Tetty Yuniati
Department of Child Health, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital

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Characteristics of Neonatal Hyperbilirubinemia at West Java’s Top Referral Hospital, Indonesia. Yahya, Nurain; Yuniati, Tetty; Lubis, Leonardo
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.944 KB) | DOI: 10.15850/amj.v4n2.1065

Abstract

Background: Neonatal hyperbilirubinemia or neonatal jaundice is a common disorder and considered as one of the main problems in neonatal period worldwide with high incidence, especially in Asia and Southeast Asia region. This study was conducted to determine the characteristics of neonatal hyperbilirubinemia including the prevalence and frequency of neonatal hyperbilirubinemia causes at Dr. Hasan Sadikin General Hospital in 2012.Methods: This descriptive study was conducted at Dr. Hasan Sadikin General Hospital using the cross-sectional method. Four hundred and twenty five cases of neonatal hyperbilirubinemia in hospitalized and outpatients, from 1 January to 31 December 2012 were included in this descriptive study.Results: The prevalence of neonatal hyperbilirubinemia was about 4.08%. Causes were identified in 95 cases and the most common cause of neonatal hyperbilirubinemia during this period of time was physiological causes (23.2%). Other causes included neonatal hepatitis (14.7%), other hemolytic causes (13.7%), infection (12.6%), ABO incompatibility (11.6%) and breastfeeding (11.6%).Conclusions: Neonatal hyperbilirubinemia cases are common and remain as one of the neonatal problems in Dr. Hasan Sadikin General Hospital, thus prevention and proper management of neonatal hyperbilirubinemia should be implemented. DOI: 10.15850/amj.v4n2.1065
Strong Positive Correlation between Neutrophil-to-lymphocyte Ratio and C-reactive Protein in Early Onset Sepsis Ghrahani, Reni; Yuniati, Tetty; Judistiani, Raden Tina Dewi; Setiabudiawan, Budi
Majalah Kedokteran Bandung Vol 51, No 4 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v51n4.1421

Abstract

Sepsis is a life-threatening disease with a high number of mortality in premature infants. Premature infants have immature immune systems, with less pool neutrophils and imperfect ability to destroy pathogen. Neutrophil function is  supported by lymphocyte’s ability to form antibody or specific cell-surface receptors for particular antigens. This underlies the use of neutrophil-to-lymphocyte ratio (NLR) as an inflammation marker to detect and assess the severity of sepsis. C-reactive protein (CRP) is known as an acute phase reactant. Neutrophil-to-lymphocyte ratio is an easier, fast, and inexpensive method when compared to CRP. The aim of this study was to evaluate the correlation between NLR and CRP in detecting early-onset sepsis (EOS) in premature infants. A cross-sectional study was conducted on 53 premature infants born and hospitalized in a hospital in Indonesia who were recruited during the period of April to October 2018.  Blood was sampled from the umbilical cord at birth for laboratory examination. The NLR was determined as the ratio of neutrophil to lymphocyte count. The Tollner scoring system was used to identify sepsis. Mann Whitney-U test and Spearman Correlation test were computed for the statistical analysis. neutrophil-to-lymphocyte ratio which results showed a strong positive correlation with CRP (r= 0.702, 0=0.001) in premature infants with EOS. Leukocyte count was lower in infants with EOS than those without EOS group (median; IQR, x103: 8.9 (6.3-13.8) vs 12.5 (10.1- 16.1); p=0.016). Neutrophil-to-lymphocyte ratio and CRP tended to be lower in EOS group when compared to  that of the non-EOS group. In conclusion, NLR has a strong positive correlation with CRP in premature infants with EOS. Korelasi Positif Kuat antara Neutrophil-to-lymphocyte dan C-reactive protein pada Sepsis Awitan DiniSepsis pada bayi prematur adalah keadaan mengancam jiwa dengan mortalitas tinggi. Bayi prematur memiliki sistem imun imatur, sedikit persediaan neutrofil serta fungsi  belum sempurna untuk melawan patogen. Fungsi neutrofil didukung limfosit membuat antibodi serta reseptor permukaan spesifik untuk antigen tertentu. Neutrophil-to-lymphocyte ratio (NLR) diajukan untuk petanda inflamasi, mendeteksi dan menentukan derajat sepsis, sedangkan C-reactive protein (CRP) telah diketahui sebagai protein fase akut. Neutrophil-to-lymphocyte ratio adalah pemeriksaan yang lebih mudah, cepat, murah dibandingkan dengan CRP. Penelitian potong lintang ini bertujuan mengevaluasi korelasi NLR dengan CRP untuk mendeteksi sepsis awitan dini pada 53 bayi prematur, yang lahir dan dirawat di rumah sakit kami, selama April-Oktober 2018. Sampel darah dari tali pusat pada saat lahir. Neutrophil-to-lymphocyte ratio adalah rasio jumlah neutrofil terhadap limfosit. Skoring Tollner digunakan untuk mengidentifikasi sepsis. Analisis statistik menggunakan Uji Mann-Whitney dan korelasi Spearman. Korelasi positif antara NLR dengan CRP di antara bayi prematur dengan sepsis awitan dini adalah r=0,702, p=0,001. Bayi dengan sepsis awitan dini memiliki jumlah leukosit lebih rendah dibanding bayi non-sepsis (median; IQR, x103: 8,9 (6,3-13,8) vs 12,5 (10,1- 16,1); p=0,016). Neutrophil-to-lymphocyte ratio dan CRP lebih rendah pada kelompok sepsis dibanding non-sepsis. Simpulan, NLR memiliki korelasi positif kuat dengan CRP pada bayi prematur dengan sepsis awitan dini.
Kadar Laktat Darah sebagai Faktor Risiko Mortalitas pada Sepsis Neonatorum Leifina, Nadya; Yuniati, Tetty; Kartasasmita, Cissy B.
Majalah Kedokteran Bandung Vol 45, No 4 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Tolak ukur dini, bedside, dan parameter dapat tersedia di semua fasilitas kesehatan masih diperlukan untuk memantau perubahan metabolisme dan memperkirakan mortalitas pada sepsis neonatorum. Penelitian ini bertujuan mengetahui laktat darah sebagai faktor risiko mortalitas pada sepsis neonatorum. Penelitian berupa kohort prospektif dan dilakukan di RS Dr. Hasan Sadikin Bandung periode September–November 2010 dengan subjek adalah sepsis neonatorum. Pemeriksaan laktat darah menggunakan alat accutrend® lactate Plus yang dilakukan pada awal diagnosis, 12 jam, 24 jam, dan 48 jam pertama perawatan; kemudian dilakukan follow-up sampai penderita meninggal, pulang, atau hidup sampai usia 28 hari pascadiagnosis sepsis neonatorum. Data karakteristik subjek, gejala-gejala klinis, dan hasil pemeriksaan laboratorium dianalisis dengan univariat. Hasil analisis p<0,25 dianalisis dengan regresi logistik. Nilai yang bermakna bersama dengan kadar laktat darah 12 jam dianalisis dengan cox proportional hazard model. Setelah dilakukan observasi terdapat 28 neonatus mengalami kematian dari 69 neonatus yang didiagnosis sepsis neonatorum. Berat badan lahir <2.500 gram (p=0,008), usia kehamilan <37 minggu (p=0,006), retraksi (p=0,010), dan waktu pengisian kapiler ≥3 detik (p=0,042) berhubungan dengan mortalitas. Hiperlaktatemia pada 12 jam meningkatkan risiko mortalitas tiga kali pada sepsis neonatorum (HR 3,062; IK 95%: 1,078–8,700). Kesimpulan penelitian ini adalah hiperlaktatemia 12 jam merupakan faktor risiko mortalitas pada sepsis neonatorum. [MKB. 2013;45(4):199–205]Kata kunci: Faktor risiko, laktat, mortalitas, neonatal, sepsis Blood Lactate Level as Mortality Risk Factor in Neonatal SepsisEarly, bedside, and readily available parameters to observe metabolic changes and predicted mortality in neonatal sepsis is still needed in every health facility. The aim of this study was to explore blood lactate as apossible mortality risk factor in neonatal sepsis. A prospective cohort study was held during the period of September–November 2010 involving newborns diagnosed as suffering from neonatal sepsis in Dr. Hasan Sadikin General Hospital Bandung. Blood lactate was measured with accutrend® lactate Plus at admission and in 2, 24 and 48 hours of hospitalization. We performed univariate analysis on subject characteristics, clinical symptoms, and laboratory examination data. Results with p<0.25 were re-analyzed using logistic regression. Significant results along with the 12 hour blood lactate level were analyzed using cox proportional hazard model. Based on the observation, of the 69 newborns included in this study, 28 died. Statistic analysis showed significant correlation between mortality and birth weight <2,500 gram (p=0.008), gestational age <37 weeks (p=0.006), retraction (p=0.010), and capillary refill time ≥3 seconds (p=0.042). Hyperlactatemia in 12 hours increased the risk for mortality in neonatal sepsis (HR 3.062, CI 95%:1.078–8.700). It is concluded that hyperlactatemia in 12 hours is the risk factor for mortality in neonatal sepsis. [MKB. 2013;45(4):199–205]Key words: Blood lactate, mortality, neonatal, risk factor, sepsis DOI: http://dx.doi.org/10.15395/mkb.v45n4.165
Kapasitas Fungsi Intelektual pada Berbagai Kelompok Interaksi Sosial Anak Autis Moekdas, Raddi; Sukadi, Abdurachman; Yuniati, Tetty
Majalah Kedokteran Bandung Vol 42, No 3
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Autis dikelompokkan berdasarkan interaksi sosial dan kapasitas fungsi intelektual. Penelitian ini bertujuan untuk mengetahui hubungan antara kelompok interaksi sosial dan kapasitas fungsi intelektual. Penelitian dilakukan Januari–Maret 2007 pada anak autis di pusat terapi Our Dream dan Indigrow Bandung dengan rancangan hybride selective prevalence. Anak autis dikelompokkan berdasarkan interaksi sosial serta kapasitas fungsi intelektual. Usia dan riwayat terapi perilaku merupakan faktor perancu kelompok interaksi sosial. Uji statistik pada penelitian ini menggunakan Kruskall-Wallis dan Kolmogorov-Smirnov dua populasi. Subjek penelitian yang memenuhi kriteria inklusi berjumlah 99 anak. Kelompok aloof, pasif, aktif tetapi aneh masing-masing sebanyak dua, 31, dan 66 anak autis. Kapasitas fungsi intelektual rendah sebanyak 70 dan tinggi 29 anak autis. Usia £5 dan >5 tahun ditemukan pada 58 dan 41 anak autis (pKW= 0,453). Riwayat pernah dan belum pernah mendapat terapi perilaku ditemukan pada 37 dan 62 anak autis (pKS = 1,00). Didapatkan 70 anak (71%) memiliki kapasitas fungsi intelektual rendah dan 29 anak (29%) dengan kapasitas fungsi intelektual tinggi. Kelompok interaksi sosial berhubungan bermakna dengan kapasitas fungsi intelektual anak autis (p= 0,04). Disimpulkan bahwa kelompok interaksi sosial aloof, pasif dan aktif tetapi aneh berhubungan dengan kapasitas fungsi intelektual rendah dan tinggi. [MKB. 2010;42(3):96-100].Kata kunci: Autis, kapasitas fungsi intelektual, kelompok interaksi sosial Intellectual Functioning in Social Interaction Subgroups of Autism ChildrenAutism classified based on social interaction and intellectual functioning. Aim of this study was to find out the association between social interaction and intellectual functioning. This hybride selective prevalence design study was conducted from January–March 2007 on autism children admitted to therapy center of Our Dream and Indigrow, Bandung. Subjects were classified based on social interaction and intellectual functioning. Age and history of behavior therapy were confounding factors. Data was analyzed using Kruskall-Wallis and two-sample Kolmogorov-Smirnov test. Subjects who fulfilled the inclusion criteria were 99 autism children. Subgroups aloof, passive, and active but odd were two, 31, 66 children, respectively. Low and high functioning were found in 70 and 29 children. Age of £5 and > 5 years were found in 58 and 41 children (pKW = 0.453). Classification of behavioral therapy were 37 and 62 children (pKS = 1.00). The association of social interaction with intellectual functioning autism showed significant value 0.04. In conclusion, this study showed association of social interaction aloof,passive, and active but odd with low and high intellectual functioning. [MKB. 2010;42(3):96-100].Key words: Autism, intellectual functioning, social interaction subgroups DOI: http://dx.doi.org/10.15395/mkb.v42n3.17
Kejadian Atopi pada Bayi Usia 6 Bulan yang Mendapat Kombinasi ASI dan Susu Formula Mengandung Probiotik dan Nonprobiotik Yuniati, Tetty; Sukadi, Abdurachman
Majalah Kedokteran Bandung Vol 43, No 2
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Kelahiran seksio sesarea menyebabkan terlambatnya kolonisasi flora usus sehingga akan meningkatkan kejadian atopi. Probiotik menstimulasi respons imun sehingga akan menurunkan kejadian atopi. Tujuan penelitian ini untuk menentukan apakah terdapat perbedaan kejadian atopi pada bayi yang diberikan kombinasi ASI dengan susu formula yang mengandung probiotik dan tanpa probiotik. Randomized open label clinical trial dilakukan selama periode November 2009 sampai Oktober 2010 terhadap 96 bayi normal, berat badan lahir ≥2.500 g, lahir dengan seksio sesarea di RS Dr. Hasan Sadikin Bandung. Sejak lahir, selama 4 minggu sebanyak 48 bayi diberikan kombinasi ASI dan susu formula probiotik dan 48 bayi sebagai kontrol, selanjutnya pemberian minuman bergantung pada orangtua. Dilakukan pencatatan lama menyusui, jumlah formula, dan faktor risiko atopi. Skin prick test dilakukan pada usia 6 bulan. Diagnosis atopi ditegakkan jika terbentuk wheal ≥4 mm. Analisis statistik dilakukan dengan chi-square untuk data kategori dan uji t untuk data numerik. Lama menyusui, jumlah formula, dan faktor risiko atopi tidak berbeda secara bermakna pada kedua kelompok (p>0,05). Reaksi atopi ditemukan positif pada 4/23 bayi yang mendapat probiotik dan 10/28 bayi tanpa probiotik (p>0,05). Disimpulkan bahwa kejadian atopi tidak berbeda antara kelompok yang diberikan ASI dan susu formula mengandung probiotik dan tidak mengandung probiotik. [MKB. 2011;43(2):55–9].Kata kunci: Atopi, kelahiran seksio sesarea, probiotikAtopic Occurence on Six-month-old Infants between Probiotic Formula-fed and Non Probiotic Formula-fed Healthy Born by Cesarean DeliveryCesarean delivery might delayed the colonization of newborn intestine and increase atopic disorders. Probiotic shown to stimulate immune responses, which has implied in the development of atopic disorders. The aim of the study was to find out the difference of atopic occurence in breastfed infants born by cesarean delivery given probiotic formula and non probiotic formula. Randomized open label clinical trial was performed on 96 healthy infants, birth weight ≥2,500 g, born by cesarean delivery in Dr. Hasan Sadikin Hospital Bandung during November 2009 to October 2010. Since birth, 48 infants were breastfed combined with probiotic formula and 48 infants as control group for 4 weeks and afterwards the feeding pattern depend on the parents. Skin prick test reaction was performed at 6 months old and atopy was diagnosed if the wheal ≥4 mm. Statistical analysis using chi-square and t-test. The duration of daily breastfeeding, amount of formula and risk factor for atopic disorders were not significantly different in both groups (p>0.05). Atopy were positive in 4/23 infants with probiotic and 10/28 infants positive without probiotic. It was not significantly different (p>0.05). Conclusion, the atopic occurence is not different at 6 months-old receiving breastmilk with probiotic and non probiotic formula. [MKB. 2011;43(2):55–9].Key words: Atopy, caesarean delivery, probiotic DOI: http://dx.doi.org/10.15395/mkb.v43n2.45
Unusual Lifespan of Edwards' Syndrome in COVID-19 Era Suryaningrat, Filla Reviyani; Hudayari, Devatri; Amalda Ediwan, Natasha; Rita Mardhiya, Wan; Aprilia Kadi, Fiva; Primadi, Aris; Yuniati, Tetty
Majalah Kedokteran Bandung Vol 56, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3230

Abstract

Edwards' syndrome is caused by an extra chromosome on the 18th chromosome. Patients with this diagnosis have median survival of only 3-14.5 days, with the majority of infants with full trisomy 18 type die before or shortly after they are born. There is only supportive treatment available for Edwards’ syndrome. During the COVID-19 pandemic, providing health services was challenging, leading to less than optimum treatments added by patients’ reluctance to visit healthcare facilities due to the fear of COVID-19 transmission. This case study presented an infant with Edwards’ syndrome with major malformation. The patient had several organ problems, was admitted to the NICU, and continued with home care for monitoring for 6 months. Patient then died at 9 months of age. Maintaining the best quality of life for this patient was very challenging for parents and healthcare providers. Since the management for this type of sydnome is more palliative, good education, information, and psychosocial supports for the parents are needed to prepare them with the worst conditions, which was especially more challenging during the COVID-19 pandemic.
Hematology scoring model to predict sepsis in preterm neonates Suryani, Yani Dewi; Yuniati, Tetty; Kadi, Fiva Aprilia; Primadi, Aris
Paediatrica Indonesiana Vol 64 No 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.389-97

Abstract

Background Neonatal sepsis is a major cause of neonatal morbidity and mortality, especially in developing countries. Atypical clinical symptoms lead to delays in diagnosis and treatment. Scoring a combination of routine hematology parameters may be able to predict the occurrence of sepsis in preterm neonates. Objective To formulate a new model for neonatal sepsis scoring from various complete blood count parameters to predict sepsis in preterm neonates. Methods This analytical cross sectional study using secondary data from the Registry of the Neonatology Division was conducted at the RSUP Dr. Hasan Sadikin, Bandung, West Java. Subjects were neonates diagnosed with sepsis, of gestational age 28–36 weeks, who were born at the RSUP Dr. Hasan Sadikin from January to December 2021. Laboratory results of patients who met the inclusion criteria were recorded. Subjects were divided into either proven sepsis and probable sepsis groups, based on blood culture results. Results Of 112 subjects, 35.7% had proven sepsis and 64.3% probable sepsis. In the proven sepsis group, 52.5% of subjects were male, median birth weight was 1,490 grams, median gestational age was 32 weeks, 90% were small for gestational age, and 60% were delivered normally. Multivariable analysis by multiple logistic regression revealed that the parameters associated with the incidence of neonatal sepsis were c-reactive protein (CRP) > 0.18 mg/dL (score 6), hematocrit <40% (score 4), platelet-to-lymphocyte ratio (PLR) < 19.623 (score 4); monocyte-lymphocyte ratio (MLR) < 0.461 (score 2); and mean platelet volume (MPV) value >10 (score 2). Score >8 had a sensitivity of 85% and specificity of 70.8%, with area under the ROC curve of 0.865 (P<0.001). Scoring accuracy was 75.8%, with a positive predictive value of 61.8%, a negative predictive value of 89.5%, and Kappa index of 51.5% with moderate agreement. Conclusion A hematological score >8 can be used as a predictor of sepsis in preterm neonates.
A Case Study on Neurological Outcome in Persistent Neonatal Hypoglycemia in Upper Middle-Income Country Primadi, Aris; Yuniati, Tetty; Aprilia Kadi, Fiva; Reviyani Suryaningrat, Filla; Hudayari, Devatri; Ediwan, Natasha Amalda
Majalah Kedokteran Bandung Vol 56, No 4 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3350

Abstract

In Indonesia, comprehensive management and monitoring of persistent neonatal hypoglycemia, is rarely reported. Despite the fact that there are studies highlighting the risk of neurodevelopmental disorders in neonates with hypoglycemia, there seems to be limited comprehensive case reports detailing both the early diagnosis and the long-term growth and development monitoring in these neonates. A unique case report of a 10-day-old male baby, born at a term weeks gestation via caesarean section, diagnosed with persistent hypoglycemia and suspect of hyperinsulinemia is presented in this study. At birth, the neonate exhibited hypoglycemia with a blood glucose level of 25 mg/dL, accompanied by a one-minute seizure characterized by upward gaze and stiffening of the extremities. The neonate cried after seizure and there was no loss of consciousness and was admitted to the NICU due to worsening respiratory distress. Based on the thoracic X-ray examination, he was diagnosed with transient tachypnea of newborn (TTN). Blood glucose levels were monitored every four hours, and tests for cortisol, thyroid and growth hormone and routine urinalysis were planned. Total parenteral nutrition (TPN) were given with intravenous antibiotics. At 6months of age, the infant was diagnosed with intellectual disability by the growth and development social pediatric unit. At 7 months, the infant  began undergoing physiotherapy. This case was followed for 7 months in total and the findings highlight the challenges in managing neonatal persistent hypoglycemia and the potential long-term developmental implications in neonates with early-life hypoglycemia, emphasizing the need for continual growth and development monitoring.
Effects of lung recruitment maneuver using mechanical ventilator in preterm infant microcirculation: a clinical trial Iskandar, Adhi Teguh Perma; Djer, Mulyadi Muhammad; Supriyatno, Bambang; Kaban, Risma Kerina; Kautsar, Ahmad; Rahmadhany, Anisa; Sutjipto, Fiolita Indranita; Suhendro; Advani, Najib; Santoso, Dewi Irawati Soeria; Prihartono, Joedo; Yuniati, Tetty
Medical Journal of Indonesia Vol. 34 No. 1 (2025): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247472

Abstract

BACKGROUND Preterm infants often require continuous positive airway pressure due to immature respiratory tracts. Bronchopulmonary dysplasia (BPD) manifests as prolonged oxygen dependence until 28 days of age and is classified into mild, moderate, or severe forms. The lung recruitment maneuver (LRM) aims to reopen collapsed alveoli, enhancing oxygenation during mechanical ventilation using the assist control volume guarantee mode (MV-AC/VG). This study aimed to evaluate the impact of LRM on alveolar and endothelial injuries, neonatal microcirculation, and its relation to BPD reduction or mortality in preterm infants. METHODS This study was conducted from March 2021 to April 2022 at Cipto Mangunkusumo and Bunda Menteng Hospitals, Jakarta. The participants are <32 weeks infants with severe respiratory distress syndrome requiring MV-AC/VG, divided into LRM and control groups (n = 55 each). The alveolar injury was assessed using plasma surfactant protein-D (SP-D), endothelial injury by flow cytometry for endothelial microparticles (CD-31⁺/CD-42-), and neonatal microcirculation via transcutaneous-artery CO2 gap (TcPCO₂-PaCO₂) and transcutaneous O2 index (TcPO₂/PaO₂) measurements at 1 and 72 hours post-ventilation. RESULTS LRM did not negatively affect preterm infants (24–32 weeks) undergoing invasive mechanical ventilation. At 72 hours, no significant differences were observed in alveolar (SP-D) and endothelial injury (CD-31+/CD-42-), nor in BPD reduction or mortality by 36 weeks. CONCLUSIONS LRM is a beneficial intervention for enhancing respiratory support and microcirculation in preterm infants. Among survivors, LRM reduced the time to achieve the lowest FiO2 (60.0 versus 435.0 hours, p<0.0001), shortened respiratory support duration (25.0 versus 36.83 days, p = 0.044), and improved TcO2 index (1.00 versus 1.00, p = 0.009).
PENGARUH MEDIA AUDIOVISUAL TERHADAP KETERAMPILAN KADER MELAKUKAN KSRINING TUMBUH KEMBANG ANAK DIPOSYANDU WILAYAH KERJA PUSKESMAS WARUNGKONDANG KABUPATEN CIANJUR Rahmah, Hasni; Hilmanto, Dany; Yuniati, Tetty
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 10, No 1 (2025): Januari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v10i1.3964

Abstract

Abstract: Posyandu cadre skills improvement can be done by using the media. High absorption is a factor in media selection. Audiovisual media involves many senses and has 50% absorption. Quasi Experiment research design two groups pretest and post test design. Simple random sampling technique of 64 cadres with checklist instrument which was tested by Chi Squere and McNemar. The results of the research on cadre skills before the intervention had a p value of 0.802 while the skills of cadres after the intervention had a p value of 0.011 with an increase ratio of 1.38 times in the intervention group so that there was a difference in the influence of audiovisual media and modules on cadre skills and the effect of audiovisual media was greater.Abstrak: Peningkatan keterampilan kader posyandu dapat dilakukan dengan penggunaan media. Daya serap tinggi menjadi faktor pemilihan media. Media audiovisual melibatkan banyak indera dan memiliki daya serap 50%. Desain penelitian Quasi Eksperimen two grup pretest and post test design. Tekhnik sampel simple random sampling 64 kader dengan instrumen daftar tilik yang di uji Chi Squere dan McNemar. Hasil penelitian keterampilan kader sebelum intervensi memiliki nilai p 0,802 sedangkan keterampilan kader setelah intervensi memiliki nilai p 0,011 dengan rasio peningkatan 1,38 kali pada kelompok intervensi sehingga terdapat perbedaan pengaruh media audiovisual dan modul terhadap keterampilan kader dan pengaruh media audiovisual lebih besar.