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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.
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