Prevalence and Risk Factors of Incorrect Inhaler Technique in Asthmatic Children in Phonthong Hospital, Roi-Et Province
Keywords:
Asthma, Inhaled corticosteroids, Incorrect inhalation techniqueAbstract
Purposes : To assess a prevalence and factor associated with incorrect used inhaled corticosteroid in children with asthma and their caregivers in Phonthong Hospital Roi-Et province.
Study design : Study a cross - sectional study
Materials and methods : The sample consisted of pediatric asthma patients and their caregivers who were having their treatment with inhaled corticosteroid in our institution during December 1, 2020 to May 31, 2021 were included. Among 96 of patients qualified for the inclusion criteria by an interview the patients and their caregivers according to the prepared questionnaire. The demonstration of metered dose inhalation (MDI) procedure using spacer and without spacer by the patients or caregivers was assessed. The data were analyzed by descriptive statistics.
Main findings : Among 96 of children who receiving corticosteroids through MDI with (n=82) and without (n=14) spacer. The inhalers were used incorrectly in 59 children (61.4%). The most frequent incorrect method was checking drug amount in the spacer group (32 children, 39%) while the incorrect method in the no spacer group were found exhale slowly (7 children, 50%), shaking MDI (6 children, 42.9%) and 4 children 28.6% were inhalation. Risk factors for the incorrect use were non maternal primary caregivers. Children who have been hospitalized with asthma exacerbation. Children and caregivers who did not understand and failed to clarify the methods with the staff during the hospital teaching class.
Conclusion and recommendations : The results of this study suggest that incorrect inhalation methods have an effect on hospitalizations in asthma attacks.
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