Startseite The correlation between self-related adherence, asthma-related quality of life and control of asthma in adult patients
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The correlation between self-related adherence, asthma-related quality of life and control of asthma in adult patients

  • Elida Zairina ORCID logo EMAIL logo , Gesnita Nugraheni ORCID logo , Gusti Noorrizka Veronika Achmad ORCID logo , Arie Sulistyarini , Yunita Nita , Arief Bakhtiar und Muhammad Amin
Veröffentlicht/Copyright: 25. Juni 2021

Abstract

Objectives

Medication non-adherence mostly occurs in patients with a wide range of disease severity, including asthma. The aim of the study was to assess the self reported adherence to asthma therapy and investigate the relationship between adherence, asthma control and asthma-related quality of life.

Methods

The study was a cross-sectional study in which participants were recruited from an outpatient department, in one hospital in Surabaya. Patients (aged≥18 years) with asthma who had used any regular asthma medications were included. Standardised questionnaires, including Juniper’s Asthma Control Questionnaire (ACQ), Adherence to Refills and Medications Scales (ARMS) and Juniper’s Asthma Quality of Life Questionnaire (AQLQ) were used.

Results

A total of 82 adults with asthma were recruited in the study. Male participants’ mean age was 49.13 ± 14.10 years (n = 23). Approximately 59 participants (72.0%) were females, 30 participants (36.5%) were using Budesonide inhaler, and 73 participants (89.0%) never smoked. The mean of ACQ, AQLQ, and ARMS scores were 1.62 ± 1.19, 4.96 ± 1.24, and 16.98 ± 4.12, respectively. Of 82 patients studied 53 (64.6 %) had “uncontrolled asthma” and more than 85% participants both showed “non adherence” to asthma therapy and nearly 46% of them indicated that their quality of life was affected by asthma. There was a significant association between ACQ and AQLQ (p<0.05), whereas no statistically significant association was found between ACQ and ARMS.

Conclusions

The majority of patients reported non-adherence to asthma medications. Poor controlled asthma has been associated with lower asthma-related quality of life.


Corresponding author: Elida Zairina, Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia; Innovative Pharmacy Practice and Integrated Outcomes Research (INACORE) Group, Universitas Airlangga, Surabaya, Indonesia; and Center for Patient Safety Research, Universitas Airlangga, Surabaya, Indonesia, Phone: +62 031 5933150, E-mail:

Funding source: This study was supported by the Indonesian Ministry of Research and Technology and Higher Degree (DRPM – PDUPT 2017-2018)

Acknowledgments

The authors thank the Ministry of Research and Technology and Higher Degree of Indonesia, and the Faculty of Pharmacy, Universitas Airlangga for facilities provided during the study. The authors also thank the research assistants for their help in recruiting participants.

  1. Research funding: This study was supported by the Indonesian Ministry of Research and Technology and Higher Degree (DRPM – PDUPT 2017–2018).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: All participants provide written informed consent at the time of enrollment.

  5. Ethical approval: The study has been approved by the human research ethics committee of Universitas Airlangga Hospital. All participants provide written informed consent at the time of enrollment.

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Received: 2020-12-17
Accepted: 2021-01-26
Published Online: 2021-06-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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