Necessity of Inhaler Technique Evaluation and Re-Instruction by Pharmacists for Patients whose Inhaled Medications were Continued upon Hospital Admission

Sugahara Takuya, Suzuki Mayu, Arai Jun, Nobekawa Masao, Matsuda Keiichiro, Arai Koichi, Iwabuchi Katsuyoshi

doi:10.5649/jjphcs.46.584

<p>We improved the instruction manual and templates for inhaled medication education in the respiratory internal medicine ward. Since September 2017, we have strengthened pharmacist-led inhalation instruction for patients whose outpatient inhaled medications were continued during hospitalization, as well as those who were newly prescribed inhaled medications. Therefore, we examined the necessity of inhaler technique evaluation and re-instruction, and the current state of inhalation instruction. As a method, we evaluated the inhaler techniques of patients whose outpatient inhaled medications were continued during hospitalization. In addition, whenever possible, inhalation instructions and explanations were provided daily to patients following inadequate inhaler techniques and to those who had insufficient understanding of inhaled medications, respectively. Then, we investigated inhaler techniques and understanding, and changes after re-instruction. As a result, there were 55 patients and 73 inhaled medications were evaluated for inhalation upon hospital admission during the study period. The rate of need for re-instruction of inhaler techniques was 43.8％; however, improvements were observed in all aspects of inhaler techniques (including preparation of the drug dose for administration, exhalation, inhalation, confirmation of residual volume, cleanup, and gargling) and those related to knowledge (including the name of the inhaled drug, expected efficacy, dosage and administration, and reason for gargling) after implementation of re-instruction. Therefore, inhalation instructions by pharmacists improved the acquisition and understanding of inhaler techniques, which indicates the necessity of inhaler technique evaluation and re-instruction for patients whose inhaled medications were continued upon hospital admission.</p>

Necessity of Inhaler Technique Evaluation and Re-Instruction by Pharmacists for Patients whose Inhaled Medications were Continued upon Hospital Admission

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