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The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.

The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (<12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.

The Primaku application is effective in monitoring early childhood growth and development through parental assistance Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.939

Background: Early childhood growth and development disorders are still a concern for parents today, especially stunting. Monitoring early childhood growth and development is still a difficulty for parents today. Lack of access to digital-based information about children's health information makes it easy for parents to underestimate this so that it is too late to take care of it. So, it is necessary to have an application for monitoring the growth and development of early childhood based on digital. Objectives: This study aims to determine the effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. Methods: This study is a quantitative study with the type of Pre-Experiment, using the One Group Pretest-Posttest research design by providing parental assistance intervention using the PrimaKu Application in one meeting. The effect of the intervention was measured by comparing pre-test and post-test scores. Bivariate analysis was performed using the Wilcoxon Test. Results: The results of the analysis obtained a p-value: 0.001 (p <0.05) with a median pre-test>post-test value, namely 80.00>50.00 with a difference of 30.00. The minimum pre-test>post-test value, namely 50>30 with a difference of 20. The maximum pre-test>post-test value, namely 100>90 with a difference of 10. Conclusion: There is an effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. So, that the use of the PrimaKu application is highly recommended for parents to use in assessing early childhood growth and development.

The effective of cold compress in reducing pain before insertion of IV or blood draw in school-age children Dais, Exsos Grend; Lusty, Junita; Karwati, Eti; Purwati, Nyimas Henry
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.945

Background: The invasive procedure of insertion of IV or blood draw is carried out by inserting a needle into a vein, causing pain in the child. As a result, children find it difficult to interact with other people, have difficulty sleeping, decrease their interest in doing activities, and increase anxiety. One non-pharmacological measure to reduce pain is giving a cold compress using a cool gel pack. Method: The purpose of this study was to determine the effect of cold compress on pain during insertion of IV or blood draw in school-age children. Respondents in this study were school-age children (7-12 years) who were given a cold compress before insertion of IV or blood draw in the insertion of IV area which was divided into 2 groups, namely the intervention group with 20 respondents and the control group with 20 respondents. The research design used Quasy Experiment with Two Group Post Test Design. Results: The research results were obtained the pain measurement tool using the Numerical Rating Scale in the intervention group was in the mild pain category (1-3) as many as 18 (90%), while in the control group it was in the severe pain category (7-10) as many as 20 (100%),so it can be concluded that there is an effect of cold compress on pain during insertion of IV or blood draw in school-aged children with p-value: 0.000 (p<0.05). Conclusion: It is recommended for hospitals to continue cold compress interventions to reduce pain during insertion of IV or blood draw and provide education so that parents can recognize the importance of cold compress in pediatric pain management.

Aplikasi Primaku: Pendampingan Orang Tua Terhadap Penilaian Tumbuh Kembang Anak Usia Dini Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Jurnal Pengabdian Harapan Ibu (JPHI) Vol 7 No 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.960

Gangguan pertumbuhan dan perkembangan anak usia dini, terutama stunting, masih menjadi kekhawatiran utama bagi orang tua. Stunting dapat menghambat potensi sumber daya manusia, meningkatkan risiko kesehatan, dan bahkan berkontribusi pada kematian anak. Prevalensi stunting di Kabupaten Tangerang naik sebesar 5,3% pada tahun 2023 berdasarkan Survei Kesehatan Indonesia (SKI). Namun, kurangnya akses informasi berbasis digital mengenai kesehatan anak membuat orang tua sering menyepelekan pemantauan pertumbuhan dan perkembangan anak usia dini, sehingga terlambat melakukan intervensi. Sebagai solusi, pengabdian kepada masyarakat ini bertujuan memberikan pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Kegiatan ini dilaksanakan melalui pendampingan interaktif selama satu hari di Posyandu Rajawali Wilayah Kerja Puskesmas Bojong Nangka Tangerang yang diikuti oleh 44 orang tua. Metode mencakup pre-test, sesi ceramah, diskusi, demonstrasi aplikasi, dan post-test untuk mengevaluasi peningkatan pemahaman. Hasil pre-test dan post-test menunjukkan peningkatan signifikan pada pengetahuan orang tua terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Diharapkan, orang tua dapat mengimplementasikan penggunaan aplikasi PrimaKu secara mandiri, sehingga membantu menurunkan angka kejadian stunting. Sebagai tindak lanjut, perlu dilakukan penelitian untuk mengevaluasi efektivitas pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini.

Self-help skills improve independence of activities daily living in pre-school children with child abuse Lusty, Junita; Sutini, Titin; Purwati, Nyimas Heny; Srisantyorini, Triana
Riset Informasi Kesehatan Vol 14 No 2 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i2.1034

Background: Children who are abused are prone to delayed growth and development, including the development of independent Activities Daily Living (ADL). Self-help skills are motor skills that can help children to fulfill basic needs independently through Activities Daily Living (ADL). Therefore, adults around them, including caregivers in orphanages, need to teach self-help skills to improve children's ADL independence. Objectives: This study aims to determine the effect of self-help skills on Activities Daily Living (bathing, brushing teeth, personal hygiene, toileting, dressing, and eating) independence in pre-school children with child abuse which is measured by ADLIC (Activities of Daily Living Iranian Children). Methods: Respondents in this study were pre-school children with child abuse who were given self-help skills with a total of 36 respondents divided into intervention and control groups. The research design used a quasi-experimental design with a non-equivalent control group pre-post test. The bivariate analysis used in bathing, brushing teeth, personal hygiene, and toileting variables was paired t-test, while the variables of dressing and eating was used Wilcoxon Signed Rank Test. Results: The p-value result in the intervention group is 0.000 (<0.05) which indicates that there is a difference in ADL ability from before and after the intervention. In the control group, the p-value> 0.05 was obtained, indicating that there was no difference between ADL abilities before and after. There is a significant average increase in the intervention group compared to the control group. Conclusion: The results of this study indicate that there are average increase in the independence of Activities Daily Living (ADL) in pre-school children with child abuse in the intervention group after being given treatment in the form of self-help skills. Therefore, it is hoped that all parties involved in the care of children with a history of child abuse are able to minimize the impact that occurs due to child abuse and understand the concept of self-help skills that support the development of the independence of ADL.

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