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Table 4 Competency with MDI among asthma patients attending UoGCSH in 2017/18 (n = 307)

From: Barriers to and competency with the use of metered dose inhaler and its impact on disease control among adult asthmatic patients in Ethiopia

Steps

Competency

Correct N (%)

Incorrect or missed N(%)

1*

Shake the contents well

273 (88.9%)

34 (11.1%)

2*

Remove the cap

304 (99%)

3 (1%)

3

Hold the inhaler upright

154 (50.2%)

153 (49.8%)

4

Tilt the head back slightly

65 (21.2%)

242 (78.8%)

5*

Breath out slowly

57 (18.6%)

250 (81.4%)

6*

Hold the inhaler in the mouth with the lips tightly sealed around.

241 (78.5%)

66 (21.5%)

7*

Begin breath in slowly and deeply through the mouth and actuate the canister once

133 (43.3%)

174 (56.7%)

8*

Hold breath for 10–20s

77 (25.1%)

230 (74.9%)

9

Exhale and wait one minute before the second dose

78 (25.4%)

229 (74.6%)

10

Shake again before the second dose

222 (72.3%)

85 (27.7%)

11

After use, replace the mouth piece cover

300 (97.7%)

7 (2.3%)

Level of competency

Competent

Not competent

56 (18.2%)

251 (81.8%)

  1. *essential steps according to NAEPP