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 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.