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Journal : Nursing Sciences Journal

HUBUNGAN KEPADATAN HUNIAN DAN KEBIASAAN MEROKOK DALAM RUMAH DENGAN KEJADIAN ISPA PADA BALITA DI DESA PASREPAN KABUPATEN PASURUAN Fiddaroini, Fakhrun Nisa'; Nanang Bagus Sasmito; Primanda Ardhiansyah
Nursing Sciences Journal Vol 9 No 1 (2025): April 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i1.6488

Abstract

Acute Respiratory Infection (ARIs) is one of the causes of death in children. The incidence of ARI in toddlers can occur due to several risk factors such as home occupancy density, home ventilation, and smoking habits of family members. This research aimed to determine the relationship between occupancy density and smoking habits in the house with the incidence of ARI in toddlers in Pasrepan Village, Pasuruan Regency. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 35 respondents selected using a total sampling technique. Instruments of occupancy density, smoking habits, and ARI incidence were studied using questionnaires and chi-square statistical tests. The results showed that more than half of the respondents (57.1%) lived in overcrowded homes, and a similar proportion (57.1%) had smoking habits in the house. The incidence of ARI was reported in more than half of the respondents (54.3%). The results showed that more than half of the residential density did not meet the requirements, with as many as 20 respondents (57.1%). Having a smoking habit in the house, more than half as many as 20 respondents (57.1%). The incidence of ARI, more than half as many with 26 respondents (54.3%) experiencing ARI. The results of the chi-square test found that there was a relationship between occupancy density (p-value = 0.0001) and smoking habits in the house (p-value = 0.025) with the incidence of ARI in toddlers in Pasrepan Village, Pasuruan Regency. Nurses are expected to further increase socialisation to provide education related to a qualified environment and the dangers of smoking in the house to mothers who have toddlers.
THE VALUE OF RED CELL DISTRIBUTION WIDTH (RDW) AND NEUTROPHIL-LYMPHOCYTE RATIO (NLR) ON THE SEVERITY OF CHILD PNEUMONIA : A CORRELATION STUDY Sasmito, Nanang Bagus; Roni Setiawan; Intan Puspita Rahayu
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6436

Abstract

Pneumonia is the leading cause of childhood morbidity and mortality in Indonesia today. Challenges in determining the severity of pneumonia quickly and accurately contribute to the increase in cases, so the identification of hematologic biomarkers predictive of clinical worsening is important. The aim of this study was to assess the relationship of RDW and NLR to the severity of pneumonia in pediatric patients at Jombang Regional Hospital. This research design uses Analytical Observational with Retrospective Cohort Study approach. The total population of all patients was 100 with a research sample of 50 patients. This study used purposive consecutive sampling technique. The measurement tool for pneumonia severity used the PRESS (Pediatric Respiratory Severity Score) indicator in the form of a research sheet and data analysis using the Spearman Rank Test. The results of this study showed that most samples were in the age group of 1 month - 1 year (52.00%) with the highest gender of male (62.0%). The average RDW and NLR values were 15.050% and 2.91, respectively, with the most pneumonia severity category in the moderate category (66%). Based on the results of statistical tests using Spearman Rank, the significance values of RDW (ρ = 0.000 and r = 0.501) and NLR (ρ = 0.000 and r = 0.622) can be concluded that there is a significant relationship between RDW and NLR on the severity of pneumonia in pediatric patients in the Srikandi Ward of Jombang Hospital. An increase in RDW is a reaction to the release of cytokines as a response to inflammatory stress, while an increase in NLR is a reaction to an increase in neutrophils and a decrease in lymphocytes which indicates an inflammatory process. Thus, RDW and NLR values can be used as cheap, simple, fast and accurate hematologic biomarkers to assess the severity of pneumonia in children.