The Correlation between Adherence and Asthma Patients Quality of Life in Medan, Indonesia

BACKGROUND: Asthma is a chronic airway disease that is based on an inflammatory process and a serious health problem around the world. Asthma is often associated with treatment management factor. Adherence is the patient’s compliance towards their doctor's advice, which is accompanied by their understanding and follows the doctors’ advice consistently. AIM: This study aimed to get a valid and reliable adherence measure in asthma patients especially in Medan. METHODS: This research used the method of quantitative done by the cross-sectional approach. The sample (200 adult asthma patients) used standard asthma medication, stable asthma patients and did not suffer from severe asthma or other accompanying diseases. Data were analysed using univariate, bivariate and multivariate analysis, which is SEM (Structural Equation Modeling) analysis. RESULTS: The best dimension of medication adherence was the dimension of beliefs in medication 64%. The highest education adherence is at college education level which is 67.6%. Employment status with highest adherence value is medication on civil servant/military/police with the value of 67.7. CONCLUSIONS: There is a correlation between adherence and asthma patient’s quality of life in Medan

The Role of CYP2A6 Genetic Polymorphism in Nicotine Dependence and Tobacco Consumption among Bataknese Male Smokers

AIM: This research aimed to analyse the relationship between CYP2A6 gene polymorphism with nicotine dependence and its relation to the number of cigarette consumption among Bataknese smokers.METHOD: This study was a cross-sectional study involving 140 research subjects in Medan, Indonesia.RESULTS: Nicotine dependence rates were found to be significantly associated with the number of cigarette consumption expressed in the Brinkman Index.CONCLUSION: The *1A wild-type alleles have a greater risk of high-very high dependence rate compared to the other variants

A model confirmatory of adherence behavior with standard medication treatment among patients with asthma in Medan-Indonesia

Asthma problems are often linked to treatment management factors which include the non-maximal behavior of the patients and doctors. The adherence concept emphasizes a strong commitment between physicians and patients to achieve maximum behavior towards the treatment. This study aimed to construct a model of adherence to treatment of patients with asthma and also aimed to set a valid and reliable adherence measurement tool that might be applied to patients with asthma, particularly those who live in Medan-Indonesia.The study was quantitative research employed a cross sectional approach. The samples were 200 adult patients with asthma who receive standard asthma medications, patients with the stable condition and do not suffer from severe asthma or other comorbidities. The study performed a consecutive sampling of the technique which was obtained from physician's data (general/lung specialist). Data were analyzed by performing confirmatory analysis through Structural Equation Modelling analysis. The study produced a measurement model of asthma patients' adherence to the treatment among those who live in Medan. The study found that the asthma patients who live in Medan have good psychometric value (valid, reliable and fit to model): adherence I (beliefs, knowledge, and attitudes), adherence II (doctor-patient communication, actions, family support)

A model confirmatory of adherence behavior with standard medication treatment among patients with asthma in Medan-Indonesia

Asthma problems are often linked to treatment management factors which include the non-maximal behavior of the patients and doctors. The adherence concept emphasizes a strong commitment between physicians and patients to achieve maximum behavior towards the treatment. This study aimed to construct a model of adherence to treatment of patients with asthma and also aimed to set a valid and reliable adherence measurement tool that might be applied to patients with asthma, particularly those who live in Medan-Indonesia.The study was quantitative research employed a cross sectional approach. The samples were 200 adult patients with asthma who receive standard asthma medications, patients with the stable condition and do not suffer from severe asthma or other comorbidities. The study performed a consecutive sampling of the technique which was obtained from physician's data (general/lung specialist). Data were analyzed by performing confirmatory analysis through Structural Equation Modelling analysis. The study produced a measurement model of asthma patients' adherence to the treatment among those who live in Medan. The study found that the asthma patients who live in Medan have good psychometric value (valid, reliable and fit to model): adherence I (beliefs, knowledge, and attitudes), adherence II (doctor-patient communication, actions, family support)