scholarly journals ASSOCIATION BETWEEN EMOTIONAL DEVELOPMENT AND BULLYING BEHAVIOR IN CHILDREN AT THE ELEMENTARY SCHOOL NO 7, BANYUASIN, PRAJIN, PALEMBANG

2017 ◽  
Vol 3 (5) ◽  
pp. 585-594
Author(s):  
Sri Tirtayanti ◽  
Intansari Nurjannah ◽  
Lely Lusmilasari
Keyword(s):  
Elementary School ◽  
Logistic Regression ◽  
Peer Influence ◽  
Emotional Development ◽  
School Bullying ◽  
Chi Square ◽  
Regression Test ◽  
Chi Square Test ◽  
Bullying Behavior ◽  
Logistic Regression Test

Background: Bullying is a form of repetitive persecution both on physical and emotional aggressions and potentially causing mental and physical disorders on perpetrators and victims. There are various factors that may affect a child to behave as bullies. These are important factors to be identified as one of prevention effort to stop bullying behavior on children. Objective: This research aims to identify the association between emotional development and bullying behavior in children at the Elementary School No 7, Banyuasin Prajin, Palembang.Methods: This was a correlation descriptive using a cross sectional design. This research has been conducted on November 21, until December 1, 2016 involving 85 children as respondents. The instruments used for this research were Bar-On Emotional Quotient Inventory: Youth Version, school-bullying questionnaire, parenting style questionnaire and peer influence questionnaire. Chi-square test was used for bivariate data analysis and logistic regression test for multivariate analysis.Results: Results from chi-square test showed a significant association between emotional developments and parenting with bullying behavior (ρ<0,05), but no significant correlation between peer influence and bullying behavior (ρ>0,05). Logistic regression test showed a significant relationship between parenting and bullying behavior (OR) 4,655 (95% CI: 1,292-16,774), which indicated that the uninvolved parenting potentially makes bullying behavior have a chance to increase 4,655 times higher.Conclusion: There is a significant association between emotional development and parenting with children bullying behavior.

scholarly journals Analisis Faktor-Faktor yang Memengaruhi Kualitas Hidup Penderita Talasemia Anak di RSUD Al-Ihsan Kabupaten Bandung Tahun 2019

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Jamaluddin Kamil ◽  
Tito Gunantara ◽  
Yani Dewi Suryani
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Social Function ◽  
Dominant Factor ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

Talasemia merupakan penyakit genetik dan kronis yang dapat menyebabkan anemia berat sehingga mengganggu kualitas hidup. Penelitian ini bertujuan untuk mengetahui gambaran dan faktor apa saja yang memengaruhi kualitas hidup penderita talasemia anak di RSUD Al- Ihsan Kabupaten Bandung tahun 2019. Subjek penelitian adalah pasien talasemia anak di RSUD Al-Ihsan Kabupaten Bandung yang memenuhi kriteria inklusi. Data diambil menggunakan teknik total sampling dengan jumlah subjek 65 orang. Desain penelitian bersifat analitik dengan rancangan potong lintang. Penelitian menggunakan alat berupa kuesioner pediatric quality of life (PedsQL) yang berisi 23 pertanyaan. Hasil analisis univariat didapatkan kualitas hidup total subjek penelitian adalah buruk dengan rerata skor 68,9. Fungsi fisik, emosi, dan sekolah buruk dengan nilai rerata skor <80. Analisis bivariat dengan chi square test didapatkan hubungan bermakna antara faktor-faktor dengan kualitas hidup dengan nilai p≤0,05. Analisis multivariat dengan multiple logistic regression test didapatkan faktor yang paling dominan memengaruhi kualitas hidup yaitu fungsi sosial dengan koefisien beta 1,823 dan nilai p=0,039. Simpulan, rerata kualitas hidup penderita talasemia anak di RSUD Al-Ihsan Kabupaten Bandung adalah buruk. Fungsi yang terganggu yaitu fungsi fisik, emosi, dan sekolah. Faktor yang paling dominan memengaruhi kualitas hidup dengan nilai tertinggi yaitu fungsi sosial. ANALYSIS OF FACTORS THAT INFLUENCE THE QUALITY OF LIFE OF CHILDREN WITH THALASSEMIA IN RSUD AL-IHSAN BANDUNG IN 2019Thalassemia is a genetic and chronic disease that can cause severe anemia that disrupts the quality of life. The purpose of this study was to determine the description and factors that influence the quality of life of children with thalassemia in RSUD Al-Ihsan Bandung in 2019. The subjects were pediatric thalassemia patients in RSUD Al-Ihsan Bandung who met the inclusion criteria. Data were taken using a total sampling technique with a total 65 subjects. This study design was analytic with cross sectional design. This study used a tool of a Pediatric Quality of Life (PedsQL) questionnaire containing 23 questions. Univariate analysis results found that the total quality of life of the study subjects was poor with a mean score of 68.9. Physical, emotional, and school functions were poor with an average score of <80. Bivariate analysis with chi square test found a significant relationship between factors with quality of life with a p value ≤0.05. Multivariate analysis with multiple logistic regression test found that the most dominant factor affecting the quality of life was social function with a beta coefficient of 1.823 (p=0.039). Conclusions, the average quality of life of children with thalassemia in RSUD Al-Ihsan in Bandung is poor. Functions that are disrupted are physical, emotional, and school functions. The most dominant factor influencing the quality of life with the highest value is social function.

scholarly journals Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency in 2020

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani
Keyword(s):  
Logistic Regression ◽  
Neonatal Mortality ◽  
Maternal Age ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.

scholarly journals Faktor-Faktor Promosi Kenaikan Jabatan, Efektifitas Pembagian Tugas dan Keadilan Pembagian Insentif Yang Mempengaruhi Kepuasan Kerja Terhadap Pegawai Dinas Kesehatan Provinsi Jambi Tahun 2016

2016 ◽  
Vol 4 (3) ◽  
pp. 177-186
Author(s):  
Ayu Aztuty Tanjung ◽  
Sudiro Sudiro ◽  
Sutopo Patria Jati
Keyword(s):  
Financial Incentive ◽  
Work Satisfaction ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Relationships ◽  
Regression Test ◽  
Chi Square Test ◽  
Promotion Effectiveness ◽  
Logistic Regression Test ◽  
Improve Health

To improve health development in Jambi Province, it needs to be supported by qualified human resource that can improve performance of employees. The decrease in performance might be caused by no work satisfaction among them. One of the problems faced by Health Office of Jambi Province was decreasing a level of work satisfaction among employees from time to time. Promotion, equity in sharing either financial or non-financial incentive, and sharing tasks equally needed to be done in order improve their work satisfaction. The aim of this study was to figure out the influence of promotion, effectiveness in sharing tasks, and equity in sharing incentive towards work satisfaction of employees at the Health Office of Jambi Province. This was an observational study using cross-sectional approach. Number of population was 277 employees of the Health Office of Jambi Province. Meanwhile, number of samples was 74 persons. Data were collected using a questionnaire and analysed quantitatively using methods of univariate, bivariate (a Chi Square test), and multivariate (a Logistic Regression test). The results of this research showed that more than half of the respondents were satisfied (56.8%), had perception of balanced promotion (50%), had good effectiveness in sharing tasks (55.4%), and felt equal in sharing incentive (51.4%). There were any significant relationships between these three variables and work satisfaction of the employees. The results of multivariate analysis demonstrated that variables of promotion (p=0.015) and equity in sharing incentive (p=0.151) jointly influenced work satisfaction of the employees. As suggestions, employees need to pay more attention to the factors of promotion, effectiveness in sharing tasks, and equity in sharing incentive.

scholarly journals Korelasi Luaran dengan Ketebalan dan Lokasi Perdarahan Subaraknoid pada Pasien Cedera Kepala di RSUD Arifin Achmad

2017 ◽  
Vol 10 (2) ◽  
pp. 92
Author(s):  
Andrea Valentino
Keyword(s):  
Head Injury ◽  
Multivariable Analysis ◽  
P Value ◽  
Chi Square ◽  
Case Research ◽  
Regression Test ◽  
Chi Square Test ◽  
Injury Patient ◽  
A Prospective Study ◽  
Logistic Regression Test

Subarachnoid hemorrhage (SAH)in head injury is a very common case. Research showed that 33% moderate andsevere head injury patients had SAH during initial CT scan. A prospective study was performed on 37 head injurypatients with SAH which had been treated in Arifin Achmad Hospital during January to June 2014 period. Bivariableanalysis that was used in this research was an unpaired categorical analytic statistical test, the chi square test. Meanwhile,multivariable analysis used was multiple logistic regression test. Significance was determined based on p value,which was d”0.05, and confidence interval (CI) of 95%. There were unfavourable outcome upon head injury patientswith SAH of >5mm thickness (p=0,028) and located at cerebral hemisphere and basal cistern (p=0,001). Thicknessand SAH location was found to be associated with head injury patient outcome. SAH thickness of > 5mm againstoutcome had a stronger association than location as a factor.

scholarly journals PENGETAHUAN,SIKAP DAN PERILAKU PENGGUNAAN MASKER DALAM UPAYA PENCEGAHAN ISPA PADA JEMAAH HAJI INDONESIA DI ARAB SAUDI TAHUN 2016

2018 ◽  
Vol 21 (3) ◽  
pp. 179-187
Author(s):  
Rustika Rustika ◽  
Esny Burase
Keyword(s):  
Logistic Regression ◽  
Multivariate Analysis ◽  
Odds Ratio ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Regression Test ◽  
Logistic Regression Test ◽  
Attitude Variable

Since 2014, the program to provide masks for Hajj pilgrims from Indonesia in Saudi Arabia as one of the efforts to prevent ISPA, continues to be increased in 2015 Ministry of Health Perform Movement Use Mask (GERMAS). Based on this case, this research focuses on the relationship of Knowledge and Attitude with Mask Usage Behavior among Prayer Hajj Indonesia in Saudi Arabia Year 2016 in preventing the incidence of Acute Respiratory Tract Infection. The design used is cross sectional with quantitative approach. The population in this study is all pilgrims who perform the pilgrimage, amounting to 168,800 people with a sample of 163 respondents. Data analysis techniques include univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis using multiple logistic regression test. The result of bivariate selection shows that the knowledge variable has no significant correlation with relationship p-value is 0.284 > 0.05. Where as attitude variable have relationship because p-value value 0.000 < 0.05. In multivariate analysis multiple logistic regression test showed that attitude variable which has the most dominant significance with the mask use on haj pilgrims with p-value 0.000 <0.05 and Odds Ratio 3.558. This means that attitude that does not support the use of masks has a 3 times chance of experiencing ISPA events. Abstrak Sejak tahun 2014 program pemberian masker bagi jemaah haji asal Indonesia di Arab Saudi sebagai salah satu upaya pencegahan ISPA, terus ditingkatkan pada tahun 2015 Kementerian Kesehatan melakukan Gerakan Memakai Masker (GERMAS). Tujuan penelitian ini untuk melihat hubungan pengetahuan, sikap dengan tindakan penggunaan masker pada jemaah haji Indonesia. Desain yang digunakan cross sectional, dengan pendekatan kuantitatif. Populasi dalam penelitian adalah seluruh jemaah haji yang melakukan ibadah haji sebanyak 168.800 jiwa, sampel adalah jemaah haji Indonesia yang berada di Mekkah dan Madinah sebanyak 163 responden. Teknik analisis data meliputi analisis univariat, analisis bivariat dengan uji Chi-Square, dan analisis multivariat dengan menggunakan uji regresi logistik berganda. Hasil seleksi bivariat menunjukkan bahwa variabel pengetahuan tidak memiliki hubungan yang signifikan dimana nilai p-value 0,284 > 0,05, sedangkan variabel sikap memiliki hubungan karena nilai p-value 0,000 < 0,05. Pada analisis multivariat uji regresi logistik berganda diperoleh bahwa variabel sikap yang memiliki signifikansi paling dominan dengan penggunaan masker pada jemaah haji atau nilai p-value 0,000 < 0,05 dan Odds Ratio 3,558, artinya sikap yang tidak mendukung penggunaan masker berpeluang sebesar 3 kali mengalami kejadian ISPA.

scholarly journals Pengaruh kedalaman dan lama menyelam terhadap ambang-dengar penyelam tradisional dengan barotrauma telinga

2012 ◽  
Vol 42 (2) ◽  
Author(s):  
Arief Tjatur Prasetyo ◽  
Joseph Bambang Soemantri ◽  
Lukmantya Lukmantya
Keyword(s):  
Logistic Regression ◽  
Middle Ear ◽  
Ambient Pressure ◽  
Hearing Threshold ◽  
Chi Square ◽  
Cross Sectional ◽  
Diving Depth ◽  
Regression Test ◽  
Collection Data ◽  
Logistic Regression Test

Background: Ear barotrauma is ear tissue damage resulted by the inability to equalize pressure in the middle ear space with the ambient pressure. The greatest relative change in pressure during diving,is near the surface. Ear barotrauma can occur when diving done without equalizing middle ear pressurewith proper procedures. Recurrent ear barotrauma in a long time period can use damage of elastic fibersrecoiling capacity of the tympanic membrane to be irreversible, so it can cause hearing loss. Suddenpressure changes in middle ear space, can be forwarded to the inner ear so it can cause inner eardamage, even deafness. Purpose: This study aims to determine the effect of depth and diving durationto hearing threshold in the traditional divers (divers with diving air compressor tools), who experienced ear barotrauma, and to know the incidence of ear barotrauma. Method: This was an observational analytic study with cross sectional data collection. Data analysis used the cross table, ChiSquare(X2), Spearman correlation and logistic regression test. Result: On October 8 - December 18, 2011 has been conducted a study in traditional divers. 24 samples from 74 population were found. 50 persons with noear barotrauma founds no significant statistic differences with characteristic samples. The results ofChi - Square and Spearman correlationthe showed p=0.350, p=0.382 and p=0.372, p=0.281, which are>a(0.05). The result of logistic regression test showed significancy values were 0.771 and 0.610, whichwere >a(0.05). Ear barotrauma incidence is 32.4%. Conclusion: There is no significant effect of depthand duration of diving to hearing threshold in the traditional divers who experienced ear barotrauma.Ear barotrauma incidence is 32.4%. Keywords:  ear barotrauma, diving depth, diving duration, hearing threshold. Abstrak :  Latar belakang: Barotrauma telinga adalah kerusakan jaringan telinga akibat ketidak-mampuanmenyamakan tekanan ruang telinga tengah dengan lingkungan. Perubahan tekanan relatif terbesar selamamenyelam terdapat di dekat permukaan. Barotrauma telinga dapat terjadi apabila penyelaman tanpamelaksanakan ekualisasi tekanan telinga tengah dengan cara yang benar. Barotrauma telinga berulangdalam periode lama dapat menyebabkan gangguan kapasitas recoiling serabut elastis membran timpanimenjadi irreversible, sehingga dapat menyebabkan gangguan pendengaran. Perubahan tekanan mendadakdi ruang telinga tengah dapat diteruskan ke telinga dalam sehingga dapat menyebabkan kerusakan telingadalam, bahkan ketulian. Tujuan: Mengetahui pengaruh kedalaman dan lama menyelam terhadap perubahanpendengaran pada penyelam tradisional (penyelam dengan alat bantu selam kompresor udara) yangmengalami barotrauma telinga, serta angka kejadian barotrauma telinga. Metode: Merupakan penelitianobservasional analitik, dengan pengambilan data secara cross sectional. Analisis data menggunakan tabelsilang, uji Chi-Square (X), korelasi Spearman dan regresi logistik. Hasil: Pada Oktober - Desember 2011telah dilakukan penelitian pada penyelam tradisional. Didapatkan 24 sampel dari 74 populasi. Terdapat50 orang tidak mengalami barotrauma telinga, yang tidak terdapat perbedaan statistik signifikan dengankarakteristik sampel. Hasil uji Chi-Square dan korelasi Spearman menunjukkan nilai p=0,350, p=0,382, danp=0,372, p=0,281, yang >a(0,05). Uji regresi logistik menunjukan nilai signifikansi 0,771 dan 0,610, yang>a(0,05). Angka kejadian barotrauma telinga sebesar 32,4%. Kesimpulan: Tidak terdapat pengaruh yangsignifikan kedalaman dan lama menyelam terhadap perubahan pendengaran pada penyelam tradisionalyang mengalami barotrauma telinga. Angka kejadian barotrauma telinga sebesar 32,4%.2 Kata kunci: barotrauma telinga, kedalaman menyelam, lama menyelam, ambang dengar

scholarly journals Analyze of House Conditions and The Rat Existence Affected to The Leptospirosis Cases in Klaten District

2016 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Nisa Azza Katulistiwa ◽  
Kusuma Scorpia Lestari
Keyword(s):  
Control Design ◽  
Case Control ◽  
Bivariate Analysis ◽  
P Value ◽  
Housing Conditions ◽  
Chi Square ◽  
Independent Variables ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

Abstract: In Klaten district,  leptospirosis cases raised  up  during  6 years (2006–2013), except in 2012.  The  healthy houses coverage raised up as well, although some houses still had not met healthy house criteria. The aim of this study was to analyze of house conditions and the rat exsistence affected to the leptospirosis cases in Klaten district. This study was observational analytic study used case control design. This study  was conducted on November, 2013–June, 2014 by using questionnaire, interview, and observation. The sample was 60 respondents with 30 cases and 30 controls. The independent variables  were the house conditions, house components, sanitation facilities, behavior,  and rat existence in the  house. Bivariate analysis  used chi square  test,  the  result showed that the  house conditions (p value  =  0.009 OR = 6.882), behavior  (p value = 0.017 OR = 6.000), and the rat existence in the house (p value = 0.030 OR = 10.545) were related to the leptospirosis cases. Multivariate analysis  used logistic regression test, the result showed unhealthy house conditions was the dominant risk factors that affect to the leptospirosis cases with value of probability about 74,6% and  two-fold  higher  risk compared with healthy house conditions. The suggestion for community in Klaten District is attempting to improve  the environmental house health by having a clean  and healthy living, such as always to put the garbage away to the waterproof  and closed bins and to put the garbage away regularly from house in the evening to prevent  rats go into house.Keywords: housing conditions, rat, unhealthy houses, leptospirosis

scholarly journals The Role of Risk Factors (Onset - Hospitalization, Onset - Surgery, Increase in Pulse, Systolic Blood Pressure) on Death in Gastric Perforation

2019 ◽  
Vol 2 (2) ◽  
pp. 13-23
Author(s):  
Faisal Amri Lubis ◽  
Sarup Singh
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Logistic Regression ◽  
Hospital Admission ◽  
Systolic Blood Pressure ◽  
Gastric Perforation ◽  
Chi Square ◽  
Regression Test ◽  
The Relationship ◽  
Logistic Regression Test

ABSTRACT Introduction. Gastric perforation is the second most common complication due to peptic ulcer after bleeding where the risk of mortality in patients who have received surgical treatment is still high. The factors that have the greatest influence on the death of the patient are old age and the time span of handling more than 24 hours. This study aims to determine the relationship between risk factors (onset - hospitalization, onset - surgery, increased pulse, decreased systolic blood pressure) on the death of gastric perforation patients undergoing surgery at Dr. General Hospital Mohammad Hoesin Palembang. Methods: An observational analytic study with a case-control study design was carried out from August to October 2017 at the Dr. General Central Hospital Mohammad Hoesin (RSMH) Palembang. There were 90 respondents consisting of 30 sample groups with death cases and 60 sample groups with life control. The relationship between independent and dependent variables was analyzed by Chi Square test while risk factors that play a role in death in gastric perforation patients who performed surgery were analyzed with the Logistic Regression test. Data analysis uses SPSS version 18.0. Results. There was a significant relationship between increased pulse (OR = 11,227 CI95% 3,923-32,129; p = 0,000), onset - MRS (hospital admission) (OR = 4,125 CI95% 1,579-10,773; p = 0,006) and onset - surgery (OR = 3,786 CI95% 1,267-11,308; p = 0.029) on the death of a gastric perforation patient undergoing surgery. With the Logistic Regression test, an increase in pulse and onset - hospital admission was significantly related to the death of a gastric perforation patient undergoing surgery. Conclusion. It can be concluded that the increase in pulse and onset of hospital admission are risk factors that contribute to the death of gastric perforation patients who undergo surgery.

scholarly journals Hubungan Antara Status Gizi Dan Kebiasaan Berolahraga Dengan Nilai Volume Oksigen Maksimal (VO2 Max) Pada Siswa Laki - Laki SMP Negeri Di Temanggung Selama Pandemi Covid-19

2021 ◽  
Vol 4 (4) ◽  
pp. 30
Author(s):  
Irvan Dwi Cahyono ◽  
Tri Agustina ◽  
Sri Wahyu Basuki ◽  
Budi Hernawan
Keyword(s):  
Nutritional Status ◽  
Male Students ◽  
P Value ◽  
Vo2 Max ◽  
Chi Square ◽  
Exercise Habits ◽  
Regression Test ◽  
Chi Square Test ◽  
Negative Impacts ◽  
Logistic Regression Test

The negative impacts of the Covid-19 pandemic include anxiety, stress, reduced appetite, boredom, and physical fitnessproblems. These conditions certainly affect the nutritional status and also the cardiorespiratory fitness of a person. InIndonesia, at least 15 out of 1000 people, or around 2,784,064 individuals suffer from heart disease. In Central JavaProvince, 0.61% of them are children aged 5-14 years old (Riskesdas, 2018). The VO2 Max value is a method formeasuring cardio respiration that can be used to determine which children are at risk of suffering from cardiovasculardisease. The VO2 Max value is influenced by several factors, including nutritional status and exercise habits. Thisstudy aimed to find out the correlation between nutritional status and exercise habits and the value of maximum oxygenvolume (VO2 Max) in male students at SMP Negeri in Temanggung during the Covid-19 pandemic. This was adescriptive-analytic study with across-sectional design. The sampling was done using the purposive sampling methodon 57 samples at SMP Negeri 1 Kaloran. It used Chi-square test for nutritional status variable with p value = 0.000 andexercise habits with p value = 0.001. The logistic regression test was used for each p-value with the nutritional statusOR value of 6.640 and the exercise habit OR value of 4.807 and with R Square value of 0.38 or 38%. There was acorrelation between nutritional status and exercise habits and the value of maximum oxygen volume (VO2 Max) inmale students at SMP Negeri in Temanggung during the Covid-19 pandemic.

Faktor Risiko Kematian Neonatal Di Kabupaten Timor Tengah Selatan dan Sumba Timur

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Masrida Sinaga ◽  
Keristina Br. Ginting
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Neonatal Death ◽  
Low Birthweight ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Neonatal Deaths ◽  
Regression Test ◽  
Logistic Regression Test

Angka Kematian Bayi (AKB) sampai saat ini masih tinggi di Indonesia, dan Provinsi Nusa Tenggara Timur (Provinsi NTT) merupakan salah satu penyumbang tingginya AKB tersebut, paling tinggi angka di Kab. Sumba Timur dan Timor Tengah Selatan. Kematian neonatal bisa terjadi karena faktor risiko pada ibu dan juga anak. Tujuan penelitian ini untuk menganalisa faktor-faktor yang berpengaruh terhadap kematian neonatal, agar dapat dikembangkan model pengendaliannya. Penelitian menggunakan desain kasus kontrol, dengan populasi adalah semua bayi baru lahir yang bersalin di dan tercatat di RSUD dan Puskesmas perawatan yang berlokasi di Kabupaten TTS dan Sumba Timur pada tahun 2016. Sampel kasus adalah 116 kasus kematian neonatal, dan kontrol adalah 232 neonatal hidup yang merupakan tetangga terdekat kasus dengan status sosial ekonomi yang disamakan. Data dianalisis secara deskriptif dan inferensial, yakni analisis data univariabel, bivariabel (uji chi-square), dan multivariabel (uji regresi logistik ganda). Hasil penelitian menunjukkan bahwa sebagian besar kematian neonatal di Kab. TTS (81,7%) dan Kab. Sumba Timur (86,4%) terjadi pada neonatal dini, sebagian besar disebabkan asfiksia (69,2%). Faktor risiko ibu yang berhubungan dengan kematian neonatal adalah tingkat pendidikan ibu (p-value = 0,02), status gizi (anemi/KEK) (p-value = 0,000), komplikasi (p-value = 0,000), dan praktek ANC (p-value = 0,000). Semua faktor risiko anak yang diteliti yakni prematuritas (p-value = 0,000), berat bayi lahir (p-value = 0,000), asfiksia (p-value = 0,000) dan infeksi (p-value = 0,000) berhubungan dengan kematian neonatal. Sebagian besar bayi yang lahir dengan BBLR (65,5%), dengan asfiksia (69,0%) mengalami kematian neonatal. Hasil uji regresi logistik ganda menunjukkan bahwa komplikasi pada ibu (p-value = 0,000), anemi (p-value = 0,01), asfiksia (p-value = 0,000), BBLR (p-value = 0,001) dan prematuritas (p-value=0,012) merupakan faktor yang paling berisiko terhadap kematian neonatal. Perlu upaya pencegahan komplikasi pada ibu hamil/melahirkan dan peningkatan kesehatan serta status gizi ibu sebelum dan saat hamil, agar anak yang dilahirkan tidak BBLR, asfiksia, dan prematur, sehingga kematian neonatal bisa dicegah.   Infant Mortality Ratio (MMR) in Indonesia remains high, and the Province of Nusa Tenggara Timur (NTT) is one of the contributors to the high IMR, the highest mortality occurred in the districts of Sumba Timur and Timor Tengah Selatan. Neonatal deaths are due to risk factors faced by women and children. The objective of this research is to analyze factors influencing neonatal death, which serve to contribute to the development of a control model. This research employs control case design, where the population consists of all neonates born (and recorded) at district hospitals and inpatient health centers located in the districts of Timor Tengah Selatan and Sumba Timur, within the year of 2016. The sample consists 116 neonatal deaths, and the control consists of 232 live neonates within the closest neighborhood, with equated socio-economic status. Data are analyzed descriptively and inferentially, through uni-variable, bi-variable (chi-square-test), and multi-variable (multiple logistic regression test) analyses. Results of this research show that most neonatal death in TTS (81.7%) and Sumba Timur (86.4%) districts occurred within the early neonates, and those are mostly caused by asphyxia (69.2%). Risk factors faced by women relevant to neonatal deaths are women’s level of education (p-value = 0.02), nutritional status (anemia/Chronic Energy Deficiency) (p-value = 0.000), complication (p-value = 0.000), and ANC practice (p-value = 0.000). All researched risk factors raced by neonates are prematurity (p-value = 0.000), birthweight (p-value = 0.000), asphyxia (p-value = 0.000) and neonatal death related infection (p-value = 0,000). Most of infants are born with Low Birthweight (65.5%), and asphyxia (69.0%) died as neonates. Results of multiple logistic regression test show that complication suffered by women (p-value = 0.000), anemia (p-value = 0.01), asphyxia (p-value = 0.000), Low Birthweight (p-value = 0.001) and prematurity (p-value = 0.012) are the highest risk factors for neonatal deaths. Prevention of complication among pregnant women/women in labor and improvement of nutritional status of women before and during pregnancy are required to ensure that infants are not born with low birthweight, asphyxia, and prematurely, which in turn prevent neonatal deaths.

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