The Effect of Medication Adherence and Asthma Control in Asthma Patients at a Public Health Center in Padang, Indonesia
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Abstract
Asthma is characterized by reversible swelling or narrowing of the airways. Low adherence can negatively affect the effectiveness of therapy, increasing asthma morbidity and mortality. The long-term goal of asthma treatment is to achieve and maintain controlled asthma, but this goal is still challenging for most patients. This study examines the relationship between medication adherence and asthma control in patients. This study is observational, with a cross-sectional approach conducted on 40 asthma patients who received treatment at a Public Health Center. Patient medication adherence was measured by Medication Possession Ratio (MPR) method, and the level of control was measured by the Asthma Control Test (ACT) questionnaire. The results showed that most patients based on sociodemographic characteristics were female (80.0%), elderly group ≥60 years (45.0%), high school education (55.0%), and housewives (45.0%). The category of medication adherence was divided into 47.5% adherent patients and 52.5% non-adherent patients. The level of patient control was divided into fully controlled (2.50%), partly controlled (35.0%), and uncontrolled (62.5%). There was a significant relationship between adherence and asthma control (r=0.508; p<0.05). Therefore, improving patient medication adherence can potentially improve asthma control levels.
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References
Lee LK, Obi E, Paknis B, Kavati A, Chipps B. Asthma control and disease burden in patients with asthma and allergic comorbidities. J Asthma. 2018; 55(2): 208–219.
So JY, Mamary AJ, Shenoy K. Asthma: Diagnosis and treatment. Eur. Med. J. 2018; 3(4): 111–121.
PDPI. Pedoman Diagnosis dan Penatalaksanaan ASMA di Indonesia. Pedoman diagnosis dan penatalaksanaan asma di Indonesia. 2019. 1–154.
Kementerian Kesehatan Republik Indonesia. Laporan Nasional RISKESDAS 2018. Kementrian Kesehatan RI. 2018. 1–582.
McCracken JL, Veeranki SP, Ameredes BT, Calhoun WJ. Diagnosis and management of asthma in adults a review. JAMA - J. Am. Med. Assoc. 2017; 318(3): 279–290.
Listyoko AS, Chozin LN, Djajalaksana S. Pengaruh Pemberian Polifitofarmaka Terhadap Perbaikan Derajat Kontrol Asma Melalui Penurunan Eosinofil dan Interleukin-13 Pasien Asma Stabil yang Tidak Terkontrol. J. Respirologi Indones. 2020; 40(3).
Ferliani F, Sundaru H, Koesnoe S, Shatri H. Kepatuhan Berobat pada Pasien Asma Tidak Terkontrol dan Faktor-Faktor yang Berhubungan. J. Penyakit Dalam Indones. 2015; 2(3): 140.
GINA. Global Strategy for Asthma Management and Prevention. Glob. Initiat. Asthma. 2019. pp. 1–199.
Banasiak NC. Implementation of the Asthma Control Test in Primary Care to Improve Patient Outcomes. J. Pediatr. Heal. Care. 2018; 32(6): 591–599.
Efayanti D, Widodo S, Kristanto A. Pengaruh Tingkat Pengetahuan Obat Dan Penyakit Hipertensi Terhadap Kepatuhan Pengambilan Obat Penderita Hipertensi Di Puskesmas Roworejo Kabupaten Pesawaran Lampung. JFL J. Farm. Lampung. 2020; 9(2): 117–124.
Sinulingga, Sadakata, Anggraini IL. Hubungan Tingkat Pengetahuan dan Kepatuhan Penggunaan Obat Kortikosteroid Inhalasi Pasien Rumah Sakit Bhayangkara Palembang Tahun 2020. 2021; 3(2): 76–81.
Haryanti S, Ikawati Z, Andayani TM, Mustofa. Hubungan Kepatuhan Menggunakan Obat Inhaler β2-Agonis dan Kontrol Asma pada Pasien Asma. J. Farm. Klin. Indones. 2016; 5(4): 238–248.
Baldaçara RP de C, Silva I. Association between asthma and female sex hormones. Sao Paulo Med. J. 2017; 135(1): 4–14.
Fadzila W, Indriati G, Keperawatan F, Riau U. Hubungan keteraturan penggunaan inhaler terhadap hasil asthma control test (ACT) pada penderita asma. 2018. 831–839.
Saily S, Adrianison, Bebasari E. Gambaran Faal Paru Dan Skoring Asthma Control Test (ACT) Penderita Asma Rawat Jalan Di Poliklinik Paru RSUD Arifin Achmad Pekanbaru. JOM FK. 2014; vol. 1: 1–14.
Nugraheni G, Santoso ANA, Puspitasari D, Setiawan CD, Nita Y. Medication adherence and quality of life among asthmatic patients in primary care in Indonesia," Pharm. Educ. 2022; 22(2): 123–128.
Pearce CJ, Fleming L. Adherence to medication in children and adolescents with asthma: methods for monitoring and intervention. Expert Rev. Clin. Immunol. 2018; 14(12): 1055–1063.
Romadhon R, Saibi Y, Nasir NM. Kepatuhan Terhadap Pengobatan Pasien Diabetes Melitus Tipe 2 di Puskesmas Jakarta Timur. J. Frmasi Galen. 2020; 6(1): 94–103.
Nezenega ZS, Perimal-lewis L, Maeder AJ. Factors Influencing Patient Adherence to Tuberculosis Treatment in Ethiopia : A Literature Review. Int. J. Environ. Res. Public Health. 2020. p. 1–15.
Prisilla W, Medison I, Rusjdi SR. Hubungan Keteraturan Penggunaan Kortikosteroid Inhalasi dengan Tingkat Kontrol Asma Pasien Berdasarkan ACT. 2016; 5(1): 72–77.
World Health Organization, Adherence to Long-Term Therapies. 2003.