1, 4, 1, 5, 6, 7,8, 9, 9, 4,9, 9, 2, 2, 2★ Corresponding author

  1. 1Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, PAKISTAN .
  2. 2Department of Pharmacy Practice, Lahore Pharmacy College, Lahore Medical and Dental College, University of Health Sciences, Lahore, PAKISTAN .
  3. 3Faculty of Pharmacy, University of Sargodha, Sargodha, PAKISTAN .
  4. 4University College of Pharmacy, University of the Punjab, Lahore, PAKISTAN .
  5. 5Department of Pharmacy Practice, Geethanjali College of Pharmacy, Hyderabad, Telangana, INDIA.
  6. 6Department of Clinical Pharmacy & Pharmacy Practice, Faculty of Pharmacy, UniSZA, Besut, Terengganu, MALAYSIA .
  7. 7Disciplines of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, MALAYSIA.
  8. 8Children’s Hospital & University of Child Health Sciences, Lahore, PAKISTAN .
  9. 9Department of Pharmaceutics, Lahore Pharmacy College, Lahore Medical and Dental College, University of Health Sciences, Lahore, PAKISTAN .

CORRESPONDENCE

Sara Shahid

Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, PAKISTAN .

sarashahid498@gmail.com

Received: 30-05-2022; Revised: 13-06-2022; Accepted: 14-07-2022.

Volume 14, Issue 3 · pp. 327-332 · 2022 · DOI: 10.5530/jyp.2022.14.64

ABSTRACT

Background: Asthma is rapidly increasing globally. Inhalation therapy is the backbone for asthma management due to localized delivery and rapid onset of action. Currently, metered dose inhalers (MDIs) are the most widely prescribed and dispensed inhaler devices worldwide due to the advantage of portability, multiple dose delivery and better efficacy.Objectives: The current study aimed to access the effect of educational intervention on asthma patients’ competency regarding pressurized metered dose inhaler (pMDI) technique.Methods: Asthma patients were recruited from Pakistan Institute of Medical Sciences (PIMS) Islamabad, Pakistan. Inhaler technique steps based upon “National Asthma Education and Preventive Program” (NAEPP) criteria was set as evaluating tool to evaluate competency of asthma patients regarding MDI appropriate technique. Intervention involved educating study subjects (asthma patients) practically through placebo inhaler and theoretically through inhaler technique directed literature brochures. Pre intervention and post intervention inhaler technique competency was accessed and evaluated statistically.Results: Among 207 asthma patients, majority were never instructed by healthcare professional regarding inhaler technique (78.8%). However, most of the patients were observed to have inadequate inhaler technique (76.3%) at baseline. As the result of educational intervention, the competency of patients regarding inhaler technique was significantly enhanced from 11.6% pre-intervention to 34.8% post-intervention (p<0.001), statistically analyzed by McNemar testing.Conclusion: Originally, inhaler technique competency of majority of asthma patients was observed to be inappropriate. However, educational intervention proved to be effective in substantially enhancing the competency of study subjects regarding MDI technique

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    Shahid, S., Ahmed, F., Shahnaz, G., Saqlain, M., Ans, M., Sana, A., Ali, A. N., Jamil, A. K. A. A., Khan, A. F., Naeem, S., Ahmad, S., Mahmood, A., Rafi, Q., Anwar, A., Khan, R., & Mubarak, N. (2022). The Impact of Theoretical and Practical Guidance Regarding Metered Dose Inhaler Technique on Asthma Patients. Journal of Young Pharmacists, 14(3), 327-332. https://doi.org/10.5530/jyp.2022.14.64

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    © 2022 Author(s)

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. CC BY-NC-SA 4.0