“ASSESSMENT OF INHALER TECHNIQUES AND ADHERENCE: A CROSS-SECTIONAL STUDY AT TERTIARY CARE HOSPITAL IN SUBURBAN SETUP”.
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Keywords
Asthma; COPD; Inhaler Techniques; Aerosol Therapy; Adherence.
Abstract
Introduction: Asthma and chronic obstructive pulmonary disease (COPD) are highly prevalent chronic respiratory conditions that affect millions of people worldwide. Effective management significantly depends on patients adopting proper inhaler techniques and adherence. This study aims to observe the inhaler usage techniques and adherence in patients with asthma and COPD.
Methods: This was an observational cross-sectional study conducted by the department of pharmacology in collaboration with respiratory medicine on patients having confirmed diagnosis of asthma or COPD. In this study, we observed inhaler technique using the Modified Typical Errors Inhalational Techniques (TEIT). The patient with a TEIT score >15 was classified as the wrong user. Adherence was assessed by a predefined structured questionnaire (test of adherence to inhalers), which included 10 questions.
Results: 202 out of 218 enrolled patients were on metered dose inhalers (MDI), 13 on dry powder inhalers (DPI), and 3 were on MDI with spacers. In patients on MDI, 47 (23.27%), on DPI 6 (46.15%), and on MDI with spacer 1 (33.33%) were right users. Hence, out of 218 patients, 75.23% of the patients were wrong users as per TEIT scoring. Out of 202 MDI users, 47 (23.27%), out of 3 MDI with spacers, 1 (33.33%), and out of 13 DPI users, 2 (15.38%) patients were adherent; therefore, 77.06% were non-adherent while 22.94% were adherent.
Conclusion: 75% patients used improper inhaler techniques and 77% patients were non-adherent to the prescribed therapy, thereby indicating the need for proper communication and training to be adopted by health care professionals.
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Dr. Ritesh Kumari
Senior resident, Department of Pharmacology, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh, India
Dr. Parul Kamal
Assistant Professor, Department of Pharmacology, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh, India
Dr. Mohit Trivedi
Associate Professor, Department of Pharmacology, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh, India
Dr. Ambrish Kumar Gupta
Professor & Head, Department of Pharmacology, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh, India
Dr. Suchi Jain
Assistant Professor, Department of Pharmacology, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh , India