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Journal : Aesculapius Medical Journal

Hubungan Berulangnya Kejang Demam pada Anak Dengan Riwayat Kejang di Keluarga Putu Ayu Prita Nandari Dewi; Anak Agung Oka Lely; Putu Indah Budiapsari
AMJ (Aesculapius Medical Journal) Vol. 1 No. 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Abstrak Kejang demam merupakan kejang disebabkan oleh peningkatan suhu tubuh (>38ºC), tanpa disertai penyebab atau penyakit lain yang memicu terjadinya kejang seperti infeksi sistem saraf pusat (SSP), gangguan elektrolit, trauma, atau epilepsy, yang mengenai 2%-4% anak usia 6 bulan - 5 tahun. Berulangnya kejang demam dipengaruhi oleh berbagai faktor risiko, salah satu faktor risiko tersebut adalah riwayat kejang di keluarga. Tujuan penelitian ini adalah untuk mengetahui faktor risiko berulangnya kejang demam dan apakah terdapat hubungan antara riwayat kejang di keluarga dengan berulangnya kejang demam. Penelitian ini menggunakan metode analitik dengan desain cross sectional serta telah melewati ethical clearance. Jumlah sampel sebanyak 69 pasien dipilih secara simple random sampling. Data didapatkan melalui rekam medis semua pasien anak dengan kejang demam berulang yang dirawat di RSUD Tabanan tahun 2017 - 2020. Dari 69 sampel pasien kejang demam, sebanyak 37 sampel (53,6%) mengalami kejang demam berulang. Hasil pengujian independent t test mendapatkan pengaruh yang signifikan antara jenis kejang demam sederhana (P=0,00) dan riwayat kejang di keluarga (P=0,00) terhadap berulangnya kejang demam. Hasil uji regresi logistik menunjukan bahwa riwayat kejang di keluarga memiliki hubungan yang kuat terhadap berulangnya kejang demam (P=0,00; OR=6,09). Anak memiliki risiko 6,09 kali lebih besar untuk kembali mengalami kejang demam apabila memiliki riwayat kejang di keluarga. Kata Kunci: Berulangnya Kejang Demam, Faktor Risiko, Riwayat Kejang di Keluarga. Abstract [The Relationship of Recurrent Febrile Seizure in Children with A Family History of Seizures] Febrile seizures are seizures that occur in children aged 6 months to 5 years, caused by a sudden spike in body temperature (>38ºC), with no other underlying seizure-provoking causes or diseases such as the central nervous system infections, electrolyte abnormalities, trauma, or epilepsy. Recurrent febrile seizures are influenced by various risk factors and almost one-third of all patients with febrile seizures have a family history of seizures. The purpose of this study was to determine the risk factors for recurrence of febrile seizures and how strong the relationship between family history of seizures and recurrence of febrile seizures was. This study was a descriptive-analytic study with a cross sectional approach that have passed the ethical clearance process, using data from medical records of all pediatric patients with recurrent febrile seizures in RSUD Tabanan in 2017-2020. There were 69 samples who had febrile seizures and 37 samples (53.6%) had recurrent febrile seizures. In this study, using independent t test, it was found that there was a significant influence between the types of febrile seizures (simple febrile seizures) (P=0.00) and family history of seizures (P=0.00) on the recurrence of febrile seizures. Multivariate analysis using regression logistic test showed that family history of seizures had a very strong influence on the recurrence of febrile seizures (P=0.00; OR=6.09). Children with a family history of seizures had a 6.09 times greater risk of experiencing recurrent febrile seizures compared to children who didn’t have seizures in their families. Keywords: Recurrence of Febrile Seizure, Risk Factors, Family History of Seizures
Pengaruh Senam Hamil Terhadap Tingkat Kecemasan Ibu Hamil di Rumah Bersalin Bunda Setia Luh Listya Wahyuni; Sagung Putri Permana Lestari Murdhana Putere; Putu Indah Budiapsari
AMJ (Aesculapius Medical Journal) Vol. 1 No. 2 (2022): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Anxiety is an uncomfortable psychological condition with a sense of restlessness accompanied by increased physiological changes. The impact of anxiety in pregnancy can affect the growth and development of the baby. Ways that can be implemented to minimize anxiety during pregnancy such as doing light exercise such as exercise for pregnant women. This study aims to find out the effect of giving pregnancy exercises on the level of anxiety of pregnant women at the Mother Setia Maternity Home. The study used analytical techniques with a cross sectional study with a sample size of 50 respondents. Sampling used simple random sampling method. The data collection method used a questionnaire. This study uses univariate and bivariate data analysis with linear regression statistical testing. The results of this study showed that pregnant women who took part in gymnastics had a proportion of mild anxiety 100% and mothers who did not participate in exercise had mild and moderate anxiety levels of 36%. There was a difference in anxiety scores in mothers who took part in gymnastics compared to those who did not (p<0.05). There is an effect of the frequency and gravida of pregnancy exercise on the level of anxiety p<0.05. In conclusion, pregnancy exercise has an effect on the level of anxiety in pregnant women.
Hubungan antara Dukungan Keluarga, Faktor Psikologis, Status Ekonomi dan Pengetahuan Tentang Perawatan Bayi dengan Kesuksesan Pemberian Air Susu Ibu Eksklusif di area Puskesmas I Denpasar Timur Angel Lim; Putu Indah Budiapsari; I Gusti Ngurah Suryantha
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Abstract Exclusive breastfeeding is important to reduce infant mortality and morbidity which is still high in Indonesia. The coverage of exclusive breastfeeding in Bali Province has reached the target of the Ministry of Health's 2019 Strategic Plan, which is 59.7%. However, several regencies/cities, one of which is Denpasar (47.6%), still have not reached the Strategic Plan target of 50%. The purpose of this study was to determine the relationship between family support, psychological factors, economic status and knowledge about infant care with the success of exclusive breastfeeding in the Work Area of ​​Puskesmas I, East Denpasar. The design of this study was analytic with a cross-sectional approach. Population namely; There are 120 mothers who have babies aged 6-12 months in the working area of ​​Puskesmas I Denpasar Timur. Respondents were selected by purposive sampling as many as 65 people. The variables in this study were family support, psychological state, economic status, infant care, and mother's success in exclusive breastfeeding. Data were collected using a questionnaire and have been tested for validity and reliability. Univariate data analysis to determine the percentage of occurrence of each variable studied and bivariate analysis using the chi-square test with a significance degree of sig (p <0.05). The results of this study indicate that family support affects the success of exclusive breastfeeding, where p value = 0.000 <0.05, psychological factors affect the success of exclusive breastfeeding where p value = 0.000 <0.05, economic status does not affect the success of exclusive breastfeeding where p value = 0.692> 0.05, and knowledge about infant care affects the success of exclusive breastfeeding p value = 0.000 <0.05.