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TITLE:

A CROSS SECTIONAL STUDY ON THE EVALUATION OF INHALER USAGE TECHNIQUE AND ITS EFFECTS ON COPD AND ASTHMA PATIENTS

AUTHORS:

Dr Muhammad Imran, Dr Romana Arif, Dr Hafiza Tarum Naveed

ABSTRACT:

Objective: The aim of this study was to evaluate the Inhaler use technique in the patients of Asthma or Chronic Obstructive Pulmonary Disease. Methodology: The design of this study was Cross Sectional Study. This study was conducted in Shaikh Zayed Hospital Raheem Yar Khan and the duration of this study was from January 2020 to April 2020. 80 patients having asthma or chronic obstructive Pulmonary Disease (COPD) were selected for the research study. These patients were asked to show their way of using inhaler in the presence of a medical officer and all those patients had previous history of inhaler prescription. Medical officer observed various ways of inhaling through inhaler as carried out by the patients. Every participant filled a 10-step questionnaire specially designed for the research purpose which evaluated the inhalation technique of the participants, answers were given in the form of true and false as alternate choice questions. Demographic variables and data both were documented. Results: No removal of cap was done by 6% of the patients, most of the participants shook the inhaler well before inhaling process (87.5%) and right upright position of inhaler was observed by (95%) of the patients. Gentle breathing was not carried out by 50% of the participants, inappropriate mouth sealing was not observed by the (32.5%), canister push breathing was carried out by (37.5%), after pressing canister simultaneously breathing was observed and holding of breath after the pushing of canister was observed by (42.5%). Single inhalation & single actuation was observed by (47.5%) of the participants. Majority of the cases (52.5%) in case of extra dose did not observe a gap of sixty seconds. Conclusion: In-hand research outcomes reflect that patients were not aware about the basic steps of inhaler use and they failed to perform the basic steps required by the effective usage and dosage of the drug. Key Words: Chronic Obstructive Pulmonary Disease, Actuation, Canister, Asthma, Inflammation.

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