Basheti Iman, Mahboub Bassam, Salameh Laila, Al-Ani Mena, Jairoun Ammar Abdulrahman, Saddik Basema, Abu-Gharbieh Eman
Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, P.O. Box 166, Amman 11931, Jordan.
Rashid Hospital, Dubai Health Authority, Dubai 4545, United Arab Emirates.
Pharmaceuticals (Basel). 2021 Feb 12;14(2):150. doi: 10.3390/ph14020150.
Prevalence of asthma in the United Arab Emirates (UAE) is high, and training patients on correct inhaler technique is vital.
To assess the effectiveness of inhaler technique labels incorporating the individual technique steps in image format on the retention of correct inhaler technique for patients with asthma living in the UAE and following inhaler training; secondly to investigate the effect of inhaler technique education using self-check pictorial labels on patients' overall asthma control.
This single-blinded randomized controlled study was conducted in 2019 and followed consecutive recruitment of asthma patients visiting respiratory clinics at Rashid Hospital in Dubai. Patients were using a controller inhaler (Turbuhaler (TH), Accuhaler (ACC), or pressurized metered-dose inhaler (pMDI)). Following recruitment, patients were randomized into active group receiving educational intervention plus the inhaler label, and control group receiving educational intervention without the label. Patients were assessed at baseline and at one-month on their inhaler technique and asthma control.
Participants ( = 245; 93 = TH, 70 = ACC, 82 = pMDI) showed a significant difference between the groups at one-month for inhaler technique scores for TH (active 5.29 ± 1.86 vs. control = 24.4 ± 21.28), ACC (active = 3.99 ± 1.43 vs. control = 25.45 ± 22.57), and pMDI (active = 4.59 ± 0.10 vs. control = 120.55 ± 17.2), < 0.001 for all. Asthma control for active group indicated significant improvements compared to control for TH and pMDI ( < 0.001 for both), but not ACC group ( = 0.087).
Retention of correct inhaler technique and improved asthma control can be enhanced by using a specialized inhaler technique label in image format.
阿拉伯联合酋长国（阿联酋）哮喘患病率很高，对患者进行正确吸入器技术培训至关重要。
评估采用图像形式呈现各个技术步骤的吸入器技术标签对阿联酋哮喘患者吸入器培训后正确吸入器技术保持情况的有效性；其次，研究使用自我检查图片标签进行吸入器技术教育对患者整体哮喘控制的影响。
这项单盲随机对照研究于2019年进行，连续招募前往迪拜拉希德医院呼吸科诊所就诊的哮喘患者。患者使用的是控制型吸入器（都保、准纳器或压力定量吸入器）。招募后，患者被随机分为接受教育干预加吸入器标签的实验组和仅接受教育干预的对照组。在基线和1个月时对患者的吸入器技术和哮喘控制情况进行评估。
参与者（n = 245；93人使用都保，70人使用准纳器，82人使用压力定量吸入器）在1个月时，都保（实验组5.29±1.86 vs. 对照组24.4±21.28）、准纳器（实验组3.99±1.43 vs. 对照组25.45±22.57）和压力定量吸入器（实验组4.59±0.10 vs. 对照组120.55±17.2）的吸入器技术得分在两组间存在显著差异，所有差异均P<0.001。实验组的哮喘控制与对照组相比，都保和压力定量吸入器组有显著改善（两者均P<0.001），但准纳器组无显著改善（P = 0.087）。
使用图像形式的专业吸入器技术标签可提高正确吸入器技术的保持率并改善哮喘控制。
