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The QUALITY OF LIFE IN ADOLESCENT DURING COVID 19 PANDEMIC Setiyawan, I Made Karma; Apsari, Ni Luh Sri; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu; Dewi, Ida Ayu Made Ratna
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P13

Background : Assessment of quality of life in children is a useful indicator of overall health because it encompasses information about children's physical and mental health. Managing the existing environment and adhering to current constraints due to Covid-19 can be especially difficult for children and adolescents because these conditions can be regarded as incompatible with their developmental tasks. The Pediatric Quality of Life Inventory (PedsQL) is a tool designed to assess children's quality of life based on age, maturity, and cognitive development. While self-report is the gold standard for measuring perceived PedsQL, there may be occasions when the kid is too young, too sick, or too tired to complete PedsQL instrument, in which case a parent-proxy report may be required. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The research was conducted at Udayana University Hospital in July 2022. Detailed explanations about the context and how to fill out the PedsQL form were given to students and their parents. The students and parents fill out PedsQL forms in separate rooms. The PedsQL questionnaire used was the Indonesian version. Concordance between self-report and parent-proxy was evaluated using the Wilcoxon paired sign rank test. Intraclass correlation coefficients (ICC) to assess parent and child agreement. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was no difference in PedsQL between self-report and parent-proxy in overall and subscales functioning domain. Physical, emotional, social, and school functioning all had intraclass correlation coefficients of 0.85, 0.83, 0.79, and 0.88, respectively. Low energy (physical functioning), feel afraid or scared and feel angry (emotional functioning), and can’t do things that children his age do (social functioning) were found different among factor loadings. School functioning factor loadings were found similar. Conclusion : This study shows a good agreement and no significant difference in overall and subscale scores between children's self-report and parent-proxy reports. Although significant differences were found when examining each factor loadings in each component.

Korelasi antara Pediatric Symptom Checklist-17 (PSC-17) dan Pediatric Quality Of Life Inventory (PedsQL) pada Anak Sekolah Dasar Setiyawan, I Made Karma; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Apsari, Ni Luh Sri; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P04

Background : Identification of psychosocial problems and quality of life of school-aged children should be routinely applied in child developmental health-related practices. The main concerns in measuring the quality of life of children with psychosocial disorders are mainly related to language development, cognitive development and the type of disorder. This has led to the identification of developmental disorders in school-aged children requiring specific tools (PSC-17 score and PedsQL score) designed for pediatric patients. The similarities or differences obtained based on these measurement tools will depend on the precise formulation of the questions as well as the assessment of the situation of the individual being evaluated. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The study was conducted at Udayana University Hospital in July 2022. The scores used in this study were self-reported PedsQL scores and PSC-17 scores obtained based on interviews with children. The correlation between the evaluation results using the PSC-17 and PedsQL questionnaires was evaluated using the Spearman correlation test. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was a significant correlation between PSC-17 scores and PedsQL scores (r= -0.59; p<0.001). Subgroup analysis on PSC-17 aspect subscales and PedsQL dimensions found significantly varying negative correlations. Conclusion : This study found a moderate negative correlation between PSC-17 scores and PedsQL scores, varying correlations strength between each aspect/dimension of each score. Keywords: children, quality of life, PedsQL, psychosocial, PSC-17.

PERBANDINGAN STATUS GIZI ANTARA ANAK SEKOLAH DASAR NEGERI DAN SWASTA USIA 10-12 TAHUN DI JIMBARAN PASCA PANDEMI COVID-19 saputra, yullyantara; Setiyawan, I Made Karma; Sindhughosa, Wega Upendra; Apsari, Ni Luh Sri
E-Jurnal Medika Udayana Vol 13 No 8 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i08.P09

Background: Several studies show differences in the nutritional status of children attending public and private schools. The Covid-19 pandemic, which has a global impact on various sectors of life, indirectly affects the nutritional status of children. During the pandemic, children stayed at home more and tended not to do strenuous activities such as exercising or going to the playground. This research aims to assess the nutritional status of children attending public and private elementary schools after the Covid-19 pandemic.Method: This research is an analytical observational study using a cross-sectional design. The research was conducted in the Academic Center room at Udayana University Hospital in July 2022. This research involved a number of elementary school students from three elementary schools in the Jimbaran, Badung, Bali area. Inclusion criteria were elementary school children aged 10-13 years with exclusion criteria including children who did not receive permission to participate in research activities from their parents after explaining post-explanatory consent (PSP). Nutritional status is assessed using anthropometric standards from WHO and Waterlow, where nutritional status will be divided into Mild PEM, Moderate PEM, and Heavy PEM, Overweight, Obese, Superobese and Normal. All data were processed and analyzed statistically using the SPSS version 21 program which was displayed in the form of proportion (percentage), number, mean (standard deviation), and median (range, minimum-maximum). Comparison of nutritional status using Chi-Square analysisResults: There were 189 children in this study with a median age of 11 years (range 11-13 years). There is no difference in the nutritional status of children attending private elementary schools and public elementary schools after the Covid-19 pandemic. There was 1 child (0.5%) with severe protein energy malnutrition (PEM), 50 children (26.5%) with mild PEM, and 67 children with normal or good condition (35.4%). Conclusion: This research shows that there is no significant difference in nutritional status between children attending public and private elementary schools after the Covid-19 pandemic. 35.4% of children had good or normal nutritional status.Key words: public elementary school, private elementary school, nutritional status, covid-19

HUBUNGAN STATUS NUTRISI DENGAN KUALITAS HIDUP ANAK USIA SEKOLAH (10-12 TAHUN) Apsari, Ni Luh Sri; Setiyawan, I Made Karma; Sindhughosa, Wega Upendra; Saputra, I Made Yullyantara
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P01

Latar Belakang: Kualitas hidup merupakan persepsi individu terhadap kepuasan dan kebahagiaan hidupnya, yang melibatkan aspek multidimensi kesehatan fisik, psikologis, dan fungsi sosial. Banyak faktor yang mempengaruhi kualitas hidup, termasuk status gizi. Status gizi yang baik mengoptimalkan pertumbuhan dan perkembangan serta mempengaruhi kualitas hidup. Tujuan: Untuk mengetahui hubungan status gizi dengan kualitas hidup yang dinilai menggunakan Pediatric Quality of Life Inventory (PedsQL). Metode: Penelitian observasional analitik dengan desain potong lintang yang melibatkan tiga sekolah dasar di Jimbaran, Bali. Status gizi dinilai menggunakan kurva CDC 2000 kemudian dikategorikan berdasarkan Waterlow. Kualitas hidup anak dinilai dengan mengisi kuesioner PedsQL oleh anak dan orang tua. Analisis statistik terkait asosiasi menggunakan uji Chi-Square yang dilanjutkan dengan uji Mann-Whitney untuk melihat tren. Hasil: Terdapat 189 anak dengan median usia 11 tahun (kisaran 11-12 tahun). Dari hasil uji Chi-Square diperoleh p-value sebesar 0,008 yang menunjukkan adanya hasil yang signifikan antara kelompok status gizi dengan kualitas hidup, sehingga dilakukan uji Mann-Whitney untuk melihat trennya. Peringkat rata-rata (mean rank) gangguan kualitas hidup lebih tinggi dibandingkan kualitas hidup normal (107,61 vs 87,24), yang mencerminkan semakin banyak anak yang mengalami kelebihan berat badan atau obesitas, maka semakin besar pula gangguan kualitas hidup. Fungsi fisik ditemukan mengalami gangguan yang signifikan baik dari laporan PedsQL anak-anak maupun orang tua. Kesimpulan: Terdapat hubungan yang signifikan antara kelompok status gizi dengan PedsQL, dengan kecenderungan semakin banyak kelebihan berat badan/obesitas maka kualitas hidup semakin rendah. Kata kunci : status nutrisi, kualitas hidup, PedsQL

Modified Ross score and echocardiographic score in children with heart failure: a subgroup analysis Setiyawan, I Made Karma; Kartika Yantie, Ni Putu Veny; Widnyana, Anak Agung Ngurah Ketut Putra; Sidiartha, I Gusti Lanang; Karyana, Putu Gede; Arimbawa, I Made
Paediatrica Indonesiana Vol 64 No 3 (2024): May 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.3.2024.202-8

Background Over the past two decades, heart failure in children has increased in terms of symptom recognition and prevalence. The initial clinical manifestations of heart failure in children are non-specific. Therefore, diagnosis requires the support of echocardiography. The symptomatic severity of heart failure in children can be classified through a simple scoring system such as Ross score. The duration of heart disease, duration of therapy, and cardiac remodeling status may have clinical and anatomical effects on the disease. Objective To analyze for a possible correlation between modified Ross score and echocardiographic score by subgroup analysis consisting of duration of heart disease, duration of therapy, and cardiac remodeling. Methods This cross-sectional study included children aged 1 month - 18 years with heart failure who sought treatment at Prof.Dr. I.G.N.G Ngoerah Hospital, Denpasar from June 2019 to February 2020. Cardiac remodeling was defined as >20% increase in left ventricle internal end diastolic dimension (LVIDd) compared to normal values, ??based on body surface area. Spearman’s correlation test was used for statistical analysis. Results A total of 30 subjects were analyzed in this study. The median modified Ross score and echocardiography score were 3 points (range 2-11) and 4 (range 2-6), respectively. The median durations of heart disease and preventive heart failure therapy were 2 years (range 7 days-15 years) and 1 year (range 7 days-15 years), respectively. The mean LVIDd was 4.3 (SD 1.4) cm. Twenty-one out of 30 subjects experienced a ? 20% increase of LVIDd from baseline. The modified Ross score and echocardiographic score had no significant correlation (r=0.18; P=0.33). However, the modified Ross score had significant correlations with duration of heart disease (r=-0.632; P<0.001) as well as duration of therapy (r=-0.584; P=0.001). In addition, no correlation was found between echocardiographic score with heart disease and therapy duration (P>0.05). Echocardiography score and remodelling process was significantly correlated (r=0.64; P<0.001). Conclusion There is no correlation between modified Ross score and echocardiographic score. Duration of heart disease and duration of therapy are significantly negatively correlated with modified Ross scores. The remodelling process is positively correlated with echocardiographic score. Further research on acute symptomatic and validated echocardiographic scores are needed.

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