Impact of Metered Dose Inhaler Technique Education in a Medical Out Patient Department
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 8
Abstract
ABSTRACT Introduction: Asthma and Chronic Obstructive Pulmonary Disease (COPD) patients constitute a major portion of the inflow of a medical Out Patient Department (OPD). Incorrect use of Metered Dose Inhalers (MDI) is a significant barrier in improving the quality of medical care given to most patients with chronic respiratory diseases. Aim: This study was carried out to analyse the issues pertinent to incorrect MDI use and to assess the impact of a quality improvement initiative involving practical demonstration of correct technique using a standardized checklist. Materials and Methods: This was an interventional pre and post-test study conducted in medical OPD among COPD or asthma patients already on MDI. A baseline assessment of correctness of MDI use technique was done based on ADMIT-GINA guidelines, following which a practical demonstration of correct technique was done. These patients were followed up after one month and their technique was reassessed. The mean score was calculated for each patient pre and post intervention based on the correctness of steps and was compared using paired t-test. Results: Total 56 out of 102 patients completed the study. The mean score of MDI technique knowledge was 3.5±1.5, which increased to 6.7±1.2 after intervention (p<0.001). Only 27 (48.2%) patients reported having received prior educational training regarding MDI use and only 22 (39.3%) patients were using spacers. Conclusion: The current level of knowledge of correct steps of MDI use with spacer is low among patients. Practical demonstration of correct MDI use technique using a standardized checklist reduces errors in MDI use and thus helps in patient education.
Authors and Affiliations
Tom Jose Kakkanattu, Siddharth Jain, Umang Arora, Soham Banarjee, Manish Soneja, Neeraj Nischal, Achintya Singh
Keywords
Related Articles
- EP ID EP524549
- DOI 10.7860/JCDR/2018/35899.11851
- Views 45
- Downloads 0
Clinicopathological Profile of Cutaneous Metastasis from Internal Malignancies: A Five Year Retrospective Study
ABSTRACT Introduction: Cutaneous metastasis is the infiltration of skin by malignant cells from an underlying internal malignancy. Aim: To analyse clinicopathological profile of patients with cutaneous metastasis from in...
Diagnostic Value of Digital Radiography in Gap Detection of Implant-Abutment Connection with Zirconia Abutments in Different Vertical X-ray Projection Angles
ABSTRACT Introduction: Accurate seating of abutments on implants is an important factor for long term success of implant supported restorations. Among different methods of evaluating abutment seating, radiography is most...
Vocal Hoarseness in Rheumatoid Arthritis: Early Recognition is Critical
Images in Medicine
Oral Carcinoma Cuniculatum: A New Entity in the Clinicopathological Spectrum of Oral Squamous Cell Carcinoma
Carcinoma cuniculatum is principally recognized as a variant of carcinoma involving foot. The World Health Organization (WHO) recognizes Oral Carcinoma Cuniculatum (OCC) as a distinct and rare clinicopathological variant...
Posterior Right Sectoral Duct Downstream of the Cystic Ductal Opening: A Rare Variant
The anatomical variants of the posterior right sectoral duct of the biliary tract are frequent. They have a surgical importance involvement. We report a case of 63-year-old female patient operated by laparoscopy for acut...