FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN ASMA ANAK DI BALKESMAS WILAYAH AMBARAWA

2019 ◽  
Vol 1 (1) ◽  
pp. 52-64
Author(s):  
Rizki Prakoso S.P ◽  
Alfan Afandi ◽  
Yuliaji Siswanto

Asma adalah penyakit kronis paling umum pada kelompok usia anak-anak. Penyakit ini dapat mempengaruhi aspek yang berbeda pada kualitas hidup anak, seperti fisik, emosi, sosial, dan performa sekolah. Kualitas hidup pada masa kanak-kanak merupakan dasar untuk menjamin kualitas hidup yang lebih baik pada masa dewasa. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kualitas hidup pasien asma anak di Balkesmas wilayah Ambarawa. Penelitian ini merupakan jenis penelitian analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh pasien asma anak di Balkesmas Wilayah Ambarawa dengan sampel 56 anak asma yang diambil dengan cara convenient sampling. Instrument yang digunakan untuk memperoleh data melalui kuesioner PedsQLTM dan Asthma Control Test (ACT). Teknik analisis data dengan menggunakan uji chi square(α = 0,05). Hasil penelitian menunjukkan bahwa ada hubungan antara jenis kelamin dengan kualitas hidup (p=0,045; PR=3,714; 95%CI=1,175-11,740) dan tingkat kontrol asma dengan kualitas hidup (p=0,000; PR=42,778; 95%CI=4,864-376,247). Selanjutnya tidak ada hubungan antara status ekonomi (p=1,000) dengan kualitas hidup. Berdasarkan hasil penelitian tersebut diharapkan anak asma memahami pentingnya untuk mengontrol asma dengan cara menghindari allergen dan rutin melakukan kunjungan pengobatan agar kontrol asma dapat tetap terpantau sehingga kualitas hidup anak tetap terjaga dan mencapai derajat kesehatan setinggi-tinggi.

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Katerine Katerine ◽  
Irvan Medison ◽  
Erlina Rustam

AbstrakKontrol gejala asma yang baik merupakan tujuan pengobatan bagi pasien asma. Pengobatan medikamentosa dan self management dibutuhkan untuk mencapai kontrol asma. Pengobatan medikamentosa dan self management yang baik akan tercapai jika pasien asma memiliki pengetahuan mengenai asma . Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan asma dengan tingkat kontrol asma. Penelitian ini adalah penelitian cross sectional yang dilaksanakan pada bulan April hingga September 2013 di RSUP Dr. M.Djamil Padang dan RSUD Dr. Achmad Mochtar Bukittinggi. Subjek penelitian yang telah memenuhi kriteria inklusi akan diwawancara menggunakan lembar kuesioner data dasar, kuesioner AGKQ dan kuesioner ACT. Penelitian ini dilakukan pada 65 orang pasien asma yang datang ke Poliklinik Asma di RSUP Dr.M.Djamil Padang and RSUD Dr.Achmad Mochtar Bukittinggi selama bulan April hingga September 2013. Analisis statistik yang digunakan adalah uji chi square dan pengolahan data menggunakan software SPSS 15. Hasil penelitian menunjukkan dari 65 subjek penelitian, 19 (29,2%) orang dengan asma tidak terkontrol memiliki pengetahuan yang rendah, 1 (1,5%) orang dengan asma terkontrol sebagian dengan tingkat pengetahuan yang rendah dan 1 (1,5%) orang pasien asma terkontrol total memiliki pengetahuan asma yang rendah. Pasien dengan pengetahuan asma rendah didapatkan 21 (32,3%) orang dan pengetahuan asma tinggi 44 (67,7%) orang. Berdasarkan uji chi square, terdapat hubungan yang bermakna antara tingkat pengetahuan asma dengan tingkat kontrol asma dengan nilai p = < 0,01 (p < 0,05).Kata kunci: Asthma Control Test (ACT), Asthma General Knowledge Questionnaire (AGKQ), kontrol asma, pengetahuan asma.AbstractGood control of asthma symptomps is a goal for asthmatic patient. Medical treatment and self-management are needed to reach control of asthma. Good medical treatment and a good self-management will be achieved if the asthma patient have knowledge of asthma. The aim of this study is to find relation between asthma knowledge and asthma control. This study is a cross sectional that was conducted in April – September 2013 at asthma clinic Dr.M.Djamil Hospital, Padang and Dr.Achmad Mochtar Hospital, Bukittinggi. Subject who fulfilled the inclusion criteria was interviewed by using basic data information, asthma general knowledge questionnaire (AGKQ) and asthma control test (ACT). Used 65 asthmatic patients as sample that come to Ashma Polyclinic in RSUP Dr.M.Djamil Padang and RSUD Dr.Achmad Mochtar Bukittinggi during April until September 2013. The statistical analysis used chi square test and SPSS 15 for data processing. The results showed that from 65 subjects, 19 (29,2%) subjects with uncontrolled asthma showed low level of asthma knowledge, 1 (1,5%) subjects with partially controlled asthma showed low level of asthma knowledge, and 1 (1,5%) subjects with controlled asthma showed low level of asthma knowledge. Patients with low level of asthma general knowledge was 21 samples (32,3%) and high level of asthma general knowledge was 44 samples (67,7%). Based on chi square test, there is significant association between asthma general knowledge with asthma control p < 0.01 (<0.05).Keywords: asthma control test(ACT), asthma general knowledge questionnaire(AGKQ), asthma control, asthma knowledge


Author(s):  
Majid AlTeneiji ◽  
Alia AlKalbani ◽  
Huda Nasser ◽  
Durdana Iram ◽  
Afaf Alblooshi ◽  
...  

2007 ◽  
Vol 119 (4) ◽  
pp. 817-825 ◽  
Author(s):  
Andrew H. Liu ◽  
Robert Zeiger ◽  
Christine Sorkness ◽  
Todd Mahr ◽  
Nancy Ostrom ◽  
...  

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


Author(s):  
Widyastiwi Widyastiwi ◽  
Mohammad Roseno ◽  
Tsania Nurilsyam ◽  
Inne Farida Lhaksmiwati

Background: Asthma is still a major health problem in global population, including Indonesia. Antiasthma drugs available in various dosage forms, including inhaler. However, several problems related to inhalation route were found due to its unique device form and spesific use technique. One of the major problems related to inhalation route is inappropriate use technique of inhaler device, which could lead to treatment failure. Therapy outcome can be measured through Asthma Control Test (ACT). Objectives: This study was aimed to evaluate correlation between metered dose inhaler (MDI) use technique and asthma control level in patients. Material and Methods: A cross-sectional analytic study was conducted in May - June 2021. Thirty patients who met inclusion criteria were enrolled in this study. Patients’ MDI use technique and asthma control level were evaluated using a valid and standardized questionnaire. Statistics analysis was performed to determine the correlation between MDI use technique and asthma control level. Results: This study showed that most of asthmatic patients were women in older age, with mild asthma severity for more than 10 years. The most prevalent medication used was Fenoterol HBr, followed by salbutamol, and salmeterol/fluticasone combination. Inappropriate MDI use was found in 70,0% patients, with major problem found in patients’ breathing technique before and during MDI use. Asthma control test was performed and showed that 90,0% of asthmatic patients involved in this study have an uncontrolled asthma. Statistical analysis using Pearson product-moment correlation test showed a positive correlation between proper use of MDI and asthma control level (r=0.425, p<0.05). Conclusions: Patient who properly use MDI may have a higher score in asthma control test, thus have a better control of asthma. This study emphasized pharmacist role as patient educator in ensuring appropriate inhaler use in order to achieve therapeutic goals.


Author(s):  
Mbatchou Ngahane Bertrand ◽  
Pefura-Yone Eric ◽  
Mama Maïmouna ◽  
Nganda Motto Malea ◽  
Olinga Ubald ◽  
...  

2018 ◽  
Vol 52 (2) ◽  
pp. 81-89
Author(s):  
Duška Jovič ◽  
Snežana Petrović-Tepić ◽  
Darija Kneževic

Introduction: Asthma is a global health problem that negatively affects various aspects of the quality of a person's life. The aim of the study was to examine the quality of life in children and adolescents with asthma and the correlation between the degree of asthma control and the quality of life.Methods: The cross-sectional study included 100 children and adolescents with asthma over a six-month period in 2015. The study used: Standardized Pediatric Asthma Quality of Life Questionnaire (PAQLQ(S)) for the assessment quality of life and the questionnaires for the assessment of asthma control for two age groups: Asthma Control Test (ACT) for adolescents and Childhood Asthma Control Test (C-ACT).Results: 62 boys and 38 girls aged 7−17, whose average age was 11.2 (s = 2.7) years were included in the study. The overall PAQLQ(S) score ranged between 3.30 and 7.00 with an average mean value of 5.95. The findings have showed that most children with asthma estimated their overall PAQLQ(S) on the positive end of the scale. The children reported more impairment in the domain of 'Emotion' ( = 5.84) than in 'Activities' and 'Symptoms'. The percentage of adolescents in the category of poor control (12.5 %) was significantly lower than in the group of children (25.0 %). In both groups of children, the sub-scale 'Symptoms' was in highest correlation with the degree of asthma control (r = 0.915, p < 0.01).Discussion and conclusion: In this study the children and adolescents with asthma showed an overall good quality of life. Control of asthma symptoms in children and adolescents positively influenced their quality of life.


2021 ◽  
Vol 18 (01) ◽  
pp. 8
Author(s):  
Sri Haryanti ◽  
Zullies Ikawati ◽  
Mustofa Mustofa ◽  
Tri Murti Andayani

ABSTRACT To produce an effect, the agonist drug 2 will bind to the ADRB2 receptor. The effect of agonist 2 shows variation between individuals due to the presence of encoding gene polymorphisms. There are 80 ADRB2 polymorphisms, including Arg16Gly in amino acids 16. The innate ADRB2 genotype is called wildtype, whereas mutated ones is called mutant. The purpose of this study was to determine whether there was a relationship between genotype rs 1042713 (Arg16Gly) and the effectiveness of β2-agonist drugs in asthma sufferers. This study was an observational study with a cross sectional design and prospective data collection. Examination of the presence of gene polymorphisms and assessment of effe A total of 101 asthma patients who met the inclusion criteria were sorted by genome type by pharmacogenomic examination uses the Asthma Control Test (ACT) questionnaire. The results of the statistical test with chi square to determine the relationship of genome type and asthma control obtained p value 0.131. The comparison of the effectiveness of the wildtype genome is more effective than the mutant of 1.887x, and heterozygote is more effective 1,667x greater than the mutant. There is no significant relation between genotypes rs 1042713 (Arg16Gly) with effectiveness, but the possibility of clinical effectiveness is different. Keywords: Asthma, β2-agonist, ADRB2, genotype, effectiveness.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Lisa Adhia Garina ◽  
Muhammad Ridho Grahadinta ◽  
Ferry Achmad Firdaus Mansoer ◽  
Intan Puspitasari

Asthma is considered a global health problem that, if not managed properly, can reduce the sufferers' quality of life. The purpose of the study was to evaluate the quality of life from the perspectives of asthma severity and the asthma control level. A cross-sectional study was conducted from February to June 2018 on asthmatic adolescents aged 12–14 years old in two public junior high schools in Bandung city, Indonesia. The diagnosis, history of asthma,  severity, and asthma control were established based on the National Asthma Guidelines from the Indonesian Pediatric Society, Global Initiative for Asthma (GINA), asthma control test (ACT), and ISAAC questionnaire. Statistical analysis performed using SPSS v.20 with Spearman's rho to determine the significance. The gender distribution of the 98 subjects was almost similar with slightly more girls (51%). The median age was 13±1 years with average ACT, FVC, and PAQLQ(S) total scores of 20±4, 78±16%, and 5.3±1.3, respectively. The domain scores for symptoms, activity limitations, and emotional function were 4.9±1.4, 5.0±1.3, and 5.7±1.1, respectively. There are correlations between the total  PAQLQ(S) score and asthma severity (p<0.001, r=−0.5) and the level of asthma control (p<0.001, r=0.6). In summary, the quality of life has a relationship with asthma severity and the level of asthma control. Asthma management should not only focus on medication but also ways to maintain a good quality of life. KUALITAS HIDUP REMAJA ASMA DAN HUBUNGANNYA DENGAN KEKERAPAN GEJALA DAN DERAJAT KENDALI ASMAAsma masih menjadi masalah kesehatan penting yang jika tidak ditangani baik, asma dapat menurunkan kualitas hidup anak. Tujuan penelitian ini menilai kualitas hidup dan hubungannya dengan kekerapan gejala dan derajat kendali asma. Penelitian cross-sectional ini dilaksanakan dari bulan Februari hingga Juni 2018 pada remaja asma berusia 12–14 tahun di dua SMPN di Kota Bandung, Indonesia. Diagnosis, riwayat asma, kekerapan gejala, dan derajat kendali asma berdasar atas Pedoman Nasional Asma Anak Ikatan Dokter Anak Indonesia, Global Initiative for Asthma (GINA), asthma control test (ACT), dan kuesioner dari ISAAC. Analisis statistik menggunakan SPSS v.20 dengan uji Spearman’s rho untuk menentukan signifikansi. Distribusi gender dari 98 subjek penelitian hampir sama dengan sedikit lebih banyak perempuan (51%). Usia rerata subjek 13±1 tahun dengan skor rerata ACT, FVC, PAQLQ(S) masing-masing 20±4, 78±16%, dan 5,3±1,3. Skor domain gejala, keterbatasan beraktivitas, dan fungsi emosi masing-masing 4,9±1,4; 5,0±1,3; dan 5,7±1,1. Terdapat hubungan skor total PAQLQ(S) dengan kekerapan gejala (p<0,001; r=−0,5) dan dengan derajat kendali asma (p<0,001; r=0,6). Simpulan, kualitas hidup berhubungan dengan kekerapan gejala dan derajat kendali asma. Pengelolaan asma sebaiknya tidak hanya memperhatikan pengobatan, tetapi juga menjaga kualitas hidup yang baik.


Sign in / Sign up

Export Citation Format

Share Document