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Abstract

ASSESSMENT OF INHALATION TECHNIQUES & ITS EFFECT ON THE QUALITY OF LIFE IN ASTHMA & COPD PATIENTS THROUGH AUTHORIZED QUESTIONNAIRE

Deepika Reddy Basireddygari, Sonika Chandragiri, Ladhida Puthan Purayil, Sathish Kumar Sure, *Dr. S. Anusha Rao MBBS, MD and Dr. V. Jayasankar Reddy
M. Pharm, PhD

ABSTRACT

Inhalation is the preferred route of delivery for drugs intended for Asthma and COPD. The main aim of the study is to identify the patients‟ performance of the inhaler technique, the most common errors made by patients and to profile the individuals who make such errors. It is a prospective observational study carried out for a period of five months in department of TB&RD in a tertiary care hospital. Three questionnaire forms „ACTQ‟, „CAT‟, „mMRC‟ and ABCD classification is used for the assessment of Asthma and COPD symptom control for a 12-week study period. Assessment of Asthma control was based on ACT questionnaire as per GINA, with baseline (mean±sd) score at week 1 was 10.84±2.50 followed by 20.92±1.38 at week 12. Assessment of COPD based on CAT questionnaire with baseline (mean±sd) score at 1st week 18.86±6.39 followed by 12.00±3.15 at week 12, mMRC questionnaire with baseline (mean±sd) score at 1st week 1.96±1.15 followed by 0.83±0.69 at week 12 and ABCD classification during 1st week was of 10% with D, 30% patients with C, 37% patients with B, 23% with A. During 12th week, 3% with D, 23% patients with C, 44% patients with B, 30% with A. These results shows the significant improvement in the quality of life of the patients. Among 100 patients 94% patients made mistakes in the inhalation technique. Only 6% of the patients have done proper inhalation technique. Our study therefore concludes that face-to-face training significantly decreased incorrect inhalation techniques in patients using pMDIs and DPIs.

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