The Quality of Life on Asthmatic Adolescent and Its Correlation with the Severity and Control of Asthma

Lisa Adhia Garina, Muhammad Ridho Grahadinta, Ferry Achmad Firdaus Mansoer, Intan Puspitasari

Abstract


Asthma is considered a global health problem that, if not managed properly, can reduce the sufferers' quality of life. The purpose of the study was to evaluate the quality of life from the perspectives of asthma severity and the asthma control level. A cross-sectional study was conducted from February to June 2018 on asthmatic adolescents aged 12–14 years old in two public junior high schools in Bandung city, Indonesia. The diagnosis, history of asthma,  severity, and asthma control were established based on the National Asthma Guidelines from the Indonesian Pediatric Society, Global Initiative for Asthma (GINA), asthma control test (ACT), and ISAAC questionnaire. Statistical analysis performed using SPSS v.20 with Spearman's rho to determine the significance. The gender distribution of the 98 subjects was almost similar with slightly more girls (51%). The median age was 13±1 years with average ACT, FVC, and PAQLQ(S) total scores of 20±4, 78±16%, and 5.3±1.3, respectively. The domain scores for symptoms, activity limitations, and emotional function were 4.9±1.4, 5.0±1.3, and 5.7±1.1, respectively. There are correlations between the total  PAQLQ(S) score and asthma severity (p<0.001, r=−0.5) and the level of asthma control (p<0.001, r=0.6). In summary, the quality of life has a relationship with asthma severity and the level of asthma control. Asthma management should not only focus on medication but also ways to maintain a good quality of life.

 

KUALITAS HIDUP REMAJA ASMA DAN HUBUNGANNYA DENGAN KEKERAPAN GEJALA DAN DERAJAT KENDALI ASMA

Asma masih menjadi masalah kesehatan penting yang jika tidak ditangani baik, asma dapat menurunkan kualitas hidup anak. Tujuan penelitian ini menilai kualitas hidup dan hubungannya dengan kekerapan gejala dan derajat kendali asma. Penelitian cross-sectional ini dilaksanakan dari bulan Februari hingga Juni 2018 pada remaja asma berusia 12–14 tahun di dua SMPN di Kota Bandung, Indonesia. Diagnosis, riwayat asma, kekerapan gejala, dan derajat kendali asma berdasar atas Pedoman Nasional Asma Anak Ikatan Dokter Anak Indonesia, Global Initiative for Asthma (GINA), asthma control test (ACT), dan kuesioner dari ISAAC. Analisis statistik menggunakan SPSS v.20 dengan uji Spearman’s rho untuk menentukan signifikansi. Distribusi gender dari 98 subjek penelitian hampir sama dengan sedikit lebih banyak perempuan (51%). Usia rerata subjek 13±1 tahun dengan skor rerata ACT, FVC, PAQLQ(S) masing-masing 20±4, 78±16%, dan 5,3±1,3. Skor domain gejala, keterbatasan beraktivitas, dan fungsi emosi masing-masing 4,9±1,4; 5,0±1,3; dan 5,7±1,1. Terdapat hubungan skor total PAQLQ(S) dengan kekerapan gejala (p<0,001; r=−0,5) dan dengan derajat kendali asma (p<0,001; r=0,6). Simpulan, kualitas hidup berhubungan dengan kekerapan gejala dan derajat kendali asma. Pengelolaan asma sebaiknya tidak hanya memperhatikan pengobatan, tetapi juga menjaga kualitas hidup yang baik.


Keywords


Adolescents; asma; asthma; PAQLQ(S); quality of life; remaja

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References


Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention. 2020 Update [Internet]. Bethesda: GINA; 2020 [cited 2020 April 14]. Available from: https://ginasthma.org/wp-content/uploads/2020/04/GINA-2020-full-report_-final-_wms.pdf.

Rahajoe N, Kartasasmita CB, Supriyatno B, Setyanto DB. Pedoman nasional asma anak. 2nd Edition. 2nd Printing. Jakarta: Ikatan Dokter Anak Indonesia; 2016.

Yunus F, Rasmin M, Sutoyo DK, Wiyono WH, Antariksa B, Fitriani F, et al. Prevalens asma pada siswa usia 13–14 tahun berdasarkan kuesioner ISAAC di Jakarta. J Respir Indo. 2011;31(4):176–80.

Global Asthma Network. The global asthma report 2014. Auckland, New Zealand: Global Asthma Network: 2014 [cited 2020 January 13]. Available from: http://www.globalasthmanetwork.org/publications/Global_Asthma_Report_2014.pdf.

Global Initiative for Asthma (GINA). Pocket guide for asthma management and prevention for adults and children older than 5 years: a pocket guide for health professionals. Update 2020. Bethesda: GINA; 2020 [cited 2020 April 13]. Available from: https://ginasthma.org/wp-content/uploads/2020/04/Main-pocket-guide_2020_04_03-final-wms.pdf.

Global Asthma Network. The global asthma report 2018. Auckland, New Zealand: Global Asthma Network: 2018 [cited 2020 April 14]. Available from: http://www.globalasthmareport.org/Global%20Asthma%20Report%202018.pdf.

Qu CX, Zhang ZK. Current views of pediatric asthma. Eur Rev Med Pharmacol Sci. 2017;21(4 Suppl):106–8.

Wigoeno Y, Sekartini R, Setyanto DB, Hadinegoro SRS. Assessing the quality of life of asthmatic children using the PedQL™. Paediatr Indones. 2011;51(5):245–51.

Kouzegaran S, Samimi P, Ahanchian H, Khoshkhui M, Behmanesh F. Quality of life in children with asthma versus healthy children. Open Access Maced J Med Sci. 2018;6(8):1413–8.

Matsunaga NY, Ribeiro MAGDO, Saad IAB, Morcillo AM, Ribiero JD, Toro AADC. Evaluation of quality of life according to asthma control and asthma severity in children and adolescents. J Bras Pneumol. 2015;41(6);502–8.

Miadich SA, Everhart RS, Borschuk AP, Winter MA, Fiese BH. Quality of life in children with asthma: a developmental perspective. J Pediatr Psycol. 2015;40(7):672–9.

Banasiak NC. Implementation of the asthma control test in primary care to improve patient outcomes. J Pediatr Health Care. 2018;32(6):591–9.

Nyenhuis SM, Akkoyun E, Liu L, Schatz M, Casale TB. Real-world assessment of asthma control and severity in children, adolescents, and adults with asthma: relationships to care settings and comorbidities. J Allergy Clin Immunol Pract. 2020;8(3):989–96.

Silva AAMD, Maciel ÁCC, Furtado PR, Tomaz RR, Macêdo TMF, Mendonça KMPP. Applicability of a generic questionnaire for quality of life assessment for asthmatic children. Rev Paul Pediatr. 2018;36(2):207–13.

Halwani R, Al-kufeidy R, Muharib BA, Alkhashram FM, Hussain SIB, Alhenaki RS, et al. Impact of asthma on the quality of life of adolescent patients from Saudi Arabia. J Lung Dis Treatment. 2016;2(3):1000114.

BinSaeed AA, Torchyan AA, Alsadhan AA, Almidani GM, Alsubaie AA, Aldakhail AA, et al. Determinants of asthma control among children in Saudi Arabia. J Asthma. 2014;51(4):435–9.

Banjari M, Kano Y, Almadani S, Basakran A, Al-Hindi M, Alahmadi T. The relation between asthma control and quality of life in children. Int J Pediatr. 2018;2018:6517329.

Karadeniz P, Özdoğan Ş, Ayyıldız-Emecen D, Öncül Ü. Asthma control test and pediatric asthma quality of life questionnaire association in children with poor asthma control. Turk J Pediatr. 2016;58(5):464–72.

Al Zahrani SS, El Morsy EMA, Dorgham LS. The impact of bronchial asthma on quality of life among affected children and adolescents in Taif city, Saudi Arabia. Life Sci J. 2014;11(6):283–91.

Ibrahim NK, Alhainiah M, Khayat M, Abulaban O, Almaghrabi S, Felmban O. Quality of life of asthmatic children and their caregivers. Pak J Med Sci. 2019;35(2):521–6.

Al-Gewely MS, El-Hosseiny M, Abou Elezz NF, El-Ghoneimy DH, Hassan AM. Health-related quality of life in childhood bronchial asthma. Egypt J Pediatr Allergy Immunol. 2013;11(2):83–93.

Voorend-van Bergen S, Vaessen-Verberne AA, Landstra AM, Brackel HJ, van den Berg NJ, Caudri D, et al. Monitoring childhood asthma: web-based diaries and the asthma control test. J Allergy Clin Immunol. 2014;133(6):1599–605.

El-Gilany AH, El Desoky T, El-Hawary AK, Farrag M. Quality of life of children with bronchial asthma and their caregivers: a hospital-based study. Prog Med Sci. 2018;2(1):1–8.

Nordlund B, Konradsen JR, Pedroletti C, Kull I, Hedlin G. The clinical benefit of evaluating health-related quality-of-life in children with problematic severe asthma. Acta Paediatr. 2011;100(11):1454–60.

Amaral LM, Moratelli L, Palma PV, Leite IC. The quality of life of Brazilian adolescents with asthma: associated clinical and sociodemographic factors. J Asthma. 2014;51(6):660–6.

Costa DD, Pitrez PM, Barroso NF, Roncada C. Asthma control in the quality of life levels of asthmatic patients’ caregivers: a systematic review with meta-analysis and meta-regression. J Pediatr (Rio J). 2019;95(4):401–9.

Nair S, Nair S, Sundaram KR. A prospective study to assess the quality of life in children with asthma using the pediatric asthma quality of life questionnaire. Indian J Allergy Asthma Immunol. 2014;28(1):13–8.




DOI: https://doi.org/10.29313/gmhc.v8i1.5871


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