Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital

Rukhsana Javed Farooqi; Mian Syed Akhbar; Hussain Ahmed; Mohammad Younus; Saadia Ashraf

2026, Vol: 51, Issue: 2

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Original Research

RMJ. 2026; 51(2): 340-342

Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital

Rukhsana Javed Farooqi, Mian Syed Akhbar, Hussain Ahmed, Mohammad Younus, Saadia Ashraf.

Abstract
Objective: To assess the MDI-with-spacer technique among COPD patients and identify factors associated with improper use.
Methodology: This descriptive cross-sectional study included 140 COPD patients aged 40-70 years attending Khyber Teaching Hospital, Peshawar, over six months. Patients’ inhaler technique was evaluated using a validated 9-step checklist. The technique was classified as proper, improper, or poor. Associations with gender, occupation, area of residence, education, and prior guidance were analyzed using Chi-square tests.
Results: Only 24 patients (17.1%) demonstrated proper technique, 67 (47.9%) improper, and 49 (35%) poor. Occupation was significantly associated with technique (p=0.002), while area of residence showed borderline significance (p=0.053). Gender had no significant association (p=0.216). Prior verbal guidance did not ensure proper technique.
Conclusion: The MDI technique among COPD patients is largely suboptimal. Hands-on training, repeated assessment, and tailored education, especially for rural and low-literacy populations, are essential.

Key words: COPD, metered dose inhaler, inhaler technique, spacer, Pakistan, patient education.

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How to Cite this Article

Pubmed Style

Farooqi RJ, Akhbar MS, Ahmed H, Younus M, Ashraf S. Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. RMJ. 2026; 51(2): 340-342.

Web Style

Farooqi RJ, Akhbar MS, Ahmed H, Younus M, Ashraf S. Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. https://www.rmj.org.pk/?mno=273698 [Access: June 22, 2026].

AMA (American Medical Association) Style

Farooqi RJ, Akhbar MS, Ahmed H, Younus M, Ashraf S. Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. RMJ. 2026; 51(2): 340-342.

Vancouver/ICMJE Style

Farooqi RJ, Akhbar MS, Ahmed H, Younus M, Ashraf S. Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. RMJ. (2026), [cited June 22, 2026]; 51(2): 340-342.

Harvard Style

Farooqi, R. J., Akhbar, . M. S., Ahmed, . H., Younus, . M. & Ashraf, . S. (2026) Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. RMJ, 51 (2), 340-342.

Turabian Style

Farooqi, Rukhsana Javed, Mian Syed Akhbar, Hussain Ahmed, Mohammad Younus, and Saadia Ashraf. 2026. Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital. Rawal Medical Journal, 51 (2), 340-342.

Chicago Style

Farooqi, Rukhsana Javed, Mian Syed Akhbar, Hussain Ahmed, Mohammad Younus, and Saadia Ashraf. "Assessment of metered dose inhaler with spacer technique among COPD patients in a tertiary care Hospital." Rawal Medical Journal 51 (2026), 340-342.

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