Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study
Objective: Both asthma and chronic obstructive pulmonary disease (COPD) cause significant morbidity and mortality worldwide. The mainstay treatment for both diseases includes inhalational therapy. A high percentage of patients have symptoms that are not well controlled in spite of using effective me...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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Series: | Journal of Association of Pulmonologist of Tamil Nadu |
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Online Access: | https://journals.lww.com/10.4103/japt.japt_27_24 |
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author | M. Natraj Vishal Singh T. Anbarasan |
author_facet | M. Natraj Vishal Singh T. Anbarasan |
author_sort | M. Natraj |
collection | DOAJ |
description | Objective:
Both asthma and chronic obstructive pulmonary disease (COPD) cause significant morbidity and mortality worldwide. The mainstay treatment for both diseases includes inhalational therapy. A high percentage of patients have symptoms that are not well controlled in spite of using effective medications. One potential reason could be poor inhaler techniques. This results in poor control of the disease along with repeated exacerbations and hospital admissions.
Materials and Methods:
This was an observational study done at the Department of Respiratory Medicine, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar Islands. We enrolled a total of 100 patients who presented to our department during the study period of January 2024 to June 2024. A detailed history was recorded that included questions such as age, sex, disease for which inhalers were prescribed, and the type of inhalers they were using metered dose inhaler (MDI, MDI with spacer, and dry powder inhaler [DPI]). We requested the patients to demonstrate the inhaler technique in the presence of the healthcare professional which was subsequently assessed using a standard validated checklist.
Results:
The majority of the patients were in the age group of 51–70 years of age (55%) with 46% of them being male patients. Fifty-five percent of the patients were diagnosed with COPD while 45% had asthma. Fifty-two percent of the patients were using MDI, 36% were using MDI with space while the remaining 12% of the patients were using DPI. Ninety percent of the patients had a faulty technique.
Conclusion:
The majority of the patients had a faulty technique leading to poor control of the disease. Patients who are using inhaler medications should have their inhaler techniques checked frequently to obtain proper control of their disease. |
format | Article |
id | doaj-art-5e8b570257e74bdaa33815522aee8fdd |
institution | Kabale University |
issn | 2772-6355 2772-6363 |
language | English |
publishDate | 2025-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Association of Pulmonologist of Tamil Nadu |
spelling | doaj-art-5e8b570257e74bdaa33815522aee8fdd2025-02-11T10:15:39ZengWolters Kluwer Medknow PublicationsJournal of Association of Pulmonologist of Tamil Nadu2772-63552772-63632025-01-018161110.4103/japt.japt_27_24Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational StudyM. NatrajVishal SinghT. AnbarasanObjective: Both asthma and chronic obstructive pulmonary disease (COPD) cause significant morbidity and mortality worldwide. The mainstay treatment for both diseases includes inhalational therapy. A high percentage of patients have symptoms that are not well controlled in spite of using effective medications. One potential reason could be poor inhaler techniques. This results in poor control of the disease along with repeated exacerbations and hospital admissions. Materials and Methods: This was an observational study done at the Department of Respiratory Medicine, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar Islands. We enrolled a total of 100 patients who presented to our department during the study period of January 2024 to June 2024. A detailed history was recorded that included questions such as age, sex, disease for which inhalers were prescribed, and the type of inhalers they were using metered dose inhaler (MDI, MDI with spacer, and dry powder inhaler [DPI]). We requested the patients to demonstrate the inhaler technique in the presence of the healthcare professional which was subsequently assessed using a standard validated checklist. Results: The majority of the patients were in the age group of 51–70 years of age (55%) with 46% of them being male patients. Fifty-five percent of the patients were diagnosed with COPD while 45% had asthma. Fifty-two percent of the patients were using MDI, 36% were using MDI with space while the remaining 12% of the patients were using DPI. Ninety percent of the patients had a faulty technique. Conclusion: The majority of the patients had a faulty technique leading to poor control of the disease. Patients who are using inhaler medications should have their inhaler techniques checked frequently to obtain proper control of their disease.https://journals.lww.com/10.4103/japt.japt_27_24asthmachronic obstructive pulmonary diseasedry powder inhalerinhaler techniquesmetered dose inhaler |
spellingShingle | M. Natraj Vishal Singh T. Anbarasan Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study Journal of Association of Pulmonologist of Tamil Nadu asthma chronic obstructive pulmonary disease dry powder inhaler inhaler techniques metered dose inhaler |
title | Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study |
title_full | Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study |
title_fullStr | Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study |
title_full_unstemmed | Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study |
title_short | Evaluation of Inhaler Technique in Patients with Asthma and Chronic Obstructive Pulmonary Disease in Andaman and Nicobar Islands – An Observational Study |
title_sort | evaluation of inhaler technique in patients with asthma and chronic obstructive pulmonary disease in andaman and nicobar islands an observational study |
topic | asthma chronic obstructive pulmonary disease dry powder inhaler inhaler techniques metered dose inhaler |
url | https://journals.lww.com/10.4103/japt.japt_27_24 |
work_keys_str_mv | AT mnatraj evaluationofinhalertechniqueinpatientswithasthmaandchronicobstructivepulmonarydiseaseinandamanandnicobarislandsanobservationalstudy AT vishalsingh evaluationofinhalertechniqueinpatientswithasthmaandchronicobstructivepulmonarydiseaseinandamanandnicobarislandsanobservationalstudy AT tanbarasan evaluationofinhalertechniqueinpatientswithasthmaandchronicobstructivepulmonarydiseaseinandamanandnicobarislandsanobservationalstudy |