Impact of Inhalers in the Management of Asthma/Chronic Obstructive Pulmonary Disease in General Public
Keywords:test for adherence to inhalers, feeling of satisfaction with inhaler, lung functions, right inhaler technique.
Background- Appropriate selection and adherence to inhalers is essential in the management of Asthma/
Chronic Obstructive Pulmonary Disease. Even though there are some benefits pertaining to the use of
inhalers,the drawbacks have led to poor lung capacity among the patients and therefore poorer management
and control of disease conditions. Objectives- the objectives are to monitor adherence and satisfaction
to the inhalers, counsel the patients about right inhaler technique and consequences of incorrect use and
to evaluate lung function. Methods- This prospective observational study was conducted in three phases
namely Evaluation of Test for the Adherence to Inhalers (TAI-10 questionnaire); Health Education Program;
Evaluation of Feeling of Satisfaction with inhaler questionnaire (FSI-10). Results- The study included 404
subjects where the inspiratory and expiratory lung capacities were measured using three ball incentive
spirometer and peak floor meter respectively. After health education program, the lung capacities of the
subjects gradually increased which was initially deprived. The p-value for peak flow meter and spirometer
which was interpreted using two-tailed t test indicated that the results were statistically significant.
Furthermore, scores for TAI-10 and FSI-10 were assessed and results were analysed. Conclusions-Poor
adherence to the use of inhalers is a major challenge in the management of asthma/COPD, which occurs
due to lack of awareness about the right use of inhalers. Hence, the clinical pharmacist should educate the
asthma/ COPD patients on the appropriate use of inhaler for the better management of the disorders.
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