compliancy toward inhaler and assessment of inhaler technique
DESCRIPTION
PREPARED BY: MUHAMAD ARIFF BIN MAHDZUB DIPLOMA IN PHARMACY UNIVERSITY TEKNOLOGY MARA (UiTM)TRANSCRIPT
STUDY ON COMPLIANCY TOWARD INHALER AND ASSESSMENT OF INHALER TECHNIQUE AT HOSPITAL
SULTANAH NORA ISMAIL
PREPARED BY: MUHAMAD ARIFF BIN MAHDZUBDIPLOMA IN PHARMACY
UNIVERSITY TEKNOLOGY MARA (UiTM)
1
ACCORDING TO www.ginasthma.org
It has been observed that a significant number of patient were TEND TO DRAWBACK
the MDI dose
….because of improper techique
Using inhaler
aimobjective
&
patients’ understanding towards their dosage regimen
their ability to perform MDI technique appropriately
determine the level of compliance using inhalers
evaluate if proper techniques of inhalation
are practiced
Methodology
3 month15 August - 15 November 2012
exclusion
inclusion
Adults and children (12 years old above) in any race, gender.
any type of anti-asthmatic Metered Dose Inhaler.
Duration usage above a months.
Patients with any concurrent medical problems, except psychiatric disorders or
behavior problems
Patients under 12
Patients with clinical diagnosis of Chronic Obstructive
Pulmonary Disorder (COPD) even when they may be using
MDI
RESULT
Compliancy toward inhaler technique
Poor
Good
68%
32%
1.Age
Age range
Good Poor
12 to 20 9 2
21 to 30 8 1
31 to 40 11 2
41 to 50 2 14
51 to 60 1 21
61 to 70 2 22
71 to 80 1 12
81 to 90 1 1
Younger Respondent
Older Respondent
2. Education
level
Good Poor
High 30 19
Low 5 56
Education level
Low Education Respondent
High Education Respondent
3. Duration
usage
Good Poor
less then 6 month 1 33
6 month - 1 year 1 24
2 year - 4 year 4 8
5 year - 7 year 9 4
8 year - 10 year 9 4
10 year above 11 2
Duration Usage Inhaler
Duration usa
ge
4. Gender &
race
Good Poor
malay 17 52
chinese 9 14
india 6 5
other 3 4
good poor
male 17 42
female 18 33
Poor
margine is
more than
Good
margine
Dose regiment(As prescribe by doctor)
AS P
RES
CR
IBE b
y
docto
r……
More
than
……
SO
ME
times…
…
LESs……
69%
13% 13%
5%
SIDE EFFECT(after taking inhaler)
Headache Throat Irritation Coughing Tremor tachycardia Oral Thrush0
10
20
30
40
50
60
70
3
65
4
20
14
4
Side Effect Associated with MDI
MOUTH RINSING
Category 10
10
20
30
40
50
60
70
yesnosometimes
Respondent`s alert for washing mouth after using metered dose inhaler (MDI)
INHALER RINSING
Respondent`s alert for cleaning metered dose inhaler (MDI)
Sales
Once WeekIf NessecaryNo
86%
20%4%
TASTE(it is Problem ???????)
Respondent opinion about metered dose inhaler (MDI) operation
24%
76%
taste
yes no
…It is
convenience??
Respondent opinion about
metered dose inhaler
(MDI) operation
97%
3%
convenience
yes no
Pharmacist & patient work together…….
What respondent
says???
YES NO0
20
40
60
80
100
120
Pharmacist and patient should be work together to increase the compliancy of patient toward metered dose inhaler (MDI)
107
3
Requirement thing need to alert by
pharmacist
Requirement need to take alert by pharmacists during counselling session
impro
ve demostr
ation
impro
ve la
nguag
e
provid
e writt
en inform
ation
0102030405060
3024
56
DISCUSSION…….
Due to pre-existing HEALTH BELIEF, related to culture & ethnic
Age
old Chinese culture belief that asthma is caused by the body`s
imbalance of the yin (cool) and yang (heat)
.....MORE MOTIVATED to increase their quality of healthy
Education level
nowadays people are willing to spend a lot of money in
order to improve their quality of health
Patient that has been use the inhaler for a few years.........
1)have BEST CHEMISTRY related with dose regimen and
2) have OWN SKILL on delivering dose to specific target
Duration usage
Dose regiment
they CONFUSE to amount of dose / frequency should take
THROAT IRRITATION (DYSPHONIC)
is most common side effect of inhaler, which affect approximately 1 out of 3
patients
Side effect
Due to myopathy effect...
Washing mouth
• According to the healthtalk.com date of June 13, 2007 with title ‘Management of Asthma’ noted that, mouth rinsing is essential after inhaler usage, in order to prevent complication such as mouth infection or oral thrush
it is important that to watch the inhaler as it can preventing the build up of excess powder that block the hole of releasing the aerosolized form of medication as 18% of ours candidate did not watch inhaler
Inhaler washing
2Feature of ideal inhaler:
1)ease to operate during an attack
2)the effectiveness to deliver the drug
Taste & convenient
Pharmacist should focusing on patient BELIEFS, NEED and patient should WORK toward a set of achievable goal
pharmacist and patient should be work together to increase the compliancy
When healthcare professionals establish the patient wishes, they will
comply it.
• patient can detect some deficient step regarding technique of handling inhaler by refers to the written information given
Provide Written Information