بررسي ميزان كاربرد صحيح انواع اسپري استنشاقي توسط پزشكان ،داروسازان و پرستاران شاغل در بيمارستان هاي آموزشي شهر همدان

Poor inhaler technique is a common problem both in asthma patients and health care providers , which contributes to poor asthma control. The aim of this study was to evaluate the correctness of metered-dose inhaler (MDI) technique in a sample of physicians , pharmacists and nurses practicing in Hamadan University hospitals. A total of 176 healthcare providers (35 internists and general physicians 138 nurses and 3 pharmacists) were participated voluntary in this study. After the participants answered a questionnaire aimed at identifying their involvement in MDI prescribing and counseling , a trained observer assessed their MDI technique using a checklist of ten steps. Of the 176 participants , 35(20%) were physician , and 3 subjects (2%) were pharmacists , and 138 (78%) were nurses. However only 6 participants (3.4%) performed all steps correctly. Physicians performed significantly better than non-physicians (8.6% vs. 2.13%). The majority of healthcare providers responsible for instructing patients on the correct MDI technique were unable to perform this technique correctly `indicating the need for regular formal training programmes on inhaler techniques.