Main Article Content
Abstract
Asthma is a chronic condition characterized by chronic airway inflammation that causes various respiratory symptoms that can severely impact a patient's daily life. Suboptimal control of asthma is associated with increased costs of care and treatment and decreased quality of life (QoL). This study aims to examine asthma control status and its relationship with the QoL of asthma patients at ST. General Hospital. This cross-sectional study involved 50 asthmatics aged 18-65 who attended ST. General Hospital. Two questionnaires were used: an asthma control test (ACT) and an adult asthma quality-of-life questionnaire (Mini-AQLQ). By using SPSS, the Spearman Rank test was employed to identify associations with a 95% confidence level. Of the 50 respondents studied, asthma status was categorized as partially controlled (50%), totally controlled (14%), and uncontrolled (36%). A significantly worse QoL was observed in respondents with uncontrolled asthma, whereas a good QoL (minimal or no impairment) was observed in partially controlled respondents (p = <0.001). There was a relationship between asthma control and the respondent's QoL (rho = 0.832). Appropriate treatment will increase asthma control and improve the QoL of patients treated at ST. General Hospital. Further research is needed to evaluate risk factors, psychological effects, and behavioral screening in poorly controlled asthma patients.
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References
- Abrahamsen R, Fell AK, Svendsen MV, et al. Association of respiratory symptoms and asthma with occupational exposures: findings from a population-based cross-sectional survey in Telemark, Norway. BMJ Open. 2017;7(3):e014018
- Abrams EM. Cleaning products and asthma risk: a potentially important public health concern. CMAJ. 2020;192(7):E164-E165
- Afiani I, Salam, A, & Effiana. Factors Affecting the Quality of Life of Adult Asthma Patients in the Pontianak Pulmonary Treatment Unit. Cerebellum journal; 2017: 3, 754–769.
- Al Zahrani SS, El-Morsy E.-MA, Dorgham L. The impact of bronchial asthma on quality of life among affected children and adolescents in Taif city, Saudi Arabia. Life science joural;2014:11(6):283–291.
- Astuti WI, Hapsari WS, & Lutfiyati H. ‘Description of Drug Use and Level of Asthma Control in Outpatient Adult Asthma Patients at BKPM Magelang Period February-March 2016.’, J Pharm Sci Pract.:2018. IV (1), 31–36
- BÃ¥rnes CB, & Ulrik CS. Asthma and adherence to inhaled corticosteroids: current status and future perspectives. Respir Care. 2015;60(3):455-468.
- Bédard A, Varraso R, Sanchez M, et al. Cleaning sprays, household help and asthma among elderly women. Respir Med. 2014;108(1):171-180.
- BinSaeed AA. Asthma control among adults in Saudi Arabia. Study of determinants. Saudi Med J. 2015;36(5):599-604
- Black N. Patient reported outcome measures could help transform healthcare. BMJ. 2013;346:f167
- Bonds RS, Midoro-Horiuti T. Estrogen effects in allergy and asthma. Curr Opin Allergy Clin Immunol. 2013;13(1):92-99.
- Braido F, Brusselle G, Guastalla D, et al. Determinants and impact of suboptimal asthma control in Europe: The international cross-sectional and longitudinal assessment on asthma control (LIAISON) study. Respir Res. 2016;17(1):51.
- Centers for Disease Control and Prevention. Healthy People 2020 2019 [cited 2019 August 14]. Available from: https://www.cdc.gov/nchs/healthy_people/hp2020.htm.
- Columbo M, Panettieri RA Jr, Rohr AS. Asthma in the elderly: a study of the role of vitamin D. Allergy Asthma Clin Immunol. 2014;10(1):48.
- Desmawati IY, & Gratisari E. ‘Overview of Spirometry Examination Results in Bronchial Asthma Patients at the Pulmonary Polyclinic at Arifin Achmad Pekanbaru Hospital. 2013.Accessed form: https://repository.unri.ac.id
- Engelkes M, Janssens HM, de Jongste JC, Sturkenboom MC, Verhamme KM. Medication adherence and the risk of severe asthma exacerbations: a systematic review. Eur Respir J. 2015;45(2):396–407.
- Global Asthma Report (GAR). 2018. www.globalasthmanetwork.org access: Januari 2023’
- Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. 2017.
- Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. 2019. update. www.ginasthma.org. Accessed November 2022
- Global Initiative for Asthma. (GINA). Global Strategy for Asthma Management and Prevention, 2018. Update. www.ginasthma.org. Cited 23 May 2018’
- Gorguner M, Aslan S, Inandi T, Cakir Z. Reactive airways dysfunction syndrome in housewives due to a bleach-hydrochloric acid mixture. Inhal Toxicol. 2004;16(2):87-91
- Graziottin A, & Serafini A. Perimenstrual asthma: from pathophysiology to treatment strategies. Multidiscip Respir Med. 2016;11:30.
- Kasrin D, Pratiwi L, & Rizkifani S. Drug Classification Based on Prescribing Asthma Drugs in the Outpatient Installation of RSUD Dr Agoesdjam Ketapang. Journal syifa scieces clinical research.2022;4(1)
- Katerine, Medison I, & Rustam E. The relationship between the level of knowledge about asthma and the level of asthma control. Andalas health journal.2014;3(1)
- Köse S, Mandiracioğlu A, Tatar B, Gül S, Erdem M. Prevalence of latex allergy among healthcare workers in Izmir (Turkey). Cent Eur J Public Health. 2014;22(4):262-265.
- Kosse RC, Koster ES, Kaptein AA, de Vries TW, Bouvy ML. Asthma control and quality of life in adolescents: the role of illness perceptions, medication beliefs, and adherence. J Asthma. 2020;57(10):1145–54.
- Koya T, Hasegawa T, Takasawa J, Yoshimine F, Sakagami T, Hayashi M, et al, Niigata Inhalation Treatment S. Influence of adherence to inhaled corticosteroids and inhaler handling errors on asthma control in a Japanese population. Intern Med. 2018;57(23):3357–63
- Lahaye M, Van Broeck N, Bodart E, Luminet O. Predicting quality of life in pediatric asthma: the role of emotional competence and personality. Qual Life Res. 2013;22(4):907-916.
- Le Moual N, Zock JP, Dumas O, et al. Update of an occupational asthma-specific job exposure matrix to assess exposure to 30 specific agents. Occup Environ Med. 2018;75(7):507-514
- Marantika HO, Indriyani, & Fitriyani N. The relationship between the level of asthma control and the quality of life of students at the Faculty of Medicine, University of Muhammadiyah Palembang. MESINA.2022.3(1), 23–27.
- Matulonga B, Rava M, Siroux V, et al. Women using bleach for home cleaning are at increased risk of non-allergic asthma. Respir Med. 2016;117:264-271
- Mayasari A, Setyoko, & Novitasari A. Relationship Between Asthma Control and Quality of Life for Asthma Club Members at the Semarang Community Pulmonary Health Center.’, Muhammadiyah medical journal.2015.2(1), 7–11
- Mayzika NA, & Mukti AW. Correlation of illness perception, asthma control, and lung function values to the quality of life of asthma outpatients. Journal of pharmaceutical sciences.2019;4(1), 43.
- McCleary N, Nwaru BI, Nurmatov UB, Critchley H, Sheikh A. Endogenous and exogenous sex steroid hormones in asthma and allergy in females: A systematic review and meta-analysis. J Allergy Clin Immunol. 2018;141(4):1510-1513.e8
- Mungan D, Özmen İ, Evyapan F, et al. Work-Related Symptoms of Patients with Asthma: A Multicenter Study. Turk Thorac J. 2019;20(4):241-247.
- Nakwan N. Impact of asthma severity as risk factor to future exacerbations in patients admitted for asthma exacerbation. Multidiscip Respir Med. 2021;16(1):780
- Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004;113(1):59-65.
- Nurhalisa SYP, Tresnawan T, & Budhiana J. The Relationship between Stress and Anxiety with Recurrence of Shortness of Breath in Asthma Sufferers in the UPTD Work Area of the Sukabumi Health Center, Sukabumi City. Journal of health social. 2022;11(2)
- Phyo AZZ, Freak-Poli R, Craig H, et al. Quality of life and mortality in the general population: a systematic review and meta-analysis. BMC Public Health. 2020;20(1):1596.
- Putra YA, Udiyono A, & Yuliaati S. Description of Anxiety Levels and Degrees of Asthma Attacks in Adult Sufferers of Bronchial Asthma (Study in the Working Area of Gunungpati Health Center, Semarang City, 2016. Public health journal. 2018; 6(1), 357-364
- Robitaille C, Boulet LP. L'asthme de la personne âgée [Asthma in the elderly]. Rev Mal Respir. 2014;31(6):478-487
- Saily SS, Adrianison, Bebasari E. Physiological Description and Asthma Control Test (ACT) Scoring for Outpatient Asthma Patients at the Pulmonary Polyclinic of Arifin Achmad Hospital, Pekanbaru. Online journal of medical faculty students, 2014;1, 1–14.
- Shah SA, Tibble H, Pillinger R, et al. Hormone replacement therapy and asthma onset in menopausal women: National cohort study. J Allergy Clin Immunol. 2021;147(5):1662-1670.
- Siracusa A, De Blay F, Folletti I, et al. Asthma and exposure to cleaning products - a European Academy of Allergy and Clinical Immunology task force consensus statement. Allergy. 2013;68(12):1532-1545.
- Taillé C, Raherison C, Sobaszek A, Thumerelle C, Prudhomme A, Biron E, et al. Particularités de l'asthme de la femme: quelle relation avec le statut hormonal? [Features of asthma in women: what is the relationship with hormonal status?]. Revue des maladies respiratoires. 2014;31(6), 469–477.
- Tarraf H, Al-Jahdali H, Al Qaseer AH, et al. Asthma control in adults in the Middle East and North Africa: Results from the ESMAA study. Respir Med. 2018;138:64-73.
- Teoli D, & Bhardwaj A. Quality Of Life. In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 26, 2023.
- Townsend EA, Miller VM, Prakash YS. Sex differences and sex steroids in lung health and disease. Endocr Rev. 2012;33(1):1-47.
- Triebner K, Johannessen A, Puggini L, et al. Menopause as a predictor of new-onset asthma: A longitudinal Northern European population study. J Allergy Clin Immunol. 2016;137(1):50-57.e6.
- Weinmann T, Gerlich J, Heinrich S, et al. Association of household cleaning agents and disinfectants with asthma in young German adults. Occup Environ Med. 2017;74(9):684-690.
- World Health Organization. Fact Sheet: Asthma. 2022. https://www.who.int/news-room/fact-sheets/detail/asthma Access Januari 2023’.
- Wortong D, Chaiear N, Boonsawat W. Risk of asthma in relation to occupation: A hospital-based case-control study. Asian Pac J Allergy Immunol. 2015;33(2):152-160
- Zaibi H, Touil A, Fessi R, Ben Amar J, Aouina H. Asthma in Menopausal Women: Clinical and Functional Particularities. Tanaffos. 2020;19(3):216-222.
- Zein JG, Denson JL, Wechsler ME. Asthma over the Adult Life Course: Gender and Hormonal Influences. Clin Chest Med. 2019;40(1):149-161.
- Zeru TG, Engidawork E, Berha AB. Assessment of Asthma Control and Quality of Life among Asthmatic Patients Attending Armed Forces Referral and Teaching Hospital, Addis Ababa, Ethiopia. Pulm Med. 2020;5389780.
References
Abrahamsen R, Fell AK, Svendsen MV, et al. Association of respiratory symptoms and asthma with occupational exposures: findings from a population-based cross-sectional survey in Telemark, Norway. BMJ Open. 2017;7(3):e014018
Abrams EM. Cleaning products and asthma risk: a potentially important public health concern. CMAJ. 2020;192(7):E164-E165
Afiani I, Salam, A, & Effiana. Factors Affecting the Quality of Life of Adult Asthma Patients in the Pontianak Pulmonary Treatment Unit. Cerebellum journal; 2017: 3, 754–769.
Al Zahrani SS, El-Morsy E.-MA, Dorgham L. The impact of bronchial asthma on quality of life among affected children and adolescents in Taif city, Saudi Arabia. Life science joural;2014:11(6):283–291.
Astuti WI, Hapsari WS, & Lutfiyati H. ‘Description of Drug Use and Level of Asthma Control in Outpatient Adult Asthma Patients at BKPM Magelang Period February-March 2016.’, J Pharm Sci Pract.:2018. IV (1), 31–36
BÃ¥rnes CB, & Ulrik CS. Asthma and adherence to inhaled corticosteroids: current status and future perspectives. Respir Care. 2015;60(3):455-468.
Bédard A, Varraso R, Sanchez M, et al. Cleaning sprays, household help and asthma among elderly women. Respir Med. 2014;108(1):171-180.
BinSaeed AA. Asthma control among adults in Saudi Arabia. Study of determinants. Saudi Med J. 2015;36(5):599-604
Black N. Patient reported outcome measures could help transform healthcare. BMJ. 2013;346:f167
Bonds RS, Midoro-Horiuti T. Estrogen effects in allergy and asthma. Curr Opin Allergy Clin Immunol. 2013;13(1):92-99.
Braido F, Brusselle G, Guastalla D, et al. Determinants and impact of suboptimal asthma control in Europe: The international cross-sectional and longitudinal assessment on asthma control (LIAISON) study. Respir Res. 2016;17(1):51.
Centers for Disease Control and Prevention. Healthy People 2020 2019 [cited 2019 August 14]. Available from: https://www.cdc.gov/nchs/healthy_people/hp2020.htm.
Columbo M, Panettieri RA Jr, Rohr AS. Asthma in the elderly: a study of the role of vitamin D. Allergy Asthma Clin Immunol. 2014;10(1):48.
Desmawati IY, & Gratisari E. ‘Overview of Spirometry Examination Results in Bronchial Asthma Patients at the Pulmonary Polyclinic at Arifin Achmad Pekanbaru Hospital. 2013.Accessed form: https://repository.unri.ac.id
Engelkes M, Janssens HM, de Jongste JC, Sturkenboom MC, Verhamme KM. Medication adherence and the risk of severe asthma exacerbations: a systematic review. Eur Respir J. 2015;45(2):396–407.
Global Asthma Report (GAR). 2018. www.globalasthmanetwork.org access: Januari 2023’
Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. 2017.
Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. 2019. update. www.ginasthma.org. Accessed November 2022
Global Initiative for Asthma. (GINA). Global Strategy for Asthma Management and Prevention, 2018. Update. www.ginasthma.org. Cited 23 May 2018’
Gorguner M, Aslan S, Inandi T, Cakir Z. Reactive airways dysfunction syndrome in housewives due to a bleach-hydrochloric acid mixture. Inhal Toxicol. 2004;16(2):87-91
Graziottin A, & Serafini A. Perimenstrual asthma: from pathophysiology to treatment strategies. Multidiscip Respir Med. 2016;11:30.
Kasrin D, Pratiwi L, & Rizkifani S. Drug Classification Based on Prescribing Asthma Drugs in the Outpatient Installation of RSUD Dr Agoesdjam Ketapang. Journal syifa scieces clinical research.2022;4(1)
Katerine, Medison I, & Rustam E. The relationship between the level of knowledge about asthma and the level of asthma control. Andalas health journal.2014;3(1)
Köse S, Mandiracioğlu A, Tatar B, Gül S, Erdem M. Prevalence of latex allergy among healthcare workers in Izmir (Turkey). Cent Eur J Public Health. 2014;22(4):262-265.
Kosse RC, Koster ES, Kaptein AA, de Vries TW, Bouvy ML. Asthma control and quality of life in adolescents: the role of illness perceptions, medication beliefs, and adherence. J Asthma. 2020;57(10):1145–54.
Koya T, Hasegawa T, Takasawa J, Yoshimine F, Sakagami T, Hayashi M, et al, Niigata Inhalation Treatment S. Influence of adherence to inhaled corticosteroids and inhaler handling errors on asthma control in a Japanese population. Intern Med. 2018;57(23):3357–63
Lahaye M, Van Broeck N, Bodart E, Luminet O. Predicting quality of life in pediatric asthma: the role of emotional competence and personality. Qual Life Res. 2013;22(4):907-916.
Le Moual N, Zock JP, Dumas O, et al. Update of an occupational asthma-specific job exposure matrix to assess exposure to 30 specific agents. Occup Environ Med. 2018;75(7):507-514
Marantika HO, Indriyani, & Fitriyani N. The relationship between the level of asthma control and the quality of life of students at the Faculty of Medicine, University of Muhammadiyah Palembang. MESINA.2022.3(1), 23–27.
Matulonga B, Rava M, Siroux V, et al. Women using bleach for home cleaning are at increased risk of non-allergic asthma. Respir Med. 2016;117:264-271
Mayasari A, Setyoko, & Novitasari A. Relationship Between Asthma Control and Quality of Life for Asthma Club Members at the Semarang Community Pulmonary Health Center.’, Muhammadiyah medical journal.2015.2(1), 7–11
Mayzika NA, & Mukti AW. Correlation of illness perception, asthma control, and lung function values to the quality of life of asthma outpatients. Journal of pharmaceutical sciences.2019;4(1), 43.
McCleary N, Nwaru BI, Nurmatov UB, Critchley H, Sheikh A. Endogenous and exogenous sex steroid hormones in asthma and allergy in females: A systematic review and meta-analysis. J Allergy Clin Immunol. 2018;141(4):1510-1513.e8
Mungan D, Özmen İ, Evyapan F, et al. Work-Related Symptoms of Patients with Asthma: A Multicenter Study. Turk Thorac J. 2019;20(4):241-247.
Nakwan N. Impact of asthma severity as risk factor to future exacerbations in patients admitted for asthma exacerbation. Multidiscip Respir Med. 2021;16(1):780
Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004;113(1):59-65.
Nurhalisa SYP, Tresnawan T, & Budhiana J. The Relationship between Stress and Anxiety with Recurrence of Shortness of Breath in Asthma Sufferers in the UPTD Work Area of the Sukabumi Health Center, Sukabumi City. Journal of health social. 2022;11(2)
Phyo AZZ, Freak-Poli R, Craig H, et al. Quality of life and mortality in the general population: a systematic review and meta-analysis. BMC Public Health. 2020;20(1):1596.
Putra YA, Udiyono A, & Yuliaati S. Description of Anxiety Levels and Degrees of Asthma Attacks in Adult Sufferers of Bronchial Asthma (Study in the Working Area of Gunungpati Health Center, Semarang City, 2016. Public health journal. 2018; 6(1), 357-364
Robitaille C, Boulet LP. L'asthme de la personne âgée [Asthma in the elderly]. Rev Mal Respir. 2014;31(6):478-487
Saily SS, Adrianison, Bebasari E. Physiological Description and Asthma Control Test (ACT) Scoring for Outpatient Asthma Patients at the Pulmonary Polyclinic of Arifin Achmad Hospital, Pekanbaru. Online journal of medical faculty students, 2014;1, 1–14.
Shah SA, Tibble H, Pillinger R, et al. Hormone replacement therapy and asthma onset in menopausal women: National cohort study. J Allergy Clin Immunol. 2021;147(5):1662-1670.
Siracusa A, De Blay F, Folletti I, et al. Asthma and exposure to cleaning products - a European Academy of Allergy and Clinical Immunology task force consensus statement. Allergy. 2013;68(12):1532-1545.
Taillé C, Raherison C, Sobaszek A, Thumerelle C, Prudhomme A, Biron E, et al. Particularités de l'asthme de la femme: quelle relation avec le statut hormonal? [Features of asthma in women: what is the relationship with hormonal status?]. Revue des maladies respiratoires. 2014;31(6), 469–477.
Tarraf H, Al-Jahdali H, Al Qaseer AH, et al. Asthma control in adults in the Middle East and North Africa: Results from the ESMAA study. Respir Med. 2018;138:64-73.
Teoli D, & Bhardwaj A. Quality Of Life. In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 26, 2023.
Townsend EA, Miller VM, Prakash YS. Sex differences and sex steroids in lung health and disease. Endocr Rev. 2012;33(1):1-47.
Triebner K, Johannessen A, Puggini L, et al. Menopause as a predictor of new-onset asthma: A longitudinal Northern European population study. J Allergy Clin Immunol. 2016;137(1):50-57.e6.
Weinmann T, Gerlich J, Heinrich S, et al. Association of household cleaning agents and disinfectants with asthma in young German adults. Occup Environ Med. 2017;74(9):684-690.
World Health Organization. Fact Sheet: Asthma. 2022. https://www.who.int/news-room/fact-sheets/detail/asthma Access Januari 2023’.
Wortong D, Chaiear N, Boonsawat W. Risk of asthma in relation to occupation: A hospital-based case-control study. Asian Pac J Allergy Immunol. 2015;33(2):152-160
Zaibi H, Touil A, Fessi R, Ben Amar J, Aouina H. Asthma in Menopausal Women: Clinical and Functional Particularities. Tanaffos. 2020;19(3):216-222.
Zein JG, Denson JL, Wechsler ME. Asthma over the Adult Life Course: Gender and Hormonal Influences. Clin Chest Med. 2019;40(1):149-161.
Zeru TG, Engidawork E, Berha AB. Assessment of Asthma Control and Quality of Life among Asthmatic Patients Attending Armed Forces Referral and Teaching Hospital, Addis Ababa, Ethiopia. Pulm Med. 2020;5389780.