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- DOI 10.18231/j.ijirm.12281.1875167832
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CrossMark
Perspective of asthma patients on inhalation devices: Scenario from Urban India
- Author Details:
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Tushar Ramesh Sahasrabudhe
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Atulya Anand *
Tushar Ramesh Sahasrabudhe
Atulya Anand *
Background: Inhalation devices are the cornerstone of asthma management, providing targeted drug delivery to the airways with minimal systemic effects. Despite advances in device design and patient education, incorrect inhaler technique and poor device maintenance remain widespread, impacting disease control.
Objective: To evaluate patient perspectives on inhalation devices, assess inhalation technique, device preferences, and device care practices among asthma patients in an urban Indian setting.
Materials and Methods: An observational study was conducted among 182 adult asthma patients at a tertiary care teaching hospital. Participants who received device training within past one month, were assessed using standardized inhaler technique checklists and Asthma Control Test (ACT). Device preferences and maintenance practices were inquired into.
Results: Dry powder inhalers (DPIs) were preferred by 69.8% of participants. Elderly patients preferred pressurized metered dose inhalers (pMDIs) with spacers. Technique correctness scores were 8.40 ± 0.718 for DPI and 7.99 ± 0.839 for pMDI users out of 10. Not holding breath for adequate time after inhalation and failure to rinse/ gargle remained the most notable and important errors. Patients with lower technique scores showed poorer asthma control (ACT ≤19). 57.14% of participants reported not cleaning their devices at all.
Conclusion: Despite recent training, significant technique and device care errors occurred, emphasizing the need for repeated training and reinforcement. Proper device maintenance is important to improve adherence and optimize asthma control.
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