Persepsi masyarakat terhadap program jaminan kesehatan bagi masyarakat miskin

Background: The perception of community, particularly poor families towards Health Fund for the Poor Program (PJKMM) influences the utilization level of health services. There are internal and external factors influencing the perception, such as education, knowledge, experience, motivation and socialization. Objective: The objective of the study was to get description about the perception of community in Metro City towards PJKMM. Methods: This study was analytical, using cross sectional design, with quantitative and qualitative methods. For quantitative research, 450 respondents were taken as sample using cluster random sampling method. For qualitative research, community, local government officers, and health service providers were chosen as informants. Data were collected by questionnaires and in-depth interview guide. Quantitative data were analyzed statistically by using regression correlation test, Anova, and multivariate analysis using multiple linear regression and partial correlation lest. Qualitative data were analyzed descriptively. Result: 56 % of the respondents had enough knowledge about managed care and 73.3 % of the respondents had neutral perception towards PJKMM. Statistical analysis showed significant correlation between internal factors (formal education, knowledge, experience, and motivation) and perception towards PJKMM (

Efektivitas Role Play, Penayangan VCD dan Modul dalam Meningkatkan Keterampilan Komunikasi Terapeutik Mahasiswa STIKES Jenderal Ahmad Yani YOGYAKARTA

Background: Previous research found that 75% of one\u27s life was used for communication. Communication gives the meaning of life. More than half of the surgery clients was not satisfied with the preserved information. Client needs effective communication and social contact which was useful to obtained information. There was a lack of communication between nursing staff and client. Nurses communication style was focused on their duty. Their conversation tend to be short and could not exploitate client\u27s believe and anxiety. There was a research inhealth behavior trough education especially in therapeutic communication.Objective: This research was aimed to measure the effectiveness of role play, video compact disc (VCD) playing and module in improving therapeutic communication skill of nursing student of STIKES Jenderal Ahmad Yani Yogyakarta.Method: This was a quasi experimental research that used non-equivalent control group design with pretest-posttest. The subject of the research was nursing student of STIKES Jenderal Ahmad Yani and Surya Global Yogyakarta. The intervention group was 42 students while control group was 51 students. The sample was taken with purposive sampling. The instrument being used was questionaire, check list of observation, (VCD), module and role play scenario with a case example. The data collection was conducted by having structured interview and observation. The data was analyzed with independent t-test to measure the difference on knowledge, attitude and skill with significance level of p = 0.05 and paired t test.Result: This research showed that there was a significant influence on the therapeutic communication education toward improvement on knowledge with t = 9.463 and p = 0.000 (p 0.05).Conclusion: Role play, VCD playing and module were effective in improving knowledge, attitude and skill on therapeutic communication after given education and improving skill after 1 month and yet there was a decreasing on the average of skill value after 1 month compared with after given education

HUBUNGAN BEBAN KERJA FISIK DAN MENTAL TERHADAP STRES KERJA PERAWAT DI RSUD DR. H. MOHAMAD RABAIN KABUPATEN MUARA ENIM

Job stress among nurses in Muara Enim: physical and mental workloads analysisPurposeThis study aimed to determine the description of the level of job stress and identify related factors that include workload, job satisfaction and individual characteristics of nurses in hospital of dr. H. Mohamad Rabain Muara Enim. MethodsThis research was a quantitative study with a cross-sectional design. Research subjects were 63 nurses who were selected using proportional stratified random sampling. Independent variables were physical and mental workload. External variables were job satisfaction, gender, age, years of service as employee, and marital status. The dependent variable was job stress. Job stress due to work measurements used a stress scoring questionnaire as the scoring method. Statistical tests were conducted to determine the correlation of job stress with the job stress factors of respondents using chi-square tests on physical workload variable and Fisher's Exact tests for mental workload with Confidence Interval (CI) 95% and p-value < 0.05. ResultsThere was no correlation between physical workload towards job stress in hospital of dr. H. Mohamad Rabain District of Muara Enim (p = 0.69). There was also no correlation between mental workload towards job stress in hospital of dr. H. Mohamad Rabain of Muara Enim district (p = 0.77). ConclusionFactors affecting the physical and mental workload are the absence of percentage between direct, indirect and non-nursing actions, and the differences between young and capable nurses. The work stress experienced by nurses is more influenced by other job factors.Background: Job stress is prevalent in health workers. Human responsibility in the health sector causes workers to be more vulnerable to stress. Workloads are ranked first which affects a person experiencing stress on his job. Nurses are the most health workers in the hospital, especially in the inpatient unit. The nurse is the health worker with the most working time related to the patient and the heavy nurses work load influences the welfare of work psychology. This condition triggered inpatient nurses in RSUD dr. H. Mohamad Rabain Muara Enim district is vulnerable to have job stress.Objectives: This study aims to determine the description of the level of job stress and identify related factors that include workload, job satisfaction and individual characteristics of nurses in RSUD dr. HM. Rabain Muara Enim.Research Method: This research type is quantitative with cross sectional research design. Research subjects were 63 nurses who were taken using proportional stratified random sampling technique. Independent variable are physical workload, mental workload. External variables are job satisfaction, gender, age, year services of employee, marital status. The dependent variable is job stress. Job stress measurements use the stress scoring questionnaire due to the work of the scoring method. To find out the correlation of job stress with the job stress factors of respondent done statistic test using Chi Square test on physical workload variable and Fisher's Exact test for mental workload with Confidence Interval (CI) 95% and p-value 0,05.Result: There is no relation between physical work load towards job stress in RSUD dr. H. Mohamad Rabain District of MuaraEnim (p = 0,69). There is no relation between mental work load towards job stress in RSUD Dr. H. Mohamad Rabain of Muara Enim District (p = 0.77).Conclusion: Factors affecting the physical and mental workload are the absence of percentage between direct, indirect and non-nursing actions, young and capable nurses. The work stress experienced by the nurse is more influenced by other job factors. Keywords: Nurse Job stress, physical work load, mental work load

Faktor yang mempengaruhi kualitas hidup orang dengan HIV/AIDS (ODHA) di Kota Kupang

Purpose This study aimed to determine factors that affect the quality of life of people living with HIV/AIDS (PLWHA) in Kota Kupang.MethodsThe study used cross-sectional study design with 100 people who had been on ARV therapy ≥1 months, age ≥18 years, was able to communicate with Indonesian language and willing to become respondents. The bivariate analysis used chi-square test and multivariate analysis used logistic regression test.ResultsThere was no significant correlation between the level of education, duration of antiretroviral therapy and the stigma of the quality of life of PLWHA. There was no significant relationship between sex, age, occupation, income, marital status, and adherence to the quality of life of PLWHA. The factors that most affect the quality of life of PLWHA were education level and stigma of ARV therapy.Conclusion The factors that most affect the quality of life of people living with HIV were education level and stigma of ARV therapy.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi kualitas hidup Orang Dengan HIV/AIDS (ODHA) di Kota Kupang.Metode: Penelitian ini menggunakan desain cross  sectional pada 100 orang responden dengan karakteristik telah menjalani terapi ARV ≥1 bulan, berusia lebih dari ≥18 tahun, mampu berkomunikasi dengan bahasa Indonesia dan bersedia menjadi responden. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan analisis regresi logistik. Hasil: Tidak ada hubungan yang yang signifikan antara tingkat pendidikan, lama terapi ARV dan stigma dengan kualitas hidup ODHA. Tidak ada hubungan yang signifikan antara jenis kelamin usia, pekerjaan, pendapatan, status pernikahan dan kepatuhan minum obat dengan kualitas hidup ODHA. Faktor yang paling berpengaruh terhadap kualitas hidup ODHA secara berurutan adalah tingkat pendidikan diikuti oleh lama terapi ARV dan stigma. Implikasi praktis: Perlu adanya pengembangan sistem promosi kesehatan yang komprehensif pada level keluarga, komunitas, dan institusi.Keaslian: Penelitian ini menyimpulkan bahwa faktor yang paling berpengaruh terhadap kualitas hidup ODHA secara berurutan adalah tingkat pendidikan diikuti oleh lama terapi ARV dan stigma. 

Pengaruh Pendidikan Kesehatan dengan Metode Diskusi Kelompok dan Demonstrasi terhadap Pengetahuan, Sikap dan Perilaku Keluarga dalam Menemukan Tersangka Penderita Tuberkulosis Paru: The Influence of Health Education with

A study of WHO showed that tuberculosis (TB) epidemic in Asia nowadays reached up to 4, 5 million cases, which is more than half of TB cases in the world. In Indonesia, generally, and in the province of North Sumatera, especially, one of the crucial problems in the TB control program is the low case finding. Therefore, conunmities\u27 empowerments through health education need to be implemented in order them to be willing and able to find the TB suspected case. The general objective of this research was aimed to increase the case finding of TB in North Sumatera with TB patients\u27 family empowerment through health education. The specific objective of this research was to find out the influence of health education that used methods of group discussion and demonstration toward knowledge, attitude and behavior of TB patients\u27 family in order to find out the TB suspected case in the community. This was a quasi experimental research with pretest and posttest design that used external control group. The sample was taken with total population from the population of TB patient\u27s family. Through random assignment, sample was classified into two treatment groups that was group of health education that used methods of group discussion and demonstration, as well as group of health education that used group discussion method. There was no significant difference between mean value of knowledge, attitude and behavior of both groups in the pretest. There was an increasing of mean value of knowledge, attitude and behavior of both groups in posttest 1 although there was no significant difference between both of the groups. There was an increasing of the mean value of knowledge and behavior in posttest 2 although there was no significant difference between both of the groups. Indeed, there was no significant increasing of the mean value of attitude in both of the groups from posttest 1 to posttest 2. It was concluded that the health education that used methods of group discussion and demonstration, whether it was used respectively or combined could improve knowledge, attitude and behavior of TB patient\u27s family in finding the TB suspected case, and there was no difference between the two ways of methods utilization in influencing knowledge, attitude and behavior of TB patient\u27s family in finding the TB suspected case. Keywords: tuberculosis âhealth education âfamil

Hubungan karakteristik demografi terhadap status keparahan cedera akibat kecelakaan lalu lintas sepeda motor di kabupaten Sleman Yogyakarta: analisis data sekunder HDSS 2015 dan 2016

Injuries from traffic accidents in Sleman: HDSS data 2015 and 2016Purpose: This study was conducted to know the description of respondent characteristic of injury caused by a motorcycle accident, description of injury characteristic and relation between demography factor to injury status of motorcycle rider injured due to motorcycle traffic accident. Method: Type of study with cross-sectional design using secondary data HDSS 2015 and 2016. Samples are all HDSS respondents who got injured due to motorcycle accident. The data will be analyzed by univariable and bivariate test using Chi-square analysis. Results: Injuries from motorcycle accidents were higher in people <45 years old (69.7%), male sex (54.3%), marital status (51.9%), high education level (59.3% ), working (57.3%), urban residence (80%) and upper middle economic status (26.4%). Age is significantly associated with motorcycle injury, while sex, marital status, education level, occupation type, a location of residence and socioeconomic status are not significantly related to injury status. Conclusion: Age is statistically related to injury status. Groups ≥45 years are more at risk of injury. We need to formulate a health program to minimize the risk of severe injury by integrating some of the ongoing elderly health.AbstrakTujuan: Penelitian ini bertujuan mengetahui gambaran karakteristik responden yang cedera akibat kecelakaan sepeda motor, gambaran karakteristik cedera dan hubungan antara faktor demografi terhadap status cedera pengendara sepeda motor yang mengalami cedera akibat kecelakaan lalu lintas sepeda motor. Metode: Jenis penelitian dengan rancangan cross-sectional dengan menggunakan data sekunder HDSS 2015 dan 2016. Sampel merupakan semua responden HDSS yang mendapat cedera akibat kecelakaan sepeda motor. Data kemudian akan dilakukan uji univariat dan uji bivariat dengan analisis chi-square. Hasil: Kejadian cedera akibat kecelakaan sepeda motor lebih tinggi pada responden dengan karakteristik demografi umur <45 tahun (69,7%), berjenis kelamin laki-laki (54,3%), status kawin (51,9%), tingkat pendidikan tinggi (59,3%), bekerja (57,3%), lokasi tinggal di perkotaan (80%) dan status ekonomi menengah ke atas (26,4%). Umur berhubungan signifikan dengan cedera sepeda motor, sedangkan jenis kelamin, status perkawinan, tingkat pendidikan, jenis pekerjaan, lokasi tinggal dan status sosial ekonomi tidak berhubungan signifikan dengan status cedera. Simpulan: Umur berhubungan secara statistik dengan status cedera. Kelompok ≥45 tahun lebih berisiko mengalami cedera. Perlu merumuskan program kesehatan untuk meminimalkan risiko cedera parah dengan mengintegrasikan beberapa kesehatan usia lanjut yang telah berjalan.Latar BelakangLebih dari 1,2 juta jiwa kematian terjadi di dunia akibat kecelakaan lintas dan 90% kecelakaan terjadi di negara berpendapatan rendah dan menengah. Angka cedera paling banyak terjadi karena kecelakaan lalu lintas terutama yang melibatkan jenis kendaraan sepeda motor. Diperkirakan cedera akibat kecelakaan lalu lintas yang mengakibatkan kematian akan menempati urutan ke 3 pada tahun 2030. Tingkat keparahan cedera yang tinggi meningkatkan resiko kecacatan dan kematian. Faktor demografi merupakan salah satu faktor yang berkaitan dengan status keparahan pada pengendara sepeda motor yang mengalami cedera akibat kecelakaan sepeda motor.TujuanUntuk mengetahui tentang gambaran karakteristik responden yang cedera akibat kecelakaan sepeda motor, gambaran tentang karakteristik cedera dan hubungan antara faktor demografi dengan status cedera pengendara sepeda motor yang mengalami cedera akibat kecelakaan lalu lintas sepeda motor.MetodeJenis penelitian rancangan crossectional dengan menggunakan data sekunder HDSS 2015 dan 2016. Sampel merupakan semua responden HDSS yang mendapat cedera akibat kecelakaan sepeda motor. Data kemudian dilakukan uji univariat dan uji bivariat dengan analisis chi-square.HasilKejadian cedera akibat kecelakaan sepeda motor lebih tinggi pada responden dengan karakteristik demografi umur < 45 tahun (67,9 %), berjenis kelamin laki-laki (54,3%), status kawin (51,9%), tingkat pendidikan tinggi (59,3%), bekerja (57,3%), lokasi tinggal di perkotaan (80%) dan  status ekonomi menengah ke atas (26,4%).  Umur memiliki hubungan yang signifikan dengan p-value 0,0176, sedangkan jenis kelamin (p-value 0,27), status perkawinan (p-value 0,27), tingkat pendidikan (p-value 0,35), jenis pekerjaan (p-value 0,52), lokasi tinggal (p-value 0,64 dan status sosial ekonomi (p-value 0,19 – 1,98) tidak memiliki hubungan yang signifikan dengan status cedera.KesimpulanTerdapat hubungan antara umur dan status cedera yaitu kelompok umur ≥  45 tahun lebih berisiko 1,7 kali dibanding kelompok umur < 45 tahun. 

The Importance of Community Coalition to Prevent Dengue Fever: An Ethnographic Study in Sidoluhur Village, Sleman District, Yogyakarta Special Region

Intrduction: Dengue fever is an emerging pandemic-prone viral disease in many parts of the world also in Indonesia. Java Island contributed about 71% of all cases occurring in the country. Sleman District represented nearly 30% of total infections in Yogyakarta Province. Godean sub-district contributes 89 cases in 2013 and most of them were come from Sidoluhur village. Instead of community activities Dengue cases are increasing every year. Vector control is one way to control it. This research was tried to explore how community coalition can prevent Dengue fever cases and how Dengue vector can be controlled by engaging community. Methods: This research was used ethnographic study. For collecting data in-depth interview and participatory observation was conduct. Collecting data and analysis data was done simultaneously.Results: Community in Sidoluhur village aware that Dengue fever is a serious health problem. With local knowledge, believes, customs, practice and attitudes community people are most influenced group. After getting fever people try to apply their own knowledge for prevention. Most of them do not know the reason of Dengue spread, how it breed, where it breed also how to control. Practices of Dengue prevention like Friday cleaning movement, mosquito eradication flick and child health task force are good programs but absent of continuity so Dengue cases are increasing. Cultural and medical health seeking behaviors were seen among the people. For building coalition capacity sharing information is also immobile.Conclusion: Dengue fever is still remaining a strong factor that influences public health care in Sidoluhur village. To control Dengue fever capacity building, policy implementation based on community, networking among stakeholders, blending the cultural and medical knowledge of Dengue and overall comprehensive Dengue control approaches need to be developed. Keywords:  Dengue fever, community coalitions, social capital, working group.ABSTRAKPendahuluan: Demam Dengue adalah penyakit viral yang berpotensi menimbulkan pandemik di seluruh dunia termasuk Indonesia. Pulau Jawa menyumbang sekitar 70% dari seluruh kasus di Indonesia. Kabupaten Sleman menyumbang hampir 30% total infeksi di Provinsi Daerah Istimewa Yogyakarta. Kecamatan Godean menyumbang 89 kasus di tahun 2013 yang sebagian besar berasal dari desa Sidoluhur. Meskipun berbagai kegiatan pencegahan sudah dilakukan oleh masyarakat, kasus demam Dengue terus meningkat setiap tahunnya. Pengendalian vektor nyamuk merupakan salah satu kegiatan yang dilakukan untuk mencegah demam Dengue. Penelitian ini bertujuan untuk mengetahui bagaimana koalisi masyarakat di desa Sidoluhur dapat mencegah kasus demam Dengue dan bagaimana vektor Dengue dapat dikendalikan dengan melibatkan masyarakat.Metode: Penelitian ini merupakan Studi Etnografi. Pengumpulan data dilakukan dengan wawancara mendalam (in-depth interview) dan pengamatan partisipatif. Data dianalisis dan disajikan secara deskriptif.Hasil: Masyarakat desa Sidoluhur menyadari kalau Demam Dengue merupakan masalah kesehatan yang serius. Tetapi, dengan pengetahuan lokal, kepercayaan, kebiasaan, praktik dan sikap yang dimiliki, masyarakat awam meruapakan kelompok yang rentan untuk terjangkit demam Dengue. Apabila terkena serangan demam, masyarakat akan mecoba menerapkan pengetahuan yang dimiliki untuk mengobati demam dan mencegah perkembangan penyakit.  Sebagian besar masyarakat tidak tahu bagaimana cara penyebaran Dengue, bagaimana dan di mana nyamuk berkembang biak dan bagaimana cara mengendalikan perkembangbiakan nyamuk tersebut. Praktik-praktik pencegahan demam Dengue seperti Gerakan Jumat Sehat, Pemberantasan Jentik Nyamuk dan satuan Tugas Kader Kesehatan Cilik merupakan program yang bagus tetapi tidak dilaksanakan secara kontinu sehingga kasus demam Dengue terus meningkat.  Budaya dan kesadaran masyarakat untuk mencari pertolongan medis sudah cukup baik.  Pengembangan kapasitas koalisi masyarakat perlu ditingkatkan karena kurangnya sharing informasi dalam masyarakat.Simpulan: Demam Dengue merupakan faktor kuat dalam menentukan pelayanan kesehatan masyarakat di desa Sidoluhur. Untuk mengendalikan kasus demam Dengue, pembangunan kapasitas, implementasi kebijakan berdasarkan kondisi masyarakat, kerjasama antar stakeholder, menyelaraskan budaya dan pengetahuan medis tentang Dengue dan pengendalian Dengue dengan pendekatan komprehensif perlu untuk dikembangkan.Kata kunci:  demam Dengue, koalisi masyarakat, modal sosial, kelompok kerja

Treatment-seeking behaviour of nasopharyngeal cancer patients in Yogyakarta, Indonesia

Introduction: Nasopharyngeal cancer ranks first among head and neck cancer. About 60-95% of nasopharyngeal cancer patients seek for treatment at advanced stage. Attitudes and behavior of cancer patients in choosing healthcare is affected by the level of socio-economic and cultural backgrounds. Surgery and treatment costs are also the reasons patients to late seek treatment. This study aims to explore what contributes the treatment seeking behavior of nasopharyngeal cancer patients. It conducted in the Yogyakarta, Indonesia. Methods: As many as 20 patients were interviewed using questionnaire. All interviews were done using Opencode 3.6. To ensure the data validity, triangulation approach, peer debriefing and thick description were done. Results: it showed that there are five factors that affect the patients in seeking treatment: disease perception, medical services perception, medical expenses, external support and assessment of treatment process. Conclusion: This study may help to design health education programs to raise public awareness of nasopharyngeal cancer

Peringatan Kemasan Rokok Bergambar dan Intensi Berhenti Merokok di Sleman

Warning of illustrated cigarette packaging and smoking cessation intention in SlemanPurposeThis study aimed to identify the relationship of pictorial warnings to cigarette packaging with the intention to stop smoking or not to start smoking in Sleman regency.MethodsThe study used secondary data from the study "The effectiveness of warning images on cigarette packs on smoking behavior in Sleman, Yogyakarta" from 2015 and used a cross- sectional design with 155 respondents. Data were analyzed using chi square tests with significance level 95% (p <0.05) and multiple logistic regression test.ResultsThere was a correlation between pictorial warning, social environment and perceptions of the dangers of cigarettes with the intention of quitting smoking or the intention of not starting to smoke.ConclusionPictorial warning on cigarette packs, good social environment and perception of cigarette hazard may support the intention to stop smoking on smokers and intention not to smoke on non-smokers. Therefore, pictorial warnings that show the danger of smoking should be produced more as an intervention to reduce the intention of smoker to smoke and prevent non-smoker intention from starting smoking

Faktor-faktor yang memengaruhi kualitas hidup pasien penyakit paru obstruktif kronis

Latar belakang : Insiden PPOK sebesar 164/100.000 penduduk usia diatas 15 tahun di Kabupaten Temanggung. Semakin meningkatnya prevalensi PPOK dan penyakitnya yang kronis, menyebabkan kualitas hidup pasien semakin menurun. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup pasien PPOK.Metode : Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross sectional, dilakukan pada Maret-April 2017. Subjek penelitian sebanyak 146 pasien PPOK di Poli Paru RS PKU Muhammadiyah dan RSUD Kabupaten Temanggung. Pengambilan sampel menggunakan teknik consecutive sampling. Variabel dependen adalah kualitas hidup yang dinilai menggunakan Clinical COPD Questionnaire (CCQ). Variabel independen adalah BMI, status merokok, derajat keparahan, hipertensi, diabetes dan depresi. Data dianalisis menggunakan Chi Square dan regresi poisson untuk uji bivariat dan regresi poisson untuk uji multivariat. Hasil : Sebagian besar pasien PPOK berusia 61-70 tahun (36,30%), laki-laki (60,96%), BMI dengan kategori normal (55,48%) dan telah berhenti merokok selama 0-5 tahun (20,55%). Pemeriksaan spirometri menunjukkan bahwa sebanyak 40,41% pasien mengalami derajat sedang. Komorbiditas tertinggi yang dialami yaitu hipertensi (34,25%) diikuti depresi (32,88%) dan dan diabetes (6,17%). Hasil penilaian CCQ menunjukkan sebanyak 28,08% pasien memiliki kualitas hidup buruk. Hasil analisis multivariat menunjukkan bahwa masih merokok, derajat sangat berat dan depresi berhubungan dengan kualitas hidup pasien PPOK (p<0,05).Kesimpulan : Masih merokok, derajat sangat berat dan munculnya depresi dapat memperburuk kualitas hidup pasien PPOK. Managemen pengobatan pasien sebaiknya mendorong kepatuhan pasien untuk berhenti merokok dan pengembangan intervensi fokus pada depresi.Factors associated with quality of life among patients with chronic obstructive pulmonary diseasePurposeThis study is conducted to examine factors associated with quality of life among patients with the chronic obstructive pulmonary disease.MethodsThis study was a cross-sectional study involving 146 patients from Muhammadiyah and Temanggung hospital. The quality of life was measured using clinical questionnaire. The independent variables were body mass index, smoking status, severity level, hypertension, diabetes mellitus, and depression. Data were analyzed using Chi-Square and Poisson regression.ResultsThe majority of patients aged 67 years (36.3%) are male (61%), had normal weight (55.5%) and quitted smoking for 0-5 years (20.6%). Spirometry shows that almost half (40,4%) patients are at the moderate level. The highest proportion of comorbidities are hypertension (34.2%), depression (32.9%) and diabetes mellitus (6.2%). There are 28.1% patients who had a poor quality of life. Multivariate analysis shows that current smoker, very severe level of the disease and depression related to the quality of life.ConclusionCurrent smoker, very severe level of the disease and depression could lead to a worse quality of life. Medication management programs should encourage patients to stop smoking. The development of interventions focusing on depression is also needed