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

Long-term safety and asthma control with budesonide/ formoterol versus budesonide pressurized metered-dose inhaler in asthma patients

2008 ◽  
Vol 29 (5) ◽  
pp. 499-516 ◽  
Author(s):  
Stephen P. Peters ◽  
Bruce M. Prenner ◽  
William S. Mezzanotte ◽  
Paula Martin ◽  
Christopher D. O'Brien
Keyword(s):  
Asthma Control ◽  
Dose Inhaler ◽  
Metered Dose Inhaler ◽  
Metered Dose ◽  
Asthma Patients ◽  
Pressurized Metered Dose Inhaler

PATIENT SATISFACTION IN USE OF SALBUTAMOL THROUGH METERED DOSE INHALER FOR TREATMENT OF WHEEZE IN ASTHMA

2021 ◽  
pp. 18-19
Author(s):  
Deena. E. ◽  
Ruma Nayak
Keyword(s):  
Drug Delivery ◽  
Patient Satisfaction ◽  
Treatment Outcome ◽  
Asthma Control ◽  
Dose Inhaler ◽  
Outcome Questionnaire ◽  
Metered Dose Inhaler ◽  
Assess Patient Satisfaction ◽  
High Satisfaction ◽  
Metered Dose

Objective: To investigate the patient satisfaction and the acceptability of salbutamol through Metered Dose Inhaler (MDI) in the treatment of wheeze in asthma. 34 participants between ages of 5 and 18 years were incl Methods: uded. Modied Pulmonary Index (MPI) score was used to assess the improvement after treatment with salbutamol delivered by inhaler.Pre and post treatment scores were used to assess treatment outcome. Questionnaire was used to assess patient satisfaction by interviewing parents of participants. After the use of inhaler, 12% participants had no change in symptoms Results: , while 6% showing worsening of symptoms. In the remaining 82%, the symptoms reduced. 2.9% were not at all satised with the treatment, while 20.6% were moderately satised with the treatment. 76.5% of the participants were highly satised with the treatment. The use of Metered dose inhaler with salbutamol is very Conclusion: effective in reducing wheeze and other symptoms in asthma. Even those with no improvement in symptoms had high satisfaction with the treatment using salbutamol through MDI. This mode of drug delivery can enhance adherence and asthma control.

scholarly journals Comparison of User Satisfaction and Preference with Inhalant Devices Between a Pressurized Metered-Dose Inhaler and Ellipta in Stable Asthma Patients: A Randomized, Crossover Study

2021 ◽  
Author(s):  
Hiroyuki Ohbayashi ◽  
Takamitsu Asano ◽  
Sahori Kudo ◽  
Mitsue Ariga
Keyword(s):  
Crossover Study ◽  
Asthma Control ◽  
User Satisfaction ◽  
Dose Inhaler ◽  
Age Group ◽  
Metered Dose Inhaler ◽  
Respiratory Resistance ◽  
Inhalation Device ◽  
Metered Dose ◽  
Asthma Patients

Abstract Introduction Inhalation therapy involves two types of adherence: adherence to the drug and adherence to the procedures for the inhalation device. User satisfaction and preference are key factors for maintaining good adherence of both types, and they should be evaluated based on three conditions being well maintained: asthma control level (ACL), adherence, and adequate device operability during usage duration. We compared user satisfaction and preference between a pressurized metered-dose inhaler (pMDI) and a dry powder inhaler (Ellipta), while maintaining the three conditions during usage in stable asthma patients. Methods In this open-label, randomized, two-way crossover study, patients with stable asthma [Asthma Control Questionnaire (ACQ) scores < 0.75] were classified into a 20–64-year age group (G1) and a ≥ 65-year age group (G2) and randomly assigned to either a formoterol/fluticasone combination (FFC) as the pMDI group or a vilanterol/fluticasone combination (VFC) as the Ellipta group. Satisfaction and preference levels were evaluated at week 4. ACL was measured using the ACQ and Japan Asthma Control Survey questionnaires at weeks 0 and 4. Device operability and respiratory resistance were also examined. Results Forty-four patients (23 G1, age 45.8 ± 1.9 years; 21 G2, 74.1 ± 1.3 years) were enrolled and maintained good ACL during the study. Adherence to FFC pMDI and VFC Ellipta was > 97% in all groups. Device operability did not differ significantly between FFC pMDI and VFC Ellipta in the G1 (p = 0.189) or G2 (p = 0.506) group. Overall satisfaction was marginally higher with the FFC pMDI than with the VFC Ellipta in G2 (p = 0.012) but non-significantly different in G1 (p = 0.733). Factors affecting overall satisfaction in G2 were difference of inhalation device and body mass index. Respiratory resistance did not change significantly over the study in G2. Conclusion Based on maintaining good ACL, adherence, and device operability, FFC pMDI showed significantly higher satisfaction and preference levels than VFC Ellipta in elderly persons. Trial Registration Japan Registry of Clinical Trials identifier, jRCTs041180001 (registered 21 August 2018).

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.

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