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Hubungan Tingkat Pengetahuan Mengenai Asma dengan Tingkat Kontrol Asma Katerine Katerine; Irvan Medison; Erlina Rustam
Jurnal Kesehatan Andalas Vol 3, No 1 (2014)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v3i1.27

Abstract

AbstrakKontrol gejala asma yang baik merupakan tujuan pengobatan bagi pasien asma. Pengobatan medikamentosa dan self management dibutuhkan untuk mencapai kontrol asma. Pengobatan medikamentosa dan self management yang baik akan tercapai jika pasien asma memiliki pengetahuan mengenai asma . Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan asma dengan tingkat kontrol asma. Penelitian ini adalah penelitian cross sectional yang dilaksanakan pada bulan April hingga September 2013 di RSUP Dr. M.Djamil Padang dan RSUD Dr. Achmad Mochtar Bukittinggi. Subjek penelitian yang telah memenuhi kriteria inklusi akan diwawancara menggunakan lembar kuesioner data dasar, kuesioner AGKQ dan kuesioner ACT. Penelitian ini dilakukan pada 65 orang pasien asma yang datang ke Poliklinik Asma di RSUP Dr.M.Djamil Padang and RSUD Dr.Achmad Mochtar Bukittinggi selama bulan April hingga September 2013. Analisis statistik yang digunakan adalah uji chi square dan pengolahan data menggunakan software SPSS 15. Hasil penelitian menunjukkan dari 65 subjek penelitian, 19 (29,2%) orang dengan asma tidak terkontrol memiliki pengetahuan yang rendah, 1 (1,5%) orang dengan asma terkontrol sebagian dengan tingkat pengetahuan yang rendah dan 1 (1,5%) orang pasien asma terkontrol total memiliki pengetahuan asma yang rendah. Pasien dengan pengetahuan asma rendah didapatkan 21 (32,3%) orang dan pengetahuan asma tinggi 44 (67,7%) orang. Berdasarkan uji chi square, terdapat hubungan yang bermakna antara tingkat pengetahuan asma dengan tingkat kontrol asma dengan nilai p = < 0,01 (p < 0,05).Kata kunci: Asthma Control Test (ACT), Asthma General Knowledge Questionnaire (AGKQ), kontrol asma, pengetahuan asma.AbstractGood control of asthma symptomps is a goal for asthmatic patient. Medical treatment and self-management are needed to reach control of asthma. Good medical treatment and a good self-management will be achieved if the asthma patient have knowledge of asthma. The aim of this study is to find relation between asthma knowledge and asthma control. This study is a cross sectional that was conducted in April – September 2013 at asthma clinic Dr.M.Djamil Hospital, Padang and Dr.Achmad Mochtar Hospital, Bukittinggi. Subject who fulfilled the inclusion criteria was interviewed by using basic data information, asthma general knowledge questionnaire (AGKQ) and asthma control test (ACT). Used 65 asthmatic patients as sample that come to Ashma Polyclinic in RSUP Dr.M.Djamil Padang and RSUD Dr.Achmad Mochtar Bukittinggi during April until September 2013. The statistical analysis used chi square test and SPSS 15 for data processing. The results showed that from 65 subjects, 19 (29,2%) subjects with uncontrolled asthma showed low level of asthma knowledge, 1 (1,5%) subjects with partially controlled asthma showed low level of asthma knowledge, and 1 (1,5%) subjects with controlled asthma showed low level of asthma knowledge. Patients with low level of asthma general knowledge was 21 samples (32,3%) and high level of asthma general knowledge was 44 samples (67,7%). Based on chi square test, there is significant association between asthma general knowledge with asthma control p < 0.01 (<0.05).Keywords: asthma control test(ACT), asthma general knowledge questionnaire(AGKQ), asthma control, asthma knowledge
Adaptive Leadership and Evidence-Based Policy in Hospital Financial Crisis Management During Disruption: A Systematic Review and Meta-Analysis Katerine Katerine; Siswanto Pabidang
Community Medicine and Education Journal Vol. 7 No. 1 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v7i1.885

Abstract

Hospital financial resilience during crises requires adaptive leadership—the capacity to diagnose complex system challenges and mobilise sustained organisational change. Systematic evidence on adaptive leadership effectiveness in hospital crisis management remains fragmented. Objectives: To synthesise quantitative evidence on the effectiveness of adaptive leadership interventions for improving hospital organisational performance during financial and operational disruptions. Systematic review with meta-analysis using the PRISMA 2020 framework. We searched PubMed, ScienceDirect from 2017–2026 for studies examining adaptive leadership or resilience outcomes in hospital settings during financial or operational crises. Two independent reviewers extracted data and assessed risk of bias using Newcastle-Ottawa Scale (NOS). We estimated effect sizes (Hedges g) from 6 of 7 studies with estimated correlation coefficients (inter-rater reliability ICC=0.85), converted via d = 2r/√(1−r²). Random-effects meta-analysis used DerSimonian-Laird estimator. Certainty of evidence assessed via GRADE. Seven studies (k=7) contributed to meta-analysis; 10 to systematic review. Pooled standardised mean difference (SMD) = 0.467 (95% CI: 0.305–0.628, p<0.0001); I²=0% (Q=1.01, p=0.985). Effect remained robust in sensitivity analyses (leave-one-out: 0.445–0.493). Heterogeneity by study design minimal (Review k=3 SMD=0.476; Empirical k=2 SMD=0.438). GRADE assessment: moderate certainty (downgraded for indirectness and effect size estimation). In conclusion, adaptive leadership interventions show small-to-moderate evidence-supported effect on hospital organisational performance during crises. This effect persists across study designs and contexts despite methodological heterogeneity. This meta-analysis provides initial quantitative synthesis to guide hospital policy-makers and clinical leaders in crisis management strategy selection.