Lisa Anita Sari



Background : Asthma is a chronic respiratory disease which affects daily life of people. The ultimate target of health care for adult people living with asthma is to control their asthma. It is important to keep asthma under control in order to avoid impact of uncontrolled asthma.

Objective : The purpose of this study was to examine factors related toasthma control among adult asthmatic patients based on the Health Belief Model (HBM).

Methods : This was a descriptive study with cross-sectional design, which conducted in Pulmonary Primary Health Center (PPHC) Yogyakarta on April 2016. There were 397 participants selected using simple random sampling. Asthma control was measured using Asthma Control Questionnaire (ACQ). The Rossenstock for Health Belief Model (HBM) was used to guide this study. Descriptive statistic was performed for data analysis.

Results : Findings showed that age (p >.05), gender (p >.05), sufficiency of income (p >.05), educational level (p >.05), and occupation (p >.05) were not significantly related to asthma control. There was a significant correlation among perceived susceptibility (p <.05), perceived severity (p <.05), perceived benefit (p <.05), and perceived barrier (p <.05) with asthma control.

Conclusion : It is concluded that asthma control of adult asthmatic patients are influenced by their perception of control their asthma. The study suggests that nurses in the community should increase health promotion to change health perceptions to keep asthma control status in adult asthmatic patients.


asthma control; health belief model; asthmatic patients

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Andayani, N., & Waladi, Z. (2014). Hubungan tingkat pengetahuan pasien asma dengan tingkat kontrol asma di Poliklinik Paru RSUD dr. Zainoel Abidin Banda Aceh. Jurnal kedokteran syiah kuala, 14(3), 139-145.

Atmoko, W., Faisal, H. K. P., Bobian, E. T., Adisworo, M. W., & Yunus, F. (2011). Prevalens asma tidak terkontrol dan faktor-faktor yang berhubungan dengan tingkat kontrol asma di poliklinik asma rumah sakit persahabatan, jakarta. J Respir Indo, 31(2), 53-60.

Bateman, E. D., Hurd, S., Barnes, P., Bousquet, J., Drazen, J., FitzGerald, M., . . . Pedersen, S. (2008). Global strategy for asthma management and prevention: GINA executive summary. European Respiratory Journal, 31(1), 143-178.

BPS Kota Yogyakarta. (2017). Kota Yogyakarta Dalam Angka 2017. Retrieved from

Chapman, K., Boulet, L., Rea, R. M., & Franssen, E. (2007). Sub-optimal asthma control: prevalence, detection and consequences in primary practice. European Respiratory Journal.

Clatworthy, J., Price, D., Ryan, D., Haughney, J., & Horne, R. (2009). The value of self-report assessment of adherence, rhinitis and smoking in relation to asthma control. Primary Care Respiratory Journal, 18(4), 300.

Dinkes Kota Yogyakarta. (2015). Profil Kesehatan Kota Yogyakarta Tahun 2014. Dinas Kesehatan Kota Yogyakarta. Yogyakarta, Indonesia.

Eagan, T. M., Gulsvik, A., Eide, G. E., & Bakke, P. S. (2004). The effect of educational level on the incidence of asthma and respiratory symptoms. Respiratory Medicine, 98(8), 730-736.

Evers, U., Jones, S. C., Caputi, P., & Iverson, D. (2013). The asthma knowledge and perceptions of older Australian adults: implications for social marketing campaigns. Patient Education and Counseling, 91(3), 392-399.

Fuhlbrigge, A., Reed, M. L., Stempel, D. A., Ortega, H. O., Fanning, K., & Stanford, R. H. (2009). The status of asthma control in the US adult population. Paper presented at the Allergy and Asthma Proceedings.

Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: theory, research, and practice: John Wiley & Sons.

Global Initiative for Asthma. (2011). Global Strategy for Asthma Management and Prevention. The GINA Report.

Huang, H.-L., Ho, S.-Y., Li, C.-H., Chu, F.-Y., Ciou, L.-P., Lee, H.-C., . . . Tzeng, N.-S. (2014). Bronchial asthma is associated with increased risk of chronic kidney disease. BMC Pulmonary Medicine, 14(1), 80.

Juniper, E. F., O'byrne, P. M., Ferrie, P. J., King, D. R., & Roberts, J. N. (2000). Measuring asthma control: clinic questionnaire or daily diary? American Journal of Respiratory and Critical Care Medicine, 162(4), 1330-1334.

Kusuma, R. R. (2014). Hubungan Antara Tingkat Pengetahuan Tentang Asma Dengan Tingkat Kontrol Asma Pada Penderita Asma Umur Lebih Dari Atau Sama Dengan 18 Tahun Di Balai Besar Kesehatan Paru Masyarakat Surakarta. Universitas Muhammadiyah Surakarta.

National Asthma Council Australia. (2013). Asthma and Healthy Living. Retrieved from

Nguyen, K., Zahran, H., Iqbal, S., Peng, J., & Boulay, E. (2011). Factors associated with asthma control among adults in five New England states, 20062007. Journal of Asthma, 48(6), 581-588.

Octavia, D., Thongpat, S., & Khumsean, N. (2015). Factors Related to Maternal Self-Efficacy in Providing Home Care for Under-Five Children with Pneumonia in Jambi City, Indonesia. Journal of Health Research, 29, S61-S68.

Priyanto, H., Yunus, F., & Wiyono, W. H. (2011). Studi perilaku kontrol asma pada pasien yang tidak teratur di rumah sakit Persahabatan. J Respir Indo, 31(3), 138-149.

Rakinaung, N. E., Jerayingmongkol, P., & Sanguanprasit, B. (2015). Factors Related to Eating Behavior of Men and Women in Tomohon, Indonesia. Journal of Health Research, 29, S103-S108.

Simon, J. (2013). Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model. Frontiers in pharmacology, 4, 135.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H., Townsend, M. C., & Gould, B. (2010). Brunner & Suddarths Textbook of Medical Surgical Nursing 12th Edition: Wolters Kluwer: Lippincott Williams and Wilkins.

WHO. (2013). Regional Action Plan for the Prevention and Control of Noncommunicable Diseases (2013-2020). Regional Office for South-East Asia. World Health Organization.


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