scholarly journals Penggunaan Asthma Control Test (ACT) secara Mandiri oleh Pasien untuk Mendeteksi Perubahan Tingkat Kontrol Asmanya

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Yessy Susanty Sabri ◽  
Yusrizal Chan

AbstrakAsma adalah penyakit dengan spekrum gejala yang luas dan gejala yang sering dilaporkan pasien kepada dokter sangat beragam, tergantung dari persepsi masing-masing pasien. Pendekatan terbaru dalam penatalaksanaan pasien asma yaitu pasien dapat hidup bebas tanpa terganggu oleh gejala penyakitnya. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas penggunaan ACT secara mandiri oleh pasien asma untuk mendeteksi perubahan tingkat kontrol asmanya. Metode yang digunakan adalah Studi Analisis kohort Prospektif. Didapatkan 32 orang pasien asma yang berobat ke poliklinik Paru RS M. Djamil Padang, yang bersedia ikut dalam penelitian ini. Efektifitas penggunaan ACT secara mandiri oleh pasien sebagai alat untuk mendeteksi perubahan tingkat kontrol asma, cukup efektif karena penilaian tingkat kontrol asma pasien sama dengan dokter yaitu 78,1%. Efektifitas ACT tidak berhubungan dengan tingkat pendidikan pasien, derajat keparahan asma, tingkat pengetahuan awal pasien terhadap penyakit asma serta lama menderita asma. Selama penelitian tidak ditemukan kejadian eksaserbasi pada pasien penelitian.Kata kunci: Asma, asma kontrol tesAbstractAsthma is a disease with wide spectrum symptoms and the patient's symptoms are often reported to doctors also with wide range of diversity, depending on the perception of each patient. New approaches in the management of asthma patients i.e. patients can live freely without being distracted by the symptoms of the disease. The purpose of this study was to determine the effectiveness of the use of ACT independently by asthma patients to detect changes in the level of asthma control. The method used was a prospective cohort study analysis. There were 32 asthma patients who went to the Lung polyclinic of M. Djamil Hospital Padang and were willing to participate in the study.Effective use of ACT independently by the patient as a tool to detect changes in the level of asthma control is quite effective in which the assessment level of asthma control between patient and the doctor is equal with the value 78.1%. The effectiveness of ACT is not related to the educational level of the patient, severity of asthma, the level of prior knowledge of the patients and the period of suffering asthma. During the study found no incidence of exacerbations in the patients.English, Arial 9 italicKeywords: asthma, asthma control test

Medicina ◽  
2009 ◽  
Vol 45 (12) ◽  
pp. 943 ◽  
Author(s):  
Guoda Pilkauskaitė ◽  
Kęstutis Malakauskas ◽  
Raimundas Sakalauskas

International guidelines indicate that the main criterion of asthma management is asthma control level. The aim of this study was to assess asthma control and its relation with age, gender, and lung function. Material and methods. A total of 106 family physicians and 13 pulmonologists and allergists took part in this study. Each doctor had selected 10–15 asthma patients and had sent invitations to them by post. On the visit day, the patients themselves filled in the Asthma Control Test. The doctors interviewed the patients and filled in a special questionnaire. Pulmonologists and allergists also assessed lung function by performing spirometry. According to the results of the Asthma Control Test, the disease control level was indicated as “totally controlled” (25 points), “well controlled” (24–20 points), and “uncontrolled” (19 points or less). Results. A total of 876 asthma patients were examined. Uncontrolled asthma was diagnosed to 56.2% of the patients, 36.5% of patients had well controlled and 7.3% totally controlled asthma. There was no significant difference in asthma control level comparing men and women. A correlation between asthma control level and age was found revealing poorer asthma control in older patients. Ninety-five percent of patients were treated with inhaled steroids; most of them had used inhaled steroids in combination with long-acting β2 agonists. It was found that lung function correlated with clinical symptoms of asthma, the demand of shortacting β2 agonists, and asthma control level. Conclusion. The study showed that uncontrolled asthma was diagnosed to more than half of the patients, despite most of them used inhaled steroids. Asthma control was worsening with the age of patients with asthma and it correlated with lung function. We suggest that periodical assessment of asthma control should help to optimize asthma management.


Respirology ◽  
2015 ◽  
Vol 20 (3) ◽  
pp. 504-506 ◽  
Author(s):  
Shaun Holt ◽  
Mitesh Patel ◽  
Barney Montgomery ◽  
Mark Weatherall ◽  
Richard Beasley

2021 ◽  
Vol 1 ◽  
pp. 1016-1022
Author(s):  
Kurnia Fitri ◽  
Dian Kartikasari

AbstractAsthma is an inflammation of the respiratory tract characterized by shortness of breath, coughing, and wheezing. A person with asthma will experience a descreace in physical condition, emotional changes, and changes inactivity. Based on previous research, the number of uncontrolled asthma patients in Persahabatan Hospital is still large. Asthma cannot be cured, but it can be observed using the asthma control test (ACT) to keep asthma under control in the long term. The purpose of this literature review was to describe the level of asthma control in asthmatic patients. The data collection technique used a literature review method of six articels sourced from online databeses with electronic searches on Garuda and Pubmed. The searching process used key words : “ tingkatkontrol” and “ pasienasma”. The English articles that were searched used key word : “ level of control” AND “asthma patients”. The research instrument used was the JBI critical appraisal checklist for cross-sectional.The results of a literature review of six articels showed that the describption of the level of asthma control was mostly uncontrolled. From this literature review, the results obtained were 71 (9,8%) controlled, 234 (32,19%) partially controlled, and 422 (58%) uncontrolled.The results of this literature review show that the level of asthma control in asthmatic patients is not controlled.Keywords : level of control, asthma patients AbstrakAsma merupakan gangguan pada saluran pernafasan yang mengalami inflamasi ditandai dengan sesak nafas, batuk dan mengi. Seseorang dengan asma akan mengalami penurunan kondi sifisik, perubahan emosional, dan perubahan aktivitas. Berdasarkan penelitian sebelumnya jumlah pasienasma yang tidak terkontrol di rumah sakit persahabatan masih banyak. Asma tidak dapat disembuhkan, tetapi dapat di observasi menggunakan Asthma Control Test (ACT) untuk mempertahankan asma dalam keadaan terkontrol dalam jangka panjang. Tujuan dari literature review ini adalah untuk mengetahui gambaran tingkat control asma pada pasienasma.Teknik pengumpulan data menggunakan metode literature reviewe nama artikel yang bersumber dari data base online dengan penelusuran elektronik pada Garuda dan Pubmed. Pencarian artikel dengan menggunakan kata kunci : “tingkat kontrol” dan “pasien asma”, sedangkan artikel berbahasa inggris menggunakan kata kunci : “level of control” AND “patients asthma”. Instrumen telaah yang digunakan yaitu dengan menggunakan JBI critical appraisal checklist for cross-sectional. Hasil literature review dari enam artikel didapatkan bahwa gambaran tingkat control asma Sebagian besar tidak terkontrol. Dari literatuyre review ini diperoleh hasil sebanyak 71(9,8%) terkontrol, 234 (32,19%) terkontrol sebagian dan 422 (58%) tidak terkontrol. Hasil penelitian literature review ini menunjukkan bahwa tingkat control asma pada pasien asma adalah tidak terkontrol. Kata kunci: tingkat kontrol, pasien asma


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Arturas Nastaravičius ◽  
Kristina Ramanauskienė

Bronchial asthma is one of the most common chronic respiratory diseases, and its care is often complex. In this research, we tested the proposal that participation of pharmacists in the management of bronchial asthma can improve patient outcomes. A two-stage study was constructed consisting of a training element and a service element, using the Asthma Control Test and a structured questionnaire about the patients’ disease condition (based on the results of a qualitative study). The study was conducted in 21 pharmacies in Lithuania and involved 338 asthmatic patients (age 18–88 years). It was found that before the pharmacy service was provided, the average number of mistakes patients made in administration of asthma medications was 2.03; this number decreased to 1.12 after the service was provided (p<0.05). Disease control paralleled the improvement in number of mistakes: 26.1% of patients who previously exerted no control over the disease symptoms began to exert sufficient control over their asthma symptoms (Asthma Control Test >20) after the service was provided (p<0.05). The reduced number of mistakes probably can be attributed to the positive effects of the provided services. By reducing the number of patient mistakes, pharmacists may improve the outcomes of asthmatic patients.


2019 ◽  
Vol 143 (2) ◽  
pp. AB52
Author(s):  
Lulu K. Lee ◽  
Karthik Ramakrishnan ◽  
Guilherme Safioti ◽  
Michael Schatz

2008 ◽  
Vol 59 (4) ◽  
pp. 406-413
Author(s):  
Toshio Ichiwata ◽  
Kenji Uchiyama ◽  
Toshio Kojima ◽  
Akemi Kouyama ◽  
Gaku Ikegami ◽  
...  

2021 ◽  
Vol 49 (5) ◽  
pp. 16-24
Author(s):  
Jia-ying Luo ◽  
Ou Li-li ◽  
Ma Jing ◽  
Lin Xin-yuan ◽  
Fan Li-min ◽  
...  

Objectives: This study aimed to evaluate the efficacy of air purifier therapy for patients with allergic asthma.Methods: Thirty-eight subjects were categorized under two groups namely treatment group and control group. All subjects were under 18 years of age and they had been clinically diagnosed with allergic asthma. The treatment group used high efficiency particulate air (HEPA) purifiers for six consecutive months, and the control group did not use the air filters.Particulate matter (PM) data and dust samples (from bedding and a static point) were collected from the subjects’ bedrooms before they started using the air purifiers and each month thereafter. Simultaneously, the subjects were asked to complete a questionnaire for the Asthma Control Test (ACT) or Childhood Asthma Control Test (C-ACT). Fractional exhaled nitric oxide (FENO) tests were performed at the start and end of the study. The concentrationsof Der p1 and Der f1 were measured in the dust samples.Results: (1) After utilizing the air purifier, the concentrations of house dust mite (HDM) allergens (Der p1+ Der f1) in the dust samples decreased. In addition, the PM indoor/outdoor values significantly decreased. (2) The ACT and C-ACT scores in the treatment group maintained a steady significant upward trend. (3) At the end of the study, the FENO levels in both groups were lower, although the differences were not significant.Conclusions: It is witnessed that HEPA air purifiers can decrease indoor HDM allergen and PM levels and improve the quality of life for allergic asthma patients.


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