Studi Hubungan Antara Kepatuhan Pengobatan dengan Kualitas Hidup Pasien Asma di Rumah Sakit Dustira

Nina Sri Wulandari, Suwendar Suwendar, Fetri Lestari

Abstract


Abstrak. Terapi penyakit asma termasuk pengobatan yang berjangka panjang, maka kepatuhan pasien dalam menggunakan obat sangat diharapkan. Tujuan utama penanganan asma yaitu meningkatkan dan mempertahankan kualitas hidup agar pasien dapat hidup normal dalam melakukan aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui kepatuhan pasien asma terhadap pengobatan yang dijalankan, serta mengetahui hubungan kepatuhan pengobatan dengan kualitas hidup pasien asma di Rumah Sakit Dustira. Penelitian ini merupakan penelitian non eksperimental dengan rancangan analisis cross sectional, serta pengambilan data menggunakan metode retrospektif. Penelitian dilakukan pada  pasien asma rawat jalan di Rumah Sakit Dustira yang memenuhi kriteria inklusi, dengan pengambilan sampel secara total sampling. Data diperoleh  dari kuisioner pengukuran kepatuhan pengobatan dan Asthma Quality of Life Questionnaire (AQLQ). Hasil menunjukkan bahwa sebanyak 33% pasien dikategorikan patuh dan 67% pasien dikategorikan tidak patuh dalam menjalani pengobatan asma. Hasil korelasi kepatuhan pengobatan terhadap kualitas hidup pasien asma berdasarkan nilai p-value uji korelasi Spearmann (p < 0,05) adalah sebesar 0,0004, dengan kekuatan korelasi sebesar 0,539. Hasil penelitian ini menunjukkan terdapat hubungan antara kepatuhan pengobatan dengan kualitas hidup pasien asma meskipun kekuatan korelasi dikategorikan agak rendah.

Kata Kunci: Asma, kepatuhan pengobatan, kualitas hidup, AQLQ.

 

Abstract. The therapy of asthma disease is a long-term medication, so patient’s compliance in taking the medication is expected. The main goal of treating asthma is to improve and maintain the quality of life, so that asthma patients can live normally in carrying out daily activities. This study aims to determine whether the asthma patients obedient to the given medication, and to determine the correlation of medication adherence with quality of life of asthma patients at Dustira Hospital. This study is a non-experimental study with a cross-sectional analysis design, and data obtained using the retrospective method. The study was conducted on outpatients asthma at Dustira Hospital who met the inclusion criteria, with samples collected by total sampling method. Data was obtained from questionnaires of medication adherence measurements and Asthma Quality of Life Questionnaire (AQLQ). The results showed that as many as 33% of patients were categorized as obedient and 67% of patients were categorized as not obedient to undergoing asthma treatment. The correlation results of medication adherence to the quality of life of asthma patients based on the p-value of the Spearmann correlation test (p < 0,05)  is 0.0004, with a correlation strength of 0.539. The results of this study indicate a correlation between medical adherence and the quality of life of asthma patients although the strength of the correlation cathegorized rather low.

Key words: Asthma, medication adherence, quality of life, AQLQ.   

 

 


Keywords


Asma, kepatuhan pengobatan, kualitas hidup, AQLQ

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References


Alpesh, N Amin et al. (2017). Confidence in correct inhaler technique and its association with treatment adherence and health status among US patients with chronic obstructive pulmonary disease. US National Library of Medicine : USA.

Beena Jimmy, Jimmy Rose. (2011). Patient Medication Adherence: Measures in Daily Practice. Oman Medical Journal.

Departemen Kesehatan RI. (2007). Pharmaceutical Care Untuk Penyakit Asma. Depkes RI, Jakarta

Fred Kleinsinger. (2018). The Unmet Challenge of Medication Nonadherence. The Permanente Journal.

Fuseini H, Newcomb DC (2017). Mechanism driving gender difference in asthma. Curr Allergy Asthma Rep, 17(9)

Global Initiative for Asthma (GINA). (2006). Global Strategy for Asthma Management and Prevention

Juhariyah, S., Djajalaksana, S., Sartono, T. R., Ridwan, M. (2012). Efektivitas Latihan Fisis dan Latihan Pernapasan pada Asma Persisten Sedang-Berat.

Juniper E.F., Guyatt G.H., Epstein R.S., Ferrie P.J., Jaeschke R., and Hiller T.K. (1992). Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 4

Kementerian Kesehatan RI. (2013). Riset Kesehatan Dasar. Kementerian Kesehatan RI, Jakarta.

Li, James. (2006). Pharmacotheraphy of Asthma. New York : Taylor & Francis Group

Pawankar,R. (2014). Allergic Desease and Asthma: a Global Public Health Concern and a Call to Action. World Allergy Organization Journal 7:12.

Perhimpunan Dokter Paru Indonesia (PDPI). (2004). Asma dan Pedoman Pentalaksanaan di Indonesia. Jakarta: Balai penerbit FKUI, Jakarta.

Sarafino, Edward P., Timothy W. Smith. (2011). Health Psychology Biopsychosocial Interactions Seventh edition. United States of America

Sumino,K, Cabana M,D. (2013). Medication adherence in asthma patients. US National Library of Medicine National Institute of Heath.




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