Latar belakang. Hiperbilirubinemia merupakan masalah umum yang sering dijumpai pada bayi baru lahir. Tata laksana hiperbilirubinemia neonatal dilakukan untuk mencegah timbulnya komplikasi dan fototerapi merupakan metode yang paling sering digunakan. Fototerapi konvensional menurunkan kadar bilirubin lebih lama dibanding fototerapi intensif sehingga berpotensi menyebabkan inefisiensi. Saat penelitian ini dilakukan, RSUD Prof.dr. Margono Soekarjo (RSMS) Purwokerto hanya memiliki alat fototerapi konvensional.Tujuan. Mengevaluasi pengelolaan hiperbilirubinemia neonatal dengan fototerapi konvensional. Metode. Penelitian crossectional melibatkan 157 subjek dengan kiteria inklusi adalah hiperbilirubinemia neonatal, yang dirawat inap pada Januari–September 2018 di RSMS Purwokerto, dengan menggunakan data sekunder rekam medis. Analisis data dan statistik digunakan SPSS dan uji Wilcoxon digunakan untuk mengalisis perbedaan antara kadar bilirubin serum total (BST) pra dan pascafototerapi. Hasil. Sebanyak 157 bayi (13,08 %) dirawat dengan hiperbilirubinemia, dengan usia tersering 3 hari. Rerata lama fototerapi 60,27 jam. Analisis komparatif antara kadar BST pra dan pascafototerapi, terdapat penurunan BST yang signifikan (p <0,001) dari 17.23±5.04 mg/dL (prafototerapi) menjadi 10,18±2,02 mg/dL (pascafototerapi). Rerata lama rawat inap 4,48±4,47 hari. Kecepatan penurunan kadar bilirubin 0,12 mg/dL per jam. Kesimpulan. Fototerapi konvensional efektif menurunkan kadar BST hiperbilirubinemia neonatal, tetapi tidak efisien.
LACTATION MANAGEMENT TRAINING FOR PREGNANT WOMEN AND BREASTFEEDING MOTHERS: EFFORTS TO OPTIMIZE CHILD GROWTH. The key person for making quality generation lies on mother, through breast milk. Breastfeeding, besides providing the best nutrition for optimal baby growth and development, it is also a form of love to a baby. Ironically, not all mothers realize and many mothers do not breastfeed their babies exclusively. The low level of knowledge and working mothers is often an obstacle for mothers to give exclusive breastfeeding. In Indonesia, almost 9 of 10 mothers give breast milk, but only 49.8% give exclusive breastfeeding for 6 months. Lactation management health promotion activities are carried out in accordance with WHO recommendations and the Indonesian government in promoting breastfeeding, especially increasing the achievement of the rate of early breastfeeding initiation and exclusive breastfeeding. The activities carried out using several methods: counseling, demonstration, video and discussion. We found that 54.1% of participants gave exclusive breastfeeding for 6 months, 27% for 4 months, and others 2-3 months. Wilcoxon Rank Test showed a significant difference (p = 0,000) between the score of pre-test and post-test, with a mean pre-test of 49.02 ± 19.74, and a mean post-test of 68.53 ± 20.00. Conclution: This activity increased participants' knowledge regarding lactation management.
Posyandu (integrated health center) as a health information center for the community is expected to be the spearhead of early detection of developmental disorders in children under five. Posyandu activities are driven by cadres. Cadres monitor the growth of children under five through anthropometric measurements: body weight, height, head circumference and development milestones. Knowing how to measure anthropometric parameters, data plotting on a growth chart in the Maternal and Child Health (Kesehatan Ibu dan Anak=KIA) book, and interpret the results are very important. Cadres with good understanding and skills will greatly assist in monitoring child growth and development. This activity is expected to increase the knowledge and skills of cadres in monitoring child development. This activity was carried out through counseling, training, case study, and discussion. Pre-tests and post-tests were conducted to evaluate this activity. The mean pre-test was 40.00 ± 11.69, with the lowest value being 10.00 and the highest value being 60.00. The mean post-test was 54.10 ± 12.08, the lowest value was 30.00 and the highest was 90.00. The Wilcoxon test found p=000, where 20.5% participants' knowledge did not change while 69.23% had better knowledge compared to before the activity. Conclusion: This training can significantly improve cadres' knowledge and skills about the use of the KIA book.
Myopia is the most common refractive disorder in school-aged children. These visual disorders need attention, because they can interfere with life and daily work, and also their intellectual development. This health promotion activity is conducted to improve knowledge and understanding about myopia and the efforts that must be done to maintain eye health. This activity was conducted on 140 students of 4th, 5th, and 6th grade of SDN 2 Berkoh Purwokerto, through counseling, training, giving module, leaflet and poster. Based on the T-test of the pre-post and post-test in each class, the p values obtained in grades 4,5 and 6 respectively p = 0.058; 0.588; and 0.074. Conclusion: this activity can increase students' knowledge of myopia, although the increase is not significant.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.