AbstractAim: The aim of the present study was to determine the usefulness of patient education and ifAR 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 clinicalsymptoms suggestive of mild persistent or moderate-severe persistent AR (ARIA guidelines2008). 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 ARIAguidelines, 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 theparticipants were able to show a correct technique on the usage of INCS. During the 3rd visitdespite re-education, only 26% of participants were able to show the correct techniques.There was statistically significant association between ARIA classification and severity ofTNSS during V1-V3. Majority of patients with MSP AR had severe TNSS during V1 andsubsequently improved to moderate symptoms during V2 and mild/very mild during V3.Conclusion: Our study showed the importance of educating patient regarding the use ofINCS. Both objective and subjective assessment of improvement after each method of patienteducation showed statistically significant outcome

AbstractAim: The aim of the present study was to determine the usefulness of patient education and ifAR 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 clinicalsymptoms suggestive of mild persistent or moderate-severe persistent AR (ARIA guidelines2008). 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 ARIAguidelines, 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 theparticipants were able to show a correct technique on the usage of INCS. During the 3rd visitdespite re-education, only 26% of participants were able to show the correct techniques.There was statistically significant association between ARIA classification and severity ofTNSS during V1-V3. Majority of patients with MSP AR had severe TNSS during V1 andsubsequently improved to moderate symptoms during V2 and mild/very mild during V3.Conclusion: Our study showed the importance of educating patient regarding the use ofINCS. Both objective and subjective assessment of improvement after each method of patienteducation showed statistically significant outcome