To Study the Effectiveness of Inhalation Technique Training in Patients with COPD and Asthma

dc.contributor.authorMeena, Men_US
dc.contributor.authorArora, Pen_US
dc.contributor.authorGoud, MSen_US
dc.contributor.authorKumar, Lokenderen_US
dc.date.accessioned2023-06-17T08:23:15Z
dc.date.available2023-06-17T08:23:15Z
dc.date.issued2023-05
dc.description.abstractIntroduction: Asthma and chronic obstructive pulmonary disease (COPD) are characterized by chronic airway inflammation. Lack of knowledge about the correct inhalation techniques leads to poor control of both diseases. This study aimed to study the effectiveness of inhalation technique training in patients with COPD and asthma. Materials and methods: A total of 132 patients fulfilling the inclusion criteria were trained with the correct technique of inhalation on day 0 and at the end of 1 and 6 months. Evaluation of technique training was done on these three occasions posttraining. The mean score of devices was obtained, and the mean inhalation technique score of various devices was compared. Results: Out of 132 patients, 65.1% (86/132) patients were using a dry powdered inhaler (DPIs), 26.5% (35/132) patients used metered dose inhalers (MDIs), and 8.4% (11/132) patients used MDI with spacer. The mean scores of patients using MDI at baseline were 5.68 ± 0.83, and after 1 month, 6.68 ± 0.58 (p < 0.000). The inhalation technique mean score of MDI improved after 6 months, 7.02 ± 0.56 as compared to baseline (p < 0.008) mean score of the patients using DPIs improved after 1 month, 5.53 ± 0.58 as compared to baseline 4.37 ± 5.53 (p < 0.000). There was no statistical improvement in the device mean score of DPIs after 6 months, 5.62 ± 0.55 when compared with 1 month, 5.53 ± 0.58 (p < 0.117). Patients who used pressurized metered-dose inhalers (pMDI) with spacers improved their inhalation score after 1 month by 6.90 ± 0.94 as compared to the baseline score of 6.90 ± 0.94 (p < 0.001). The mean score decreased marginally after 6 months, 7.818 ± 0.60, as compared to the score at the end of 1 month of 8.27 ± 0.64 (p < 0.053). Discussion: Patients showed improvement in the technique of inhalation after educational training, reinstructions, and a standard checklist.en_US
dc.identifier.affiliationsAssociate Professor, Institute of Respiratory Diseases, Sawai Man Singh Medical College, Jaipuren_US
dc.identifier.affiliationsAssistant Professor, Department of Respiratory Medicine, Jawahar Lal Nehru Medical College, Ajmer, Rajasthanen_US
dc.identifier.affiliationsDM fellow, Department of Pulmonary Medicine, All India Institute of Medical Sciences, Bhuvaneshwar, Odishaen_US
dc.identifier.affiliationsChest Specialist, Department of Pulmonary Medicine, National Institute of Tuberculosis and Respiratory Diseases, Delhi, Indiaen_US
dc.identifier.citationMeena M, Arora P, Goud MS, Kumar Lokender. To Study the Effectiveness of Inhalation Technique Training in Patients with COPD and Asthma. Journal of the Association of Physicians of India. 2023 May; 71(5): 56-60en_US
dc.identifier.issn0004 – 5772
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/216409
dc.languageenen_US
dc.publisherAssociation of Physicians of Indiaen_US
dc.relation.issuenumber5en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.5005/japi-11001-0238en_US
dc.titleTo Study the Effectiveness of Inhalation Technique Training in Patients with COPD and Asthmaen_US
dc.typeJournal Articleen_US
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