Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : OC05 - OC07

Impact of Metered Dose Inhaler Technique Education in a Medical Out Patient Department

Tom Jose Kakkanattu, Siddharth Jain, Umang Arora, Soham Banarjee, Manish Soneja, Neeraj Nischal, Achintya Singh

1. Junior Resident, Department of Medicine, AIIMS, New Delhi, India. 2. Junior Resident, Department of Medicine, AIIMS, New Delhi, India. 3. MBBS Student, Department of Medicine, AIIMS, New Delhi, India. 4. MBBS Student, Department of Medicine, AIIMS, New Delhi, India. 5. Assistant Professor, Department of Medicine, AIIMS, New Delhi, India. 6. Associate Professor, Department of Medicine, AIIMS, New Delhi, India. 7. Senior Resident, Department of Medicine, AIIMS, New Delhi, India.

Correspondence Address :
Dr. Tom Jose Kakkanattu,
Flat Number 909-A Siliconia Apartment, Deralakatte-575017, Mangaluru, Karnataka, India.
E-mail: tomkakkanattu@gmail.com

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 3.51.5, which increased to 6.71.2 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.

Keywords

Asthma, Chronic obstructive pulmonary disease, Practical demonstration

How to cite this article :

Tom Jose Kakkanattu, Siddharth Jain, Umang Arora, Soham Banarjee, Manish Soneja, Neeraj Nischal, et al.. IMPACT OF METERED DOSE INHALER TECHNIQUE EDUCATION IN A MEDICAL OUT PATIENT DEPARTMENT. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Jul 22 ]; 12:OC05-OC07. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=OC05-OC07&id=11851

DOI and Others

DOI: 10.7860/JCDR/2018/35899.11851

Date of Submission: Feb 06, 2018
Date of Peer Review: Apr 16, 2018
Date of Acceptance: May 18, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: NONE.

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