KUALITAS INTERAKSI ORANG TUA DAN ANAK TERHADAP PERKEMBANGAN EMOSIONAL ANAK

2021 ◽  
Vol 3 (3) ◽  
pp. 243
Author(s):  
Juliatus Sholikha ◽  
Irwanto Irwanto ◽  
Nur Ainy Fardana N
Keyword(s):  
Emotional Development ◽  
Short Form ◽  
Emotional Problem ◽  
Cross Sectional ◽  
Child Interaction ◽  
Spearman's Rho ◽  
Parents And Children ◽  
Spearman’S Rho ◽  
Parent Relationship

Abstrak Latar Belakang: Interaksi orang tua dan anak merupakan salah satu hal yang paling signifikan dan mendasar dalam meningkatkan perkembangan emosional anak. Perkembangan emosional anak merupakan proses regulasi emosi diri. Kualitas interaksi orang tua terhadap anak tergolong masih rendah meski waktu kebersamaaan orang tua dan anak sudah baik, sehingga penelitian tentang interaksi orang tua-anak dan perkembangan emosional anak diperlukan. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Terdapat 226 orang tua dan anak usia 4-6 tahun bersedia menjadi responden. Instrumen yang digunakan adalah Child Parent Relationship Scale (CPRS) Short Form untuk mengukur kualitas interaski  dan Kuesioner Masalah Perilaku dan Emosional (KMPE) untuk mengukur perkembanagn emsoiuonal anak. Analisis data menggunakan uji Spearman’s Rho SPSS 21.0. Hasil: Mayoritas orang tua memiliki interaksi yang dekat dengan anak sebesar 87,6% dengan rata-rata 33,22. Perkembangan emosional anak didapatkan sebesar 78,3% anak berkembang secara normal. Hasil uji statistik menggunakan Spearman’s Rho didapatkan nilai signifikansi kedekatan orang tua dan anak terhadap perkembangan emosional anak sebesar p=0,000 dan r=0,603. Sedangkan, nilai signifikansi konflik orang tua dan anak terhadap perkembangan emosional anak sebesar p=0,000 dan r=-0.683. Kesimpulan: Terdapat hubungan kualitas interaski orang tua  dan anak terhadap perkembangan emsoional anak. Semakin baik kualitas interaksi orang tua dan anak maka semakin baik pula perkembangan emosional anak.Abstract Background: The interaction of parents and children is one of the most significant and fundamental things in improving children's emotional development. Children's emotional development is a process of self-regulation of emotions. The quality of parent interaction with children is still low even though the time of togetherness of parents and children is good, so research on parent-child interaction and emotional development of children is needed. Method: This study was an observational analytic study with a cross sectional approach. There were 226 parents and children aged 4-6 years who were willing to become respondents. The instruments used were the Short Parent Relationship Scale (CPRS) to measure the quality of the interview and the Behavioral and Emotional Problem Questionnaire to measure the emsoiuonal development of children. Data analysis using the Spearmans Rho SPSS 21.0 test. Results: The majority of parents have close interactions with children at 87.6% with an average of 33.22. Children's emotional development was obtained for 78.3% of children developing normally. The results of statistical tests using Spearmans Rho obtained significance values of parent and child closeness to children's emotional development by p = 0,000 and r = 0,603. Meanwhile, the significance of parent and child conflict on children's emotional development is p = 0,000 and r = -0,683. Conclusion: There is a relationship between the quality of parents' and children's interactions with emotional development of children. The better the quality of parent and child interaction, the better the child's emotional development.

scholarly journals Hubungan Self-Compassion engan Kesepian Pada Lansia Yang Kehilangan Pasangan

2020 ◽  
Vol 5 (2) ◽  
pp. 80
Author(s):  
Mitha Wulan Nur'aini ◽  
Joni Haryanto ◽  
Elida Ulfiana
Keyword(s):  
Short Form ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Loneliness Scale ◽  
Self Compassion ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Compassion Scale

Pendahuluan: Lansia yang kehilangan pasangan rawan mengalami kesepian. Self-compassion yang merupakan suatu sikap kebaikan diri ketika terjadi masa-masa sulit merupakan salah satu faktor psikologis pada orang dengan kesepian. Penelitian ini bertujuan untuk menganalisis hubungan self-compassion dengan kesepian pada lansia yang kehilangan pasangan.Metode: Penelitian ini menggunakan desain korelasional dengan pendekatan cross-sectional. Jumlah responden sebanyak 110 orang lansia yang didapatkan dari Purposive Sampling. Variabel penelitian yang digunakan yaitu self-compassion dan kesepian. Data diambil melalui penyebaran instrumen berupa kuesioner yakni terjemahan kuesioner Self-compassion Scale – Short Form dan de Jong Gierveld Loneliness Scale, kemudian dilakukan analisis menggunakan uji Spearman’s Rho dengan α ≤0,05.Hasil: Ada hubungan antara self-compassion dengan kesepian pada lansia yang kehilangan pasangan dengan p=0,000 dan r=-0,750 artinya semakin tinggi self-compassion semakin rendah kesepian lansia yang kehilangan pasangan.Kesimpulan: Lansia yang kehilangan pasangan dengan self-compassion yang tinggi akan menurunkan kesepian karena adanya kestabilan emosi, kesadaran terhadap pengalaman, motivasi dan perkembangannya serta mekanisme koping yang ada.

scholarly journals PENINGKATAN KUALITAS HIDUP PASIEN HEMODIALISA DITINJAU DARI PERILAKU CARING PERAWAT DI RSUD dr. SOETOMO SURABAYA

2017 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Nikmatul Fadilah ◽  
Dyah Wijayanti ◽  
Tumini Tumini
Keyword(s):  
Quality Of Life ◽  
Health Workers ◽  
Short Form ◽  
P Value ◽  
Good Judgment ◽  
Caring Behavior ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Spearman’S Rho Test

Patients with chronic renal failure who undergoing hemodialysis decreased vitality, physical and psychological function that caused of decreased quality of life. The effect of caring to patient are improved relations of mutual trust, increase physical healing andsafety, have more energy, lower maintenance costs and create more comfortable feeling. The purpose of this study was to analyze the relationship between caring behaviors with quality of life. This study was analytic cross sectional. The sample was 60 patients in Hemodialysis Unit RSU Dr.Soetomo Surabaya, that was taken by purposive sampling. Independent variable wascaring behaviors, and dependent variable wasquality of life. Data were collected using 25-Caring Dimension Inventory (CDI 25) questionnaire and modifications Kidney Dissease Quality of Life Short Form. Data were analysis using Spearman's Rho test with α 0.05. The results showed that a good caring behavior (48.3%) and excellent (51.7%). The quality of life was moderate (83.3%). Spearman's rho test showed that the caring behavior did not significantly influence the quality of life with p value 0.229. The achievement of good judgment by patients need to be maintained and enhanced so that it will create a positive image of nurses from the public. Quality of life who have reached the moderate level needs to be improved, with a joint effort between the patient, family, and health workers. Improved quality of life, especially physical and psychological dimensions so that the patient will achieve adaptive coping strategies, while supported by families and health workers, especially nurses as part of the environmental and social dimensions of the patient.

scholarly journals Epidemiology and associated factors of polypharmacy in older patients in primary care: a northern Italian cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giuliano Piccoliori ◽  
Angelika Mahlknecht ◽  
Marco Sandri ◽  
Martina Valentini ◽  
Anna Vögele ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cluster Rct ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Spearman’S Rho

Abstract Background A precondition for developing strategies to reduce polypharmacy and its well-known harmful consequences is to study its epidemiology and associated factors. The objective of this study was to analyse the prevalence of polypharmacy (defined as ≥8 prescribed drugs), of potentially inappropriate medications (PIMs) and major drug-drug interactions (DDIs) among community-dwelling general practice patients aged ≥75 years and to identify characteristics being associated with polypharmacy. Methods This cross-sectional study is derived from baseline data (patients’ demographic/biometric characteristics, diagnoses, medication-related data, cognitive/affective status, quality of life) of a northern-Italian cluster-RCT. PIMs and DDIs were assessed using the 2012 Beers criteria and the Lexi-Interact® database. Data were analysed using descriptive methods, Wilcoxon rank-sum tests, Fisher’s exact tests and Spearman correlations. Results Of the eligible patients aged 75+, 13.4% were on therapy with ≥8 drugs. Forty-three general practitioners and 579 patients participated in the study. Forty five point nine percent of patients were treated with ≥1 Beers-listed drugs. The most frequent PIMs were benzodiazepines/hypnotics (19.7% of patients) and NSAIDs (6.6%). Sixty seven point five percent of patients were exposed to ≥1 major DDI, 35.2% to ≥2 major DDIs. Antithrombotic/anticoagulant medications (30.4%) and antidepressants/antipsychotics (23.1%) were the most frequently interacting drugs. Polypharmacy was significantly associated with a higher number of major DDIs (Spearman’s rho 0.33, p < 0.001) and chronic conditions (Spearman’s rho 0.20, p < 0.001), higher 5-GDS scores (thus, lower affective status) (Spearman’s rho 0.12, p = 0.003) and lower EQ-5D-5L scores (thus, lower quality of life) (Spearman’s rho − 0.14, p = 0.001). Patients’ age/sex, 6-CIT scores (cognitive status), BMI or PIM use were not correlated with the number of drugs. Conclusions The prevalence of polypharmacy, PIMs and major DDIs was considerable. Results indicate that physicians should particularly observe their patients with multiple conditions, reduced health and affective status, independently from other patients’ characteristics. Careful attention about indication, benefit and potential risk should be paid especially to patients on therapy with specific drug classes identified as potentially inappropriate or prone to major DDIs in older persons (e.g., benzodiazepines, NSAIDs, protonic pump inhibitors, antithrombotics/anticoagulants, antidepressants/antipsychotics). Trial registration The cluster-RCT on which this cross-sectional analysis is based was registered with Current Controlled Trials Ltd. (ID ISRCTN: 38449870) on 2013-09-11.

scholarly journals Factors Related to the Quality of Nursing Care Documentation

2019 ◽  
Vol 2 (1) ◽  
pp. 16
Author(s):  
Endang Susiana ◽  
Erna Dwi Wahyuni ◽  
Candra Panji Asmoro
Keyword(s):  
Nursing Care ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Time Motion ◽  
Spearman's Rho ◽  
Motion Study ◽  
Spearman’S Rho ◽  
Quality Of Nursing

Pendahuluan: Dokumentasi keperawatan merupakan aspek legal yang melindungi perawat dalam memberikan pelayanan keperawatan, tapi masih ditemukan dokumentasi yang kurang lengkap. Tujuan penelitian ini adalah menganalisis hubungan antara motivasi, supervisi, dan beban kerja dengan mutu pendokumentasian asuhan keperawatan di Instalasi Rawat Inap Medik RSUD Dr Soetomo Surabaya.Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi sebanyak 135 perawat dan didapatkan 100 perawat pelaksana dengan simple random sampling. Variabel independen adalah motivasi, supervisi, dan beban kerja. Variabel dependen adalah mutu pendokumentasian asuhan keperawatan. Data diperoleh dengan kuesioner motivasi, supervisi dan lembar observasi: TMS (Time Motion Study), SAK (Standar Asuhan Keperawatan) dan dianalisis dengan Spearman’s Rho dan uji Regresi Logistik dengan α=95%.Hasil: Ada hubungan antara motivasi (p=0,000; r=0,363) dengan mutu pendokumentasian asuhan keperawatan, ada hubungan antara supervisi (p=0,012; r=0,310) dengan mutu pendokumentasian asuhan keperawatan dan ada hubungan antara beban kerja (p=0,002; r=0,299) dengan mutu pendokumentasian asuhan keperawatan.Kesimpulan: Hasil penelitian ada hubungan antara motivasi, supervisi dan beban kerja dengan mutu pendokumentasian asuhan keperawatan. Motivasi merupakan faktor yang paling berhubungan dengan mutu pendokumentasian asuhan keperawatan. 

scholarly journals HUBUNGAN AKTIVITAS FISIK TERHADAP DAYA TAHAN KARDIORESPIRASI DAN TEKANAN DARAH PADA PRIA DEWASA AKHIR DI DENPASAR UTARA

2020 ◽  
Vol 8 (2) ◽  
pp. 62
Author(s):  
Putu Leli Juniari ◽  
M. Widnyana ◽  
I Putu Gede Adiatmika ◽  
I Made Niko Winaya
Keyword(s):  
Physical Activity ◽  
Short Form ◽  
Step Test ◽  
Cross Sectional ◽  
Physical Activity Questionnaire ◽  
Purposive Sampling ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Spearman’S Rho Test ◽  
Activity Questionnaire

Aktivitas fisik adalah gerakan tubuh yang dihasilkan oleh otot rangka yang membutuhkan pengeluaran energi saat melakukannya. Data penduduk usia dewasa di Indonesia menunjukkan pada tahun 2011 aktivitas fisik terendah terjadi sebesar 31,9% pada laki-laki dan 27,9% pada perempuan dengan total 29,9% dari keseluruhan penduduk pada tahun 2010.Tujuan dari penelitian ini untuk mengetahui hubungan antara aktivitas fisik terhadap daya tahan kardiorespirasi dan tekanan darah pada pria dewasa akhir di wilayah Puskesmas III Denpasar Utara. Penelitian ini analitik cross sectional yang dilakukan pada bulan April-Mei 2019. Pengambilan sampel dilakukan dengan teknik purposive sampling dan sampel 84 orang pria. Variabel independen penelitian ini yaitu aktivitas fisik diukur dengan kuisioner Physical Activity Questionnaire versi Short-Form (IPAQ-SF). Variabel dependen dalam penelitian ini yaitu daya tahan kardiorespirasi  diukur dengan Harvard Step Test dan tekanan darah yang diukur dengan alat stetoskop dan sphygmomanometer. Uji hipotesis yang digunakan yaitu Spearman’s Rho Test untuk menilai hubungan aktivitas fisik terhadap daya tahan kardiorespirasi didapatkan hasil p sebesar 0,001 dengan r 0,695 hasil uji dari aktivitas fisik terhadap tekanan darah sistolik didapatkan p sebesar 0,074 dengan r -0,196 dan aktivitas fisik terhadap tekanan darah diastolik didapatkan p sebesar 0,848 dengan r 0,021. Berdasarkan hasil penelitian ini disimpulkan bahwa terdapat hubungan yang signifikan antara aktivitas fisik terhadap daya tahan kardiorespirasi, tetapi tidak ada hubungan aktivitas fisik terhadap tekanan darah sistolik dan diastolik pada pria dewasa akhir di wilayah Puskesmas III Denpasar Utara.

scholarly journals POS0584 ULTRASONOGRAPHY OF THE MEDIAN NERVE IN PATIENTS WITH RHEUMATOID ARTHRITIS UNDER SUSPICION OF CARPAL TUNNEL SYNDROME

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 525.1-525
Author(s):  
S. Tsiami ◽  
E. Ntasiou ◽  
C. Krogias ◽  
R. Gold ◽  
J. Braun ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Conduction Velocity ◽  
Sectional Area ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Tunnel Syndrome

Background:Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome and a common extra-articular manifestation of rheumatoid arthritis (RA). Different causes of CTS are known, among them inflammatory and non-inflammatory pathologies. Electroneurography (ENG) of the median nerve, the method of choice to diagnose CTS, measures impairment of nerve conduction velocity without explaining its underlying cause. However, because the electrical stimulation is often not well tolerated, ENG results may come out inconclusive. Using greyscale ultrasonography (GS-US) provides anatomic information including a structural representation of the carpal tunnel.Objectives:To investigate the performance of nerve GS-US in the diagnosis of CTS in patients with RA.Methods:Consecutive patients with active RA under suspicion of CTS presenting to a large rheumatologic center were included. Both hands were examined by an experienced neurologist including ENG and a GS-US (ML linear probe with 6-15 Hz) of the median nerve. An established grading system for ENG (1), and an established system for GS-US based on cut-offs for the nerve cross sectional area (CSA) [mild: 0,11-0,13cm2, moderate: 0,14-0,15 cm2, severe: > 0,15 cm2 CTS (2)] were used. In addition, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) was used to assess CTS symptoms (3).Results:Both hands of 58 patients with active RA (n=116) and clinical suspicion of CTS (in 38 cases bilaterally) were included. After clinical examination, CTS was suspicious in 96 hands (82.8%), and 59 of all hands had a final diagnosis of CTS (50.9%). Of the latter, 43 hands (72.9%) had a positive ENG and 16 (27.1%) a positive GS-US finding only, while 30 hands (50.8%) were positive in both examinations.There was a good correlation of the cross-sectional area (CSA) as well as the CSA-ratio to the ENG findings: the larger the CSA, the more severe was the CTS as assessed by ENG (Spearman’s rho=0.554; p<0.001). The more severe the GS-US findings of CTS were, the more definite were the distal motor latency (Spearman’s rho=0.554; p<0.001) and sensible nerve conduction velocity of the median nerve (Spearman’s rho=-0.5411; p<0.001).In the 46 hands positive in GS-US, tenosynovial hypertrophy of the flexor tendons was detected in 19 hands (41.3%), 7 of which (36.8%) also showed an additional cystic mass. In these 19 patients, clinical complains were more severely present than in patients with non-inflammatory CTS, as assessed by the BCTSQ with a total score of 68.8±13.4 vs. 59.3±13.7, respectively (p=0.007).Conclusion:In patients with active RA and clinical complains of CTS, ultrasound examinations provide additional information about inflammation which is helpful for a diagnosis of CTS. Thus, ENG and nerve GS-US should be used complementary for a diagnostic workup of CTS in RA patients with a suspicion of CTS. Power-Doppler may further improve the diagnostic performance of GS-US.References:[1]Padua L et al. Acta Neurol Scand 1997; 96:211–217[2]El Miedany et al., Rheumatology (Oxford). 2004 Jul; 43(7):887-895[3]Levine DW et al. J Bone Joint Surg Am 1993; 75: 1585-1592Figure 1.BCTSQ scores in patients with diagnosis of CTS and absence or presence of RA-related tenosynovial hypertrophyDisclosure of Interests:None declared

Alterations of serum levels of plasminogen, TNF-α, and IDO in granulomatosis with polyangiitis patients

Vascular ◽  
2021 ◽  
pp. 170853812098630
Author(s):  
Dobroslav Kyurkchiev ◽  
Tsvetelina Yoneva ◽  
Adelina Yordanova ◽  
Ekaterina Kurteva ◽  
Georgi Vasilev ◽  
...  
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Renal Involvement ◽  
Clinical Manifestations ◽  
Area Under The Curve ◽  
Serum Levels ◽  
Necrosis Factor Alpha ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Tnf Α ◽  
Spearman’S Rho

Background Granulomatosis with polyangiitis (GPA) is a representative of vasculitides associated with anti-neutrophil cytoplasmic autoantibodies. “Classical” antibodies directed against proteinase 3 are involved in the pathogenesis and are part of the GPA diagnosis at the same time. Along with them, however, antibodies against Lysosomal-Associated Membrane Protein-2 (LAMP-2) and antibodies directed against plasminogen have been described in GPA. Objectives and methodology: We performed a cross-sectional study enrolling 34 patients diagnosed with GPA. Our study was aimed at looking for correlations between serum levels of LAMP-2 and plasminogen and the clinical manifestations of the GPA. Furthermore, we examined serum levels of tumor necrosis factor-alpha (TNF-α) and its associated indoleamine-pyrrole 2,3-dioxygenase (IDO), as well as we looked for a correlation between these cytokines and the clinical manifestations of GPA. Results The results showed that in GPA, serum plasminogen levels were negatively associated with renal involvement (receiver operating characteristic (ROC) area under the curve (AUC) of 0.78) (95% CI 0.53–0.91), p = 0.035, and the extent of proteinuria, Spearman’s Rho = –0.4, p = 0.015. Increased levels of TNF-α and IDO correlated with disease activity, Spearman’s Rho =0.62, p = 0.001 and Spearman’s Rho = 0.4, p = 0.022, respectively, whereas only TNF-α was increased in severe forms of GPA with lung involvement (ROC AUC of 0.8) (95% CI 0.66–0.94), p = 0.005. Conclusions In this study, we demonstrate the alteration of soluble factors, which play an important role in the pathogenesis of GPA and their relationship with the clinical manifestations of the disease. Our main results confirm the associations of increased secretory TNF-α and some clinical manifestations, and we describe for the first time decreased serum plasminogen levels and their association with renal involvement.

scholarly journals Validity and reliability testing of the Toddler and Infant (TANDI) Health Related Quality of Life instrument for very young children

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Janine Verstraete ◽  
Lebogang Ramma ◽  
Jennifer Jelsma
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Validity And Reliability ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Related Quality ◽  
Health Related ◽  
Six Dimensions ◽  
The Impact

Abstract Background Despite the high burden of disease in younger children there are few tools specifically designed to estimate Health Related Quality of Life (HRQoL) in children younger than 3 years of age. A previous paper described the process of identifying a pool of items which might be suitable for measuring HRQoL of children aged 0–3 years. The current paper describes how the items were pruned and the final draft of the measure, Toddler and Infant (TANDI) Health Related Quality of Life, was tested for validity and reliability. Methods A sample of 187 caregivers of children 1–36 months of age were recruited which included children who were either acutely ill (AI), chronically ill (CI) or from the general school going population (GP). The TANDI, an experimental version of the EQ-5D-Y proxy, included six dimensions with three levels of report and general health measured on a Visual Analogue Scale (VAS) from 0 to 100. The content validity had been established during the development of the instrument. The TANDI, Ages and Stages Questionnaire (ASQ), Faces, Leg, Activity, Cry, Consolabilty (FLACC) or Neonatal Infant Pain Scale (NIPS) and a self-designed dietary information questionnaire were administered at baseline. The TANDI was administered 1 week later in GP children to establish test-retest reliability. The distribution of dimension scores, Cronbach’s alpha, rotated varimax factor analysis, Spearman’s Rho Correlation, the intraclass correlation coefficient, Pearson’s correlation, analysis of variance and regression analysis were used to explore the reliability, and validity of the TANDI. Results Concurrent validity of the different dimensions was tested between the TANDI and other instruments. The Spearman’s Rho coefficients were significant and moderate to strong for dimensions of activity and participation and significant and weak for items of body functions. Known groups were compared and children with acute illness had the lowest ranked VAS (median 60, range 0–100), indicating worse HRQoL. The six dimensions of the TANDI were tested for internal consistency and reliability and the Cronbach’s α as 0.83. Test-retest results showed no variance for dimension scores of movement and play, and high agreement for pain (83%), relationships (87%), communication (83%) and eating (74%). The scores were highly correlated for the VAS (ICC = 0.76; p < 0.001). Conclusion The TANDI was found to be valid and reliable for use with children aged 1–36 months in South Africa. It is recommended that the TANDI be included in future research to further investigate HRQoL and the impact of interventions in this vulnerable age group. It is further recommended that future testing be done to assess the feasibility, clinical utility, and cross-cultural validity of the measure and to include international input in further development.

scholarly journals Quality of life in multiple sclerosis: The differential impact of motor and cognitive fatigue

2021 ◽  
Vol 7 (1) ◽  
pp. 205521732199604
Author(s):  
Sabina David Ruban ◽  
Claudia Christina Hilt ◽  
Thor Petersen
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Short Form ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cognitive Fatigue ◽  
Cross Sectional ◽  
Impact Scale ◽  
Assessment And Treatment

Background Multiple sclerosis is a chronic disease leading to reduced quality of life. Objectives To investigate whether motor and cognitive fatigue impact differently on aspects of quality of life among patients with multiple sclerosis, independently from bodily disability. Methods 79 patients with multiple sclerosis from Aalborg University Hospital, Denmark were included in an observational, cross-sectional study. Each subject completed two separate questionnaires regarding fatigue (Fatigue Scale for Motor and Cognitive Functions and Modified Fatigue Impact Scale) and one regarding quality of life (Short Form 36). Disability was measured with the Expanded Disability Status Scale (EDSS)-scores obtained from patient records. Results All fatigue scores were significantly correlated to all areas of quality of life (p < 0,05). This remained significant after adjustment for age, disease duration and EDSS-score. When looking at each type of fatigue separately, cognitive fatigue correlated mainly with mental health aspects of quality of life and motor fatigue with physical health areas of quality of life. Conclusion Increased motor and cognitive fatigue lead to a differential reduction in physical and mental quality of life, independently of bodily disability. This underlines the importance of proper assessment and treatment of fatigue among patients with multiple sclerosis.

HUBUNGAN PERILAKU MAHASISWA POLTEKKES YANG MENGGUNAKAN FIXED APLIANCE TENTANG MENYIKAT GIGI DENGAN NILAI OHI-S DI POLTEKKES KEMENKES MEDAN TAHUN 2013

2019 ◽  
Vol 8 (3) ◽  
pp. 211-217
Author(s):  
Herlinawati Herlinawati ◽  
Ngena Ria ◽  
Zuraidah Nasution
Keyword(s):  
Chi Square ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Spearman's Rho ◽  
Spearman’S Rho

Fixed appliance atau disebut juga pesawat orthodonti cekat merupakan alat orthodonti yang dilengketkanlangsung pada gigi. Dewasa ini pemakaian fixed appliance semakin banyak diminati kawula muda untukmemperbaiki dan mengoptimalkan fungsi gigi sebagai alat kunyah dan untuk mengoptimalkan fungsiestetika gigi. Piranti fixed appliance memiliki bentuk yang rumit sehingga mempermudah lengketnya plaklebih lama dan dapat meningkatkan resiko terjadinya karies, gingivitis dan penyakit periodontal. Adanyapiranti fixed appliance yang menempel pada gigi-gigi akan menyulitkan untuk membersihkan gigi sehinggacenderung terjadi penumpukan plak pada gigi disekitar bracket dan mahkota gigi pada tepi gingival.Penelitian ini bertujuan untuk mengetahui hubungan perilaku mahasiswa yang memakai fixed appliancetentang menyikat gigi dengan nilai OHI-S di Poltekkes Kemenkes Medan. Jenis penelitian yang digunakanadalah survei analitik dengan desain cross sectional . Populasi dalam penelitian ini berjumlah 122 orang dansampel adalah seluruh populasi yaitu 122 orang (total populasi). instrumen yang dipakai yaitu kaca mulut,pinset, sonde, nier bekken, handuk bersih kuesioner dan formulir pemeriksaan. Analisis data bivariatdengan menggunakan uji chi-square dan Spearman’s rho dengan derajat kepercayaan 95% (α = 0,05).Berdasarkan hasil penelitian, diperoleh kategori pengetahuan mahasiswa tidak berhubungan dengan kriteriaOHI-S (p > 0,05) sedangkan kategori sikap dan tindakan mempunyai hubungan dengan kriteria OHI-S (p <0,05). Nilai OHI-S rata-rata adalah 2,68. Dianjurkan kepada mahasiswa yang menggunakan fixed applianceagar lebih meningkatkan kebersihan gigi dan mulutnya, mengiku

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