asthma control with therapeutic education intervention
Lalita Fernandes and Anthony
and Respiratory Medicine, Goa Medical College, St. Inez, Caranzalem,
To assess the level of control in asthma patients receiving therapeutic
significance: There is no cure for asthma, hence the aim
of management is to control asthma and improve quality of life. One of
the reasons for poor control is improper inhaler technique. We analysed
the control of asthma in subjects who received inhaler technique
education by trained respiratory therapists.
In a randomised controlled trial, we enrolled 89 new uncontrolled non
smoking asthma patients reporting to the hospital. Asthma was confirmed
by symptoms and spirometric reversibility as per ATS/ERS 2005
standards. Patients with asthma exacerbation and requiring systemic
steroids were excluded. All 89 patients were treated with appropriate
medications and were then randomised to education intervention group
(teaching of correct inhaler technique by respiratory therapist) and
the control group received routine inhaler technique instructions by
the physician. Both groups were followed up at 4weeks. The intervention
group was reassessed for inhaler technique at 4 weeks. At 12 weeks both
groups were assessed for asthma control using ACT.
was significant improvement in asthma control in the group receiving
therapeutic education intervention (p<0.05).
of inhaler technique at every visit helps in better control of asthma.
1. K.R. Chapman et al.Suboptimal asthma control: prevalence, detection
and consequences in general practice. Eur. Respir J 2008;31:320-325.
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