Basic Informations

C.V

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Master Title

"Potential Bene?t of Non-Medicated Training Device on Inhalation Technique Counselling for Asthmatic Patients"

Master Abstract

Background: Improper use of Metered Dose Inhalers (MDIs) and Dry Powder Inhalers (DPIs) is a major reason for poor control of asthma. Even after introducing counselling service regarding the proper use of MDI and DPI, patients still make a considerable number of mistakes. Aim of the work: Evaluation of the additive effect of using training devices for MDI and DPI devices to the conventional verbal counseling on errors of inhalers' use, medication efficacy, pulmonary functions, and quality of life in asthmatic patients. Patients and methods: The study was conducted over a period of six months as the following: For MDI, 304 adult asthmatics subjects (>18 years old) were enrolled in a three-month study of assessment and education for each patient. They were divided into an investigation group (Trainhaler plus Flo-Tone training device, and verbal counseling, n=261) and a control group (verbal counseling only, n=43). Pulmonary function and inhalation technique were evaluated. Errors in device usage were observed and the correct technique was advised at three consecutive monthly visits. For DPI, 86 Adult asthmatic subjects >18?years old were recruited in a three-month study of investigation and training for each patient. They were divided into an investigation group (In-Check DIAL training device, and verbal counseling, n=57) and a control group (verbal counseling only, n=29). Pulmonary function and inhalation technique were investigated. Errors in device usage were observed and the correct technique was advised at three consecutive monthly visits. Results: For MDI, by visit two, the mean number of technique errors decreased significantly (p<0.05) in both groups, (investigation group p<0.001). The investigation group demonstrated a marked decrease in the frequency of critical errors of maintaining a slow inhalation rate. For DPI, a significant decrease in crucial mistakes (inhalation quickly and forcefully which was hard to be learned via only verbal counseling) has been noticed after addition of In-Check DIAL. The improvement of the pulmonary function tests results were significant from the second visit in the investigation group (p? Master Abstract PDF