The Effect of Counseling for Inhaler Device Usage on Knowledge and Skills of Asthmatic Patients at Vachiraphuket Hospital

Main Article Content

Apichat Jittsue
Wannakon Chuemongkon
Titima Phet-aporn
Janthip Charoensabsakorn


Background and Objectives: Asthma, a chronic non-communicable disease, is classified as a global public health problem. Appropriate inhaler use is an important factor for disease control. This study compares the knowledge and skills of inhaler use before and after counseling process according to the GINA 2017 guideline.

Methods: It is a quasi-experimental study. Measured results before and after consultation in asthmatic patients using metered dose inhaler or/and accuhaler for service at Vachiraphuket Hospital during June to September 2018.

Results: Sixty-five eligible patients were enrolled. The study participants had significantly higher average scores of meter dose inhaler (10.4±6.8 vs 17.1±1.2, p<.05) and accuhaler (11.1±5.8 vs 17.1±0.8, p<.05) after counseling on both devices. The meter dose inhaler group: patients responded to each question and performed more accurately in each question after counseling than before the consultation. All questions were statistically significant. As for the accuhaler, patients answered and performed more accurately in each question after counseling than before the consultation. In most of them, the questions were statistically significant. Unless having to spray more than one time that still does not work properly.

Conclusions: Counseling for a patient using an inhaler should explain and emphasize the importance of the steps in order for the patient to understand and perform correctly.


Download data is not yet available.

Article Details

How to Cite
Jittsue อ, Chuemongkon ว, Phet-aporn ฐ, Charoensabsakorn จ. The Effect of Counseling for Inhaler Device Usage on Knowledge and Skills of Asthmatic Patients at Vachiraphuket Hospital. SRIMEDJ [Internet]. 2021 Oct. 4 [cited 2022 May 21];36(5):569-76. Available from:
Original Articles


1. Srisatidnarakul B, Sangnimitchaikul W. Self-management experiences of asthma in school-age children. JNSCU 2019; 31: 26-136.
2. Boonsawat W, Charoenphan P, Kiatboonsri S, Wongtim S, Viriyachaiyo V, Pothirat C, et al. Survey of asthma control in Thailand. Respirology 2004; 9: 373-378.
3. Rehman A, Amin F, Sadeeqa S. Prevalence of asthma and its management: A review. J Pak Med Assoc 2018; 68: 1823-1827.
4. Pansa S, Srichada P, Siwaborwornwattana A, Tedrapeemetawenumchai S. Improved clinical outcomes in asthmatic and COPD inhaler users with multimedia-Acquired pharmacy counseling. Journal of Health Science 2016; 3: 437-445.
5. Hansittiporn K. The result of setting up an Easy Asthma Clinic in Chiang Yuen hospital, Mahasarakham province. Srinagarind Med J 2012; 27(2): 167-171.
6. Wanichwatphibun D. Problems with inhalation technique. Thai J Tuberc Chest Dis Crit Care 2017; 37: 52-55.
7. Herborg H, Soendergaard B, Froekjaer B, Fonnesbaek L, Jorgensen T, Hepler CD, et al. Improving drug therapy for patient with asthma-part I : patient outcomes. J Am Pharm Assoc 2001; 41(4): 539-550.
8. Chow SC, Shao J, Wang H. Sample Size Calculation in Clinical Research. 2nd . ChamanHal; 2003.
9. Global Initiative for Asthma. Global strategy for asthma management and prevention Update 2017 [online]. 2018 [cited Mar 30,2019]. Available from:
10. Wortong D, Chaiear N, Boonsawad W. Occupations and stimulating agents of asthma amongst asthmatic patients in asthma clinic, Srinagarind Hospital, Khon Kaen Province. Srinagarind Med J 2014; 29(3): 223-230.
11. Tipsrinoun S, Taboonpong S, Taniwatananon P, Wiriyachaiyo W. Health practices, metered dose inhaling techniques and severe attacks in asthma patients. TJONC 2003; 18(4): 59-72.
12. Putkong S, Panpakdee O, Malathum P, Kawamatawong T. Factors related to self-care behavior for medication use and perceived asthma control in older persons with asthma. Rama Nurs J 2011; 17: 309-327.
13. Srisuk P, Maliwan K, Treesak C, Sangjam P. Outcomes of educational training on asthma inhaler medications for healthcare providers in Tambon Health Promoting Hospitals. TPHSJ 2015; 3: 105-116.
14. Wang KY, Chian CF, Lai HR, Tarn YH, Wu CP. Clinical pharmacist counseling improves outcomes for Taiwanese asthma patients. Pharm World Sci 2010; 32: 721-729.
15. Basheti IA, Obeidat NM, Reddel HK. Inhaler technique education and asthma control among patients hospitalized for asthma in Jordan. Saudi Pharm J 2018; 26: 1127-1136.
16. Choi JY, Cho Chung HI. Effect of an individualised education programme on asthma control, inhaler use skill, asthma knowledge and health-related quality of life among poorly compliant Korean adult patients with asthma. J Clin Nurs 2011; 20: 119-126.
17. Siripan N, Kerdchantuk P, Lertsinudom S. Outcome of in-depth pharmaceutical care to quality of life and clinical outcome in uncontrolled asthma patients. IJPS 2013; 9(2): 11-22.
18. Thongprasit S, Noonil N, Sonpaveerawong J. Medication behavior of patients with chronic obstructive pulmonary disease at home, Thasala District, Nakhon Si Thammarat Province. Princess of Naradhiwas University Journal 2018; 10(3): 71-80.
19. Luedphanithit N. Outcomes of pharmaceutical care in patients with chronic asthma at Dokkhamtai Hospital. Journal of Health Scienc 2014; 23(1): 37-44.
20. Wannapinyo A, Peradhamanon P. Evaluation of inhaled drug counseling and follow up in monk patients with chronic obstructive pulmonary disease by pharmacists at Priest Hospital. Journal of the Department of Medical Services 2017; 42(2): 49-57.
21. Keeratichananont W, Thangsattayatisathan K. Assessment of Patient’s inhalation technique in Songklanagarind Hospital: proportion of correct Inhaler technique and influenced factors. Songkla Med J 2012; 30(4): 189-97.
22. Phimarn W, Rattanachotpanit T, Pilalai K, Horadee P, Treephop W, Photijug N. Outcomes of pharmacist counseling with multimedia in adult asthmatic patients. IJPS 2013; 9(1): 95-99.