Yesim KUTLUTÜRK, Kazım KUTLUTÜRK, Kenan TÜRKER, Yekbun Gamze SAYAN, Cem ALATAŞ, Semih DEMİRTAŞ, Erdem TOPAL

The effect of modification of inhaler spacer’s visual user guideline on the correct use of the inhaler spacer

Aim: To determine the effect of modification of visual user guideline of inhaler spacer device on the skill of correct usage.Material and Method: The medical faculty intern students at İnönü University were enrolled in the study. The participants were interviewed face-to-face and requested to fill out questionnaires for modified and non-modified visual user guideline.Result: A total of 172 students were included in the study; 104 (60.5%) of the students were male. The study group included 90 students who were evaluated with the modified visual user guidelines; the other group included 82 students who were evaluated with the non-modified visual user guidelines. 76 (84%) out of 90 participants in the group who was given modified visual user guideline performed the inhaler spacer device technique correctly. In contrast, only 12 (15%) of 82 participants in the group who was given non-modified visual user guideline carried out the inhaler spacer device technique correctly (p=0.001). The most common mistakes made in non-modified visual user guideline group were; taking 5-6 deep and slow breaths; 28 (34.1%), shaking MDI and removing cap; 45 (54.9%), and placing mouthpiece between teeth and lips or placing facemask; 57 (69.5%), respectively. Having compared the both groups for the steps of inhaler spacer device use, the modified visual user guideline group fulfilled all the steps more correctly.Conclusion: The visual user guideline of the inhaler devices in our country are insufficient. We are of the opinion that especially visual improvements on user guideline will increase the correct usage of the device by parents.

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Huang C, Liu W, Hu Y, et al. Updated prevalences of asthma, allergy, and airway symptoms, and a systematic review of trends over time for child hood asthma in Shanghai, China. PLoS One 2015;10:e0121577.
Martinez FD, Wright AL, Taussig LM, et al. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med 1995;332:133-8.
Global Initiative for Asthma (GINA). GINA Homepage. http://www.ginasthma.org accessed date 08.2018.
Geller DE. Comparing clinical features of the nebulizer, metered-dose inhaler, and dry powder inhaler. Respir Care 2005;50:1313-22.
Porterfield SL, McBride TD. The effect of poverty and caregiver education on perceived need and access to health services among children with special health care needs. Am J Public Health 2007;97:323-9.
National Asthma Education and Preventation Programme, Expert panel report 2. Guidelines for the diagnosis and management of asthma. NIH Publication 1997;97-4051.
Chen SH, Yin TJ, Huang JL. An exploration of the skills needed for inhalation therapy in schoolchildren with asthma in Taiwan. Ann Allergy Asthma Immunol 2002;89:311-5.
Vella C, Grech V. Assessment of use of spacer devices for inhaled drug delivery to asthmatic children. Pediatr Allergy Immunol 2005;16:258-61.
Walia M, Paul L, Satyavani A, et al. Assessment of inhalation technique and determinants of incorrect performance among children with asthma. Pediatr Pulmonol 2006;41:1082-7.
Reznik M, Silver EJ, Cao Y. Evaluation of MDIspacer utilization and technique in caregivers of urban minority children with persistent asthma. J Asthma 2014;51:149-54.
Deerojanawong J, Promsakana Sakolnakorn V, Prapphal N, et al. Evaluation of metered-dose inhaler administration technique among asthmatic children and their caregivers in Thailand. Asian Pac J Allergy Immunol 2009;27:87-93.
Topal E, Celiksoy MH, Catal F, et al. Assessment of skills using a spacer device for a metered-dose inhaler and related independent predictive factors in caregivers of asthmatic preschool children. Int Forum Allergy Rhinol 2016;6:130-4.