Pohan Indah Ts, Tarigan Amira P, Pandia Pandiaman, Mutiara Erna
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Division of Asthma and COPD, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Narra J. 2024 Aug;4(2):e657. doi: 10.52225/narra.v4i2.657. Epub 2024 Jul 16.
Asthma is a chronic inflammatory airway disorder and is among the top ten causes of morbidity and mortality in Indonesia, highlighting the need for effective management strategies. This study aimed to evaluate changes in asthma knowledge levels before and after using the "" smartphone application for digital education. A quasi-experimental study using a pre- and post-test design was conducted over three months at the outpatient clinic of Universitas Sumatera Utara Hospital, Medan, Indonesia, among asthma patients aged over 18 years. The patients completed the Patient Asthma Knowledge Questionnaire (PAKQ) before installing the "" application to establish baseline knowledge. Once a week, patients received reminders to access materials covering an asthma overview, peak flow meter use, medication differences, and management techniques. After four weeks of intervention, the participants' knowledge was reassessed using the PAKQ. Data were analyzed using either paired Student's t-test or Wilcoxon test to assess the improvement in knowledge. The results showed increases in knowledge about asthma in general, asthma triggers, and asthma diagnosis domains, with the median score in each domain rising by one point (=0.003, =0.001, and =0.002, respectively). The asthma management domain exhibited the largest change, with a median increase of two points (<0.001). The total scores increased by an average of five points (<0.001), indicating an overall improvement in patient knowledge about asthma. The "" application demonstrated significant potential in enhancing asthma knowledge across multiple domains. Further research is warranted to explore the long-term effectiveness of the application in diverse populations and settings, ultimately contributing to improved asthma management and patient outcomes.
哮喘是一种慢性炎症性气道疾病,在印度尼西亚是发病和死亡的十大原因之一,这凸显了有效管理策略的必要性。本研究旨在评估使用“”智能手机应用程序进行数字教育前后哮喘知识水平的变化。在印度尼西亚棉兰苏门答腊大学医院门诊,对18岁以上的哮喘患者进行了为期三个月的采用前后测试设计的准实验研究。患者在安装“”应用程序之前完成患者哮喘知识问卷(PAKQ)以建立基线知识。患者每周会收到提醒,以获取涵盖哮喘概述、峰值流量计使用、药物差异和管理技术的资料。经过四周的干预后,使用PAKQ对参与者的知识进行重新评估。使用配对学生t检验或威尔科克森检验分析数据,以评估知识的改善情况。结果显示,在哮喘总体知识、哮喘触发因素和哮喘诊断领域的知识有所增加,每个领域的中位数得分分别提高了一分(分别为=0.003、=0.001和=0.002)。哮喘管理领域的变化最大,中位数增加了两分(<0.001)。总分平均增加了五分(<0.001),表明患者对哮喘的知识总体有所改善。“”应用程序在提高多个领域的哮喘知识方面显示出巨大潜力。有必要进行进一步研究,以探索该应用程序在不同人群和环境中的长期有效性,最终有助于改善哮喘管理和患者预后。