scholarly journals THE EFFECTIVITY OF BREASTFEEDING TECHNIQUE EDUCATION RELATED TO ONSET OF LACTATION OF CAESAREAN SECTION-DELIVERED MOTHER IN MATARAM CITY GENERAL HOSPITAL

Author(s):  
Misroh Mulianingsih ◽  
Winda Nurmayani M ◽  
Harlina Putri Rusiana

Introduction: Globally, World Health Organization (WHO) and United Nations Children (UNICEF) have urged about giving exclusive breastfeed for newborn baby. Indonesian Government had already targeted 80% of the newborn to be given exclusive breastfeed. But the reality told that exclusive breastfeed program wasn’t done well. Although there were a lot of benefits for giving exclusive breastfeed especially for newborn baby and mother, but in fact there were still a lot of mothers that didn’t give it to their baby. One of the reasons was caused by the lactation onset. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process.Objective: To identify the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital.Research method: This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square.Result: There was significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the intervention group (chi square score = 0,026), but there was no significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the control group (chi square score = 0,563).Conclusion: There was significant effect of breastfeeding education for mother that was given intervention, like counseling, compared to control group that was only given leaflet related to mother’s Onset of lactation after caesarean section delivery. Keyword : Breastfeeding Education, Onset of lactation, Caesarean Section

Author(s):  
Novia Sarmiati ◽  
Erwin Azizi Jaya Dipraja ◽  
La Banudi

Background:According to the World Health Organization (WHO) every day in 2015, around 830 women die from complications of pregnancy and child birth. Globally, maternal mortality in the world is 303,000. The maternal mortality rate (MMR) in Indonesia based on the Indonesian Health Demographic Survey (IDHS) in 2012 was around 359 / 100,000 live births, this figure increased compared to 2007, which was around 228 / 100,000 live births. Data from Dewi Sartika General Hospital with preeclampsia cases for the last three years. In 2017, the number of births in 1855 who experienced preeclampsia were 305 cases. In 2018 the number of births in 1822 who experienced preeclampsia was 334 cases. In 2019 the number of deliveries in 2007 who experienced preeclampsia was 377 cases. For 2020 January to June number of deliveries695 the incidence of preeclampsia was 164 cases. Methods:This study used a quasi-experimental type with a pre-test-post-test control group method design. The population in this study were all 164 preeclampsia patients from August to October 2020. Result:Test data analysis using testwilcoxon test (? = 0.05) in the cucumber group, it was found that p = 0.000 on decreased hemoglobin and increased platelets Conclusion:There is an effect of cucumber on decreasing hemoglobin and increasing platelets in preeclampsia patients at Dewi Sartika General Hospital.


2020 ◽  
Vol 7 (2) ◽  
pp. 140
Author(s):  
Dinda Puspita ◽  
Dwi Yati

Nyeri yang disebabkan oleh sectio caesarea pada umumnya akan terasa hingga beberapa hari. Rasa nyeri tersebut biasanya dirasakan meningkat pada hari pertama post operasi sectio caesarea dan akan semakin terasa apabila pengaruh dari analgesik hilang. Manajemen untuk mengatasi nyeri dapat dilakukan dengan cara non-farmakologi menggunakan aromaterapi. Tujuan Penelitian  mengetahui pengaruh aromaterapi lavender terhadap nyeri post partum sectio caesarea. Metode penelitian merupakan kuantitatif menggunakan desain quasi experiment dengan pendekatan pre test and post test non equivalent control group design yang dilakukan dari bulan Agustus–September 2020. Teknik pengambilan sampel secara consecutive sampling dengan jumlah 22 ibu postpartum sectio caesarea di Ruang Alamanda 3 RSUD Panembahan Senopati Bantul. Uji statistik menggunakan Chi-Square. Hasil: Sebagian besar ibu postpartum sectio caesarea memiliki tingkat nyeri sebelum diberikan aromaterapi lavender pada kategori sedang (4-6) sebanyak 12 orang (54.5%). Setelah dilakukan pemberian aromaterapi lavender memiliki tingkat nyeri ringan (1-3) sebanyak 16 orang (72.7%). Terdapat perbedaan rerata tingkat nyeri ibu postpartum sectio caesarea sebelum dan setelah pemberian aromaterapi lavender dengan nilai mean 0.121, standar deviasi 0.568 dan nilai p-value sebesar 0,000 (p value<0,05).Kesimpulan: Ada pengaruh sebelum dan setelah pemberian aromaterapi lavender terhadap nyeri postpartum sectio caesareadi Ruang Alamanda 3 RSUD Panembahan Senopati Bantul. Kata Kunci: nyeri  postpartum; sectio caesarea; aromaterapi lavender.LAVENDER AROMATERAPY EFFECT ON POSTPARTUM SECTIO CAESAREA PAIN AT PANEMBAHAN SENOPATI HOSPITAL OF BANTUL   ABSTRACT Pain caused by section caesarea are generally felt for several days. The pain is usually felt on the first day of post caesarean section surgery and will be more painful when the effect of analgesic has gone. One of the ways in pain management is non-pharmacological therapy using lavender aromatherapy. This study aim was to determine the effectiveness of lavender aromatherapy on postpartum sectio caesarea mother at  Panembahan Senopati General Hospital of  Bantul. The study used a quasi experimental design with pre test and post test approach non equivalent control group design. This research was conducted from August until September 2020. The research sampling methods used consecutive sampling with a total of 22 postpartum sectio caesarea mothers in the Alamanda 3 room of Panembahan Senopati General Hospital of Bantul. Data analysis used chi square test. Most of the postpartum sectio Caesarea mothers had a level of pain before being given aromatherapy (pre test) in a moderate category (4-6) as much as 12 people (54.5%). After being given lavender aromatherapy had a mild category (1-3) as much as 16 people (72.7%). There is an influence between the level of pain in postpartum mother with section caesarea before and after giving lavender aromatherapy with a mean value of 0.121, standard deviation of 0.568 and a p-value of 0.000 (p value< 0,05). There is an effetiveness before and after being given lavender aromatherapy on postpartum sectio caesarea pain in the Alamanda 3 room at Panembahan Senopati General Hospital of Bantul. Keyword : Postpartum pain; sectio caesarea; lavender aromatherapy


Author(s):  
Perawaty Perawaty ◽  
Pernodjo Dahlan ◽  
Herni Astuti

<p>ABSTRACT</p><p>Background: According to WHO it is estimated that there are 15 million people having stroke annually. High prevalence of stroke happens at Kalimantan Tengah as indicated from the growing number of outpatients and inpatients of stroke every year. There is a shift in eating pattern at urban areas from traditional eating pattern to western eating pattern that has high composition of calories, protein, fat, sugar and less fibre causing nonproportional nutrient intake. This condition is a risk factor for the prevalence of degenerative diseases such as hypertension, coronary heart disease and other health problems. Efforts for primary prevention against stroke can be made through intervention in unhealthy lifestyle including eating pattern.</p><p>Objectives: To identify association between eating pattern and the prevalence of stroke at dr. Doris Sylvanus Hospital Palangka Raya.</p><p>Methods: The study was analytic observational with case control design. Subject consisted of cases and control at comparison 1:1 matched in age. Cases were stroke inpatients of dr. Doris Sylvanus Hospital and control group consisted of patients of other diseases at the same hospital. The study involved 76 patients taken concecutive. Data comprised of sample identity, waist circumference, eating pattern, hypertension, physical activity and smoking habit. Data of eating pattern were obtained through semi quantitative food frequency questionnaire. The result of the study was analyzed using chi square and logistic regression.</p><p>Results: The result of the study showed there were 5 variables significantly associated with the prevalence of stroke; ie. more consumption of processed foods (OR 7,53 CI 95% : 1,38 – 41,13), less consumption of fruits (OR 6,98 CI 95%, 1,53-31,80), less consumption of fish (OR 6,36 CI 95% : 1,15 – 34,99), hypertension (OR 10,91 CI 95%, 2,43–49,03) and less physical activities (OR 8,36 CI 95%, 1,72-40,56) while the frequency of fast foods, alcohol consumption, obesity and smoking are not statistically significant (p &gt; 0.05).</p><p>Conclusions: The presence of hypertension, less physical activity, more consumption of processes foods, less consumption of fruits and less consumption of fish a risk factor for the dominant influence on the incidence of stroke.</p><p>KEYWORDS: stroke, eating pattern, case control</p><p>ABSTRAK</p><p>Latar belakang: Laporan World Health Organization (WHO), diperkirakan setiap tahun terdapat 15 juta orang di seluruh dunia yang mengalami stroke. Tingginya prevalensi stroke di Kalimantan Tengah dilihat dari penderita rawat inap dan rawat jalan di rumah sakit yang jumlahnya meningkat setiap tahun. Terjadinya pergeseran pola makan di kota-kota besar dari pola makan tradisional ke pola makan barat yang komposisinya terlalu tinggi kalori, banyak protein, lemak, gula tetapi rendah serat menimbulkan ketidakseimbangan asupan zat gizi. Kondisi tersebut merupakan faktor risiko untuk terjadinya penyakit degeneratif seperti hipertensi, jantung koroner dan masalah kesehatan lainnya. Upaya pencegahan tingkat awal atau preventif primer pada stroke dapat dilakukan dengan intervensi pada gaya hidup yang tidak sehat termasuk pola makan.</p><p>Tujuan: Untuk mengetahui hubungan pola makan dengan kejadian stroke di RSUD dr. Doris Sylvanus Palangka Raya.</p><p>Metode: Penelitian ini merupakan penelitian observasional analitik menggunakan rancangan case control. Subjek terdiri dari kasus dan kontrol dengan perbandingan 1:1 yang telah dilakukan matching terhadap umur. Kasus adalah penderita stroke dan kontrol adalah penderita penyakit lainnya yang menjalani<br />rawat inap di RSUD dr. Doris Sylvanus Palangka Raya. Jumlah subjek adalah 76 orang yang ditentukan dengan metode consecutive sampling. Data yang dikumpulkan yaitu identitas sampel, lingkar pinggang, pola makan, hipertensi, aktifitas fisik dan merokok. Data pola makan dikumpulkan dengan formulir semi quantitatif food frequency. Hasil penelitian dianalisis dengan menggunakan Chi square dan regresi logistik.</p><p>Hasil: Hasil penelitian menunjukkan terdapat 5 variabel yang berhubungan signifikan dengan kejadian stroke yaitu lebih konsumsi makanan olahan (OR 7,53 CI 95% : 1,38 – 41,13), kurang konsumsi buah (OR 6,98 CI 95% : 1,53 – 31,80), kurang konsumsi ikan (OR 6,36 CI 95% : 1,15 – 34,99),hipertensi (OR<br />10,91 CI 95% : 2,43 – 49,03) dan kurang aktivitas fisik (OR 8,36 CI 95% : 1,72 – 40,56), sedangkan frekuensi konsumsi fast food, konsumsi sayuran berwarna, konsumsi alkohol, obesitas, dan merokok tidak signifikan secara statistik (p &gt; 0,05).</p><p><br />Kesimpulan: Adanya hipertensi, kurang aktivitas fisik, lebih konsumsi makanan olahan, kurang konsumsi buah dan kurang konsumsi ikan merupakan faktor risiko terhadap kejadian stroke.</p><p>KATA KUNCI: stroke, pola makan, case control</p>


2021 ◽  
Vol 6 (2) ◽  
pp. 100
Author(s):  
Nurul Huda Mursalim ◽  
Saharuddin Saharuddin ◽  
Azizah Nurdin ◽  
Jelita Inayah Sari

Tujuan penelitian ini adalah untuk mengetahui hubungan variabel dependen yaitu umur, paritas, riwayat sectio sesarea, riwayat gemelli dengan variabel independen yaitu plasenta previa di RSUD Batara Guru dan RS Hikmah Sejahtera Kabupaten Luwu Tahun 2018-2019. Pada studi ini memanfaatkan metode analitik observasional dengan pendekatan case control. Sampel ditentukan melalui perbandingan kelompok kasus sebanyak 50 sampel dengan kelompok kontrol 50 sampel. Teknik sampling menggunakan purposive sampling. Untuk mengetahui hubungan faktor risiko memanfaatkan uji chi square. Hasil terbanyak didapatkan 78 ibu hamil risiko rendah, 76 ibu hamil dengan multipara, ibu hamil dengan tidak ada riwayat sectio sesarea didapatkan 76 ibu hamil dan ibu yang tidak memiliki riwayat gemelli ada 97 ibu hamil. Hasil penelitian menujukkan dari uji chi square antara umur dengan plasenta previa didapatkan (P= 0.008 < 0,05) untuk hubungan paritas dengan plasenta previa didapatkan (P= 0,815 > 0,05) hubungan riwayat sectio sesarea didapatkan sebesar (P= 0.035 < 0,05) dan untuk hubungan riwayat gemelli sebesar (P= 1,000 > 0,05). Kesimpulan dari penelitian ini adalah tidak terdapat hubungan faktor risiko paritas, riwayat gemelli pada kejadian plasenta previa dan didapatkan hubungan faktor risiko antara umur, riwayat sectio sesarea dengan kejadian plasenta previa di RSUD Batara Guru dan RS Hikmah Sejahtera Kabupaten Luwu Tahun 2018-2019. Kata kunci: Umur, paritas, riwayat sectio sesarea, riwayat gemelli, plasenta previa ABSTRACTThe major objective of this study was to investigate the risk factors that affect the occurrences of placenta previa, such as ages, parity, caesarean section history, and gemelli history of pregnant women. This study was conducted at Batara Guru Hospital and Hikmah Sejahtera Hospital of Luwu Regency in 2018 to 2019. The methodological approach taken in this study was observational analytic by using a case control approach. The samples used in this research consisted of 50 samples for the case group and 50 samples for the control group. The sampling technique used was a purposive sampling. A chi square test was performed in this experiment in order to understand the risk factors. From this research, it was apparent that 78 pregnant women were with the low risk of getting placenta previa, 76 pregnant women were with multiparous, 76 pregnant women were with no history of cesarean section, and 79 pregnant women were without a gemelli history. Based on the chi square test, the results of this study indicated that various relationships were obtained such as the relationship between ages and placenta previa occurrences with (P = 0.008 <0.05), the correlation among parity and placenta previa occurrences with (P = 0.815> 0.05), the correlation among caesarean section history and placenta previa occurrences with (P = 0.035 <0,05), and the correlation among gemelli history and placenta previa occurrences with (P = 1,000> 0.05). This research concludes that there was no relationship between parity and gemelli history factors and the occurrences of placenta previa. In contrast, it was evident that there were close relationships between the ages and caesarean section history factors and the occurrences of placenta previa at Batara Guru Hospital and Hikmah Sejahtera Hospital of Luwu Regency in 2018 to 2019.Keywords: ages, parity, caesarean sectio history, gemelli history, placenta previa


2018 ◽  
Vol 5 (2) ◽  
pp. 150-155
Author(s):  
Dia Resti Dewi Nanda Demur

Abstract According to WHO (World Health Organization, 2010) each year is estimated about 20% - 50% adults reported a sleep disorder and about 17% suffered serious sleep disorders. The purpose of this study was to determine association of sleep quality towards anxiety level with IV Catheter Therapy in Medical Internal Ward General Hospital Dr Achmad Mochtar Bukittinggi 2018. This research using descriptive analytic approach with cross sectional design. Data were processed with Chi Square test. The sample in this research are 63 respondents. Tool data collection using questionnaires. The data analysis of univariate more than half are 30 respondents (47,6%) has a good sleep quality and 33 respondents (52,4%) have bad sleep quality, more than half are 30 respondents (47,6%) have mild anxiety level and 33 respondents (52,4%) have a moderate anxiety level. There is a correlation bivariate analysis the existence of sleep quality to the level of anxiety With IV Catheter Therapy In Medical Internal Ward General Hospital Dr Achmad Mochtar Bukittinggi the value of  p = 0,000. It is suggested that this research for general hospital Dr Achmad Mochtar Bukittinggi able to improve the quality of patient sleep and the characteristics anxiety levels where can be used as a basis for interving and improving nurses knowledge. Keywords         : Anxiety Level, Sleep Quality


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Zeinab Farmani ◽  
Marzieh Kargar ◽  
Zahra Khademian ◽  
Shahram Paydar ◽  
Najaf Zare

Abstract Objective This study aimed to determine the effect of awareness of subtle control after training on the hand hygiene compliance among nurses in intensive care units (ICUs). The study was conducted in two ICUs of a trauma center in Shiraz, Iran on 48 nurses. The nurses of one ICU were randomly allocated to the intervention and the nurses of the other ICU were allocated to the control group. All nurses were trained on hand hygiene. Then a fake closed camera television (CCTV) was visibly installed in the intervention group’s ICU, while the nurses were aware of it. The degree of compliance with hand hygiene was observed in both groups before and after the intervention. Data were gathered using a checklist based on the World Health Organization hand hygiene protocol and analyzed using SPSS 16 and the Chi square, Wilcoxon, Mann–Whitney U, and Independent T-tests, were performed. Results The mean percentage of hand hygiene compliance in the intervention group after the intervention was significantly higher than before the intervention (p < 0.001). Additionally, the changes in the mean percentage of the intervention group was significantly higher than that for the control group (p = 0.001). The findings showed that a fake CCTV after training, installed in ICUs, can improve hand hygiene compliance.


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Tuti Jatiningrum Ibrahim

Abstract: Background: The breast milk has higher nutrient value. Because of the antibody contained in the breast milk, the leucocytes, enzymes, and hormones will protect the baby from infections. Babies who were breastfed from childbirth to several months after will be protected from any kinds of infections, whether they are caused by the bacteria, viruses, or other antigens. In the developing countries, babies who were not given the exclusive breastfeed from the age of 0 to 5 months and no breastfed from the age of 6 to 23 months could raise the risk of morbidity and mortality caused by diarrhea. In Indonesia, diarrhea is still the second of 10 most common diseases in the population on the primary health care. Objective: To find out the relations between exclusive breastfeeding history and the incidence of acute diarrhea on children in Prof. Dr. R. D. Kandou Hospital, Manado. Methods: This research is an observational analytic study with cross sectional approach, done in the Department of Pediatric of Prof. Dr. R. D. Kandou Hospital, Manado from November to December 2013. The subject of the experiment is around 100 children age 6 months to 5 years old and classified into 50 children with acute diarrhea and 50 children as the control group. The data are gathered using questionnaires given to the parents of the subjects and analyzed using the chi square. Results: From 100 children as the subject, in 44 children with exclusive breastfeeding history there are 16 children with diarrhea and 28 without diarrhea. Meanwhile, in the remaining 56 children without history of exclusive breastfeeding, 34 children are infected with diarrhea and 22 are not infected. The value of the significance result is p < 0.05 with significance value of 0.016 means significant. Conclusion: There is a significant relation between exclusive breastfeeding history and the incidence of acute diarrhea on children in Prof. Dr. R. D. Kandou Hospital, Manado.Keywords:Exclusive breastfeeding, acute diarrhea on children.   Abstrak: Latar Belakang: ASI memiliki nilai gizi lebih tinggi, karena adanya antibodi pada ASI, sel-sel leukosit, enzim dan hormon akan melindungi bayi terhadap infeksi. Bayi yang mendapatkan ASI pada waktu lahir sampai beberapa bulan sesudahnya akan terlindungi dari berbagai macam infeksi, baik yang disebabkan oleh bakteri, virus dan antigen lainnya. Di negara berkembang, bayi yang tidak diberikan ASI eksklusif  pada usia 0-5 bulan dan tidak mendapatkan ASI pada usia 6-23 bulan dapat meningkatkan risiko morbiditas dan mortalitas karena diare. Di Indonesia, diare masih menempati urutan kedua dalam urutan 10 penyakit terbanyak dipopulasi pada pelayanan kesehatan primer. Tujuan: Mengetahui hubungan riwayat pemberian ASI eksklusif dengan kejadian diare akut pada anak di RSUP. Prof. Dr. R. D.  Kandou Manado. Metode: Penelitian ini merupakan studi analitik observasional dengan pendekatan cross sectional, dilakukan di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado selama bulan November – Desember 2013. Subyek penelitian sebanyak 100 anak berumur 6 bulan – 5 tahun dan dikelompokkan menjadi 50 anak diare akut dan 50 anak kelompok kontrol. Pengumpulan data menggunakan kuesioner kepada orangtua subyek penelitian.Data dianalisis dengan chi square. Hasil: Subyek penelitian berjumlah 100 anak yang terdiri atas 44 anak dengan riwayat asi eksklusif yang terdiri dari 16 mengalami diare dan 28 tidak mengalami diare sedangkan 56 anak dengan riwayat tidak asi eksklusif yang terdiri dari 34 mengalami diare dan 22 tidak mengalami diare. Hasil signifikansi bernilai p < 0.05 dengan nilai signifikansi 0.016 yang berarti signifikan atau bermakna. (p=0,016) Kesimpulan: terdapat hubungan antara riwayat pemberian ASI eksklusif dengan kejadian diare akut pada Anak di RSUP Prof. DR. R. D. Kandou Manado.Kata kunci :ASI eksklusif, diare akut pada anak.


Author(s):  
Samira Abbasi ◽  
Mohsen Shahriari ◽  
Majid Ghanavat ◽  
Sedigheh Talakoub ◽  
Fatemeh Sadat Mosavi Asl ◽  
...  

Background: Thalassemia as a chronic disease could affect different aspects of a patient’s life. On the other hand, when encountering the symptoms of a chronic disease as a stressful factor, the coping strategy of the adolescents and their families could have an important role in the quality of life of these patients. The present study was conducted to determine the relation between different aspects of quality of life with coping styles in the adolescents with thalassemia in comparison to a healthy control group. Materials and Methods: The present study is a case-control research in 2017. Studied samples were 200 adolescents with thalassemia and healthy adolescents. Data gathering tools were demographic characteristics checklist and the coping style and quality of life questionnaire by the World Health Organization. Data were analyzed by SPSS 20 using independent t-test, linear regression and correlation coefficients. Conclusion: Results of Pearson statistical test showed a positive and significant relation between the total mean score of quality of life and its physical, social and mental aspects with emotion-oriented coping style (p<0.01). Also a direct significant relation was observed between the total mean score of quality of life and its social and physical aspects with problem-oriented coping style(p<0.01). Conclusion: According to the results of the present study, educating the adolescents and their families for paying attention to the coping style for stressful factors and preparing these adolescents for passing toward the youth period, which could be challenging for them, are highly recommended. 


2020 ◽  
Vol 2 (2) ◽  
pp. 178-185
Author(s):  
Peny Ariani ◽  
Mastary .

World Health Organization (WHO) for almost 30 years the rate of births with caesarea section became 10% to 15% of the delivery process exist in developing countries. In Indonesia, the results of basic health research in 2013 showed births with a caesarean section of 15.3% of the sample of 20,591 surveyed from 33 provinces. Based on statistical data that researchers obtained from the Medical Record Room of the Sembiring General Hospital, the number of patients with sectio caesarea from January to September in 2019 totaled 1,600 patients. Nursing problems that often arise in post sectio caesarea cases are painful sensory and emotional experiences that arise due to actual tissue damage. The nurse's independent action to control the pain felt by the patient is to do pain management with non-pharmacological techniques, namely progressive relaxation. The purpose of this study was to determine the effectiveness of progressive relaxation on decreasing pain intensity in post sectio caesarea patients. This study used a quasi-experimental design method with a non equivalent control group design. The sampling technique was 32 respondents, 16 intervention groups and 16 control groups. This study used a T-Test. The results of this study indicate the P-value (0.839) > α (0.05). The conclusion of this study is that there is no effectiveness of progressive relaxation on the decrease in pain intensity in post sectio caesarea patients in the hybrid room of Sembiring General Hospital. For further researchers to be able to have the same research the same but with different variables in order to get more varied and better results.


2019 ◽  
Vol 49 (20) ◽  
Author(s):  
Novi Primadewi ◽  
Dewi Pratiwi ◽  
Diah Hayustiningsih

Latar belakang: Bayi baru lahir dengan asfiksia perinatal dapat mengalami gangguan fungsi sel rambut luar  pada kokleanya. Tujuan:  Mengetahui   hubungan   asfiksia  perinatal  dengan  gangguan   fungsi  sel rambut luar koklea. Metode: Penelitian analitik observasional dengan desain Case control yang dilakukan di bagian perinatologi RSUD Dr. Moewardi Surakarta, RSUD Karanganyar,          RSUD Wonogiri, dan RSUD Sukoharjo dengan waktu penelitian  pada bulan Oktober 2014 – Januari 2015. Sampel penelitian dipilih dengan cara non probability sampling yaitu dengan teknik consecutive sampling, sebanyak 50 orang yang terdiri dari 25 kelompok kasus dan 25 kelompok kontrol. Diagnosis adanya gangguan fungsi sel rambut luar koklea  ditegakkan dari hasil pemeriksaan fisik THT dan pemeriksaan Distortion Product Otoacoustic Emissions  (DPOAE). Asfiksia perinatal dapat dilihat dengan menggunakan  skor APGAR, sedangkan faktor risiko yang lain dapat dilihat dari  catatan  medis pasien. Analisis statistik menggunakan univariat, bivariat, dengan chi square dan multivariat dengan regresi logistik ganda model faktor risiko. Hasil: Dari 25 kelompok kasus dan 25 kelompok kontrol didapatkan hasil bahwa asfiksia perinatal merupakan faktor risiko yang berpengaruh terjadinya gangguan fungsi sel rambut luar koklea.  Bayi baru lahir yang mempunyai  gangguan fungsi sel rambut luar koklea  dengan  asfiksia perinatal mempunyai faktor risiko 29 kali lebih besar daripada bayi dengan bayi baru lahir tanpa gangguan fungsi sel rambut luar koklea, setelah mengontrol pengaruh dari faktor perancu hiperbilirubinemia dan berat  badan lahir rendah. Hasil tersebut didapatkan bermakana secara statitistik (OR=29,614; CI – 95 % = 5,454 - 160,792; p<0,001). Kesimpulan: Terdapat hubungan antara asfiksia perinatal dengan  gangguan fungsi sel rambut luar koklea. Background: Newborn  with  perinatal  asphyxiae can occur disturbance of  function outer hair cell in the cochlea. Objective: was to know the relationship between the degree of perinatal asphyxiae  with impaired  function  of  outer hair cell. Methods: The study was  an analytic observational study with case control design, that  took a place in perinatology department in Doctor Moewardi hospital Surakarta, General hospital  in  Karanganyar,  General hospital in Wonogiri, General hospital in Sukoharjo. The study started from October 2014 until January 2015. The sample study were selected with consecutive sampling method, with total sample of 50 newborns which consist of 25 case group and 25 control group. Impaired function of outer hair cell  has been diagnosed from ENT examination and  examined with Distortion Product Otoacoustic Emissions  (DPOAE). Perinatal asphyxiae were measured with APGAR score and the other risk factor were collected from the medical record of the patients. Data were analyzed with univariat, bivariat (chi square) and multivariat statistic with double logistic regression. Result: From 25 case group and 25 control group, were found that perinatal asphyxiae was the influence risk factor to the occurrence of impaired function of outer hair cell. Newborns have impaired function  of  outer hair cell with   perinatal asphyxiae will have the risk of twenty nine times higher than newborns without perinatal asphyxiae, after controlling of confounding factors low birth weight, and hyperbilirubinemiae. The results  was statistically significant. (OR = 29,614; CI – 95 % = 5,454 - 160,792; p < 0,001). Conclusion: There has corellated between perinatal asphyxiae and impaired function of outer hair cell.


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