Karakteristik Informasi Terkait Cara Penggunaan Metered-Dose Inhaler Dengan Spacer Yang Mengandung Kombinasi Beta-2 Agonis Dan Kortikosteroid Oleh Apoteker Di Apotek Wilayah Surabaya Timur

Abstract

ABSTRACT
 Treatment of respiratory disorders using a metered-dose inhaler (MDI) with spacer becomes one of the important points. Pharmacists at pharmacies are the final key in therapy to ascertain how the use of inhalation tools is correct. This study aims to determine the completeness of each step of information on how to use MDI with spacer given by pharmacists at pharmacies in East Surabaya. The research design used is cross-sectional study with the subject of research is pharmacist in pharmacy. The research variable is the explanation of how to use MDI inhaler with spacer. An assessment method of 8 steps on how to use MDI with spacer and each number gets a value. Research subjects were 22 pharmacists. Most pharmacists describe each step orally by using the tool directly, ie at step: 1a (77.27%), 1b (77.27%), 2 (81.81%), 3 (31.81%) , 4a (59.09%), 4b (13.63%), 5a (100%), 5b (63.63%), 6a (90.90%), 6b (40.90%), 8a (9 , 09%), and 8b (9.09%). Most of the pharmacists explain verbally with a demonstration tool but only one pharmacist can explain all the steps completely. Therefore, pharmacists need to improve IEC services related to the use of MDI with a spacer for respiratory treatment.
 
 Keywords : information on how to use inhaler, Metered-Dose Inhaler (MDI), spacer, pharmacist, pharmacy

Correlation of Metered Dose Inhaler Use Technique and Asthma Control Level in Asthma Patients at a Hospital in Bandung, West Java, Indonesia

“…Errors in this process could lead to a dose decrease of medication released by the inhaler, because the metering chamber had not been fully refilled before second dose. Correct technique and proper use of inhalers ensures effective drug delivery to the lungs and thus affect asthma control (Hashmi, et al, 2012;Jolly, et al, 2015;Lorensia, et al, 2017;Lorensia, et al, 2018).…”

“…Several studies showed the high prevalence of inappropriate use of inhaler medication (Anggraini, 2018;Onyendum, et al, 2014;Jahedi, et al, 2017). Inappropriate use of antiasthma inhaler could lead to subtherapeutic dose of drugs, asthma exacerbation, and uncontrolled asthma level (GINA, 2015;Lorensia, et al, 2018). This study was aimed to assess the propriety of inhaler use technique, determine asthma control level, and analyze the correlation between inhaler use technique and asthma control level among asthma patients in a hospital in Bandung, West Java, Indonesia.…”

Efektivitas Edukasi Video Untuk Kelengkapan Penjelasan Cara Penggunaan Inhaler Oleh Mahasiswa Apoteker

“…Sedangkan penelitian lain yang dilakukan oleh Arora et al (2014) (12) pada 300 pasien, menunjukkan 94% melakukan kesalahan dalam menggunakan MDI. Dampak yang terjadi dari kesalahan koordinasi dalam penggunaan MDI yaitu dapat menyebabkan obat yang sampai di paru-paru menjadi tidak optimal sehingga mengakibatkan kegagalan terapi pada pasien yang kemudian menyebabkan produktivitas menjadi rendah dan biaya perawatan kesehatan menjadi lebih mahal , MDI (21) , dan MDI dengan spacer (22) , dan semua hasil penelitian tersebut tidak ada apoteker yang dapat menjelaskan alat inhaler tersebut secara optimal.…”