Article Sidebar

Submitted
Oct 5, 2021
Accepted
Dec 2, 2021
Published
Dec 5, 2021
Download
PDF
Statistic
Read Counter : 469 Download : 547

Main Article Content

Abstract

Background: Asthma is still a major health problem in global population, including Indonesia. Antiasthma drugs available in various dosage forms, including inhaler. However, several problems related to inhalation route were found due to its unique device form and spesific use technique. One of the major problems related to inhalation route is inappropriate use technique of inhaler device, which could lead to treatment failure. Therapy outcome can be measured through Asthma Control Test (ACT). Objectives: This study was aimed to evaluate correlation between metered dose inhaler (MDI) use technique and asthma control level in patients. Material and Methods: A cross-sectional analytic study was conducted in May - June 2021. Thirty patients who met inclusion criteria were enrolled in this study. Patients’ MDI use technique and asthma control level were evaluated using a valid and standardized questionnaire. Statistics analysis was performed to determine the correlation between MDI use technique and asthma control level. Results: This study showed that most of asthmatic patients were women in older age, with mild asthma severity for more than 10 years. The most prevalent medication used was Fenoterol HBr, followed by salbutamol, and salmeterol/fluticasone combination. Inappropriate MDI use was found in 70,0% patients, with major problem found in patients’ breathing technique before and during MDI use. Asthma control test was performed and showed that 90,0% of asthmatic patients involved in this study have an uncontrolled asthma. Statistical analysis using Pearson product-moment correlation test showed a positive correlation between proper use of MDI and asthma control level (r=0.425, p<0.05). Conclusions: Patient who properly use MDI may have a higher score in asthma control test, thus have a better control of asthma. This study emphasized pharmacist role as patient educator in ensuring appropriate inhaler use in order to achieve therapeutic goals.

Keywords

Metered dose inhaler (MDI) Inhaler use technique Asthma Control Test (ACT) Asthma control level

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Author Biographies

Widyastiwi Widyastiwi, Poltekkes Kemenkes Bandung

Pharmacy Department, Poltekkes Kemenkes Bandung, Bandung, Jawa Barat, Indonesia.

Tsania Nurilsyam, Poltekkes Kemenkes Bandung

Pharmacy Department, Poltekkes Kemenkes Bandung, Bandung, Jawa Barat, Indonesia.

Mohammad Roseno, Poltekkes Kemenkes Bandung

Pharmacy Department, Poltekkes Kemenkes Bandung, Bandung, Jawa Barat, Indonesia.

Inne Farida Lhaksmiwati, Sekolah Tinggi Ilmu Ekonomi Pasundan

Educational Management, Sekolah Tinggi Ilmu Ekonomi Pasundan, Bandung, Jawa Barat, Indonesia

How to Cite
Widyastiwi, W., Nurilsyam, T., Roseno, M., & Farida Lhaksmiwati, I. (2021). Correlation of Metered Dose Inhaler Use Technique and Asthma Control Level in Asthma Patients at a Hospital in Bandung, West Java, Indonesia: Hubungan Ketepatan Penggunaan Metered Dose Inhaler dengan Tingkat Kontrol Asma pada Pasien Asma di Salah Satu Rumah Sakit di Bandung, Jawa Barat, Indonesia. Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal), 7(3), 221-230. https://doi.org/10.22487/j24428744.2021.v7.i3.15643

References

  1. Al-Jahdali, H., Ahmed, A., AL-Harbi, A., Khan, M., Baharoon, S., Bin Salih, S., Halwani, R., & Al-Muhsen, S. (2013). Improper Inhaler Technique Is Associated with Poor Asthma Control And Frequent Emergency Department Visits. Allergy, Asthma and Clinical Immunology, 9(1), 1–7.
  2. Anggraini, Truly Dian. Susilowati. Pamungkas, A. A. (2018). Analisis Faktor yang Berhubungan Dengan Kontrol Asma Pada Pasien Asma Rawat Jalan. Jurnal Ilmiah Permas, 8(2), 123–130.
  3. Coelho, A. dan Carvalho, C. (2011). Use of Inhaler and Asthma Control in Severe Asthma Patients at a Referral Center in The City of Salvador Brazil. J Bras Pneumol. 37(6): 720-728.
  4. Hashmi, A., Soomro, J. A., Memon, A., & Soomro, T. K. (2012). Incorrect Inhaler Technique Compromising Quality Of Life Of Asthmatic Patients. Journal of Medicine, 13(1), 16–21.
  5. Jahedi, L., Downie, SR., Saini, B., Chan, HK., Bosnic-Anticevich, S. (2017). Inhaler Technique in Asthma: How Does It Relate to Patients’ Preferences and Attitudes Toward Their Inhalers?. Journal of Aerosol Medicine and Pumonary Drug Delivery. 30(1). p. 42-52.
  6. Jolly, G. P., Mohan, A., Guleria, R., Poulose, R., & George, J. (2015). Evaluation of Metered Dose Inhaler Use Technique and Response to Educational Training. The Indian Journal of Chest Diseases & Allied Sciences, 57(1), 17–20.
  7. Kebede, B., Mamo, G., Molla, A. (2019). Association of Asthma Control and Metered-Dose Inhaler Use Technique among Adult Asthmatic Patients Attending Outpatient Clinic, in Resource-Limited Country: A Prospective Study. Canadian respiratory journal. 2019. 1-6.
  8. Lavorini, F., Magnan, A., Christophe Dubus, J., Voshaar, T., Corbetta, L., Broeders, M., Dekhuijzen, R., Sanchis, J., Viejo, J. L., Barnes, P., Corrigan, C., Levy, M., & Crompton, G. K. (2008). Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respiratory Medicine, 102(4), 593–604.
  9. Lorensia, A., Queljoe, D. de, & Valensia, Y. (2018). Karakteristik Informasi Terkait Cara Penggunaan Metered-Dose Inhaler dengan Spacer yang Mengandung Kombinasi Beta-2 Agonis dan Kortikosteroid oleh Apoteker di Apotek Wilayah Surabaya Timur. Jurnal Ilmiah Manuntung, 4(1), 15–27.
  10. Nathan, R., Sorkness, C., Kosinski, M., Schatz, M., Li, J., Marcus, P., Murray, J., Pendergraft, T. (2004). Development of the Asthma Control Test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology. 113(1). p. 59-65.
  11. Onyendum, CC., Desalu, OO., Nwosu, NI., Chukwuka, CJ., Ukwaja, KN., Ezeudo, C., (2014). Evaluation of Inhaler Techniques Among Asthma Patients Seen in Nigeria: An Observational Cross-Sectional Study. Annals of Medical and Health Sciences Research. 4(1). p. 67-73.
  12. Ramadan, W. H., Sarkis, A., Aderian, S. S., & Milane, A. (2020). Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique. Dose-Response, 18(2), 1–8.
  13. Schatz, M., Sorkness, C. A., Li, J. T., Marcus, P., Murray, J. J., Nathan, R. A., Kosinski, M., Pendergraft, T. B., & Jhingran, P. (2006). Asthma Control Test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. Journal of Allergy and Clinical Immunology, 117(3), 549–556.