Abstrak Kemoterapi diyakini efektif dalam menghambat pertumbuhan sel kanker. Namun demikian kemoterapi juga menimbulkan efek samping bagi penderita kanker, salah satunya yaitu gangguan pemenuhan kebutuhan tidur. Penelitian ini bertujuan untuk mendapatkan informasi tentang gambaran kualitas tidur anak usia sekolah yang sedang menjalani kemoterapi di rumah sakit kanker. Penelitian menggunakan metode potong-lintang dengan melibatkan 40 responden yang diambil dengan teknik total sampling. Responden mengisi kuesioner berupa data demografi dan kuesioner Pittsburgh Sleep Quality Index (PSQI). Analisa data menggunakan uji univariat. Hasil penelitian menunjukkan rerata skor PSQI adalah 7 dari maksimal 21 (95% CI, 6,24-7,76) yang berarti responden memiliki kualitas tidur buruk. Tenaga kesehatan (khususnya perawat) diharapkan dapat melakukan monitoring untuk evaluasi pemenuhan kebutuhan tidur anak kanker. Kata kunci: anak usia sekolah, kanker, kemoterapi, kualitas tidur Abstract Quality of Sleep of School Age Children are Undergoing Chemotheraphy in Cancer Hospital Chemotherapy is believed to be effective in inhibiting cancer cell's growth. However, this therapy has side effects for cancer patients, one of them is sleeping needs disturbance. This study aims to get information about the status of sleep quality in school-age children whom are undergoing chemotherapy at cancer hospital, Jakarta. This study used cross sectional design with 40 participants using total sampling technique. Participants filled the questionnaire consisting of demographic data and the Pittsburgh Sleep Quality Index (PSQI). This study was analyzed using univariate test. The result showed that participants have quality sleep index with average score 7 from total 21 (95% CI, 6,24-7,76). It's indicated that participants have poor sleep quality. Health providers (especially nurses) are expected to conduct monitoring to evaluate sleep quality in children with cancer.
A retrospective study on the relationship between the general condition of acute lymphoblastic leukemia patients with remission rale and convulsion as an adverse effect 01 chemotherapy was conducted in leukemia patients of the hematology-oncology subdivision, Dcparlmenl of Child Health, Medical School, University 01 North Sumatra, Madan. Of 114 children with acute lymphoblastic leukemia, 81 (71.05%) received chemotherapy, 31 patients among them was in good general condition. Remission rale of the 31 patients was 80.6% (25 chWdren). Whereas in the remaIning 50 patients, the remlssloo rate among them was 84% (42 patients). There was no significant relationship between their general condition to the recurrence rate of Acute lymphoblastic leukemia patients who had been administered chemotherapy during induction phase. Convulsion was found In 2 cases, due to CNS leukemia. [Peedlatr Indones 2001 ;41 :33-37]
Immunization is a form of health intervention that is effective in reducing infant and under-five mortality rates. In Indonesia Aceh is the province with the lowest immunization coverage, where only 20% of Acehnese children receive complete basic immunization. M e n g analysis of the influence of parents' characteristics and perceptions of primary immunization in children in the General Hospital Dr. Zainoel Abidin Banda Aceh. This type of research is descriptive analytic with approach cross sectional using a questionnaire as a research instrument to the parents of the patients in the wards and child polyclinic period from June to July 2020. A sample of 51 people with methods Consecutive sampling. Data analysis used Chi-square test and Fisher exact test. Based on the results of the analysis of the relationship between parental perceptions and completeness of basic immunization, the results were obtained ( p > 0.05 ), for the assessment of the relationship between parental characteristics in the form of age, monthly income level and number of children with completeness of basic immunization in children, the results were obtained ( p > 0.05). , while the characteristics of the level of parental education with completeness of basic immunization in children obtained hacil ( p <0.05). There is an influence of parental characteristics, namely the level of education with completeness of basic immunization in children, while other variables, namely parents' perceptions, parental age, monthly income and number of children in one family do not affect the completeness of basic immunization in children at Dr. Zainoel Abidin Banda Aceh.
Background Hospital malnutrition in children can increase morbidity and mortality, regardless of the type of illness. The Screening Tool for Risk on Nutritional Status and Growth (STRONGkids) is a practical and easy nutritional risk screening tool that has been widely validated in several countries. Objective To examine the performance of STRONGkids for the early detection of hospital malnutrition in pediatric inpatients. Methods This cross-sectional study was conducted in the pediatric ward of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia. The pediatric inpatients' STRONGkids scores were calculated within 24 hours of admission. We used the chi-square test to compare the proportion of at-risk children based on STRONGkids scores with the prevalence of hospital malnutrition based on serial weight measurement. We also determined the sensitivity, specificity, as well as positive and negative predictive values of STRONGkids for detecting hospital malnutrition, with percentage of weight loss between admission and discharge as the gold standard. Result Out of 75 subjects, 48% were male. The hospital malnutrition prevalence was 29.3%. STRONGkids score was significantly associated with hospital malnutrition (P=0.023). The sensitivity, specificity, positive predictive value, and negative predictive value of STRONGkids for detecting hospital malnutrition was 77.3%, 54.7%, 41.4%, and 85.2%, respectively. Conclusion With its good sensitivity, the STRONGkids tool is effective in identifying those at risk of hospital malnutrition. In addition, with its high NPV, a “no-risk” score also effectively implies that the child is likely not to have hospital malnutrition.
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