scholarly journals Conductas, actitudes y prácticas de la madre o cuidador en el manejo de la enfermedad diarreica aguda en menores de cinco años

2015 ◽  
Vol 12 (2) ◽  
pp. 39
Author(s):  
María Del Pilar Gallardo-Lizarazo

Objetivo: determinar las creencias de la madre y del cuidador sobre el manejo de la enfermedad diarreica aguda en menores de 5 años de edad en la ciudad de Bucaramanga en el año 2015. Materiales y Métodos: la investigación se enmarca en el paradigma cuantitativo mediante el desarrollo de estudio descriptivo de corte transversal; se encuestaron 200 madres o cuidadores de menores de cinco años en la ciudad de Bucaramanga, seleccionados mediante muestreo aleatorio estratificado con afijación proporcional, confiabilidad 95% y margen de error de 7%. Para la recolección de la información se empleó una encuesta elaborada por la autora con validación estadística y por expertos. Resultados: se obtiene información sobre conocimientos y tradiciones acerca del manejo de la diarrea y la identificación de los signos de deshidratación por parte de los cuidadores, que son analizados en comparación con sus características sociales y culturales. Conclusiones: en Bucaramanga, madres y cuidadores de menores de cinco años, continúan la tradición familiar en lo referente a identificación de signos de deshidratación y costumbres en el manejo de la diarrea; la mayoría acude a consulta médica para su tratamiento; sin embargo, se encuentra un alto porcentaje que también recurre al tegua–sobandero. Para el manejo de la diarrea, las madres o cuidadores suministran caldos a los menores, aumentan la cantidad de líquidos, les administran sales de rehidratación oral y jugo de guayaba. Se encuentran diferencias acerca de las costumbres y tradiciones entre estratos socioeconómicos y niveles de escolaridad. PALABRAS CLAVE: costumbres, cuidadores, diarrea infantil . Behaviors, attitudes and practices of the mother or caregivers in the management of acute diarrhea in children under five years  ABSTRACT Goal: to determine the beliefs of mothers and caregivers about the management of acute diarrhea in children under 5 years old in Bucaramanga city in the year 2015. Materials and Methods: the research is part of the quantitative paradigm by development of cross-sectional descriptive study; 200 mothers or caregivers of children under five were surveyed in Bucaramanga city,they were selected through stratified random sampling with proportional allocation, reliability and 95% margin of error of 7%. For data collection, a survey was conducted by the author with statistical validation and experts. Results: information on knowledge and traditions about the management of diarrhea and identify signs of dehydration by caregivers, which are analyzed in comparison with their social and cultural characteristics were obtained. Conclusions: in Bucaramanga city , mothers and caregivers of children under five years, continue the family tradition when it comes to checking for signs of dehydration and the old fashioned method in the management of diarrhea; most of them  go to see their doctor for treatment; however, there is a high percentage that also relies `Tegua-sobandero`. For the management of diarrhea, mothers or caregivers provide wines to children, increase the amount of fluids administered them ORS and guava juice.There were some differences concerning to the customs and traditions between socioeconomic and educational levels.KEYWORDS: customs, caregivers, childhood diarrhea.Comportamentos, atitudes e práticas da mãe ou responsável na gestão da diarreia aguda em crianças menores de cinco anos ABSTRACT  Objetivo: para determinar as crenças de mães e cuidadores sobre a gestão da diarreia aguda em crianças menores de 5 anos na cidade de Bucaramanga em 2015. Materiais e Métodos: a pesquisa é parte do paradigma quantitativo por desenvolvimento de estudo descritivo transversal; 200 mães ou cuidadores de crianças menores de cinco anos foram pesquisados na cidade de Bucaramanga, selecionadas por amostragem aleatória estratificada com alocação proporcional, confiabilidade e margem de 95% de erro de 7%. Para pesquisa de coleta de dados realizada pelo autor com validação estatística e os peritos que ele estava acostumado. Resultados: informações sobre o conhecimento e tradições sobre a gestão de diarreia e identificar sinais de desidratação por cuidadores, que são analisadas em comparação com as suas características sociais e culturais é obtido. Conclusões: em Bucaramanga, mães e cuidadores de crianças menores de cinco anos, continuar a tradição da família quando se trata de verificar se há sinais de desidratação e alfândegas na gestão da diarreia; mais ir ver o seu médico para tratamento; no entanto, há uma alta porcentagem que também se baseia Tegua-sobandero. Para a gestão de diarreia, mães ou cuidadores fornecem vinhos a menores, aumentar a quantidade de fluidos administrados los ORS e suco de goiaba. diferenças sobre os costumes e tradições entre os níveis socioeconômicos e educacionais são.PALAVRAS-CHAVE: costumes, cuidadores, diarreia infantil. 

2019 ◽  
Vol 10 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Samer Abuzerr ◽  
Simin Nasseri ◽  
Masud Yunesian ◽  
Mahdi Hadi ◽  
Kate Zinszer ◽  
...  

Abstract This cross-sectional community household-based study aims to evaluate the water, sanitation, and hygiene facilities in the Gaza Strip and to investigate their associations with the occurrence of acute diarrhea among children under five years. A survey using a structured questionnaire was conducted on 1,857 households with an child under five years from August 2017 to June 2018. About 69.7% of heads of households reported a diarrheal episode among their children during the two months preceding the survey. Multivariable logistic regression showed that sewage water observed around the households was associated with an increased risk of acute diarrhea (AOR = 2.45; P < 0.001; 95% CI: 1.83–3.27). Nevertheless, the allocation of a special water tank for desalinated drinking water at home (AOR = 0.3; P = 0.02; 95% CI: 0.1–0.8), the connection of households to a closed sewerage system (AOR = 0.56; P < 0.001; 95% CI: 0.43–0.73), and handwashing practices before and after eating (AOR = 0.42; P = 0.003; 95% CI: 0.24–0.74 and AOR = 0.50; P = 0.03; 95% CI: 0.26–0.94, respectively), as well as using desalinated water sources for drinking purposes, were inversely associated with the incidence of acute diarrhea among children under five. Further improvements in the existing sewerage system and the intensification of sanitation and hygiene promotion programs at the household levels may reduce the risk of acute diarrhea among children under five years in the Gaza Strip.


2021 ◽  
Vol 28 (12) ◽  
pp. 1768-1772
Author(s):  
Muhammad Kamal ◽  
Farrukh Saeed ◽  
Muhammad Anwar ◽  
Sanuaullah Khan ◽  
Seemi Habib ◽  
...  

Objective: To determine the frequency of hypomagnesaemia in children under five year of age having acute diarrhea. Study Design: Descriptive Cross Sectional study. Setting: Department of Pediatric Medicine, Rashid Latif Medical College / Arif Memorial Teaching Hospital, Lahore. Period: August 2019 to January 2020. Material & Methods: A total of 96 children aged between 6 months to five years having acute diarrhea and duration of illness <14 days were enrolled. All the patients were subjected to measurement of serum magnesium level. The proportion of hypomagnesaemia was analyzed in acute diarrhea. The effect modifier and confounding variables were controlled through stratification of data on duration of illness less as < 14 days and more than 14 days, age as < 2 year or > 2 year and weight as < 2SD or > 2SD on weight for age chart. Chi square test was applied considering p value < 0.05 as significant. Results: Our study comprised of 96 patients having acute diarrhea, of these 96 study cases, 62 (64.6%) were boys and 34 (35.4%) were girls. Mean age of our study cases was 19.25±15.71 months. Mean weight of study cases was 9.56±3.01 kg. Mean duration of illness was 5.74 ± 3.26 days. Mean Serum Magnesium level was 1.63 ± 0.32 mg/dl (ranging from 1.0 mg/dl to 2.8 mg/dl). Hypomagnesaemia was present in 47 (49%) cases. Conclusion: High frequency of hypomagnesaemia was observed in children under 5 years of age having acute diarrhea. Duration of illness had significant impact on hypomagnesaemia. Serum magnesium levels must be regularly monitored in children with acute diarrhea.


2006 ◽  
Vol 1 (3) ◽  
pp. 127
Author(s):  
Uyu Wahyudin ◽  
Besral Besral

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive


2016 ◽  
Vol 56 (2) ◽  
pp. 118 ◽  
Author(s):  
Wayan Sulaksmana Sandhi Parwata ◽  
Wayan Sukardi ◽  
Abdul Wahab ◽  
Yati Soenarto

diarrhea and dehydration among children aged <5 years in developed and developing countries, including Indonesia. There have been few studies on the prevalence of rotavirus diarrhea in Mataram.Objective To determine the prevalence and characteristics of rotavirus diarrhea in children under five years of age with acute diarrhea in Mataram.Methods A cross sectional study using the WHO Generic Protocol for Rotavirus Surveillance was conducted in the Nusa Tenggara Barat (NTB) General Hospital, Mataram, as part of a multicenter study by the Indonesian Rotavirus Surveillance Network (IRSN) for children under five years of age. Subjects were diagnosed with rotavirus diarrhea based on stool sample examinations, using RT-PCR for genotyping. They were admitted to the Pediatrics Ward of the NTB Provincial General Hospital from January to December 2010.Results Of 329 children admitted with acute diarrhea, 210 (63.8%) had rotavirus positive stool specimens. For the year 2010, the highest incidence of rotavirus infection was in the month of January (86.4%). Rotavirus infections were found in children less than 2 years of age (65.4%), with the highest prevalence in the age group of 6 to 23 months (68.5%). In addition to clinical symptoms of watery diarrhea, there was a significantly greater percentage of vomiting in rotaviral vs. non-rotaviral diarrhea (67.7% vs. 32.3%, respectively; P<0.05). The majority of G and P genotypes found were G1 (86%), G2 (12%), P[8] (66%), P[4] (12.8%), and P[6] (8%).Conclusion Rotavirus infections are the most common cause of acute diarrhea in children aged <2 years in Mataram, Indonesia.


2020 ◽  
Vol 8 (2) ◽  
pp. 92-101
Author(s):  
Zahroh Shaluhiyah ◽  
Aditya Kusumawati ◽  
Ratih Indraswari ◽  
Bagoes Widjanarko ◽  
Besar Tirto Husodo

Background:  Anemia prevalence among pregnant women in Central Java 2016 was 40.1% and 27.9% among fertile women aged 15-44 years. Anemia among pregnant mothers usually caused by ferrum defficiency due to low nutritional intakes during youth. The provision and processing of food at the family level that carried out mostly by mother were also the factors which related to nutrional problems at family level.Objectives: This study aims to identify mothers’ knowledge, attitudes, and practices in providing nutritional food for their family,  pregnant women and children under five years old.  Methods: An explanonatory research with cross-sectional survey has been conducted among mothersin Karanganyar Gunung and Karangayu Semarang. The mothers were selected using systematic random sampling with inclusion criteria were either pregnant or having children under five and willing to participate in this study. Of 200 mothers had participated in this survey.  Data were collected by enumerator using  structure questionnaires which have been validated before. Univariate, Chi-Square and logistic regression tests have been employed to analyze the data.Results: Nearly half of mothers have been categorized as poor practices in providing healthy food for their families (47%). More than half (56%) have good knowledge, but only 45.5% have positive attitudes towards providing healthy food. Mothers’ age (p = 0.048; OR = 0.547), education level (p = 0.042; OR = 0.580) and attitudes of providing healthy food (p = 0.001; OR= 3.138) were the influencing factors on providing healthy food. Conclusion: Mothers with positive attitudes have more likely to provide a healthy food for their families three times higher than those who have negative attitudes. Whilst, mothers who have aged ≥30 years were more likely to have protection (OR < 1) to provide healthy food than those who have aged <30 years. Likewise, mothers who have high education level were more likely to have protection to provide healthy food compare to those who have low education level.


2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tarikuwa Natnael ◽  
Mistir Lingerew ◽  
Metadel Adane

Abstract Background Diarrheal disease is still one of the most common causes of mortality and morbidity in children under five in developing countries, including Ethiopia. Lack of specific data on the prevalence of acute diarrhea and associated factors among under-five children in the semi-urban areas of Gelsha, found in northeastern Ethiopia’s South Wollo zone, remains a major gap. Therefore, this study was designed to provide data that is important for proper planning of intervention measures to reduce the problem in this area. Methods A community-based cross-sectional study was conducted among 340 systematically selected children under five in semi-urban areas of Gelsha from January to March 2019. The data was collected using a structured questionnaire and an observational checklist. Bivariable (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) were employed using binary logistic regression model with 95% CI (confidence interval). Variables with a p-value < 0.05 from the multivariable analysis were declared as factors significantly associated with acute diarrhea. Result The prevalence of acute diarrhea among children under five in the study area was 11% (95%CI: 7.8–14.3%). About two-thirds (63.60%) of study participants used water from improved sources. About half (54.90%) of study participants practiced poor handwashing and 45.10% practiced good handwashing. We found that factors significantly associated with acute diarrhea were a child’s age of 12–23 months (AOR = 4.68, 95% CI: 1.45–1.50), the presence of two or more under-five children in the house (AOR = 2.84, 95% CI: 1.19–6.81), unimproved water sources (AOR = 2.97, 95% CI: 1.28–6.87) and presence of feces around the pit hole/slab/floor of the latrine (AOR = 3.34, 95% CI: 1.34–8.31). Conclusion The prevalence of acute diarrhea among children under five was relatively high. To reduce the problem, various prevention strategies are essential, such as the provision of health education to mothers/caregivers that focuses on keeping sanitation facilities clean and child care, and construction of improved water sources. Furthermore, implementing a strong health extension program, advocating an open defecation-free environment, and practicing a community-led total sanitation and hygiene approach might be helpful to sustainably reduce childhood diarrhea.


Author(s):  
Nurul Aini Suria Saputri ◽  
◽  
Tri Nugraha Susilawati ◽  
Vitri Widyaningsih ◽  
◽  
...  

ABSTRACT Background: Probiotics have been widely studied in a variety of gastrointestinal diseases. There is high-quality evidence that probiotics are effective for acute infectious diarrhea. This study aimed to examine the relative efficacy of probiotics compared with standard therapy for diarrhea treatment in children under five using meta-analysis. Subjects and Method: A meta-analysis was carried out using systematic PRISMA guidelines. The review process begins with searching for articles published between 2009 and 2019 from PubMed, Clinical Key, ScienceDirect, and Scopus databases. This study obtained four articles that meet the criteria of the randomized controlled trial (RCT), the study subjects were toddlers and conducted in developing countries. A sample of 995 children was divided into two groups, 518 children received probiotics (intervention) and 477 children received standard therapy (control). The data were analyzed by Review Manager (RevMan) software 5.3 to assess Standardized Mean Difference (SMD). Results: Probiotics administration reduced duration of acute diarrhea in children under five than standard therapy, with pooled estimate= 0.30 (SMD= -0.30; 95% CI= – 0.56 to -0.03). Conclusion: Probiotics administration combined with standard therapy is effective to reduce the duration of acute diarrhea in children under five in developing countries. Keywords: acute diarrhea, probiotic, children under five Correspondence:Nurul Aini Suria Saputri. Midwifery Department, School of Health Polytechnics, Tanjungpinang/ Masters Program in Public Health, Universitas Sebelas Maret. Jl. Arief Rahman Hakim No.1, Tanjungpinang, Riau Islands. Email: [email protected]. Mobile: +6285743401971. DOI: https://doi.org/10.26911/the7thicph.03.95


2015 ◽  
Vol 13 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Sundari Joshi ◽  
Megha Pradhan Pradhan ◽  
Ujjwal Joshi

Introduction: Anaemia is a pathologic deficiency in oxygen-carrying haemoglobin in red blood cells which may be the result of genetic diseases, infections and deficiency of several nutrients. Nepal is one of the developing countries where anaemia is one of the most serious public health problems. So, a study was planned to evaluate the prevalence of anaemia among children under five years in tertiary care hospital of Nepal. Methods: A cross-sectional study was carried out from August 2011 to January 2012 using a structured questionnaire interview and observation. The children were divided into three groups: group I (0-1 years), group II (>1-3 years), group III (>3-5 years). Anaemia was assessed using  haemoglobin measurement in gram in decilitre on Sysmex KX -21 (automated haematology analyzer). The severity of anaemia were grouped as follows: severe anaemia, < 7.0 g/dL; moderate anaemia, 7.0 to 8.9 g/dL; and mild anaemia, 9.0 to 10.9 g/dL as per WHO classification. Stool test was also carried out to assess worm infestation. Data were analysed using SPSS 11.5. Results: There were 208 children among which 52.9 % were male while 47.10 % were female.  The overall prevalence of anaemia was found to be 49.5% of which 43.3% had mild, 15.8% had moderate and 0.5% had severe anaemia. Out of 20 children in group I, 70 % were anaemic. Among the 94 each in group II and group III, children suffering from anaemia were 51% and 43% respectively. The stool investigations showed that 5.3 % children suffered from worm infestations.   Conclusions: prevalence of anaemia was seen in 49.5% of children below five years age group and the diet and worm infestations didn’t affect it.doi:  http://dx.doi.org/10.3126/mjsbh.v13i1.12998


2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years


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