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All Journal The Journal of Society Medicine (JSOCMED) Majalah Ilmiah METHODA
Jefri, Budi
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The Effect of Providing Education on the Use of Inhalers on Asthma Degrees Based on the Asthma Control Test (ACT) in Patients at Tanjungpura Hospital Bayani, Sri; Tarigan, Amira Permatasari; Pandia, Pandiaman; Amelia, Rina; Jefri, Budi
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.168

Abstract

Introduction: The main goal of asthma treatment is to control symptoms and reduce emergency department (ED) visits due to acute exacerbations. Drug delivery through inhalation is an important component of asthma management. Patients with asthma should have a good knowledge of their disease to recognize signs of worsening that can be prevented by early detection. Asthma control can be evaluated using the Asthma Control Test (ACT). To determine the effect of providing education on the use of inhalers on the degree of asthma based on the ACT in patients at Tanjungpura Regional General Hospital. Methods: This quasi-experimental study conducted from March 2024 to May 2024, used a one-group pre-test and post-test design to evaluate the effect of education via smartphone applications on asthma control (ACT). Obtained 54 patients who were diagnosed asthma at Tanjungpura Regional General Hospital. The sample consisted of asthma patients using inhalers, selected consecutively based on inclusion and exclusion criteria. Results: Most patients were female (64.8%) with ages 18-60 years (83.3%). The majority were housewives (46.2%). Post-test showed that 75.9% of patients had partial asthma control. All patients (100%) used inhalers correctly after education. There was a significant difference in ACT results before and after education (P-value 0.001) and an increase in ACT scores after the first and second education (P-value 0.002 and 0.001, respectively). Conclusion: Providing education on the use of inhalers has a positive effect on ACT scores in asthma patients, with an increase in the mean ACT score from 15.67 before education to 17.11 after the first education, and 20.96 after the second education.
Penanganan Multidisiplin Tuberkulosis Paru Multi-Drug Resistant Diseminata dengan Spondilitis Tuberkulosis Thorakolumbal dan Komplikasi Paraparesis Berat Jefri, Budi
Majalah Ilmiah METHODA Vol. 15 No. 3 (2025): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol15No3.pp283-292

Abstract

Background: Multidrug-resistant (MDR) tuberculosis (TB) is a global challenge. Tuberculous spondylitis (Pott's disease) is the most devastating extrapulmonary manifestation. Cases of MDR pulmonary TB with vertebral involvement and severe neurological complications require aggressive and coordinated management. Case Presentation: We report the case of Mr. RP, a 22-year-old man diagnosed with MDR pulmonary TB and MDR tuberculous spondylitis of the thoracic-lumbar spine (Th3-Th4). The patient presented with progressive upper motor neuron (UMN) paraparesis (motor 2/5), back pain (since 7 months), hypoesthesia around Th5-6, and autonomic dysfunction (urinary/defecatory disorders). The diagnosis of MDR TB was confirmed by TCM sputum (MTB detected, Rif Res) and confirmed by Rif Res findings in cerebrospinal fluid (CSF). Thoracolumbar MRI showed compression and destruction of Th3-Th4 vertebral bodies, kyphotic alignment, paravertebral masses, and Th3 spinal cord edema. The patient also had subclinical hypothyroidism and hyperuricemia. Management: The patient was given a long-term treatment plan for MDR-TB that included Bedaquiline, Levofloxacin, Line One week after initiation of anti-TB treatment, a decompressive laminectomy, posterior fusion, and biopsy were performed on November 7, 2024. Results: At the 6-month follow-up (April 28, 2025), the patient demonstrated dramatic neurological improvement, able to walk independently with full muscle strength (Motor 5/5) in all extremities. Conclusion: This case underscores the importance of early diagnosis of disseminated MDR-TB and the success of a combined therapeutic approach, namely immediate surgical decompression followed by aggressive and appropriate MDR-TB therapy, in achieving optimal functional recovery.
Co-Authors Bayani, Sri Pandia, Pandiaman Rina Amelia Tarigan, Amira Permatasari