Evaluation of Technique Using Pressurized Metered dose Inhaler and its Determinants among COPD Patients: A Cross Sectional Study

2020 ◽  
Vol 11 (2) ◽  
pp. 790
Author(s):  
Achchhar Singh ◽  
Jai Kishan ◽  
Sameer Singhal ◽  
Vishvdeep Saini ◽  
Abhishek Chauhan
Keyword(s):  
Cross Sectional Study ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Sectional Study ◽  
Cross Sectional ◽  
Copd Patients ◽  
Metered Dose ◽  
Pressurized Metered Dose Inhaler

Critical Inhaler Administration Errors of Patients on Pressurized Meter Dose Inhaler (pMDI): A Hospital-Based Cross-Sectional Study in Malaysia

2021 ◽  
pp. 001857872110101
Author(s):  
Retha Rajah ◽  
Yi Woei Tang ◽  
Shien Chee Ho ◽  
Jo Lyn Tan ◽  
Muhamad Shuhaimi Mat Said ◽  
...  
Keyword(s):  
Knowledge Score ◽  
Cross Sectional Study ◽  
Education Level ◽  
Dose Inhaler ◽  
Meter Dose Inhaler ◽  
Cross Sectional ◽  
Copd Patients ◽  
Number Of Patients ◽  
Metered Dose ◽  
Inhaled Medication

Background: Inhaler technique errors can affect the disease outcome through reduced deposition of medication in the lungs with certain errors were more likely to deter the optimum drug from reaching the lung. The objective of this study was to evaluate the pressurized metered-dose inhaler (pMDI) critical technique errors among asthma and COPD patients, and to investigate the predictors of those errors. Methods: A cross-sectional, observational, and multi-centered study conducted in 3 major hospitals in the state of Penang, Malaysia. Asthma and COPD patients aged 18 years or older consented to the study were consecutively recruited if they were at least on 1 pMDI without mouthpiece spacer or facemask space. Direct observation of the patient’s technique was recorded using a standard checklist and certain steps in the checklist were pre-determined as critical steps. The number of patients missed or incorrectly performed the steps including the critical steps were documented. Using logistic regression, the factors associated with the critical errors were determined, and the correlation was evaluated between age and pMDI knowledge score with critical inhalation steps score. Results: Of 209 patients observed, only less than half (40.7%) could perform all the critical pMDI steps correctly. Low education level was the only factor associated with critical inhaler errors. The increased knowledge of their inhaled medication was found to positively correlate with the correct critical inhalation steps. The critical errors also increase with the increased age of patients. Conclusion: The majority of the study population make inhalation error particularly in critical steps. Training and education intervention programs may help patients with lower education level, as well as those of advanced age and lack of knowledge of their inhaled medication because those populations are at a greater risk of committing critical errors in their use of pMDI.

scholarly journals Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jin Sun Kim ◽  
Nader Hashweh ◽  
Hannah Li ◽  
Salik Choudhary ◽  
Sadashiv Santosh ◽  
...  
Keyword(s):  
Chronic Obstructive Lung Disease ◽  
Dose Inhaler ◽  
Chronic Obstructive ◽  
Prospective Clinical Study ◽  
Number Needed To Treat ◽  
Inhaler Technique ◽  
Metered Dose Inhaler ◽  
Copd Patients ◽  
Metered Dose ◽  
Pressurized Metered Dose Inhaler

Abstract Background Incorrect use of inhalers among asthma and COPD patients is very prevalent. Yet, no single intervention is considered standard of care. We aimed to conduct a COPD-specific investigation of active one-on-one coaching as the educational intervention to improve pressurized metered dose inhaler (pMDI) technique and COPD symptoms management. Methods COPD patients who have pMDI in their treatment regimen were enrolled in this prospective study using the Global Initiative for Chronic Obstructive Lung Disease criteria. After rapid cognitive screen, inhaler technique was assessed and an active one-on-one coaching was provided utilizing the 12-step American Thoracic Society instructions. Patients’ inhaler technique was assessed and scored again at their regular follow-up visits. Results One hundred and one patients participated in the study. The percentage of pMDI misuse decreased from 43.5% pre-teaching to 12.9% post-teaching (binomial test p value < 0.001). The mean number of errors decreased from 3.1 errors pre-teaching to 1.7 errors post-teaching (paired t-test p value < 0.001). The number needed to treat was 3.3 patients to prevent one misuse. Patients with an impaired cognitive function were more likely to have inhaler misuse in general and less likely to improve their technique when provided training. Conclusions This study reveals that many COPD patients have incorrect pMDI techniques that can be improved with a short training in the clinic. Trial Registration: Not applicable.

scholarly journals KARAKTERISTIK INFORMASI TERKAIT CARA PENGGUNAAN METERED-DOSE INHALER DENGAN SPACER YANG MENGANDUNG KOMBINASI BETA-2 AGONIS DAN KORTIKOSTEROID OLEH APOTEKER DI APOTEK WILAYAH SURABAYA TIMUR

2018 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
Amalia Lorensia ◽  
Doddy De Queljoe ◽  
Yessica Valensia
Keyword(s):  
Cross Sectional Study ◽  
Assessment Method ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Research Subjects ◽  
Cross Sectional ◽  
A Value ◽  
Metered Dose ◽  
The Subject ◽  
Respiratory Treatment

ABSTRACT Treatment of respiratory disorders using a metered-dose inhaler (MDI) with spacer becomes one of the important points. Pharmacists at pharmacies are the final key in therapy to ascertain how the use of inhalation tools is correct. This study aims to determine the completeness of each step of information on how to use MDI with spacer given by pharmacists at pharmacies in East Surabaya. The research design used is cross-sectional study with the subject of research is pharmacist in pharmacy. The research variable is the explanation of how to use MDI inhaler with spacer. An assessment method of 8 steps on how to use MDI with spacer and each number gets a value. Research subjects were 22 pharmacists. Most pharmacists describe each step orally by using the tool directly, ie at step: 1a (77.27%), 1b (77.27%), 2 (81.81%), 3 (31.81%) , 4a (59.09%), 4b (13.63%), 5a (100%), 5b (63.63%), 6a (90.90%), 6b (40.90%), 8a (9 , 09%), and 8b (9.09%). Most of the pharmacists explain verbally with a demonstration tool but only one pharmacist can explain all the steps completely. Therefore, pharmacists need to improve IEC services related to the use of MDI with a spacer for respiratory treatment.   Keywords :   information on how to use inhaler, Metered-Dose Inhaler (MDI), spacer, pharmacist, pharmacy

scholarly journals COPD patients need more information about self-management: a cross-sectional study in Swedish primary care

2019 ◽  
Vol 37 (4) ◽  
pp. 459-467 ◽  
Author(s):  
Hanna Sandelowsky ◽  
Ingvar Krakau ◽  
Sonja Modin ◽  
Björn Ställberg ◽  
Anna Nager
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Copd Patients
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