Development of a Teaching Service System for Using Inhaled Brochodilators in Patients with Respiratory Diseases*

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Supattra Khiawwan


                 Treatment of patients for respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD) are characterized by bronchoconstriction and airway inflammation. Hence treatment emphasizing on use of inhaled therapies particularly inhaled bronchodilators and corticosteroid. The bronchodilators improve lung expansion by allowing the more air move into the lungs. Apart of bronchodilators, inhaled corticosteroid reduces airway inflammation. Hence inhaled therapies both reduce symptoms and risk of exacerbation.Their major advantages of inhaled agents over oral agents are the higher effective drug delivery to specific site and the less systemic side effects. However, the concerned issues regarding the use of inhaled therapies are varieties inhaler devices available in clinical practice. In addition the inhaler techniques including breathing technique and inspiratory flow generated by patients are variable.For these reasons, Inhaler therapies preparation training are crucial for improving outcome. When the inspiratory flow is optimal, drug particles will be able to reach the distal airways and lungs effectively.The purpose of this article is to develop an effective inhalation technique training program for patients with respiratory diseases. The aim of training is that the patients are able to use the inhaler correctly. Healthcare providers have to be competent for teaching their respiratory patients. The article also focuses on three distinct areas of skill development or so-called 3M. Firstly, human development (Man or M1), this aspect emphasizes training medical personnel to be competent on training of inhaler device technique.The second aspect is to develop teaching materials and media (Material or M2). Last not least is aspect focusing on the development of evaluation criteria for assessing inhalation technique quality (Method or M3). In conclusions, 3M is development schema that is practical and applicable in real life clinical scenario. 




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How to Cite
Khiawwan S. Development of a Teaching Service System for Using Inhaled Brochodilators in Patients with Respiratory Diseases*. Ramathibodi Nursing Journal [Internet]. 13Sep.2019 [cited 20Jan.2020];25(2):148-65. Available from:


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