scholarly journals Hubungan Antagonis Leukotrien dengan Tingkat Kontrol Asma di Klinik Harum Melati

2020 ◽  
Vol 1 (3) ◽  
pp. 233-239
Author(s):  
Rakhmi Rafie ◽  
Eka Silvia ◽  
Woro Pramesti ◽  
Fenta Loka Tata

The level of asthma control is the extent to which the characteristics of asthma can be observed in patients with asthma and have been reduced or disappear with treatment. The Global Initiative for Asthma guidelines recommends leukotriene antagonists as the second-line add-on treatment. Leukotriene antagonists play a role in controlling the recurrence of asthma symptoms, so a well-controlled asthma patient will be achieved.  This study conducted to find out the correlations between the use of leukotriene antagonists with the level of asthma control in patients with bronchial asthma at Harum Melati Clinic of Pringsewu in August 2018-August 2019. Methodology: This research using an analytic method with a retrospective approach. The population of this research was all of the medical records of patients with bronchial asthma at Harum Melati Clinic of Pringsewu on the period of August 2018-August 2019, amounting to 449, sampling using the total sampling technique with the total sample of 232 medical records that meet the inclusion criteria and exclusion criteria. Data were analyzed by the spearman test.  133 (57.3%) subjects had well-controlled asthma, 99 (42.7%) subjects having partly- controlled asthma, and there are no asthma patients have uncontrolled asthma (0%). And also got 125 (53.9%) subjects using leukotriene antagonists and 107 (46.1%) subjects did not use leukotriene antagonists. There is a correlation between the use of leukotriene antagonists with the level of asthma control in patients with bronchial asthma at Harum Melati Clinic of Pringsewu in August 2018-August 2019.  

2020 ◽  
Vol 1 (3) ◽  
pp. 240-246
Author(s):  
Rakhmi Rafie ◽  
Eka Silvia ◽  
Alfi Wahyudi ◽  
Restu Adi Wardana

Bronchial asthma is a chronic disease that can affect in any ages in developed country. In 2016 there were 339,4 million people around the world got asthma. According to Basic Health research 2018, the prevalence of asthma in Indonesia was 2,4% of the population and Lampung province was the highest affected in the last 12 months. The level of asthma control is the extent to which the characteristics of asthma can be observed in patients with asthma and have been reduced or disappear with treatment. Uncontrolled asthma caused by various factors, for example is exposure of cigarette smoke. The study aim to find out the correlations between the exposure of cigarette smoke for the level of asthma control in patients with bronchial asthma at Harum Melati Clinic of Pringsewu on period of August 2018-August 2019. This analytic study  used a retrospective approach. Total sampling technique used with sample of 308 medical records that meet the inclusion criteria and exclusion criteria. Data from this research analyzed by Spearman test. In this study, 83 (26.9%) subjects had uncontrolled asthma, 225 (73.1%) subjects having controlled asthma, and there are no asthma patients have well controlled asthma (0%). 152 (49.4%) subjects not exposed of cigarette smoke and 156 (50.6%) subjects exposed of cigarette smoke.  There is a correlations between the exposure of cigarette smoke for the level of asthma control in patients with bronchial asthma at Harum Melati Clinic of Pringsewu on period of August 2018-August 2019.


2020 ◽  
Vol 1 (2) ◽  
pp. 93
Author(s):  
Moh Jufriyanto ◽  
Endang Fauziyah

Introduction: Bronchial asthma is a disease that occurs frequently in Indonesia and is reversible and can cause death. The problem that is felt is bouts of shortness of breath when a recurrence occurs. Stress is one of the causes of recurrence. So a positive coping mechanism is needed to prevent relapse. This study aims to determine whether there is a relationship between the coping mechanisms used and the frequency of recurrence in bronchial asthma patients at M. Noer Pamekasan Hospital, 2018. Methods: This research design uses Non-Experimental Analytic Correlation method with a sample of 39 people and uses Probability Simple Random Sampling technique. The research data were taken using a questionnaire. After the tabulation, the data were analyzed using the Rank Spearman test with a significance level of 0.05. Results: The results showed that almost half (45.7% or 16 people) had maladaptive coping mechanisms and relapses> 5X / month, and a small proportion (11.4% or 4 people) had adaptive coping mechanisms and relapsed 1-4X / month. From the results of statistical testing, it was found that there was a correlation between coping mechanisms and the frequency of recurrence with a correlation coefficient of 0.430 with a significance level of 0.010. Conclusion: We know that the coping mechanism is closely related to the occurrence of stress and anxiety in a person. Meanwhile, anxiety is one of the causes of recurrence in bronchial asthma patients. So in providing nursing care, you should not forget about health education about coping mechanisms so that patients can manage the stress experienced so that recurrence of bronchial asthma can be avoided.


2018 ◽  
Vol 3 (1) ◽  
pp. 45
Author(s):  
Muhammad Arif ◽  
Mariza Elvira

Patients suffering from asthmadevelop bronchospasm and bronchokontriksi resulting in hyperventilation resulting in decreased ventilation and oxygenation. Interventions to maintain lung oxygenation ventilation function one of them with Buteyko respiratory technique intervention. The purpose of this study was to identify the effect of Buteyko respiratory technique on lung oxygenation ventilation function in bronchial asthma patients. The research design used quasy experiment nonequivalent pre-post control group, and sample number of both groups respectively 15 respondents.The intervention group performed Buteyko breathing technique for 6 weeks.Sampling by consecutive sampling technique. The results of this study indicated that there was a significant difference in pulmonary oxygen ventilation function after Buteyko's breathing technique for 6 weeks (p = 0.00, α = 0.05). The researcher's recommendation is to improve the ventilation function of lung oxygenation by intervening Buteyko respiratory technique in bronchial asthma patient


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu

Bronchial Asthma generally starts from childhood which is condition where respiration channel experiences constriction because of hyperactivity with some specific stimulation which cause inflammation. Some risk factors are smoking exposure of cigarette smoke, weather changes, mite on house dirt, pet and history of family sickness. The purpose of this research is to know Relation of mite on house dirt, exposure of cigarette smoke  and history of family sickness with bronchial asthma incident to child 5 – 10  years old on working area of Puskesmas Lempake Samarinda City in 2016. Method which used was analytic survey with Case Control approaching. The total sample was 36 children which consisted of 18 case group and 18 control group with matching by using age and gender which submitted with Purposive Sampling technique. Data Analysis used Chi Square with wrong degree α = 0,005. The result showed that there was relation of mite of house dirt (p = 0,006), history of family sickness (p = 0,001) and no relation with exposure of cigarette smoke (p = 0,370) with bronchial asthma incident to child 5 – 10 years old on working area of Puskesmas Lempake Samarinda City in 2016.


2021 ◽  
Vol 4 (1) ◽  
pp. 60
Author(s):  
Vista Claudia Sari ◽  
Irwanto Irwanto ◽  
Widati Fatmaningrum ◽  
Martono Martono

ABSTRACTBackground: 60-70% of newborns have jaundice and can potentially become pathological jaundice. The effects of jaundice are often incurable, can cause disability to mental retardation. Jaundice is one of the causes of neonatal death. Jaundice accounts for 6% of neonatal deaths. Breastfeeding especially colostrum is often associated as one of the factors that can influence the occurrence of jaundice in newborns. Method: This type of research is descriptive quantitative. The population is all newborns at Airlangga University Hospital, Surabaya. The study was conducted from October to November 2019. Non-random sampling technique with total sampling. Results: There were 159 newborns in RSUA from October to November 2019. 14 newborns were not found in medical records, 10 were not given the first breast milk. Of the 135 research samples given the first ASI 18 samples or 13.33% who experienced physiological jaundice. 94.44% of the total sample of 18 who experienced physiological jaundice were babies born to mothers aged 21-35 years. 66.67% of babies with jaundice are infants with mothers as housewives. 61.11% of babies with high school graduation, 72.22% were born by cesarean section, 72.22% were born with a history of clear membranes, and 61.11% were born by primiparous mothers. Conclusion: Newborns were given first breast milk (Colostrum), 85.2% did not experience jaundice, 13.3% experienced physiological jaundice and 1.5% pathological jaundice. Jaundice can occur due to many factors; maternal, neonatal and perinatal factors.


JKEP ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 31-43
Author(s):  
Syamsul Firdaus ◽  
Misbachul Munirul Ehwan ◽  
Agus Rachmadi

Mild persistent bronchial asthma is a chronic inflammatory airway that cause the low oxygen saturation value (91-95%). Administering oxygen therapy, setting the position of the semi fowler and fowler can reduce the risk of a decreased chest configuration. This research aims to assess the difference of effectiveness of administering oxygen at semi fowler with fowler position to the saturation changes in mild persistent bronchial asthma patients in Ratu Zalecha Martapura Hospital. This research method is quasy Experiment. The population research are all patients who experience mild persistent bronchial asthma attack, the sample of this research are 20 respondents with purposive sampling technique and analyzed with independent T test. The results is at semi fowler position the average of oxygen saturation before the treatment is 93.10%, after administering oxygen therapy with semi fowler position the average saturation is 98.00%. At the fowler position the average of oxygen saturation before the treatment is 92.60%, after administering oxygen therapy with fowler position the average saturation is 98.00%. The independent T-test result showed no difference of effectiveness of administering oxygen at semi fowler with fowler position to the saturation changes in mild persistent bronchial asthma patients,so teh patients can be given both positions.


2020 ◽  
Author(s):  
Jek Amidos Pardede ◽  
Marthalena Simamora ◽  
Galvani Volta Simanjuntak

Background: Breast cancer brings negative impacts to women, particularly thosewho have undergone chemotherapy, not only physically but also mentally. The negativeimpacts on patients’ mental include a feeling of being failed to play their role as a woman,not having the ability to do anything, low self-esteem, and confidence loss. Thus, familysupport is necessary for anticipating negative self-esteem in breast cancer patients. Familysupport helps patients maintain and increase their self-esteem. Objective: The objectiveof this study is to analyze the relationship between family support and self-esteem inpatients with breast cancer undergoing chemotherapy at Haj Adam Malik Central Hospital.Methods: The study employed analytical correlational design with a cross-sectional approach.The research samples included all breast cancer patients who were undergoingchemotherapy at Haj Adam Malik Central Hospital in Medan City. The sampling selectionof this study used total sampling technique; hence the total sample number was 34.Spearman test was performed in data analysis. Result: The study suggested that 64.7% ofthe respondents received good family support and 66.7% of the respondents had a high levelof self-esteem. Besides, it was also obtained that there was a moderate correlation betweenfamily support and self-esteem of patients with breast cancer (p=0.01< α 0,05 with r =0.432). The results imply that better family support is the higher the level of self-esteemof patients with breast cancer undergoing chemotherapy will be. Therefore, it isrecommended that each of the family members gives support to the patient in the form of care,information, and instrumental support, so that the patient will have better self-esteem andquality of life


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.


2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Samiaa Hamdy Sadek ◽  
Maha Mohamed El-kholy ◽  
Fareda Ahmed Mohammed ◽  
Reham Mohammed El-Morshedy

Abstract Background Poorly controlled bronchial asthma limits patients’ quality of life (QOL), the condition which may potentiate the development of psychiatric disorders. The aim of this study was the assessment of anxiety and depression in bronchial asthma patients, and their interrelation with both level of asthma control and quality of life in our society. Results This study included 102 bronchial asthma patients, and 50 healthy control individuals. Patients had poorer QOL, and higher anxiety and depression scores compared to healthy control, moreover these scores were higher in uncontrolled asthma patients compared to controlled group. Poor QOL, frequent hospital admissions, and poor asthma control were the predictors for psychiatric disorders. Conclusion Depression and anxiety are frequently encountered in patients with bronchial asthma in our society; poor symptom control, poor QOL, and frequent hospital admissions are the main predictors for these psychiatric disorders.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dina S. Sheha ◽  
Asmaa S. Abdel-Rehim ◽  
Osama M. Abdel-Latif ◽  
Maryam A. Abdelkader ◽  
Riham H. Raafat ◽  
...  

Abstract Background Lockdown has been enforced globally to curb the spread of SARS-CoV-2. Patients with uncontrolled asthma are at risk of severe illness from COVID-19, highlighting the priority of adequate asthma control during the pandemic. Staying indoors exposes asthmatics to indoor asthma triggers, including disinfectants used for limiting the virus spread, in addition to psychological stresses of the pandemic which represent crucial contributors to loss of asthma control. Elective medical care, curtailed by the lockdown procedures, compromises adequate asthma follow up. The current study evaluated the effect of COVID-19 lockdown on the level of asthma control and mental health of bronchial asthma patients. The study included 264 bronchial asthma patients, aged 12 years and older, who responded to an online questionnaire including the asthma control test to evaluate asthma control in the preceding 4 weeks. Anxiety and depression scores and the impact of event scale were also provided. Results Seventy percent of asthmatics had uncontrolled asthma, and disinfectant use was associated with perceived increase in asthma symptoms in 77.7%. Anxiety and depression were associated with uncontrolled asthma in 50% of participants, suggesting a possible psychological impact on asthma patients. Conclusions During lockdown, asthma patients participating in the study had significantly uncontrolled disease and associated anxiety and depression. Since regular follow-up of asthma patients is cornerstone to adequate asthma control, alternative methods of medical care for asthma patients during lockdown are warranted, and particular need for mental health support ought to be provided as a continuum to adequate asthma control.


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