ABSTRACT Problems faced by children during home care is difficulty sleeping due to treatment and environmental conditions that are different from home conditions. Based on a survey conducted in February 2016, out of 12 treated children had difficulty falling asleep due to the disease 's illness and the uncomfortable environment. The purpose of this study was to determine the factors that influence the sleep patterns of children who underwent hospitalization at the inpatient ward of Mayor Jendral HM Ryacudu Kotabumi Regional Hospital. The research design uses quantitative analytic with cross sectional approach. Research sample is children aged 1-3 years amounted to 68 people. The research variables consist of independent and dependent variable. Independent variables are physical illness, environmental and emotional stress while dependent variable is sleep pattern. Data analysis using univariate and bivariate analysis through chi-square test with α = 0,05. The univariate result was obtained by 51 people (75.0%) of disturbed sleep patterns, 48 people (70.6%) had physical illness, 59 people (86.8%) felt the environment was disturbing, and 59 people (86.8%) experienced emotional stress. Bivariate results show there is a relationship between physical illness with sleep patterns in children, there is a relationship between the environment with sleep patterns of children and there is no relationship between emotional stress with sleep patterns in children. Keyword: sleep patterns, children, hospitalization, hospital, difficulty sleeping ABSTRAK Persoalan yang dihadapi anak selama di rawat di rumah adalah kesulitan tidur akibat pengobatan dan keadaan lingkungan yang berbeda dengan kondisi rumah. Berdasarkan presurvey yang dilakukan pada bulan Februari 2016, dari 12 anak yang dirawat mengalami sulit tidur karena`faktor penyakit yang diderita dan lingkungan yang kurang nyaman. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang mempengaruhi pola tidur anak yang menjalani hospitalisasi di ruang rawat inap anak Rumah Sakit Daerah Mayor Jendral HM Ryacudu Kotabumi. Desain penelitian mengunakan analitik kuantitatif dengan pendekatan cross sectional. Sampel penelitian adalah anak usia 1-3 tahun berjumlah 68 orang. Variabel penelitian terdiri atas variabel independen dan dependen. Variabel independen adalah penyakit fisik, lingkungan dan stress emosional sedangkan variabel dependen adalah pola tidur. Analisa data menggunakan analisa univariat dan bivariat melalui uji chi-square dengan α = 0,05. Hasil univariat diperoleh 51 orang (75.0%) pola tidur anak terganggu, 48 orang (70.6%) mengalami penyakit fisik, 59 orang (86.8%) merasakan lingkungan menganggu, dan 59 orang (86.8%) mengalami stress emosional. Hasil bivariat menunjukkan ada hubungan antara penyakit fisik dengan pola tidur pada anak, ada hubungan antara lingkungan dengan pola tidur anak dan tidak ada hubungan antara stress emosional dengan pola tidur pada anak. Kata Kunci: pola tidur, anak, hospitalisasi, rumah sakit, sulit tidur
Thalassemia is a disorder of hemoglobin synthesis with clinical manifestations of severe anemia. With a total of 35 sufferers in North Lampung, thalassemia causes complex health problems, especially during the Covid-19 Pandemic, including 1. The limited blood supply for transfusions due to decreased donors; 2. The problem of malnutrition leading to reduced immunity; 3. Psychological and school problems; 4. Not all thalassemia children in North Lampung had Hb-analysis as a diagnostic procedure; and 5. Low consumption of iron chelation drugs to prevent hemosiderosis. The community service aims to improve the quality of life for thalassemia children in North Lampung during the Covid-19 Pandemic. The Community service activities used a process approach (preparation, implementation, evaluation) involving several professions and related stakeholders (interprofessional collaboration). The target of the activities was thalassemia children and families who are members of the Association of Parents with Thalassemia (POPTI) North Lampung, with a total of 35 people. Data were analyzed with proportional descriptive analysis. The community service activities were 1. Formation of a Thalassemia Care Community consisting of 75 permanent blood donor volunteers; 2. Health education about the nutritional needs of thalassemia children and provision of nutrition packages to 33 people (94.28%); 3. Counseling on psychosocial problems and learning disorders in schools; 4. Facilitating story books in the treatment room of HM Mayjend Ryacudu Hospital; 5. Laboratory examination of Hb analysis and ferritin levels and socialization of the management of iron chelation treatment to 23 people (65.71%) of thalassemia children and their families. All activities were carried out with health protocols during the Covid-19 Pandemic. Suggestion: It is necessary to develop a network and increase the membership of the Thalassemia Care Community to six permanent donors for one thalassemia child. The Originality/Value/ Implication of this community service activity is the formatting of the North Lampung Thalassemia Care Network and Community.
Tujuan dari penelitian ini adalah untuk mengetahui: (1) bagaimana perencanaan analisis konflik MAN 1 Mataram (2) bagaimana evaluasi pengelolaan konflik MAN 1 Mataram dan (3) bagaimana strategi penyelesaian konflik MAN 1 Mataram. Pendekatan yang digunakan dalam penelitian ini adalah kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara, observasi dan dokumentasi. Data dianalisis menggunakan Analysis Interactive Model yang terdiri dari koleksi data, reduksi data, penyajian data dan verifikasi data atau kesimpulan. Hasil penelitian ini menunjukkan bahwa: (!) perencanaan analisis konflik dan evaluasi pengeloaan konflik kepala MAN 1 Mataram dilakukan secara berkala setiap minggu, setiap bulan, setiap semester dan setiap tahun dengan melibatkan seluruh komponen madrasah (2) strategi penyelesaian konflik yang diterapkan kepala MAN 1 Mataram adalah menghindar, mengakomodasi, kompetisi, kompromi dan kolaborasi (3) MAN 1 Mataram merupakan madrasah dengan akreditasi A, kelengkapan data dan syarat dalam standar pendidikan nasional memenuhi dengan interval 98%-100% di masing-masing standar.
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