Panduan Penulisan
Hubungan Kepatuhan Pengobatan Dengan Kualitas Hidup, Ansietas, dan Depresi pada Pasien Asma di Rumkit TK. II Kartika Husada Kab. Kuburaya Prov. Kalimantan Barat
Sari
ABSTRACT
Poor asthma control is often caused by low compliance with controlled asthma medication, which is known to be a risk factor that affects quality of life and major mood disorders. This study aims to determine the relationship between medication adherence and quality of life, anxiety, and depression in asthma patients at the Kartika Husada Hospital, Kuburaya City, West Kalimantan Province. This study has a total of 100 respondents with a cross sectional design. The sample itself was taken by non-probability sampling using the MMAS-8, Mini-AQLQ, and HADS questionnaires. The correlation test between the level of medication adherence and quality of life obtained P value = 0.062 (P> 0.05). The correlation test between the level of medication adherence and anxiety obtained a P value = 0.038 (P <0.05) with a correlation value of r = -0.451. The correlation test between the level of medication adherence and depression obtained a P value = 0.471 (P> 0.05). There was no relationship between medication adherence and quality of life and depression, but there was a relationship between medication adherence and anxiety.
Keywords: Adherence, Quality of Life, Anxiety, Depression
ABSTRAK
Kontrol asma yang kurang baik seringkali disebabkan oleh rendahnya kepatuhan dalam pengobatan asma terkontrol, diketahui merupakan faktor resiko yang mempengaruhi kualitas hidup serta gangguan mood mayor. Penelitian ini bertujuan untuk mengetahui hubungan antara kepatuhan pengobatan dengan kualitas hiudp, ansietas, serta depresi pada pasien asma di Rumkit Tk. II Kartika Husada Kab. Kuburaya Kalimantan Barat. Penelitian ini memiliki jumlah responden sebanyak 100 orang dengan desain cross sectional. Sampel sendiri diambil secara non-probability sampling menggunakan kuesioner MMAS-8, Mini-AQLQ, dan HADS. Uji korelasi antara tingkat kepatuhan pengobatan dengan kualitas hidup diperoleh nilai P value = 0,062. Selanjutnya, uji korelasi antara tingkat kepatuhan pengobatan dengan ansietas diperoleh nilai P value = 0,038 dengan nilai korelasi r = -0,451. Sementara itu, uji korelasi antara tingkat kepatuhan pengobatan dengan depresi diperoleh nilai P value = 0,471. Tidak ada hubungan antara kepatuhan pengobatan dengan kualitas hidup dan depresi, namun terdapat hubungan antara kepatuhan pengobatan dengan ansietas.
Kata Kunci: Kepatuhan, Asma, Kualitas Hidup, Ansietas, Depresi
Teks Lengkap:
Download ArtikelReferensi
Alahmadi, T. S., Hegazi, M. A., Alsaedi, H., Hamadallah, H., Atwah, A. F., Alghamdi, A. A., Altherwi, H. M., Alghamdi, M. S., Albeshri, E. M., Alzanbaqi, M. I., Bamakhish, A. M., & El-Baz, M. S. (2023). Prevalence and Risk Factors of Asthma in Children and Adolescents in Rabigh, Western Saudi Arabia. Children, 10(2), 247. https://doi.org/10.3390/children10020247
Alith, M. B., Gazzotti, M. R., Montealegre, F., Fish, J., Nascimento, O. A., & Jardim, J. R. (2015). Negative impact of asthma on patients in different age groups. Jornal Brasileiro de Pneumologia, 41(1), 16–22. https://doi.org/10.1590/S1806-37132015000100003
Al-Khateeb, A. J., & Al Khateeb, J. M. (2015). Research on psychosocial aspects of asthma in the Arab world: a literature review. Multidisciplinary respiratory medicine, 10(1), 15. https://doi.org/10.1186/s40248-015-0011-6
Asthma and Allergy Foundation of America. (2020). The Significant Negative Impacts on Life With Asthma in 2017. Asthma and Allergy Foundation of America.
Axelsson, M., Emilsson, M., Brink, E., Lundgren, J., Torén, K., & Lötvall, J. (2009). Personality, adherence, asthma control and health-related quality of life in young adult asthmatics. Respiratory Medicine, 103(7), 1033–1040. https://doi.org/10.1016/j.rmed.2009.01.013
Bosley, C. M., Fosbury, J. A., & Cochrane, G. M. (1995). The psychological factors associated with poor compliance with treatment in asthma. The European respiratory journal, 8(6), 899–904.
CLULEY, S., & COCHRANE, G. M. (2001). Psychological disorder in asthma is associated with poor control and poor adherence to inhaled steroids. Respiratory Medicine, 95(1), 37–39. https://doi.org/10.1053/rmed.2000.0968
Coban, H., & Aydemir, Y. (2014). The relationship between allergy and asthma control, quality of life, and emotional status in patients with asthma: a cross-sectional study. Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 10(1), 67. https://doi.org/10.1186/s13223-014-0067-4
Di Marco, F., Verga, M., Santus, P., Giovannelli, F., Busatto, P., Neri, M., Girbino, G., Bonini, S., & Centanni, S. (2010). Close correlation between anxiety, depression, and asthma control. Respiratory Medicine, 104(1), 22–28. https://doi.org/10.1016/j.rmed.2009.08.005
Gaspar, A. P., Morais-Almeida, M. A., Pires, G. C., Prates, S. R., Câmara, R. A., Godinho, N. M., Arêde, C. S., & Rosado-Pinto, J. E. (2002). Risk factors for asthma admissions in children. Allergy and asthma proceedings, 23(5), 295–301.
Grammer, L. C., Weiss, K. B., Pedicano, J. B., Kimmel, L. G., Curtis, L. M., Catrambone, C. D., Lyttle, C. S., Sharp, L. K., & Sadowski, L. S. (2010). Obesity and Asthma Morbidity in a Community-Based Adult Cohort in a Large Urban Area: The Chicago Initiative to Raise Asthma Health Equity (CHIRAH). Journal of Asthma, 47(5), 491–495. https://doi.org/10.3109/02770901003801980
Keputusan Menteri Kesehatan Republik Indonesia Nomor 1023/Menkes/SK/XI/2008 Tentang Pedoman Pengendalian Penyakit Asma, (2018) (testimony of Kementerian Kesehatan Republik Indonesia).
Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riset Kesehatan Dasar 2018. Kementerian Kesehatan Republik Indonesia.
Khassawneh, B., Behbehani, N. H., Al-Jahdali, H. H., Al Qaseer, A. H., Gjurovic, A., Haouichat, H., Mahboub, B. H., Malvoti, E., Naghshin, R., Mackenzie, S., Tabbal, M., & Tarraf, H. N. (2018). Quality of Life in Asthma Patients from the Middle East and North Africa. Dalam A53. ASTHMA EPIDEMIOLOGY (hlm. A1898–A1898). American Thoracic Society. https://doi.org/doi:10.1164/ajrccm-conference.2018.197.1_MeetingAbstracts.A1898
Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Provinsi Kalimantan Barat Riset Kesehatan Dasar 2018.
Lestari, N. I., Suwendar, & Lestari, F. (2021). Evaluasi Kualitas Hidup Penderita Asma di Kabupaten Belitung. Farmasi, 7(2), 334–341.
Liu, S., Wu, R., Li, L., Liu, L., Li, G., Zhang, X., Guo, Y., Wang, Y., Zhang, H., Li, G., & Li, H. (2014). The Prevalence of Anxiety and Depression in Chinese Asthma Patients. PLoS ONE, 9(7), e103014. https://doi.org/10.1371/journal.pone.0103014
Lomper, K., Chudiak, A., Uchmanowicz, I., Rosińczuk, J., & Jankowska-Polanska, B. (2016). Effects of Depression and Anxiety on Asthma-Related Quality of Life. Advances in Respiratory Medicine, 84(4), 212–221. https://doi.org/10.5603/PiAP.2016.0026
Matalqah, L. M., Radaideh, K. M. R., Khatatbeh, M. M., & Omari, O. Al. (2022). Factor associated with health-related quality of life among population in Northern Jordan. Epidemiology, Biostatistics, and Public Health, 15(1). https://doi.org/10.2427/12680
Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. Rineka Cipta.
Prasad, R., Kushwaha, R. A. S., Verma, S., Kumar, S., Verma, A., Prakash, V., Kant, S., Garg, R., & Sodhi, R. (2013). A study to know the knowledge, attitude, and practices of patients of bronchial asthma. International Journal of Medicine and Public Health, 3(3), 159. https://doi.org/10.4103/2230-8598.118959
Priyanto, H., Yunus, F., & Wiyono, W. H. (2011). Studi Perilaku Kontrol Asma pada Pasien yang tidak teratur di Rumah Sakit Persahabatan. J Respir Indo, 31(3), 138–149.
Ramlie, A., Soemarwoto, R. A. S., & Hiyono, W. H. (2014). Korelasi antara Asthma Control Test dengan VEP1 % dalam Menentukan Tingkat Kontrol Asma. J Respir Indo, 34(2), 95–101.
Renzi-Lomholt, M., Håkansson, K. E. J., & Suppli Ulrik, C. (2023). Adherence to inhaled corticosteroids in relation to quality of life and symptoms of anxiety and depression in asthma. European clinical respiratory journal, 10(1), 2149920. https://doi.org/10.1080/20018525.2022.2149920
Sadatsafavi, M., McTaggart-Cowan, H., Chen, W., & Mark FitzGerald, J. (2015). Quality of Life and Asthma Symptom Control: Room for Improvement in Care and Measurement. Value in Health, 18(8), 1043–1049. https://doi.org/10.1016/j.jval.2015.07.008
Sastre, J., Crespo, A., Fernandez-Sanchez, A., Rial, M., Plaza, V., González, F. C., López, J. J., Riaza, M. M., Orenes, M. M., Montaño, P. P., Toro, M. T., Balaguer, C. A., Girones, M. A., Martinez, C. B., Martín, I. F., Delgado, P. G., Calahorro, M. M., Carrasco, G. M., Pacheco, R. R., … Arazuri, N. S. (2018). Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment. The Journal of Allergy and Clinical Immunology: In Practice, 6(6), 1953–1959. https://doi.org/10.1016/j.jaip.2018.02.002
Sundh, J., Wireklint, P., Hasselgren, M., Montgomery, S., Ställberg, B., Lisspers, K., & Janson, C. (2017). Health-related quality of life in asthma patients - A comparison of two cohorts from 2005 and 2015. Respiratory Medicine, 132, 154–160. https://doi.org/10.1016/j.rmed.2017.10.010
Tay, T. R., Radhakrishna, N., Hore-Lacy, F., Smith, C., Hoy, R., Dabscheck, E., & Hew, M. (2016). Comorbidities in difficult asthma are independent risk factors for frequent exacerbations, poor control and diminished quality of life. Respirology, 21(8), 1384–1390. https://doi.org/10.1111/resp.12838
Thomas, M., Bruton, A., Moffatt, M., & Cleland, J. (2011). Asthma and psychological dysfunction. Primary Care Respiratory Journal, 20(3), 250–256. https://doi.org/10.4104/pcrj.2011.00058
Tiggelman, D., van de Ven, M. O. M., van Schayck, O. C. P., & Engels, R. C. M. E. (2015). Longitudinal associations between asthma control, medication adherence, and quality of life among adolescents: results from a cross-lagged analysis. Quality of Life Research, 24(9), 2067–2074. https://doi.org/10.1007/s11136-015-0945-3
Toelle, B. G., Marks, G. B., & Dunn, S. M. (2020). Psychological and Medical Characteristics Associated with Non-Adherence to Prescribed Daily Inhaled Corticosteroid. Journal of personalized medicine, 10(3). https://doi.org/10.3390/jpm10030126
Tuloli, T. S., Rasdianah, N., & Basruddin, S. N. W. (2023). Kepatuhan Penggunaan Obat Asma Terhadap Kualitas Hidup Pasien Asma Rawat Jalan Rumah Sakit X Gorontalo. Journal Syifa Sciences and Clinical Research, 5(1), 132–138.
Uchmanowicz, B., Panaszek, B., Uchmanowicz, I., & Rosińczuk, J. (2016). Clinical factors affecting quality of life of patients with asthma. Patient preference and adherence, 10, 579–589. https://doi.org/10.2147/PPA.S103043
Urrutia, I., Aguirre, U., Pascual, S., Esteban, C., Ballaz, A., Arrizubieta, I., & Larrea, I. (2012). Impact of Anxiety and Depression on Disease Control and Quality of Life in Asthma Patients. Journal of Asthma, 49(2), 201–208. https://doi.org/10.3109/02770903.2011.654022
Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abolhassani, H., Aboyans, V., Abrams, E. M., Abreu, L. G., Abrigo, M. R. M., Abu-Raddad, L. J., Abushouk, A. I., … Murray, C. J. L. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9
WebMD. (2019). Asthma, stress, and anxiety: a risky cycle. http://www.webmd.com/asthma /features/asthma-stress-and-anxiety-arisky-cycle.
World Health Organization. (2003). Adherence to Long-Term Therapies: Evidence for action. World Health Organization.
DOI: https://doi.org/10.33024/mahesa.v3i5.10312
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler