scholarly journals Association of Asthma Control and Metered-Dose Inhaler Use Technique among Adult Asthmatic Patients Attending Outpatient Clinic, in Resource-Limited Country: A Prospective Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Bezie Kebede ◽  
Girma Mamo ◽  
Abebaw Molla
Keyword(s):  
Asthma Control ◽  
Statistical Significance ◽  
Study Patient ◽  
Dose Inhaler ◽  
Inhalation Technique ◽  
Metered Dose Inhaler ◽  
Asthmatic Patients ◽  
Ordinal Logistic Regression Analysis ◽  
Metered Dose ◽  
Adult Asthmatic

Asthma is a heterogeneous disease which is characterized by chronic airway inflammation. It is a common chronic respiratory disease affecting 1–18% of population in different countries. It can be treated mainly with inhaled medications in several forms, including pressurized metered-dose inhaler (MDI). Patients encountered difficulty in using inhaler devices even after repeated demonstration and/re-evaluation. This could highly compromise patient treatment outcome/asthma control. To evaluate relationship between MDI use technique and asthma control among adult asthmatic patients who attend respiratory clinic in Jimma University Medical Center (JUMC), Southwest Ethiopia. A prospective observational study was conducted from March to August 22, 2018. All adult asthmatic patients who met the inclusion criteria were included in the study. Patient baseline assessment was conducted (patient demography, inhalation technique, adherence, and asthma control status). Inhalation technique was obtained using a standard checklist of steps recommended in National Institute of Health (NIH) guidelines. Patient adherence using asthma inhalation test and asthma control status was assessed by 2017 GINA guideline. Independent predictors of outcome were identified, strength of association between dependent and independent variables was determined by using ordinal logistic regression analysis, and statistical significance was considered at P<0.05. One hundred forty patients were included in the analysis. Among these, 26 (18.4%) patients were controlled, 65 (46.1%) partially controlled, and 35% uncontrolled. Proportion of patients with uncontrolled asthma were higher among inefficient as compared to efficient, whereas patients with controlled asthma were higher among efficient as compared to inefficient. Asthma control status is significantly associated with inhalation technique (P=0.006). Since most of the patients were inefficient and it is significantly associated with asthma control status, the hospital tried to adopt video MDI teaching program, and the patient should ask healthcare professionals how to take medication and they should bring their device to receive demonstration during visit. Health professionals should re-evaluate the patient during their hospital visit and encourage bringing their device to give demonstration.

scholarly journals Correlation of Metered Dose Inhaler Use Technique and Asthma Control Level in Asthma Patients at a Hospital in Bandung, West Java, Indonesia.

2021 ◽  
Vol 7 (3) ◽  
pp. 221-230
Author(s):  
Widyastiwi Widyastiwi ◽  
Mohammad Roseno ◽  
Tsania Nurilsyam ◽  
Inne Farida Lhaksmiwati
Keyword(s):  
Asthma Control ◽  
Control Level ◽  
Dose Inhaler ◽  
Control Test ◽  
Metered Dose Inhaler ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Asthmatic Patients ◽  
Metered Dose

Background: Asthma is still a major health problem in global population, including Indonesia. Antiasthma drugs available in various dosage forms, including inhaler. However, several problems related to inhalation route were found due to its unique device form and spesific use technique. One of the major problems related to inhalation route is inappropriate use technique of inhaler device, which could lead to treatment failure. Therapy outcome can be measured through Asthma Control Test (ACT). Objectives: This study was aimed to evaluate correlation between metered dose inhaler (MDI) use technique and asthma control level in patients. Material and Methods: A cross-sectional analytic study was conducted in May - June 2021. Thirty patients who met inclusion criteria were enrolled in this study. Patients’ MDI use technique and asthma control level were evaluated using a valid and standardized questionnaire. Statistics analysis was performed to determine the correlation between MDI use technique and asthma control level. Results: This study showed that most of asthmatic patients were women in older age, with mild asthma severity for more than 10 years. The most prevalent medication used was Fenoterol HBr, followed by salbutamol, and salmeterol/fluticasone combination. Inappropriate MDI use was found in 70,0% patients, with major problem found in patients’ breathing technique before and during MDI use. Asthma control test was performed and showed that 90,0% of asthmatic patients involved in this study have an uncontrolled asthma. Statistical analysis using Pearson product-moment correlation test showed a positive correlation between proper use of MDI and asthma control level (r=0.425, p<0.05). Conclusions: Patient who properly use MDI may have a higher score in asthma control test, thus have a better control of asthma. This study emphasized pharmacist role as patient educator in ensuring appropriate inhaler use in order to achieve therapeutic goals.

scholarly journals Correction to: Barriers to and competency with the use of metered dose inhaler and its impact on disease control among adult asthmatic patients in Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Melaku Abegaz ◽  
Efrata Ashuro Shegena ◽  
Natnael Fentie Gessie ◽  
Eyob Alemayehu Gebreyohannes ◽  
Mohammed Assen Seid
Keyword(s):  
Disease Control ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Asthmatic Patients ◽  
Metered Dose ◽  
Adult Asthmatic

scholarly journals Barriers to and competency with the use of metered dose inhaler and its impact on disease control among adult asthmatic patients in Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Melaku Abegaz ◽  
Efrata Ashuro Shegena ◽  
Natnael Fentie Gessie ◽  
Eyob Alemayehu Gebreyohannes ◽  
Mohammed Assen Seid
Keyword(s):  
Disease Control ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Asthmatic Patients ◽  
Metered Dose ◽  
Adult Asthmatic

scholarly journals Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Bezie Kebede ◽  
Girma Mamo
Keyword(s):  
Logistic Regression ◽  
Asthma Control ◽  
Statistical Significance ◽  
Binary Logistic Regression ◽  
Inhalation Technique ◽  
Cross Sectional ◽  
Asthmatic Patients ◽  
Number Of Patients ◽  
Co Morbidity ◽  
Adult Asthmatic

Abstract Background Asthma is one of the major non-communicable diseases worldwide. The prevalence of asthma has continuously increased over the last five decades, resulting in 235 million people suffering from it. One of the main challenges in asthma control is adherence to pharmaceutical treatment (4) and leads to poor outcome and increases the economic and clinical burden. Non-adherence could be intentional or non-intentional. Objective To identify the determinants of inhaled steroid adherence among adult asthmatic patients. Setting The study was done in Jimma university medical center (JUMC) from March–August 22/2018. Method Cross-sectional observational study was conducted. Patient assessment was conducted (patient demography, inhalation technique, adherence, and asthma control status). Independent predictors of outcome identified and strength of association between dependent and independent variables determined by using binary logistic regression and statistical significance was considered at p < 0.05. Before computing binary logistic regression analysis, the presence of colinearity between independent factor and model fitness was checked. Results One hundred forty patients were included in the analysis. Substantial number of patients 53(37.9, 95%CI: 30–45) were non-adherent. Patient experience of previous adverse drug reaction (p = 0.011), educational status (p = 0.02), patient knowledge status (p = 0.028), previous education (p = 0.0001) and co-morbidity (p = 0.031) were significantly associated with adherence. Conclusions The rate of non-adherence to inhalational anti-asthmatics is high and different factors contributed. The health care provider should try to counsel patients about the effect of non-adherence on asthma control. Reassurance concerning adverse drug reactions should be an integral part of patient counseling.

scholarly journals Skills in Handling Turbuhaler, Diskus, and Pressurized Metered-Dose Inhaler in Korean Asthmatic Patients

2011 ◽  
Vol 3 (1) ◽  
pp. 46 ◽  
Author(s):  
Sang Min Lee ◽  
Yoon-Seok Chang ◽  
Cheol-Woo Kim ◽  
Tae-Bum Kim ◽  
Sang-Heon Kim ◽  
...  
Keyword(s):  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Asthmatic Patients ◽  
Metered Dose ◽  
Pressurized Metered Dose Inhaler

Metered dose inhaler-spacer use education effects on achieve asthma control in children

2016 ◽  
Vol 64 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Ahmet TÜRKELİ ◽  
Özge YILMAZ ◽  
Hasan YÜKSEL
Keyword(s):  
Asthma Control ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Metered Dose ◽  
Education Effects
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