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.
Latar belakang. Kelainan kongenital anomali gastrointestinal merupakan kelainan defek morfologik saluran cerna yang dijumpai sejak bayi baru lahir. Tujuan. Mengetahui hubungan kelainan kongenital anomali gastrointestinal dan kematian neonatus.Metode. Studi potong lintang retrospektif dengan penelusuran rekam medis Departemen Ilmu Kesehatan Anak, RSUD Dr.Zainoel Abidin Banda Aceh sejak bulan Januari 2010-Desember 2011. Hubungan antar variabel dianalisis menggunakan uji X2dengan tingkat kemaknaan p<0,05.Hasil. Penelitian ini mendapatkan 79 pasien dengan kelainan kongenital anomali gastrointestinal yang terdiri atas bayi laki-laki 74,7% dan bayi perempuan 25,3%. Jenis penyakit kongenital anomali gastrointestinal yang didapat adalah atresia esofagus (2,5%), atresia duodenum (1,3%), atresia yeyunum (2,5%), penyakit Hirschsprung (29,1%), omfalokel (10,1%), gastroskisis (6,3%), volvulus (2,5%), dan malformasi anorektal (45,6%). Pasien dengan kelainan kongenital anomali gastrointestinal dijumpai 27,8% kasus meninggal. Hasil uji statistik Pearson Chi squaremenunjukkan bahwa usia gestasi, berat lahir serta jenis penyakit berhubungan bermakna dengan hasil luaran klinis (p<0.05). Kesimpulan. Didapatkan 27,8% kematian neonatus dengan kelainan kongenital anomali gastrointestinal di NICU RSUD Dr Zainoel Abidin, Banda Aceh. Usia gestasi, berat lahir dan jenis penyakit berhubungan dengan kematian neonatus dengan kelainan kongenital anomali gastrointestinal
Background: Premature rupture of membranes (PROM) is the discharge of amniotic fluid before the signs of labor. PROM is still a serious problem in obstetrics because it has a negative impact on the infant's final outcome. Therefore, this study aims to identify the infant outcomes with premature rupture of membranes after seven days of age at Dr. Zainoel abidin general hospital Banda Aceh, Indonesia. Methods and Materials: This study was an analytic observational study with a prospective cohort study design, using a sample size of 84 infants that met the inclusion criteria. This design was chosen because the researchers wanted to assess the outcomes of 7 days after birth due to PROM. The population in this study were all low birth weight infants who born due to PROM from January to September 2020 at Dr. Zainoel Abidin General Hospital Banda Aceh, Indonesia. Results: The results showed that the infant outcomes after 7 days born due to PROM were not encouraging, with a p-value < 0.000. The lowest neonatal survival rate in the group weighing less than 1,000 grams was 0%. The 1,000 gram to 1,500 gram heavy group had a 55% survival rate and the 1,500 gram to 2,500 gram group had a 95% survival rate. Conclusion: Based on the results of this study, premature rupture of membranes (PROM) increased infant mortality after 7 days of age at Dr. Zainoel Abidin General Hospital Banda Aceh, Indonesia.
Thalassemia is a congenital blood disorder characterized by reduced production of one or more globin chains. Thalassemia patients lack healthy hemoglobin which the body needs to be properly oxygenated. Blood transfusion is the main treatment for thalassemia patients. Checking hemoglobin levels after transfusion is a common test, but until now there is no definite uniformity of time to carry out these tests, so it will be detrimental to the patient and increase the length of the patient in the hospital. Assessing the difference in time to increase in hemoglobin levels at 1 hour, 6 hours, and 12 hours after blood transfusion in thalassemia patients. This research is an observational analytic study with cross sectional design. This study was conducted by examining the hemoglobin levels of thalassemia patients after 1 hour, 6 hours, and 12 hours after transfusion in thalassemia patients aged 1-18 years with a total sample of 40 people. The statistical analysis used was paired t test. The results showed that 20 men and 20 women and Most were in the age group 10-13 (35%), with an average Hb level at admission of 7.38 g / dL (95% CI). At 1 hour post-transfusion, the patient's mean Hb level increased by 8.97 g / dL (8,59-9,35 g / dL), at 6 hours post transfusion, 8.95 g / dL (8,57-9,32 g / dL), at 12 hours post transfusion increased by 9.60 g / dL (9,17-10,03 g / dL). Significant increase in Hb levels occurred at 1 hour and 12 hours after blood transfusion.
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