Stunting masih menjadi masalah gizi anak yang utama yang dapat menimbulkan dampak besar, namun masyarakat khususnya orangtua banyak yang belum memahami stunting dengan benar. Tujuan penelitian ini adalah menganalisis faktor yang berhubungan dan yang mempunyai pengaruh paling dominan terhadap pengetahuan orang tua tentang stunting pada balita. Penelitian ini menggunakan desain crosssectional dengan populasi yaitu orangtua yang memiliki anak balita usia 0-3 tahun di Posyandu Dusun Plosoarang, Sanankulon, Kabupaten Blitar. Sampel diambil dengan purposive sampling sebanyak 20 orang dengan kriteria inklusi orang tua yang mengantar ke posyandu dan minimal berpendidikan SMP. Pengukuran data menggunakan kuesioner meliputi data pengetahuan, usia, pendidikan terakhir, pekerjaan, dan informasi yang pernah diperoleh. Analisis bivariat menggunakan koefisien kontingensi. Analisis multivariat menggunakan uji regresi logistik ganda dengan nilai signifikan α=0,05. Hasil penelitian menunjukkan faktor yang berhubungan dengan pengetahuan tentang stunting yaitu usia (p=0,017), pendidikan (p=0,043), informasi (p=0,002). Analisis uji regresi logistik menunjukkan informasi menjadi faktor yang paling dominan terhadap pengetahuan (p=0,025). Faktor yang tidak berhubungan yaitu pekerjaan (p=0,078) dan pengalaman (p=0,822). Petugas posyandu agar memberikan informasi tentang stunting saat kegiatan posyandu misalnya melalui penyuluhan atau konseling. Orang tua diharapkan agar meningkatkan pengetahuan tentang stunting dengan mencari informasi melalui berbagai media yang ada.
BackgroundImplantable cardioverter-defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias.MethodsA multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form-8 (SF-8), Beck Depression Inventory (BDI), Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD).ResultsPatients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF-8.ConclusionsIn our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.
Sleep quality is often impaired in patients with chronic heart failure (HF), which may worsen their quality of life and even prognosis. Leg thermal therapy (LTT), topical leg warming, has been shown to improve endothelial function, oxidative stress, and cardiac function in patients with HF. However, its short-term influence to sleep quality has not been evaluated in HF patients. Eighteen of 23 patients with stable HF received LTT (15 min of warming at 45 °C and 30 min of insulation) at bedtime for 3 consecutive nights and 5 patients served as control. Subjective sleep quality was evaluated by St. Mary's Hospital Sleep Questionnaire, Oguri-Shirakawa-Azumi Sleep Inventory, and Epworth sleepiness scale, and also objectively evaluated by polysomnography. LTT significantly improved subjective sleep quality indicated by depth of sleep (p < 0.01), sleep duration (p < 0.05), number of awaking (p < 0.01), nap duration (p < 0.01), sleep quality (p < 0.05), and sleep satisfaction (p < 0.05). It was also objectively affirmed by a slight but significant decrease of sleep stage N1 (p < 0.01), and increase in sleep stage N2 (p < 0.05). No significant changes occurred in the controls. Hence, the short-term LTT could improve subjective and objective sleep quality in patients with HF. LTT can be a complimentary therapy to improve sleep quality in these patients.
Working mom's busyness affects the physical and psychological condition of the mother inhibiting the smoothness of milk production. The application of hypnobreastfeeding makes the mother relaxation so as to increase the hormone prolactin and oxytocin for smooth milk production. The procedure of hypnobreastfeeding by giving a positive suggestion/affirmation sentence in the mother's unconscious mind can increase the mother's confidence in the breastfeeding process. The purpose of this study was to explain the effect of hypnobreastfeeding on breast milk production on breastfeeding working mothers. This study used one group pretest posttest design. 25 breastfeeding working mothers were taken by consecutive samping. Hypnobreastfeeding is done independently after being given 1x workshop and performed every day at least 2x a day before breastfeeding. Breastmilk production is measured for 7 days before and after hypnobreastfeeding using a measuring cup based on the volume of dairy milk in a day. The average milk production before treatment 210 ml / day and after treatment to 255 ml / day. Data analysis using paired t-test with significant value α = 0,05 got p value = 0.000 indicating hypnobreastfeeding effect to milk production in working breastfeeding mother. Nurses or other health workers may recommend hypnobreastfeeding as one of the lactation management methods to increase breastfeeding production, especially in working breastfeeding mothers. Keywords: hypnobreastfeeding,breast milk production, breastfeeding working mothers
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