,Thapa Parati, Gwahha Kaita

aBirat Medical College Teaching Hospital,Tankisinuwari,Morang,Nepal

bCharak Memorial Medicare Hospital,Pokhara,Nepal

cSchool of Health and Allied Sciences,Pokhara University,Lekhnath,Kaski,Nepal

Intervention on inhalation technique of rotahaler in patients with chronic obstructive pulmonary disease and asthma

G.M.Khana,*,Paudel Badrib,Thapa Parbatic,Duwal Anitac, Adhikari Atulc,Paudel Deepakc,Regmi Dipendrac,Barakoti Himalc, Gwachha Kabitac,Koju Nirmalac

aBirat Medical College Teaching Hospital,Tankisinuwari,Morang,Nepal

bCharak Memorial Medicare Hospital,Pokhara,Nepal

cSchool of Health and Allied Sciences,Pokhara University,Lekhnath,Kaski,Nepal

A R T I C L E I N F O

Article history:

Available online 24 November 2015

Asthma

COPD

Inhalation technique

Intervention

Rotahaler

Inhalation is the preferred route of delivery for drugs intended for both COPD and asthma as drugs are delivered directly to their site of action,leading to a rapid onset of action and a low incidence of side effects.Incorrect technique when taking inhaled medications frequently prevents patients from receiving the maximal beneft from their medications[1].

Thus,prospective interventional study was conducted to evaluate the effectiveness of inhalation techniques of Rotahaler in patients with COPD and Asthma[2,3].Fifty follow-up cases were taken.The study was conducted in three phases viz.Phase 0(baseline),Phase 1(immediate),Phase 2(follow-up after 1 month).Verbal consent was obtained from patients before enrolling in the study and socio-demographic information of patients was collected by face to face interview.Baseline score of inhalation technique was taken before intervention.Patients were counseled about inhalational techniques of Rotahaler by verbal/physical demonstration.Immediate scoring was done after intervention and follow-up score was taken after one month.The percentage of patients performing the rotahaler technique increases from 61.5%at baseline to 85.50%in immediate and 84.75%in follow up.

A signifcant difference was observed in mean score of inhalation technique before and after intervention.Based on critical points,only 4%of the patients performed all steps correctly before intervention which increased in immediate to 32% and in follow up to 26%.Hence,intervention on inhaler technique improved the patient knowledge which may contribute to achieve better therapeutic outcome.

Fig.1–Percentage of patients performing each step correctly(A)and critical points missing by patients(B).

Acknowledgements

The authors acknowledge the Dr.Badri Paudel,Associate Professor and Consultant Physician of Charak Memorial Medicare Hospital,Prithvi Chowk-8,Pokhara,for granting us permission to conduct our research in their esteemed organization.

R E F E R E N C E S

[1]Ansari M,Rao BS,Koju R,et al.Impact of pharmaceutical intervention on inhalation technique.Kathmandu Univ J Sci Eng Technol 2005;I(1):1–10.

[2]Alam K,Palaian S,Mishra P,et al.Performance of the medication counseling center in Manipal Teaching Hospital:a follow up study.J Clin Diagn Res 2009;3(1):1319–1325.

[3]Al-Jahdali H,Ahmed A,Al-Harbi A,et al.Improper inhaler technique is associated with poor asthma control and frequent emergency department visits.Allergy Asthma Clin Immunol 2013;9(8):1–7.

*E-mail address:gulamkhan@gmail.com.

Peer review under responsibility of Shenyang Pharmaceutical University.

http://dx.doi.org/10.1016/j.ajps.2015.11.112

1818-0876/?2016 Production and hosting by Elsevier B.V.on behalf of Shenyang Pharmaceutical University.This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).