EVALUATION OF TECHNIQUES OF INHALATION DEVICES AMONG PATIENT OF COPD AND BRONCHIAL ASTHMA

Rajendra Saugat, Rajendra Bera, Manak Gujrani, Gunjan Soni, Pramod Thakral and Akhil Kapoor*

ABSTRACT

Background: Chronic obstructive pulmonary diseases and bronchial Asthma are common respiratory diseases having a large burden on society in term of mortality and morbidity. Drugs and inhalational devices is a main stay in the treatment. Beside the nebulizer, the development of other devices other like PMDI/DPI made it possible to improve delivery of drugs to the lungs and produces local effect and decrease systemic side effect. Material & Method: Study conducted in patients who were known cases of Chronic obstructive Pulmonary Disease or Bronchial Asthma, between the Ages of 15 to 70 year. Patients were excludes as Age <15 or >70 years, Patients suffering from active tuberculosis infection, Patient with a co-morbid, condition, Patient unwilling to participate in the study. Results: 304 patient were enrolled having COPD & Bronchial asthma 83.9% patient had error in techniques while using inhalational devices, highest error within 41 to 60 year of age and male > female , rural > urban lower educated were did more error, COPD> bronchial asthma, MDI without spacer> with spacer > DPI ,frequently using and long duration users were made less error. Those patient are educated by doctor having least error & highest with self educator. Conclusions: Devices are complicated to use, requiring many step for a correctly perform inhalational maneuver. Here we found mistakes among educators and evaluation of inhalational technique for using prescribed inhalational devices in COPD and Bronchial Asthma patients.

Keywords: Copd, Asthma, Devices, Inhalational Therapy, Errors, Metered Dose Inhaler, Dry Powder Inhalers.