A Comparative Study On Inhaler Use Among Bronchial Asthma And COPD Patients
A Comparative Study On Inhaler Use Among Bronchial Asthma And COPD Patients
DOI:
https://doi.org/10.70284/njirm.v7i2.1353Keywords:
Inhaler Technique, DPI, COPD, AsthmaAbstract
Background: Bronchial Asthma and COPD are among the cause of substantial morbidity and mortality, the
treatment and control of which is hampered by incorrect use of inhaler. Methodology: Present study is a part of
another hospital based study conducted among the patients using DPI, attending the OPD and IPD of department of
TB & Chest diseases, FH Medical College Hospital. The secondary analysis was done to compare the inhaler use
technique among Bronchial Asthma and COPD patients. The subjects were selected non-randomly (purposely), and
observed by a single observer, while they were using the inhaler. The steps were noted at which the subjects were
observed to be performing incorrectly, in a pre-tested structured format. Results: The mean age was observed to be
significantly higher in COPD patients (53.5±12.0 years) as compared to that of bronchial asthma patients (46.9±17.5
years). Higher proportion of bronchial asthma patients (20%) were found to be using the inhaler correctly, as
compared to COPD patients (11.8%), though it was not found to be statistically significant (p>0.05). Among the
bronchial asthma patients, the most frequent mistake was made during breath holding after inhalation (68%), while
among COPD patients, most crucial steps were slow exhalation i.e. step 4 and forceful inhalation through the mouth
i.e. step 5 (72.9%). Conclusion: Incorrect usage of inhalers is widely prevalent among its users, which is not related to
the diagnosis for which it is prescribed. [Khan MNJIRM2016; 7(2):37-40]
References
http://www.who.int/mediacentre/factsheets/fs35
5/en/
2. Jindal SK, Aggarwal AN, Gupta D, Agarwal R, Kumar
R, Kaur T, Chaudhry K, Shah B. Indian study on
epidemiology of asthma, respiratory symptoms
and chronic bronchitis in adults (INSEARCH). The
International Journal of Tuberculosis and Lung
Disease. 2012;16:1270-7.
3. Global Strategy for Asthma Management and
Prevention (2015 update) (2015). Available fromhttp://
www.ginasthma.org/local/uploads/files/GIN
A_Report2015_Tracked.pdf
4. Gupta D, Agarwal R, Aggarwal AN, Maturu VN,
Dhooria S, Prasad KT et al. Guidelines for diagnosis
and management of chronic obstructive
pulmonary disease: Joint ICS/NCCP (I)
recommendations. Lung India. 2013 1;30(3):228.
5. Lavorini F, Magnan A, Dubus JC, Voshaar T,
Corbetta L, Broeders M et al. Effect of incorrect
use of dry powder inhalers on management of
patients with asthma and COPD. Respiratory
medicine. 2008;102(4):593-604.
6. Laube BL, Janssens HM, de Jongh FHC, Devadason
SG, Dhand R, Diot P et al. What the pulmonary
specialist should know about the new inhalation
therapies. European Respiratory Journal.
2011;37(6):1308-417.
7. Ganguly A, Das AK, Roy A, Adhikari A, Banerjee J,
Sen S. Study of proper use of inhalational devices
by bronchial asthma or COPD patients attending a
tertiary care hospital. J Clin Diagn Res. 2014 Oct
1;8:HC04-7.
8. Sehajpal R, Koolwal A, Koolwal S. Assessment of
inhalation technique of bronchial asthma and
chronic obstructive pulmonary disease patients
attending tertiary care hospital in Jaipur,
Rajasthan. Indian Journal of Allergy, Asthma and
Immunology. 2014;28(2):78.
9. Al-Rawas OA, Jayakrishnan B, Abid FB, George J,
Baddar SA, Al-Riyami BM. Management and
Control of Asthma in Patients Attending aSpecialist Centre in Oman. Sultan Qaboos
University medical journal. 2009;9(2):132.