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FACTORS RELATED TO THE RISK OF HOSPITAL MALNUTRITION ON PEDIATRIC PATIENTS AT RSUP DR. M. DJAMIL PADANG IN 2020 Jasman, Putri Elica; Masnadi, Nice Rachmawati; Pertiwi, Dian; Semiarty, Rima; Anggrainy, Fenty; Mariko, Rinang
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 3 (2025): SINERGI : Jurnal Riset Ilmiah, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i3.1064

Abstract

Hospital malnutrition (HM) is malnutrition happened during hospitalization and has an impact on patient complications and mortality. This study aims to determine the factors associated with the risk of HM in pediatric patients at RSUP Dr. M. Djamil Padang in 2020. This study was an analytical research with the cross-sectional approach. The research was conducted at RSUP Dr. M. Djamil Padang Medical Records Section between February 2020 and December 2022. The data used is secondary data from the medical records. Bivariate analysis was conducted using the Chi- square test and Fisher's exact test. Logistic regression test was used for multivariate analysis. Statistical significance is determined if the p value <0.05. This research result showed that most of the patients were found in the age group <5 years and the main disease are lung disease. The risk factors for HM are STRONGkids scores, nutritional status, and length of stay. The prevalence of HM is 21.2%. The results of bivariate analysis showed multiple diagnoses (p=0.328), STRONGkids score (p=0.001), nutritional status (p=0.012), type of nutritional therapy (p=0.123), length of stay (p=0.001), and history of critical illness (p=0.607). The results of the multivariate analysis test showed a STRONGkids score (OR=0.143) and length of stay (OR=0.222). According to the study’s findings, STRONGkids score and length of stay are the dominant factors associated with HM in children.
Analysis of Risk Factors of Parenting Patterns using the Nurturing Care Framework Approach with the Incident of Stunting in Toddlers in a Case Study in the Working Area of Pagambiran Public Health Center Amilia, Fenni; Masrul, Masrul; Yusrawati, Yusrawati; Lipoeto, Nur Indrawaty; Mariko, Rinang; Meinapuri, Malinda
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2532

Abstract

Stunting is a linear growth disorder caused by malnutrition and recurrent infections. Prevention is through the Nurturing Care Framework (NCF) approach, which includes health care, adequate nutrition, responsive care, early learning opportunities, and safety and security. This study aims to analyze the relationship between NCF-based parenting risk factors and stunting among toddlers in the Pagambiran Padang Community Health Center (Puskesmas) work area. This study was analytical with a cross-sectional design, conducted from June 2024 to January 2025. Sampling used stratified random sampling and simple random sampling, totaling 214 toddlers aged 24-59 months. Data collection used a questionnaire and was analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression with the backward elimination method). The results showed a stunting prevalence of 43.9%. Parenting patterns using the NCF (composite) approach were less than good at 55.1%. Multivariate analysis showed that risk factors significantly associated with stunting were health care (p=0.011), adequate nutrition (p=0.000), and safety and security (p=0.023). Adequate nutrition was the dominant factor (OR=8.602). Meanwhile, early stimulation and responsive parenting did not show a significant relationship. The conclusion of this study is that there is a relationship between health care, adequate nutrition, and safety and security with stunting. Adequate nutrition is the dominant factor. Cross-sectoral collaboration is expected to address nutritional issues, provide basic health services, monitor growth and development, and implement a healthy environment based on the National Child Protection Framework (NCF).
Perbandingan Hasil Pemeriksaan Leukosit, Trombosit, Hemoglobin, dan NLR pada Pasien Sepsis dan Syok Sepsis di PICU RSUP Dr. M. Djamil Padang Saldi, Aisyah Afiah Izzaty; Mariko, Rinang; Almurdi, Almurdi
Jurnal Biomedika dan Kesehatan Vol 7 No 3 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.329-338

Abstract

Background Sepsis and septic shock are global health problems with high morbidity and mortality rates. The ability to identify sepsis and septic shock with tools available in health facilities in Indonesia is an important step in reducing the morbidity and mortality of this disease. One of the tests that can be performed is a complete blood count such as the number of leukocytes, platelets, hemoglobin levels, and neutrophil-lymphocyte ratio (NLR). The costs incurred for complete blood counts are low and generally available in all health facilities. Methods This study is an analytical observational study with a cross sectional research design using medical record data of sepsis and septic shock patients in the PICU of RSUP Dr. M. Djamil Padang in 2020 - 2022. Univariate analysis is presented in the form of a frequency distribution table and bivariate analysis using the Chi Square test. Results The results showed that the most common diagnosis was septic shock (74.5%), male (57.5%), age under one year (38.3%), and death outcome (59.6%). Bivariate analysis found that there was a difference in platelet count between sepsis and septic shock (p=0.004) and there was a difference in NLR between sepsis and septic shock (p=0.024). Conclusions The conclusion of this study is that there are differences in platelet count and NLR between sepsis and septic shock patients in the PICU of RSUP Dr. M. Djamil Padang.
Pengaruh Probiotik terhadap Kadar Calprotectin Feses dan Durasi Diare Akut pada Anak Yulfiwanti, Idha; Jurnalis, Yusri Dianne; Asrawati, Asrawati; Syarif, Iskandar; Mariko, Rinang; Izzah, Amirah Zatil; Ihsan, Indra
Sari Pediatri Vol 26, No 2 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.2.2024.74-9

Abstract

Latar belakang. Probiotik adalah mikroorganisme yang menguntungkan dalam pengobatan diare akut pada anak. Probiotik mengurangi frekuensi dan durasi diare dengan meningkatkan respon imun, produksi substansi antimikroba, menurunkan proses inflamasi, dan menghambat pertumbuhan kuman patogen penyebab diare. Pengukuran calprotectin feses sebagai penanda penyakit inflamasi pada diare akut merupakan metode noninvasif, cepat dan mudah.Tujuan. Penelitian ini bertujuan untuk mengetahui pengaruh probiotik terhadap kadar calprotectin feses dan durasi diare akut pada anak.Metode. Penelitian eksperimental dengan pendekatan pretest-posttest control group yang dilaksanakan di Puskesmas dan Rumah Sakit di kota Padang. Penelitian dimulai dari bulan Januari sampai Juni 2023. Populasi penelitian adalah pasien anak usia 2-60 bulan dengan diare akut yang memenuhi kriteria inklusi dan ekslusi. Terdapat 31 sampel kelompok kontrol yang mendapatkan terapi standar WHO dan 30 sampel kelompok kasus yang mendapatkan terapi standar WHO ditambah probiotik. Dilakukan pengamatan terhadap durasi diare akut dan kadar calprotectin feses.Hasil. Anak dengan usia >24 bulan lebih banyak pada kedua kelompok dengan sebagian besar kelompok dengan gizi baik. Rerata berat badan dan tinggi badan subjek pada kelompok kasus adalah 10,76 kg dan 82,6 cm, sedangkan kelompok kontrol adalah 10,15 kg dan 81 cm. Terdapat pemendekan durasi diare yang signifikan pada kelompok kasus dibandingkan kelompok kontrol adalah 10,32 (+6,35)jam (p-value =0,049). Terdapat perbedaan kadar calprotectin feses yang signifikan antara sebelum dan sesudah pemberian probiotik pada kelompok kasus (p-value =0,038).Kesimpulan. Pemberian probiotik dapat memperpendek rerata durasi diare akut dan menurunkan rerata kadar calprotectin feses secara bermakna. Pemberian probiotik ini dapat disarankan sebagai terapi adjuvan dalam tata laksana diare akut pada anak.