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Matondang, Faisal Rizal
Perbandingan penilaian tingkat keterkontrolan asma menggunakan asthma control test, asthma symptom control dan asthma control questionnaire pada pasien asma di rsup persahabatan. = Comparison of assessment asthma control degree using asthma control test, asthma symptom control and asthma control questionnaire in asthma patients at persahabatan general central hospital.
"Pendahuluan: Tingginya angka kesakitan dari asma dan biaya pengobatan telah menjadi beban besar bagi masalah kesehatan. Tujuan pengobatan asma adalah tercapainya asma yang terkontrol mendekati fungsi paru normal, tidak ada gejala asma, tidak ada keterbatasan aktifiti dan memburuknya asma. Penggunaan Asthma Control Test ACT , Asthma Symptom Control ASC dan Asthma Control Questionnaire ACQ dapat secara mudah memberitahukan tingkat keterkontrolan asma. Penelitian ini bertujuan untuk melihat kesesuaian antara ketiga kuesioner dalam menilai tingkat keterkontrolan asma di RSUP Persahabatan.
Metode: Penelitian dengan desain potong lintang dan analisis deskriptif pada 45 subjek pasien asma di klinik asma PPOK RSUP Persahabatan melalui wawancara dan pengisian kuesioner untuk mengetahui tingkat keterkontrolan asma.
Hasil: Tingkat keterkontrolan asma dengan ACT sebanyak 42,2 terkontrol baik, 42,2 terkontrol sebagian dengan ASC dan 42,2 tidak terkontrol berdasarkan ACQ. Terdapat hubungan penggunaan obat kortikosteroid semprot dengan kuesioner ACT p=0,031 . Terdapat hubungan antara pendidikan p=0,047 , kebiasaan merokok p=0,037 dan penghasilan p=0,040 dengan keterkontrolan asma ASC. Terdapat hubungan antara penghasilan p=0,025 dengan kuesioner ACQ. Kesesuaian antara ketiga kuesioner ini dengan nilai kappa 0,877 kesesuaian yang baik.
Kesimpulan: Terdapat hubungan antara penggunaan obat kortikosteroid semprot, kebiasaan merokok dan penghasilan pada ketiga kuesioner keterkontrolan asma. Kesesuaian antara ketiga kuesioner terdapat kesesuaian yang baik.
Introduction: The high prevalence of asthma and costs of asthma therapy place a considerable burden on health care systems. Asthma attacks and symptoms can be controlled by an appropriate treatment and proper use of medicines. The goals of asthma therapy are to achieve asthma control near normal lung function, absence of asthma symptoms, no activity limitations and no episodes of worsening asthma. The use of Asthma Control Test ACT , Asthma Symptom Control ASC and Asthma Control Questionnaire ACQ can make easier to control asthma. This study rsquo;s purpose is to see the suitability between the three questionnaires in assessing the level of control asthma in Persahabatan Hospital.
Methods: Research with cross sectional design and descriptive analysis on 45 subjects of asthma patients in the clinic asthma PPOK RSUP Persahabatan through interviews and filling questionnaires to determine the level of control of asthma.
Results: Asthma control rate with ACT was 42.2 well controlled, 42.2 partially controlled with ASC and 42.2 uncontrolled under ACQ. There was association of spray corticosteroid drug use with ACT questionnaire p = 0,031 . There was a relation between education p = 0,047 , smoking habit p = 0,037 and income p = 0,040 with ASC asthma control. There is a relation between income p = 0,025 with ACQ questionnaire. Compatibility between these three questionnaires with a kappa value of 0.877 good suitability.
Conclusion: There is an association between the use of spray corticosteroid drugs, smoking habits and income in the three questionnaires of asthma control. The suitability between the three questionnaires has good suitability."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
T58625
UI - Tesis Membership  Universitas Indonesia Library
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Adi Surya Komala
Perbedaan kadar periostin serum pada asma alergi terkontrol dan tidak terkontrol = The Difference of serum periostin level in controlled and uncontrolled allergic asthma
"ABSTRAK
Latar Belakang: Asma alergi merupakan salah satu jenis fenotipe asma yang terbanyak, ditandai dengan adanya sensitisasi terhadap alergen lingkungan. Pada asma alergi terjadi respons inflamasi tipe 2 yang akan menghasilkan periostin yang dapat dideteksi dalam darah. Salah satu faktor yang mempengaruhi keterkontrolan asma adalah paparan alergen yang dapat bervariasi bergantung pada pola musim. Wilayah Indonesia sebagai benua maritim memiliki dua musim (hujan dan kemarau) berbeda dengan wilayah lain yang memiliki empat musim. Tujuan: Penelitian ini bertujuan untuk melihat perbedaan kadar periostin serum pada asma alergi terkontrol dan tidak terkontrol. Metode: Penelitian ini merupakan penelitian potong lintang dengan subjek penelitian adalah pasien asma alergi yang berobat ke poliklinik divisi Alergi Imunologi Klinik Rumah Sakit Dr Cipto Mangunkusumo bulan Januari-April 2017. Keterkontrolan asma dinilai dengan skor Tes Kontrol Asma sementara periostin serum digunakan sebagai penanda proses inflamasi Th2. Hasil: Dari 80 pasien asma alergi didapatkan rerata usia 39,7 tahun dengan proporsi perempuan lebih banyak (76%). Sebagian besar pasien memiliki riwayat rinitis alergi (73,8%) dan riwayat asma dalam keluarga (71%). Tungau debu rumah merupakan jenis alergen yang banyak memberikan sensitisasi. Kadar periostin serum pada subjek yang tidak terkontrol tidak berbeda dengan subjek yang terkontrol (209,78 ng/mL vs 627,66 ng/mL, p = 0,424) Simpulan: Tidak terdapat perbedaan kadar periostin pada kelompok asma alergi terkontrol dan tidak terkontrol.
ABSTRACT
Background: Allergic asthma is the most common asthma phenotype, defined by the presence of sensitization to environmental allergens. In allergic asthma, following allergen exposure there will be an activation of T2-type inflammation producing periostin that can be detected from blood. Many factors can influence asthma control, including allergen exposure, which may vary greatly with climatic and seasonal changes. The Indonesia region as the Maritime Continent is characterized by a wet and a dry season which is different from other regions with four seasons. Objective: To see the difference of serum periostin level in uncontrolled and controlled allergic asthma. Methods: This is a cross sectional study using samples from allergic asthma patients who went to Allergy and Clinical Immunology Clinic, Dr. Cipto Mangunkusumo Hospital in January to April 2017. Asthma control was assessed clinically by using Asthma Control Test, while serum periostin was used as biological markers reflecting Th2 inflammation. Results: From 80 allergic asthma patients, the average of age was 39.7 years old with a greater proportion of women (76%). Most of the subjects had history of allergic rhinitis (73.8%) and positive family history of asthma (71%). House dust mites were the most common cause of sensitization. Serum periostin level in uncontrolled allergic asthma was not different from those in controlled allergic asthma (209,78 ng/mL vs 627,66 ng/mL, p = 0,424). Conclusions: There was no difference in the level of serum periostin in controlled and uncontrolled allergic asthma."
2019
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Samsul Afandi
TINGKAT KONTROL PASIEN ASMADI RS PERSAHABATANBERDASARKAN ASTHMA CONTROL TEST BESERTA HUBUNGANNYADENGAN TINGKAT MORBIDITAS DANFAKTOR RISIKO STUDI LONGITUDINAL DI POLI RAWAT JALAN SELAMA SATU TAHUN = ASTHMA CONTROL LEVEL AND THE RELATION WITH MORBIDITY AND RISK FACTORS, A LONGITUDINAL STUDY IN ASTHMA OUTPATIENT CLINIC IN PERSAHABATAN HOSPITAL
"Latar belakang. Berdasarkan penelitian sebelumnya jumlah pasien asma yang tidak terkontrol di Rumah Sakit Persahabatan masih cukup banyak. Penelitian tersebut bertujuan untuk lebih menggambarkan tingkat kontrol pasien asma dan mencari hubungan dengan berbagai faktor risiko yang ada.
Metode. Pasien asma persisten yang memenuhi syarat penelitian dikumpulkan sejak Mei 2011 sampai Nopember 2011 kemudian diidentifikasi faktor risiko yang dimiliki. Tingkat kontrol asma diukur menggunakan ACT dan tingkat morbiditas diukur dengan Revised Jones Morbidity Index. Pengukuran kembali dilakukan setiap tiga bulan sampai genap setahun evaluasi. Setelah genap setahun evaluasi akan dinilai hubungan antara nilai ACT dengan faktor risiko serta hubungan antara nilai ACT dengan nilai Revised Jones morbidity index. Hasil. Sampel yang berhasil diikuti sampai satu tahun sebanyak 280 pasien. Prosentase asma terkontrol penuh pada evaluasi bulan ke-0,3,6,9 dan 12 berturut-turut adalah 8,57; 6,79; 11,79; 10,71; 13,93%. Sedangkan asma terkontrol sebagian berturut-turut 27,86; 32,50; 32,50; 36,07; 46,79% dan asma tidak terkontrol berturut-turut 63,57; 60,71; 55,71; 53,22; 39,28. Nilai ACT yang meningkat didapatkan pada 191 pasien (68,2%), tetap atau stabil pada 36 pasien (12,9%) dan menurun pada 53 pasien (18,9%). Nilai ACT yang menurun berhubungan secara bermakna dengan faktor risiko riwayat atopi pada pasien (p = 0,042) dan alergen inciter (p = 0,004). Terdapat hubungan yang kuat antara nilai ACT dengan nilai Revised Jones Morbidity Index pada tiap waktu evaluasi dengan koefisien korelasi (r) di bulan ke-0,3,6,9 dan 12 berturut-turut 0,808; 0,815; 0,851; 0,872; 0,902 dengan nilai p yang sama yaitu 0,000.
Kesimpulan. Secara umum tingkat kontrol asma pada pasien asma di poli asma RSP membaik.Nilai ACT yang menurun berhubungan secara bermakna dengan riwayat atopi pada pasien dan alergen inciter.Terdapat hubungan yang kuat antara nilai ACT dengan nilai Revised Jones Morbidity Index.
Background. Our previous studyshowed that there were still a lot of uncontroled asthma patients in asthma outpatient clinic Persahabatan Hospital, with unknown cause. In this study we elaborate whether morbidity and risk factors can be modified in order to achieve the control status.
Methods, The subjects of this study are all asthma patient in asthma outpatient clinic in Persahabatan Hospital from May 2011 to November 2011 (six month period) and signed the informed consent. All eligible subjects will interviewed to identify the risk factors including inducer and inciter of asthma. Asthma control status measure using Asthma Control Test (ACT) and degree of morbidity measure using Revised Jones Morbidity Index. Evaluation were done every three months. After complete one year of evaluation, the correlation between change tendency of asthma control status and risk factors will analyze using Chi Square test. The correlation between ACT value and Revised Jones morbidity index value will analyze using Spearman test.
Result. 313 patients were enrolled and 33 patients were excluded because lost of contact, and 280 patients were complete evaluate for 12 month. Full asthma control at 0,3,6,9 and 12 month of evaluation were 8,57; 6,79; 11,79; 10,71; 13,93% respectively. Partial control at 0,3,6,9 and 12 month of evaluation were 27,86; 32,50; 32,50; 36,07; 46,79% respectively. The uncontrolled asthma at 0,3,6,9 and 12 month of evaluation were 63,57; 60,71; 55,71; 53,22; 39,28. Asthma control status was getting better in 191 patients (68,2%), stable in 36 patients (12,9%) and worsened in 53 patients (18,9%). The worsening asthma control status has significant correlation with patient’s atopic history (p = 0,042) and alergen as inciter (p = 0,004). There are significan correlation with strong coefficient of correlation ( r ) between the value of ACT and Revised Jones Morbidity Index that found in every time of evaluation (0,3,6,9 and 12 month) with the value of r were 0,808; 0,815; 0,851; 0,872; 0,902 respectively with the same p value (0,000).
Conclusion. Overall,Patient’s asthma control status in asthma clinic Persahabatan Hospital after 12 month of evaluation was getting better. The worsening one were significant associated with patient’s atopic history and alergen as inciter. There is strong correlation between the value of ACT and Revised Jones Morbidity Index.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Agung Wiretno Putro
Hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan tingkat kontrol asma pada pasien asma di RSUPN Dr. Cipto Mangunkusumo = Relationship between depressive disorder and quality of life psychosocial stressors level of asthma control in asthmatic patients at Dr. Cipto Mangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Pasien asma dengan tingkat kontrol yang buruk dan adanya
komorbiditas seperti gangguan depresi dan stres psikososial akan memengaruhi
kualitas hidup pasien asma serta meningkatkan beban dan biaya ekonomi yang
harus ditanggung oleh pasien dan keluarganya. Untuk itu perlu diketahui
hubungan antara gangguan depresi dengan kualitas hidup, stresor psikososial, dan
tingkat kontrol asma pada pasien asma.
Metode: Penelitian cross-sectional deskriptif-analitik pada 37 pasien asma yang
memiliki gangguan depresi dan 37 pasien asma yang tidak memiliki gangguan
depresi di Poliklinik Alergi dan Imunologi RSUPN Dr. Cipto Mangunkusumo
Jakarta menggunakan Structured Clinical Interview for DSM IV Disorder(SCID)1,
instrumen World Health Organization Quality Of Life (WHOQOL)-BREF,
instrumen stresor psikososialHolmes & Rahe, dan kuesioner Ashtma Control Test
(ACT).
Hasil: Terdapat hubungan antara ada tidaknya gangguan depresi pada pasien asma
dengan skor kualitas hidup berdasarkan kesehatan fisik (p < 0,001), skor kualitas
hidup berdasarkan kesehatan psikologis (p < 0,001), skor kualitas hidup
berdasarkan relasi sosial (p = 0,023), skor kualitas hidup berdasarkan lingkungan
(p = 0,022), stresor psikososial (OR 3,85; p = 0,005), dan tingkat kontrol asma (p
= 0,001).
Simpulan: Pasien asma yang memiliki gangguan depresi cenderung memiliki
skor kualitas hidup yang lebih rendah pada domain kesehatan fisik, kesehatan
psikologis, relasi sosial, dan lingkungan dibandingkan pasien asma yang tidak
memiliki gangguan depresi. Pasien asma yang mengalami stresor psikososial yang
tinggi berisiko 3,8 kali untuk memiliki gangguan depresi. Pasien asma yang
memiliki gangguan depresi cenderung memiliki skor tingkat kontrol asma yang lebih rendah dibandingkan pasien asma yang tidak memiliki gangguan depresi. ABSTRACT Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.;Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders., Background: Asthmatic patients with poor control level and the presence of
comorbid disorders such as depression and psychosocial stress will affect the
quality of life of asthmatic patients and increases the burden and economic costs
for patient and his family. We investigated the correlation between depressive
disorders, quality of life, psychosocial stressors, and level of asthma control in
asthmatic patients.
Methods: The study was cross-sectional descriptive-analytic in 37 asthmatic
patients with depressive disorder and 37 asthmatic patients without depressive
disorder in the Allergy and Immunology Clinic RSUPN Dr. Cipto
Mangunkusumo using the Structured Clinical Interview for DSM-IV Disorder
(SCID)-1, World Health Organization Quality of Life (WHOQOL)-BREF
questionnaire, Holmes & Rahe psychosocial stressors questionnaire, and Ashtma
Control Test (ACT) questionnaire.
Results: There is arelation between the presence of depressive disorders and
lower quality of life scores based on physical health (p <0.001), quality of life
scores based on psychological health (p <0.001), quality of life scores based on
social relations (p = 0.023), quality of life scores based on the environment (p =
0.022), psychosocial stressors (OR 3.85; p = 0.005), and the level of asthma
control (p = 0.001) in asthmatic patients.
Conclusion: Asthmatic patients with depressive disorders tend to have lower
quality of life score in all domains (physical health, psychological health, social
relationships, and environment) than asthmatic patients without depressive
disorders. Asthmaticpatients who have psychosocial stressors have risk 3.8 times
higher to have depressive disorders. Asthmatic patients with depressive disorders tend to have lower level of asthma control scores than asthmatic patients without depressive disorders.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Ibrahim Utama Pribadi
Korelasi antara durasi senam asma Indonesia dan skor asthma control test pada anggota Klub Asma RSUP Pershab = The Correlation between The duration of Indonesia asthma gymnastics and asthma control test score among RSUP persahabatan Asthma club members
"Pengantar: Senam Asma Indonesia (SAI) sudah diketahui mampu menurunkan gejala-gejala asma dan meningkatan fungsi paru pada penderita asma. Studi ini bertujuan untuk mempelajari korelasi antara durasi SAI dan faktor lainnya yang mempengaruhi skor Asthma Control Test (ACT) pada anggota Klub Asma RSUP Persahabatan.
Metode: Data penelitian didapatkan dengan meminta 28 penderita asma yang juga anggota Klub Asma RSUP Persahabatan untuk menjawab dua kuesioner yaitu kuesioner ACT dan informasi personal mereka mengenai lama durasi SAI, umur, jenis kelamin, dan riwayat merokok.
Hasil dan Diskusi: Durasi SAI, dengan median 33 bulan (1-360), berkorelasi bermakna positif dengan skor ACT (p=0.022). Faktor lainnya yang berkorelasi bermakna juga dengan skor ACT adalah umur (p=0.020), berasosiasi positif juga, dan jenis kelamin (p=0.002) dengan laki-laki memiliki skor ACT yang lebih baik. Riwayat merokok tidak menunjukan korelasi yang bermakna dengan skor ACT (p=0.816) karena tidak ada subjek perokok aktif.
Konklusi: Di antara anggota Klub Asma RSUP Persahabatan, median dari skor ACT mereka adalah 20(12-23) yang berarti bahwa mereka terkontrol sebagian. Durasi SAI mereka berkorelasi secara positif dengan skor ACT, orang yang sudah lebih lama melakukan SAI memiliki skor ACT yang lebih baik. Selain itu, ditemukan semakin tua subjek semakin baik skor ACT subjek tersebut. Subjek laki-laki didapatkan memilik skor ACT yang lebih baik dari perempuan. Riwayat merokok yang hanya terdiri dari bukan perokok dan mantan perokok tidak berpengaruh terhadap skor ACT.
Introduction: Indonesian Asthma Gymnastics (IAG) exercise has been associated with reducing asthmatic symptoms and increase lung function in asthmatic patient. This study aims to understand the correlation between the duration of IAG exercise and other factors that might affect to the Asthma Control Test (ACT) score amongst RSUP Persahabatan Asthma Club members.
Method: The data is obtained by asking 28 asthmatic RSUP Persahabatan Asthma Club members to answer two questionnaires which are the ACT questionnaire and their personal information questionnaire regarding their duration of exercise, age, gender and smoking history.
Result and Discussion: The duration of IAG exercise, with median of 33 months (1-360), is significantly correlated by positive association with ACT score (p=0.022). Other factors that are significantly correlated as well with ACT score are age (p=0.020), also positively correlated, and gender (p=0.002) with males having better ACT score than females. Smoking history does not exhibit a significant correlation with ACT score (p=0.816) as there is no subject who is an active smoker.
Conclusion: Among RSUP Persahabatan Asthma Club members, the median of their ACT score is 20(12-23) which is translated to partially controlled. Their IAG exercise duration is significantly and positively correlated with ACT score that indicates people who have been engaging IAG exercise longer shows better ACT score. Besides, ACT score is also higher as the subject is older. Males has better ACT score compared to females. Smoking history, however, which comprised only of non-smoker and former smoker does not show significant correlation with ACT score."
Depok: Fakultas Kedokteran Universitas Indonesia, 2018
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
cover
Ibrahim Utama Pribadi
Korelasi antara durasi senam asma Indonesia dan skor asthma control test pada anggota klub asma RSUP Pershabatan = The correlation between the duration of Indonesia asthma gymnastics and asthma control test score among RSUP Persahabatan asthma club members
"Introduction: Indonesian Asthma Gymnastics (IAG) exercise has been associated with reducing asthmatic symptoms and increase lung function in asthmatic patient. This study aims to understand the correlation between the duration of IAG exercise and other factors that might affect to the Asthma Control Test (ACT) score amongst RSUP Persahabatan Asthma Club members.
Method: The data is obtained by asking 28 asthmatic RSUP Persahabatan Asthma Club members to answer two questionnaires which are the ACT questionnaire and their personal information questionnaire regarding their duration of exercise, age, gender and smoking history.
Result and Discussion: The duration of IAG exercise, with median of 33 months (1-360), is significantly correlated by positive association with ACT score (p=0.022). Other factors that are significantly correlated as well with ACT score are age (p=0.020), also positively correlated, and gender (p=0.002) with males having better ACT score than females. Smoking history does not exhibit a significant correlation with ACT score (p=0.816) as there is no subject who is an active smoker.
Conclusion: Among RSUP Persahabatan Asthma Club members, the median of their ACT score is 20(12-23) which is translated to partially controlled. Their IAG exercise duration is significantly and positively correlated with ACT score that indicates people who have been engaging IAG exercise longer shows better ACT score. Besides, ACT score is also higher as the subject is older. Males has better ACT score compared to females. Smoking history, however, which comprised only of non-smoker and former smoker does not show significant correlation with ACTP
Pengantar: Senam Asma Indonesia (SAI) sudah diketahui mampu menurunkan gejala-gejala asma dan meningkatan fungsi paru pada penderita asma. Studi ini bertujuan untuk mempelajari korelasi antara durasi SAI dan faktor lainnya yang mempengaruhi skor Asthma Control Test (ACT) pada anggota Klub Asma RSUP Persahabatan.
Metode: Data penelitian didapatkan dengan meminta 28 penderita asma yang juga anggota Klub Asma RSUP Persahabatan untuk menjawab dua kuesioner yaitu kuesioner ACT dan informasi personal mereka mengenai lama durasi SAI, umur, jenis kelamin, dan riwayat merokok.
Hasil dan Diskusi: Durasi SAI, dengan median 33 bulan (1-360), berkorelasi bermakna positif dengan skor ACT (p=0.022). Faktor lainnya yang berkorelasi bermakna juga dengan skor ACT adalah umur (p=0.020), berasosiasi positif juga, dan jenis kelamin (p=0.002) dengan laki-laki memiliki skor ACT yang lebih baik. Riwayat merokok tidak menunjukan korelasi yang bermakna dengan skor ACT (p=0.816) karena tidak ada subjek perokok aktif.
Konklusi: Di antara anggota Klub Asma RSUP Persahabatan, median dari skor ACT mereka adalah 20(12-23) yang berarti bahwa mereka terkontrol sebagian. Durasi SAI mereka berkorelasi secara positif dengan skor ACT, orang yang sudah lebih lama melakukan SAI memiliki skor ACT yang lebih baik. Selain itu, ditemukan semakin tua subjek semakin baik skor ACT subjek tersebut. Subjek laki-laki didapatkan memilik skor ACT yang lebih baik dari perempuan. Riwayat merokok yang hanya terdiri dari bukan perokok dan mantan perokok tidak berpengaruh terhadap skor ACT.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia , 2018
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Evans Tofano Bobian
Hubungan antara Derajat Berat Asma dengan Tingkat Kontrol Asma di Poliklinik Asma Rumah Sakit Persahabatan
"Tujuan utama dari terapi asma adalah asma yang terkontrol yang mungkin dipengaruhi hal seperti derajat berat asma. Pada penelitian sebelumnya dari luar negeri mengenai hubungan antara derajat herat asma dengan tingkat kontrol asma, ditemukan bahwa semakin berat derajat asma, semakin rendah tingkat kontrolnya. Dari jumlah total subjek penelitian, kelompok dengan asma ringan sebanyak 64 orang (59,8%), asma sedang sebanyak 27 orang (25,2%), dan asma berat sebanyak 16 orang (15%). Didapatkan hubungan yang bermakna antara derajat berat asma dengan tingkat kontrol asma (p = 0,003) pada pasien Poliklinik Asma Rumah Sakit Persahabatan.
The main goal of asthma therapy is to achieve complete control over the disease, which may be determined by the severity of the asthma. In previous studies, it was concluded that more severe asthma is associated with less control over it. Among all the subjects of the study, there are 64 patients with mild asthma (59,8%), 27 patients with moderate asthma (25,2%), and 16 patients with severe asthma A significant association between asthma severity with asthma control level was found (P=O,003) in asthma patients in Asthma Clinic of Persahabatan Hospital."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
S70305
UI - Skripsi Membership  Universitas Indonesia Library
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Masbimoro Waliyy Edisworo
Hubungan antara Tingkat Pengetahuan Umum Asma dengan Tingkat Kontrol Asma Pasien di Poliklinik Asma Rumah Sakit Persahabatan Jakarta = The Association between Patient’s Level of Asthma General Knowledge and The Level of Asthma Control in the Asthma Polyclinic of Persahabatan Hospital.
"Tujuan penelitian ini adalah untuk mengetahui prevalensi tingkat kontrol asma tidak terkontrol pada pasien asma di Poliklinik Asma Rumah Sakit Persahabatan yang diukur dengan Asthma Control Test dan hubungan antara tingkat pengetahuan umum asma pasien dengan tingkat kontrol asma. Penelitian ini menggunakan desain penelitian potong lintang (cross sectional). Prevalensi asma tidak terkontrol pada pasien asma di Poliklinik Asma Rumah Sakit Persahabatan yang diukur dengan Asthma Control Test adalah 75,7%. Tidak didapatkan hubungan yang bermaksa antara tingkat pengetahuan umum asma dengan tingkat kontrol asma (p > 0,05) pasien Poliklinik Asma Rumah Sakit Persahabatan.
This research is made to discover the level of uncontrolled asthma in the Asthma Polyclinic of Persahabatan Hospital with the ACT as the tool of measurement and to figure out whether there is an association between the level of patient education regarding asthma. The design used for this particular research is cross-sectional. The prevalence of uncontrolled asthma turned out to be 75,7 %. This research concludes that there are no significant association (p > 0,05) between the level of asthma general knowledge with their level of control of their illness of patients in the Asthma Polyclinic of Persahabatan Hospital."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
S70442
UI - Skripsi Open  Universitas Indonesia Library
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Allen Widysanto
Korelasi penilaian asma terkontrol pada penderita asma persisten sesudah pemberian kortikosteroid inhalasi dengan menggunakan asthma control scoring system dan asthma control test = The correlation of asthma control assessment in persistent asthma after inhaled corticosteroid administered using asthma control scoring system and asthma control test
"Parameter yang menilai derajat asma dan asma kontrol saling tumpang tindih secara bermakna. Walaupun terjadi korelasi antar parameter namun tidak ada satu komponen tunggal yang dapat secara akurat mengklasifikasikan setiap individu penyandang asma. Beberapa alat ukur berupa kuesioner yang telah divalidasi, seperti Asthma Control Test ( ACT ), Asthma Control Scoring System ( ACS ) dan Asthma Control Questionnaire (ACQ ) telah dipublikasi saat ini, namun belum dilakukan perbandingan antar kuesioner tersebut.
Asthma Control Test adalah suatu kuesioner yang berisi 5 pertanyaan dan dapat diisi sendiri oleh penyandang asma. Lima pertanyaan tadi mencakup frekuensi gejala, pembatasan aktiviti, penggunaan obat pelega, dan persepsi sendiri mengenai kontrol asma. Asthma Control Scoring System adalah suatu kuesioner yang sifatnya kuantitatif dan berisi 3 parameter yaitu gejala klinis, fungsi paru ( VEP1 ) dan persen eosinofil pada sputum induksi. Khusus parameter eosinofil disebut sebagai parameter opsi pada kuesioner ini. Kantrol asma dihitung berdasarkan skor 0-100% untuk tiap pertanyaan.
Tujuan penelitian adalah untuk menilai hubungan antara ACT dan ACS pada penderita asma persisten baik sebelum dan sesudah pemberian kortikosteroid inhalasi. Disain penelitian yang digunakan adalah kohort dan pengumpulan sampel dilakukan secara quota di poli paru RSUD Dr Moewardi, Surakarta. Jumlah sampel yang diteliti sebesar 32 orang yang seluruhnya tergolong dalam asma persisten. Janis kelamin laki-laki sebanyak 11 orang (34%) dan perempuan 21 orang (66% ). Sampel yang termasuk derajat asma persisten ringan sebesar 17 orang ( 53% ), asma persisten sedang 14 orang ( 44%) dan asma persisten berat 1 orang (3% ).
Tidak ada korelasi antara skor ACS dengan skor kategori ACT sebelum pemberian kortikosteroid inhalasi dengan koefisien kesepakatan (x) : 0, 06, p : 0, 86. Sebaliknya, korelasi antara skor ACS dengan skor kategori ACT sesudah pemberian kortikosteroid inhalasi menunjukkan korelasi sedang yang bermakna (K: 0,56; p : 0,001 ). Perbedaan rata-rata skor ACT balk sebelum dan sesudah pemberian kortikosteroid inhalasi adalah bermakna ( p : 0,001 ), sedangkan hasil yang sama juga diperlihatkan pada perbedaan rata-rata skor ACS baik sebelum dan sesudah pemberian kortikosteroid inhalasi ( p : 0,001 ). Cut off point ACS sesudah pemberian kortikosteroid inhalasi sebesar 60%.
Kesimpulan : Hasil menunjukkan bahwa terdapat korelasi sedang dan bermakna pada penilaian skor ACS dan skor ACT sesudah pemberian kortikosteroid inhalasi pada cut off point ACS sebesar 60%.
The individual parameters to define asthma severity and asthma control overlap significantly. Although correlation exists between the various parameters, no single component can accurately classify the entire individual. Validated measures, such as ACT, ACS, ACQ, for assessing asthma control are now available, but no comparison between the existing measures has been performed. Asthma Control Test is a five item self administered survey, scored from 0-5 points and only assessed asthma control from symptom frequency, activity limitation, rescue medication and self-perception of control.
Asthma Control Scoring System is a quantitative measure of asthma control incorporating 3 parameters (respiratory symptoms, FEV, and percentage eosinophit in induced sputum as an option parameter). Asthma score is quantified based on 0-100% for each component.
The purposes of this study were to assess the correlation between ACT and ACS in persistent asthmatic patients either before of after inhaled corticosteroid (ICS) treatment. The study design was cohort study and the sample was collected by quota sampling. A total of 32 patients (male 11 persons (34%) and female 21 persons (66%)) which was diagnosed as persistent asthma fulfilled the criteria of this study. Samples were categorized as mild persistent asthma (53%), moderate persistent asthma (44%) and severe persistent asthma (3%).
The correlation of ACS score based on ACT category score before ICS showed no agreement (agreement coefficient (K: 0,06) ; p : 0,86 ). In contrary, the correlation of ACS score based on ACT category score after ICS showed significantly moderate agreement ( K : 0,56 ; p : 0,001 ). The mean difference of ACT score before and after treatment showed significant level (p: 0,001). Likewise, the mean difference of ACS score before and after treatment showed significant level (p: 0,001). Cut off point of ACS score after inhaled corticosteroid was 60%.
Conclusion: The result showed that there was a moderate correlation statistically significant agreement between ACS and ACT assessment when ACS score of 60% was used as the cut off point."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2006
T18027
UI - Tesis Membership  Universitas Indonesia Library
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Widi Atmoko
Hubungan usia, jenis kelamin, tingkat pendidikan, dan indeks massa tubuh dengan tingkat kontrol asma di poliklinik asma rumah sakit Persahabatan = The association between age, gender, level of education, and body mass index with the level of asthma control in asthma polyclinic Persahabatan hospital
"Tujuan penelitian ini adalah untuk mencari hubungan antara usia, jenis kelamin, tingkat pendidikan, dan indeks massa tubuh dengan tingkat kontrol asma. Penelitian ini menggunakan desain penelitian potong lintang. Dari jumlah total subjek penelitian (n = 107), prevalens asma tidak terkontrol di Poliklinik Asma Rumah Sakit Persahabatan yang diukur dengan Asthma Control Test adalah 81 orang (75,7%). Dengan uji Chi-Square, didapatkan hubungan yang bermakna antara indeks massa tubuh dengan tingkat kontrol asma (p = 0,03), sedangkan hubungan antara usia, jenis kelamin, dan tingkat pendidikan dengan tingkat kontrol asma tidak bermakna (p > 0,05).
The goals of this research are knowing the association between body mass index, age, gender, level of education, body mass index with the level of asthma control. Cross sectional database was set up. From the total amount of subjects (n = 107), prevalence of uncontrolled asthma at Hospital Persahabatan Asthma Polyclinic was 81 patients (75,7%) measured by Asthma Control Test. With the Chi-Square test, researcher found that there was significant relation between body mass index and the level of asthma control (p = 0,03). On the other hand, there was no significant relation between age, gender, level of education and the level of asthma control (p > 0,05)."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
S70443
UI - Skripsi Open  Universitas Indonesia Library
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