Shrinath V, Thatikonda Akshitha, Pandey Indramani, Marwah Vikas, Deshpande Samruddhi, Tentu Ajai Kumar, Kishore Kislay, Tyagi Rahul, Yadav Aseem, Choudhary Robin
Department of Respiratory Medicine, AICTS, Pune, Maharashtra, India.
Third Year MBBS Student, AFMC, Pune, India.
Lung India. 2023 Sep-Oct;40(5):440-444. doi: 10.4103/lungindia.lungindia_559_22.
The 2014 Asia Pacific - Asthma Insight and Management (AP-AIM) study showed that none of the Indian asthmatics had controlled asthma when evaluated objectively. Our study aims to detect through objective measurements, uncontrolled asthma in OPD patients, the adequacy of their inhaler technique, and their awareness regarding the importance of inhaler technique.
The asthma Control Test (ACT) score was used to screen for uncontrolled asthma. A validated objective questionnaire and scoring were used to objectively assess the correctness and awareness of the inhalation technique.
The study was carried out over 2 month period and 80 patients meeting the inclusion criteria were enrolled. Out of 80 patients; 47 (58.75%) had well-controlled asthma and 33 (41.25%) had uncontrolled asthma. 64 (80%) patients had good, and 16 (20%) had poor inhalation techniques. Among the 64 patients with good inhalation technique 43 (67.18%) had well-controlled asthma and 21 (32.82%) had uncontrolled asthma. Among the 16 patients with poor inhalation technique 4 (25%) had well-controlled asthma and 12 (75%) had uncontrolled asthma. There was a statistically significant association between asthma control and inhaler technique (P value 0.002). In the study population 56 (70%) patients were aware of the inhalation technique and 24 (30%) were unaware of the inhalation technique. Out of the 56 patients who were aware of the inhalation technique 53 (94.64%) had good inhaler technique and 3 (5.36%) had poor inhalation technique. Among the 24 patients who were unaware of the inhaler technique 11 (45.83%) had good inhaler technique and 13 (54.17%) had poor inhaler technique. There was a statistically significant association between awareness of inhaler technique and good inhaler technique (P value 0.001).
There is a statistically significant association between asthma control and inhaler technique and between inhaler technique and inhaler awareness. Improving the awareness regarding inhaler technique among bronchial asthma patients is the way forward to improve asthma control in our country.
2014年亚太地区哮喘认知与管理（AP - AIM）研究显示，在客观评估时，印度哮喘患者均无哮喘得到控制的情况。我们的研究旨在通过客观测量来检测门诊患者中未得到控制的哮喘、其吸入器技术的熟练程度以及他们对吸入器技术重要性的认知。
使用哮喘控制测试（ACT）评分来筛查未得到控制的哮喘。采用经过验证的客观问卷和评分来客观评估吸入技术的正确性和认知情况。
该研究历时2个月，纳入了80名符合纳入标准的患者。在这80名患者中，47名（58.75%）哮喘得到良好控制，33名（41.25%）哮喘未得到控制。64名（80%）患者吸入技术良好，16名（20%）患者吸入技术不佳。在吸入技术良好的64名患者中，43名（67.18%）哮喘得到良好控制，21名（32.82%）哮喘未得到控制。在吸入技术不佳的16名患者中，4名（25%）哮喘得到良好控制，12名（75%）哮喘未得到控制。哮喘控制与吸入器技术之间存在统计学显著关联（P值0.002）。在研究人群中，56名（70%）患者知晓吸入技术，24名（30%）患者不知晓吸入技术。在知晓吸入技术的56名患者中，53名（94.64%）吸入器技术良好，3名（5.36%）吸入器技术不佳。在不知晓吸入器技术的24名患者中，11名（45.83%）吸入器技术良好，13名（54.17%）吸入器技术不佳。吸入器技术的认知与良好的吸入器技术之间存在统计学显著关联（P值0.001）。
哮喘控制与吸入器技术之间以及吸入器技术与吸入器认知之间存在统计学显著关联。提高支气管哮喘患者对吸入器技术的认知是我国改善哮喘控制的前进方向。
