Assessing the use of MDI among Asthmatic Patients in Saudi Arabia

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Asthmatic patients, Saudi Arabia, MDI, Questionnaire


Background: Asthma is an important public health problem worldwide on account of its prevalence. Education of asthmatic patients about appropriate using of MDIs would be more effective medications. Objectives: To assess the appropriateness of using MDIs among asthmatic patients and to determine the factors significantly associated with correct use of MDI. Method: A descriptive study was conducted on 399 asthmatic patients on internet on Google from 28th October to 28th November 2015. A questionnaire was filled out and SPSS version 21 was used for data analysis. Standard method was used to obtain descriptive statistic comprising means, percentage and standard deviations in order to describe demographic variables. Analysis of variance (ANOVA) test was used to compare means of contentious and categorical variables of demographic characteristics and medical background with using MDIs and find association between them. P-value of 0.05 and less were regarded as statistically significant. Results: In the studied sample, 87% were age less than 45 years, 74% of cases were females. About 92% of cases were higher and above level of education. More than half of subjects had asthma for more than five years. There were 36% of patients using MDI. Only a few patients (12%) had the correct all skills using MDIs. There were significant association between using MDIs with age and duration of asthma (p=<0.001). Conclusions: Despite the well-known fact that a good MDI technique is of greatest importance, Majority of asthmatic patients have poor skills of MDI appropriate use. Incorrect MDIs technique is common among asthma patients. Health care professional must be focused on training on use MDI among the younger and newly diagnosis asthmatic patients. This indicating the need for regular formal training programmes on inhaler techniques so as to decipher correct practices in inhalation therapy.

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1. Assessing national capacity for the prevention and control of non-communicable diseases: report of the 2019 global survey. Geneva: World Health Organization. 2020.
2. Maziar Moradi-Lakeh, Charbel El Bcheraoui, et al. Prevalence of asthma in Saudi adults: findings from a national household survey 2013. BMC Pulm Med. 2015;15:77.
3. Al-Zahrani JM, Ahmad A, AL-Harbi A, et al. Factors associated with poor asthma control in the outpatient clinic setting. Ann Thorac Med 2015;10:100-4.
4. Anita Kotwani, SK Chhabra, VandanaTayal, et al. Quality of asthma management in an urban community in Delhi, India. Indian J Med Res. 2012;135(2):184-192.
5. Evers U, Jones SC, Caputi P, et al. The asthma knowledge and perceptions of older Australian adults: Implications for social marketing campaigns. Patient Education and Counseling. 2013;91(3):392-399. https://doi:10.1016/j.pec.2012.12.011
6. Molimard M. Assessment of handling of inhaler devices inreal life: an observational study in 3811 patients in primary care. J Aerosol Med. 2003;16(3):249-254.
7. Lavorini F, Magnan A, Dubus JC, et al. Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. 2008;102(4):593-604.
8. Jill B. Conner, Philip O Buck. Improving Asthma Management: The Case for Mandatory Inclusion of Dose Counters on All Rescue Bronchodilators. 2013;50(6):658-663.
9. Vargas O, Martinez J, Ibanez M, et al. The Use of Metered-Dose Inhalers in Hospital Environments. 2013.
10. Giraud V. Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability. EurRespir J. 2002;19(2):246-251.
11. Lurslurchachai L, Krauskopf K, Roy A, et al. Metered dose inhaler technique among inner-city asthmaticsand its association with asthma medication adherence. ClinRespir J. 2014;8:397-403.
12. Jolly A. Mohan R. Guleria Rosemary Poulose, et al. Evaluation of Metered Dose Inhaler Use Technique and Response to Educational Training G.P. The Indian Journal of Chest Diseases & Allied Sciences. 2015;57:17-20. 
13. Chorao P, Pereira AM, Fonseca JA. Inhaler devices in asthma and COPD-an assessment of inhaler technique and patient preferences. 2014;108(7):968-75.
14. Adnan M, Karim S, Khan S, et al. Comparative evaluation of metered-dose inhaler technique demonstration among community pharmacists in Al Qassim and Al-Ahsa region, Saudi-Arabia Saudi Pharmaceutical Journal. 2015;23(2):138-142.
15. Arora P, Kumar L, Vohra V, et al. Evaluating the technique of using inhalation device in COPD and bronchial asthma patients. 2014;108(7):992-8. https://doi:10.1016/j.rmed.2014.04.021
16. Steven R Erickson, Heather M Landino, Barbara J Zarowitz, et al. Pharmacists’ Understanding of Patient Education on Metered-Dose Inhaler Technique. The Annals of Pharmacotherapy. 2000;34:1249-1256.
17. O’Conor R, Wolf MS, Smith SG, et al. Health literacy, cognitive function, proper use, and adherence to inhaled asthma controller medications among older adults with asthma. 2015;147(5):1307-15.
18. MA de Oliveira, SM Faresin, VF Bruno, et al. Evaluation of an educational programme for socially deprived asthma patients. EurRespir J. 1999;14(4):908-14. https://doi:10.1034/j.1399-3003.1999.14d30.x
19. Osama M. Ibrahim Mohamed, Wael K Karame. Knowledge, attitude and behaviour of asthmatic patients regarding asthma in primary care setting in Abu Dhabi, United Arab Emirates. Middle East Journal of family medicine. 2015;13(5):4 -11.
20. Kim MA, Noh CS, Chang YJ, et al. The International Journal of Tuberculosis and Lung Disease. 2015;19(7):864-869. 
21. She Ming Chai, King Leong Tan , Joslinliling Wong, et al. Asthma knowledge among adults asthmatic outpatients in a tertiary care hospital. Asian pacific Journal of allergy and immunology. 2004;22:81-89.
22. GP Jolly, A Mohan, R Guleria, et al. Evaluation of Metered Dose Inhaler Use Technique and Response to Educational Training. 2013;8.
23. Van Beerendonk. Assessment of the inhalation technique inoutpatients with asthma or chronic obstructive pulmonary disease using a metered-dose inhaler or dry powder device. J Asthma. 1998;35(3):273-279.
24. Ola A Salah. Assessing Appropriate Use of Inhaler Devices among Asthmatic Patients. Thesis An-Najah National University, Nablus, Palestine. 2013.
25. Giraud V1, Allaert FA, Roche N. Inhaler technique and asthma: feasability and acceptability of training by pharmacists. 2011;105(12):1815-22. https://doi:10.1016/j.rmed.2011.07.004
26. Hassan MIA. Assessment of inhaler technique in patientsattending a chest hospital in riyadh city. international journal of pharmacology. 2009;5(3):232-235.
27. Allen Sc. Ability to learn inhaler technique in relation to cognitive scores and tests of praxis in old age. Postgraduate medical journal. 2002;78(915):37-39.

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