scholarly journals Hubungan Asap Rokok dengan Tingkat Kontrol Asma di Klinik Harum Melati Pringsewu

2020 ◽  
Vol 1 (3) ◽  
pp. 240-246
Author(s):  
Rakhmi Rafie ◽  
Eka Silvia ◽  
Alfi Wahyudi ◽  
Restu Adi Wardana
Keyword(s):  
Asthma Control ◽  
Cigarette Smoke ◽  
Bronchial Asthma ◽  
Sampling Technique ◽  
Inclusion Criteria ◽  
Uncontrolled Asthma ◽  
Exclusion Criteria ◽  
Developed Country ◽  
Asthma Patients ◽  
Spearman Test

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.

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
Keyword(s):  
Asthma Control ◽  
Bronchial Asthma ◽  
Medical Records ◽  
Sampling Technique ◽  
Asthma Patient ◽  
Total Sample ◽  
Leukotriene Antagonists ◽  
Asthma Patients ◽  
Patient Will ◽  
Spearman Test

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.  

scholarly journals RELATIONSHIP BETWEEN COPING MECHANISM AND RECURRENCE FREQUENCY IN BRONCHIAL ASTHMA PATIENTS

2020 ◽  
Vol 1 (2) ◽  
pp. 93
Author(s):  
Moh Jufriyanto ◽  
Endang Fauziyah
Keyword(s):  
Bronchial Asthma ◽  
Correlation Method ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Coping Mechanisms ◽  
Statistical Testing ◽  
Coping Mechanism ◽  
Significance Level ◽  
Asthma Patients ◽  
Spearman Test

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.

scholarly journals Level of asthma control and mental health of asthma patients during lockdown for COVID-19: a cross-sectional survey

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dina S. Sheha ◽  
Asmaa S. Abdel-Rehim ◽  
Osama M. Abdel-Latif ◽  
Maryam A. Abdelkader ◽  
Riham H. Raafat ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Asthma Control ◽  
Bronchial Asthma ◽  
Alternative Methods ◽  
Anxiety And Depression ◽  
Severe Illness ◽  
Uncontrolled Asthma ◽  
Asthma Patients

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.

HUBUNGAN TUNGAU DEBU RUMAH, PAPARAN ASAP ROKOK DAN RIWAYAT PENYAKIT KELUARGA TERHADAP KEJADIAN ASMA BRONKIAL PADA ANAK USIA 5 – 10 TAHUN DI WILAYAH KERJA PUSKESMAS LEMPAKE KOTA SAMARINDA TAHUN 2016

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu
Keyword(s):  
Cigarette Smoke ◽  
Bronchial Asthma ◽  
Sampling Technique ◽  
Total Sample ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
History Of ◽  
Weather Changes ◽  
And Gender

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.

scholarly journals Assessment of disease control in patients with asthma

Medicina ◽  
2009 ◽  
Vol 45 (12) ◽  
pp. 943 ◽  
Author(s):  
Guoda Pilkauskaitė ◽  
Kęstutis Malakauskas ◽  
Raimundas Sakalauskas
Keyword(s):  
Lung Function ◽  
Asthma Control ◽  
Control Level ◽  
Asthma Management ◽  
Control Test ◽  
Uncontrolled Asthma ◽  
Asthma Control Test ◽  
Inhaled Steroids ◽  
Asthma Patients ◽  
Β2 Agonists

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.

scholarly journals Level of asthma control and its relationship with medication use in asthma patients in Brazil

2014 ◽  
Vol 40 (5) ◽  
pp. 487-494 ◽  
Author(s):  
Josiane Marchioro ◽  
Mariana Rodrigues Gazzotti ◽  
Oliver Augusto Nascimento ◽  
Federico Montealegre ◽  
James Fish ◽  
...  
Keyword(s):  
Asthma Control ◽  
Latin American ◽  
Rescue Medication ◽  
Uncontrolled Asthma ◽  
The Past ◽  
Global Initiative For Asthma ◽  
Asthma Patients ◽  
Oral Corticosteroids ◽  
Global Initiative ◽  
Asthma Group

OBJECTIVE: To assess asthma patients in Brazil in terms of the level of asthma control, compliance with maintenance treatment, and the use of rescue medication. METHODS: We used data from a Latin American survey of a total of 400 asthma patients in four Brazilian state capitals, all of whom completed a questionnaire regarding asthma control and treatment. RESULTS: In that sample, the prevalence of asthma was 8.8%. Among the 400 patients studied, asthma was classified, in accordance with the Global Initiative for Asthma criteria, as controlled, partially controlled, and uncontrolled in 37 (9.3%), 226 (56.5%), and 137 (34.3%), respectively. In those three groups, the proportion of patients on maintenance therapy in the past four weeks was 5.4%, 19.9%, and 41.6%, respectively. The use of rescue medication was significantly more common in the uncontrolled asthma group (86.9%; p < 0.001). CONCLUSIONS: Our findings suggest that, in accordance with the established international criteria, asthma is uncontrolled in the vast majority of asthma patients in Brazil. Maintenance medications are still underutilized in Brazil, and patients with partially controlled or uncontrolled asthma are more likely to use rescue medications and oral corticosteroids.

scholarly journals Efektivitas Pemberian Oksigen Posisi Semi Fowler Dan Fowler Terhadap Perubahan Saturasi Pada Pasien Asma Bronkial Persisten Ringan

JKEP ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 31-43
Author(s):  
Syamsul Firdaus ◽  
Misbachul Munirul Ehwan ◽  
Agus Rachmadi
Keyword(s):  
Oxygen Saturation ◽  
Bronchial Asthma ◽  
Oxygen Therapy ◽  
Sampling Technique ◽  
T Test ◽  
Low Oxygen ◽  
Asthma Attack ◽  
Asthma Patients ◽  
The Difference ◽  
Persistent Bronchial Asthma

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.

scholarly journals Role of a Community Pharmacy Service in Care of Bronchial Asthma Patients in Lithuania

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Arturas Nastaravičius ◽  
Kristina Ramanauskienė
Keyword(s):  
Asthma Control ◽  
Bronchial Asthma ◽  
Pharmacy Service ◽  
Control Test ◽  
Asthma Control Test ◽  
Chronic Respiratory Diseases ◽  
Asthmatic Patients ◽  
Positive Effects ◽  
Community Pharmacy Service ◽  
Asthma Patients

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.

scholarly journals A 1-day visit in a severe asthma centre: effect on asthma control, quality of life and healthcare use

2016 ◽  
Vol 48 (3) ◽  
pp. 726-733 ◽  
Author(s):  
Akke-Nynke van der Meer ◽  
Henk Pasma ◽  
Wilma Kempenaar-Okkema ◽  
Jo-Anneke Pelinck ◽  
Myrte Schutten ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Severe Asthma ◽  
Life Questionnaire ◽  
Healthcare Use ◽  
Uncontrolled Asthma ◽  
Control Quality ◽  
Asthma Patients

Patients with uncontrolled asthma report ongoing symptoms, poor quality-of-life and extensive healthcare use (HCU) and might benefit from management by a specialised severe asthma team. It is unknown whether a one-time evaluation by asthma experts, without long-term supervision by a specialised team, provides favourable outcomes. We evaluated asthma control (Asthma Control Questionnaire; ACQ), quality-of-life (Asthma-related Quality of Life Questionnaire; AQLQ) and HCU before and 1 year after a 1-day visit programme in a severe asthma centre, including a multidisciplinary assessment resulting in a personalised management plan to be implemented by patients own pulmonologists.40 uncontrolled asthma patients completed questionnaires (ACQ, AQLQ, HCU) at baseline, and 6 and 12 months follow-up.ACQ improved from 2.6 (interquartile range 1.7–3.2) to 1.8 (1.2–3.2) (p=0.003) and AQLQ from 4.8 (4.0–5.2) to 5.3 (4.4–6.0) (p<0.001). We found a reduction in patients with ≥2 exacerbations (95% versus 17%; p<0.001), ≥1 emergency room visit (78% versus 37%; p<0.001) and ≥1 hospitalisation (47% versus 10%; p=0.001).Evaluation of uncontrolled asthma patients in a 1-day visit programme in a severe asthma centre resulted in significant improvements in asthma control, quality-of-life and healthcare use after 1 year. This 1-day visit approach seems beneficial for uncontrolled asthma patients and might reduce their dependence on expensive treatment modalities and long-term management in specialised centres.

scholarly journals Translation and cultural adaptation of a specific instrument for measuring asthma control and asthma status: the Asthma Control and Communication Instrument

2017 ◽  
Vol 43 (4) ◽  
pp. 264-269 ◽  
Author(s):  
Michelle Gonçalves de Souza Tavares ◽  
Carolina Finardi Brümmer ◽  
Gabriela Valente Nicolau ◽  
José Tavares de Melo Jr ◽  
Nazaré Otilia Nazário ◽  
...  
Keyword(s):  
Asthma Control ◽  
Target Population ◽  
Cognitive Debriefing ◽  
Inclusion Criteria ◽  
Culturally Adapted ◽  
Asthma Status ◽  
Asthma Patients ◽  
Back Translation ◽  
Author Review ◽  
Translation And Cultural Adaptation

ABSTRACT Objective: To translate the Asthma Control and Communication Instrument (ACCI) to Portuguese and adapt it for use in Brazil. Methods: The ACCI was translated to Portuguese and adapted for use in Brazil in accordance with internationally accepted guidelines. The protocol included the following steps: permission and rights of use granted by the original author; translation of the ACCI from English to Portuguese; reconciliation; back-translation; review and harmonization of the back-translation; approval from the original author; review of the Portuguese version of the ACCI by an expert panel; cognitive debriefing (the clarity, understandability, and acceptability of the translated version being tested in a sample of the target population); and reconciliation and preparation of the final version. Results: During the cognitive debriefing process, 41 asthma patients meeting the inclusion criteria completed the ACCI and evaluated the clarity of the questions/statements. The clarity index for all ACCI items was > 0.9, meaning that all items were considered to be clear. Conclusions: The ACCI was successfully translated to Portuguese and culturally adapted for use in Brazil, the translated version maintaining the psychometric properties of the original version. The ACCI can be used in clinical practice because it is easy to understand and easily applied.

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