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TINGKAT PENGETAHUAN ATRESIA BILIER PADA BIDAN DI PUSKESMAS KABUPATEN SIDOARJO Bagus Setyoboedi; Martono Tri Utomo; Rendi Aji Prihaningtyas; Anindya Kusuma Winahyu; Sjamsul Arief
Jurnal Abdi Insani Vol 9 No 4 (2022): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v9i4.813

Abstract

Biliary atresia is the most common cause of cholestasis in infants, which begins with prolonged jaundice. Early detection of biliary atresia in primary healthcare facilities plays an important role in the prognosis and success of treatment. Delay in the diagnosis of biliary atresia is still a problem in the world. Clinically, cholestasis is difficult to distinguish from physiological jaundice. Biliary atresia itself is rarely found in primary health facilities because clinically it is difficult to distinguish from physiological jaundice. Delay in the diagnosis of biliary atresia can increases morbidity and mortality. This activity was carried out in the context of community service, to socialize the level of knowledge about early detection of biliary atresia to health providers, namely midwives. This community service activity was carried out in the form of early socialization of biliary atresia to midwives in Sidoarjo district, East Java. In this study, an initial evaluation of biliary atresia was carried out, then followed by socialization related to biliary atresia and an evaluation after the socialization. A total of 165 midwives participated in this activity with an average age of 40.39 ± 10.09 years. In the initial evaluation of the causes of prolonged jaundice, most of the respondents stated that breastfeeding jaundice and breast milk jaundice were the main causes. As many as 94 (57%) of respondents stated that biliary atresia could be the cause of prolonged jaundice. There was an increase in the level of knowledge about biliary atresia, indicated by the pre-test value of 14.32 ± 2.48 and an increase in the post-test value of 16.51 ± 1.77 and the median value which increased in the pre-test value of 14 to 17 after socialization regarding biliary atresia (p<0.05). This activity supports the need for socialization about early detection of biliary atresia to be carried out massively to health providers in primary health facilities.
SOSIALISASI PROLONGED JAUNDICE DAN KARTU WARNA TINJA UNTUK DETEKSI DINI ATRESIA BILIER PADA BIDAN DI JOMBANG Bagus Setyoboedi; Martono Tri Utomo; Rendi Aji Prihaningtyas; Farahdina Farahdina; Firyal Nadiah Rahmah; Sjamsul Arief
Jurnal Abdi Insani Vol 10 No 3 (2023): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v10i3.1067

Abstract

The background of the activity is that the delay in the diagnosis of cholestasis in infants is still quite high. Biliary atresia is the most common cause of cholestasis in infants, which begins with prolonged jaundice. Early diagnosis of cholestatic infants can reduce mortality and morbidity and increase the prognosis and the cure rate. This activity aims to evaluate the level of knowledge about biliary atresia among primary health workers, including midwife in Jombang. This community service activity method was carried out in the form of socializing stool color cards for early detection of biliary atresia among midwife health workers at Jombang primary health facilities on March 10 2023. The socialization began with a pre-test and ended with a post-test. A total of 53 midwives at the Peterongan Jombang Community Health Center, East Java were involved in this activity. The average age was 35.02 ± 8.57 years and 33 respondents (62.3%) had worked more than five years. In their daily practice, most respondents (66%) rarely encounter infants who are still jaundice at more than 2 weeks of age. There was an increase in the level of knowledge about biliary atresia, shown by a pre-test score of 12.08 ± 1.9 and an increase in the post-test score of 13.7 ± 1.07. The level of knowledge about biliary atresia is not evenly distributed among health workers in primary health facilities, including midwife. Massive outreach is needed regarding early detection of biliary atresia.