Intelligence level in children with cerebral palsy (CP) at YPAC Medan

Abstract

Abstrak Anak cerebral palsy memiliki masalah kesulitan makan yang menyebabkan asupan zat gizinya kurang, sehingga peran pengasuh sangatlah penting. Posisi pemberian makan adalah salah satu cara untuk mengatasi masalah makan pada anak cerebral palsy. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan pengasuh tentang posisi pemberian makan dengan asupan energi dan protein pada anak cerebral palsy di Yayasan Pembinaan Anak Cacat (YPAC) Malang. Desain penelitian ini adalah cross sectional study. Subjek (12 pengasuh) dipilih dengan cara total sampling sesuai kriteria inklusi. Hasil penelitian ini menunjukkan bahwa 66,7% tingkat pengetahuan pengasuh tentang posisi pemberian makan tergolong baik. Rerata asupan energi dan protein anak lebih rendah dibandingkan dengan angka kecukupan gizi. Sejumlah 75% anak cerebral palsy memiliki asupan energi defisit (42% asupan defisit berat dan 33% defisit ringan). Sementara itu, 50% anak memiliki asupan protein defisit (33% asupan defisit berat dan 17% asupan defisit ringan). Uji korelasi Pearson menunjukkan tidak terdapat hubungan antara pengetahuan pengasuh tentang posisi pemberian makan dengan asupan energi maupun dengan asupan protein (masing-masing, p = 0,994 dan p = 0,526). Kesimpulan dari penelitian ini menunjukkan tidak adanya hubungan antara pengetahuan pengasuh tentang posisi pemberian makan dengan asupan gizi anak cerebral palsy. Kata kunci: cerebral palsy, energi, makan, posisi, protein. Abstract Cerebral palsy children have eating problem that cause in low nutrient intake. So, the caregiver role is very important to prevent eating problems. Feeding position is one of techniques, which is a solving for eating problem in cerebral palsy. This study was aimed to explain about relationship between feeding position knowledge of caregiver and nutrition intake in cerebral palsy children at YPAC Malang. The study design was cross-sectional study. Subjects (12 caregivers) were selected by total sampling method based on the inclusion criterias. The results showed 66.7% of the caregiver level of knowledge were good. The mean of energy and protein intake were lower than dietary reference intakes (DRI). Energy intake was 75% classified as deficit (42% severe deficit and 33% mild deficit). Furthermore, the percentage of protein intake was classified as deficit by 50% (33% severe deficit and 17% mild deficit). Pearson correlation test showed there was no association between caregiver's feeding position knowledge with energy intake, and also with protein intake (p = 0.994 and p = 0.526, respectively). In conclusion, there is no relationship between caregiver's knowledge on feeding position with nutrition intake in cerebral palsy children.

Association between type of cerebral palsy and the cognitive levels

“…However, it is generally believed that gender has no role on the development of cerebral palsy. Rambe et al 8 of mixed type of cerebral palsy in severe mental X2=5.957; df = 3; P = 0.114 retardation. Our results were in line with Hutton and which stated prevalence of cerebral palsy children who suffered from mental retardation damage location inside the brain and types of cerebral palsy which also determine the type.…”

“…On the other hand, Rambe et al 8 showed a definite association between types of cerebral palsy and congnitive level, but on the other hand other investigators found that such association does not exist.…”