Determining the Usefulness of Patient Education and If AR Control Was Affected by Different Methods of Teaching of Nasal Spray Usage

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Abstract (English)

Abstract
Aim: The aim of the present study was to determine the usefulness of patient education and if
AR control was affected by different methods of teaching of nasal spray usage.
Methods: The Present study was conducted at department of ENT, SKMCH, Muzaffarpur,
Bihar, India for one year and patients were recruited aged 18 and above with clinical
symptoms suggestive of mild persistent or moderate-severe persistent AR (ARIA guidelines
2008). Total 100 patients were included in the study.
Results: Patients were between 20 to 60 years old (mean=32.4 years) and among them 40
(40%) were male patients and 60 (60%) were female patients. Based on the 2008 ARIA
guidelines, 88 (88%) patients were diagnosed with moderate-severe persistent (MSP) AR, 4
(4%) had moderate- severe intermittent (MSI) AR while 8 (8%) had mild persistent (MP)
AR. Assessment on the techniques during the 2nd (visit 2) showed that none of the
participants were able to show a correct technique on the usage of INCS. During the 3rd visit
despite re-education, only 26% of participants were able to show the correct techniques.
There was statistically significant association between ARIA classification and severity of
TNSS during V1-V3. Majority of patients with MSP AR had severe TNSS during V1 and
subsequently improved to moderate symptoms during V2 and mild/very mild during V3.
Conclusion: Our study showed the importance of educating patient regarding the use of
INCS. Both objective and subjective assessment of improvement after each method of patient
education showed statistically significant outcome