Rika Hapsari
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr. Soetomo, Surabaya

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Hubungan Lama Rawat Inap dengan Kejadian Depresi pada Anak Usia 10–18 Tahun yang Dirawat di RSUD Dr. Soetomo Surabaya Rika Hapsari; Mira Irmawati; Ahmad Suryawan; Irwanto
MEDICINUS Vol. 34 No. 3 (2021): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.655 KB) | DOI: 10.56951/medicinus.v34i3.78

Abstract

Background: Depression can occur in children with chronic disease who are hospitalized. Prolonged hospitalization correlates with higher prevalence of depression that may affect clinical outcome. The aim of this study is to determine the correlation between length of hospitalization and depression in children with chronic disease. Method: This cross-sectional study was conducted at Dr. Soetomo Hospital Surabaya, from January to March 2019. Children ages 10-18 years with chronic diseases such as oncology hematology, chronic kidney disease, and liver disease hospitalized for ≥7 days were screened for depression. Children with a history of previous depression or other mental illnesses were excluded. Depression was evaluated using the Children’s Depression Ratting Scale-Revised (CDRS-R) questionnaire. Statistical analysis using comparative test and correlation test with p value <0.05. Results: A total of 58 children were treated in the pediatric ward Dr. Soetomo Hospital Surabaya, 50 met the inclusion criteria and 8 were excluded. Subjects consist of 27(54%) boys and 23(46%) girls. The mean age was 11.8±0.39 years. The average duration of treatment was 16±1.6 days. Depression screening found 39(78%) children with varying degrees of depression, 17(34%) moderate depression and 22(44%) severe depression with an average CDRS-R score of 45.2±2.3. The results showed 65.5% of children who were hospitalized for 7-14 days and 95.2% of children who were hospitalized for more than 14 days had depression (OR value=10.52; 95% CI; 1.227-90.311; p = 0.016). Correlation test results between the length of stay and CDRS-R score (r=0.502, p<0.001). Conclusion: Children with chronic disease who are hospitalized more than 7 days have higher risk of depression.
Flipchart and Booklet As Media to Increase Cadre's Knowledge About Latent Tuberculosis Prevention in Children Retno Asih Setyoningrum; Arda Pratama Putra Chafid; Rika Hapsari; Amrina Rosyada; Muhammad Helmi Imaduddin; Khoirunnisa Shafira Deshpande; Nabila Annisa Harum
Journal of Community Medicine and Public Health Research Vol. 4 No. 1 (2023): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v4i1.42323

Abstract

Educating and empowering the community through tuberculosis cadres is crucial in the early detection of latent tuberculosis infection (LTBI) in primary healthcare settings. From the wide variety of educational media that can be used, flipcharts and booklets have a strong impact on engaging the participants through visual media. Therefore, this community service aims to determine the effect of education through flipcharts and booklets on TB cadres to increase LTBI finding in children. A total of 20 TB cadres of Dr. Soetomo Primary Health Care Surabaya participated in this study. Statistical analysis to evaluate the difference between the pre-test and post-test was used with the Wilcoxon test. The result of the pretest showed insufficient knowledge about latent tuberculosis with an average score of 74%.  The post-test average score of 91% indicated a 17% increase in score. There was a significant difference in the score of the test before and after giving the material (p=0.001), indicating an increase in LTBI knowledge of the TB cadres after giving health education using flipchart and booklet as evidenced by the increase in average score between pre-test and post-test.