Pharmaceutical Monitoring and Care for Asthmatic Patients management from Lahore city of Pakistan

Author(s) : Madiha Mustafa, Rabia Mustafa, Rizwan Asif, Modassarah Mazhar, Naveed Munir and Zahed Mahmood

Abstract:

Objective:
Asthma is a chronic inflammatory disease and its prevalence is increasing with each passing day. This research work was aimed to study the impact of a pharmaceutical care program on asthmatic patients.
Material and Methods:
Prospective study was performed on sixty patients in Gulab Devi chest hospital Lahore by questionnaire evaluation. Two methods were used for data collection including the use of pharmaceutical care model instrument to collect participant’s baseline data, peak expiratory flow rates, adverse reaction of asthma medication and triggering factors. A seven-point scale score method was used for technique of using inhaler in proper way
Results & Conclusion:
Majority of study participants were female 58% under 35-45years of age and 75% of patients had family history of asthma. The average peak expiratory flow rate was 280±7.7 and a significant difference (p<0.05) was found between pre and post intervention group. Most of the study participants had a maximum of primary school education 46.5%. The daily symptoms occurrence was 13.9% and the night-times awakenings was 14.2% more than once in a week, 61.7 % patients showed adherence to preventive medication. Itching, sweating, cough and headache were the most frequently reported adverse effects perceived to be associated with asthma medicine. Results showed that only 17% and 12% of participants were metered dose inhalers and dry powder inhalers, respectively. The average score of metered dose inhaler (MDI) and dry powder inhaler (DPI) were 3.5±3.1 and 2.14 ±1.3, respectively.
Conclusion: To achieve proper outcomes and to ensure better quality of life to patients, pharmacist should counsel patients about the proper use of medications as well as inhaler use especially meter dose inhaler and also about the avoidance of triggers of disease.

Keyword: Asthma, pharmaceutical care, patient education, inhaler technique, avoidance of triggers.