ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
e-ISSN: 2413-9289
A Biannual Published Journal of Isra University, Pakistan
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الجمعة 10 شوال 1445
Friday 19th April 2024
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Title:
Frequency of Correct use of Inhaler Technique in Asthmatic Children(5-13 Years) in Order to Improve Asthma Outcomes
Authors:
Sadaf Haroon, Sughra Wahid, Huma Bashir
Published on:
2017-08-31
Journal Reference:
Volume 9- Issue 4     July - August 2017
Pages:
248-251
Download Abstract:
DOI:
ABSTRACT
OBJECTIVE: To determine the frequency of correct use of metered dose inhaler technique in asthmatic children (5-13 years) in order toimprove asthma outcomes.
STUDY DESIGN: An observational cross-sectional study
PLACEAND DURATION: Pediatric Department KRL General Hospital Islamabad from 28thSeptember 2011 to 27th March 2012.
METHODOLOGY: 82 children with persistent asthma attending OPD and Emergency Department of the Hospital and admitted inwards were asked to demonstrate their skill of using inhaler with the help of a placebo. After recording initial baseline sociodemographicdata and children were asked to demonstrate their inhaler technique using a placebo and were assessed according tothe 10 steps of NAEPP criteria. For each step correctly performed a score of one was given.
RESULTS: Out of total 82 patients, 18.3% performed all 10 steps correctly while 81.7% had an incorrect technique. The technique wasbetter in female patients and improved with increasing age and that the simpler steps were easily perfomed by most of the patients.Out of 33 male patients only 12.12% performed all 10 steps correctly, while 87.88% had an incorrect technique. Out of 49 femalepatients 22.45% had a correct technique. It was found out that out of 31 patients aged 5-7 years, none had a correct technique. Of the25 patients aged 8-10 years only 28% had a correct technique and among 26 patients aged 11-13 years 30.78% had a correcttechnique. The two steps correctly performed by majority of the patients was removing cap and pressing down inhaler.
CONCLUSION: Asthmatic children have a poor inhaler technique and the inhaler technique improves with increasing age , is better infemales and majority of patients know the simple steps like removing cap and pressing down inhaler.
KEY WORDS: Asthma, Child, Metered Dose Inhaler, Technique.