International Journal of Life science and Pharma Reviews (IJLPR)  
   
 
International Journal of Life science and Pharma Research (IJLPR)
Pharmaceutical Sciences
Volume 9 Issue 3, July - September 2019    Pages:61-69
ASSESSMENT AND EDUCATIONAL INTERVENTIONS IN INHALATION TECHNIQUE AMONG ASTHMA AND COPD PATIENTS AT A TERTIARY CARE HOSPITAL IN ERODE (Tamilnadu- India)

VIDHYA PV, JEENA S, SAMBATHKUMAR R* AND VENKATESWARAMURTHY N
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DOI: http://dx.doi.org/10.22376/ijpbs/lpr.2019.9.3.P61-69
Abstract:
Asthma and Chronic obstructive pulmonary disease (COPD), the most common chronic respiratory diseases, are found among the top 20 causes of global disability. According to the World Health Organization (WHO) estimation, 235 million people currently have asthma, and since asthma is under-diagnosed and under-treated, the worldwide prevalence is likely to be higher. The prevalence of asthma has increased over time and an additional 4.15 million disability-adjusted life years (DALYs) are caused by asthma.1-3 In contrast, the change from moderate condition to severe COPD was observed in 65 million people in 2005. The mortality rate was increased due to COPD as more than 3 million people died, and it was the cause of 5% of all global deaths. Based on the new data, it is estimated that in 2030, COPD will become the third leading cause of death. Inhaled bronchodilators and steroids are required for the treatment of COPD and asthma because of their capacity to alleviate symptoms, improve airflow, decrease the rate of exacerbations and improve the quality of life.4 A systematic review of studies observing patient's inhaler technique reported an overall prevalence of 31% of poor technique, 41% acceptable technique, and 31% correct usage in patients with asthma or COPD.5 Lack of knowledge in inhalation technique is a major reason for treatment failure. Some studies suggest that using a clinical pharmacist in addition to a primary care provider and dietitian to monitor, manage, and provide education to diabetic patients starting insulin therapy will significantly improve clinical outcomes.6 Pharmacist intervention can significantly increase diseaseā€related knowledge, blood pressure control and medication adherence in patients with hypertension.7,8 So there is a need to explore the impact of pharmacist intervention in inhalation technique. The objectives of the present study was to (a) assess the quality of inhalation technique (b) improve knowledge of patients regarding use of inhalers in asthma and COPD by patient counselling & practical demonstration (c) to find out the relationship between their educational status and type of instruction received with inhalation technique and (d) to find out the most commonly used inhaler device.
Keywords: Inhalers, inhalation technique, Intervention, Patient Education, Aerosol Therapy
 
 
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