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Title : IMPACT OF COUNSELLING IN INHALATION TECHNIQUE (ROTAHALER) IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS
Authors : *Sweta Shrestha, Binaya Sapkota, Anurodh Ghimirey, Rajani Shakya
Abstract : Though inhaled medications are mainstay of therapy for COPD patients, assessment and training on rotahaler technique is lacking. Aim of study was to evaluate effect of counseling in inhalation technique of COPD patients focusing on essential items using combination of video and demonstration. 54 patients meeting inclusion criteria were included. On discharge day, baseline assessment of their technique was done using 8 item checklists. Training on&nbsp;&nbsp; rotahaler technique was given using video and demonstration. Immediate assessment of technique and necessary corrections were done. Final assessment was done after two weeks using same checklist. Comparison of scores at three time points was done. Average percentage of patients obtaining perfect score in essential checklist items prior instruction and after two weeks was 44.43% and 86.4% respectively. Relatively poor technique and best technique was seen at baseline and immediately after counseling respectively which slightly deteriorated after two weeks. Regular counseling and assessment with suitable teaching aids can improve inhalation technique of COPD patients. <br />

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