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INTERVENSI EDUKASI SINGKAT TENTANG ATRESIA BILIER PADA TENAGA KESEHATAN: BUKTI PENINGKATAN PENGETAHUAN DAN KESIAPAN SKRINING DENGAN KARTU WARNA TINJA Setyoboedi, Bagus; Prihaningtyas, Rendi Aji; Savitri, Yovani; Tri Utomo, Martono; Arief, Sjamsul
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3114

Abstract

Biliary atresia is the most common cause of neonatal cholestasis, characterized by prolonged jaundice, pale stools, and dark-colored urine. Early detection is crucial to prevent further liver damage. However, delayed diagnosis is still frequently encountered, mainly due to the lack of healthcare providers’ knowledge in recognizing the early signs of biliary atresia. This study aimed to determine the significance of a targeted health education intervention in improving knowledge of early detection of biliary atresia among healthcare providers. A quasi-experimental study was conducted at Padangan District General Hospital, Bojonegoro, East Java, using a pre-test/post-test questionnaire design. The health intervention consisted of education on biliary atresia and the introduction of the stool color card as an early detection tool, delivered by a Pediatric gastroenterologist and hepatologist. The Wilcoxon signed-rank test was performed with a significance level of p<0.05.A total of 101 respondents participated, predominantly female (88.1%), with the largest age group being 30–39 years (37.6%). Most respondents had more than five years of work experience (81.2%). The mean knowledge score significantly increased from 86.3 in the pre-test to 93.2 in the post-test (p < 0.001). Prior to the intervention, only 12.9% of respondents scored <70, whereas after the intervention nearly all participants (98%) scored >70. Knowledge regarding early symptoms of biliary atresia, the risks of delayed diagnosis, and the use of the Stool Color Card showed meaningful improvement on early detection of biliary atresia. A health education intervention is effective in improving healthcare providers’ knowledge of early detection of biliary atresia.
SOSIALISASI DAN PENGENALAN KARTU WARNA TINJA: STRATEGI PENINGKATAN PENGETAHUAN TENAGA KESEHATAN DALAM SKRINING ATRESIA BILIER Utomo, Martono Tri; Prihaningtyas, Rendi Aji; Savitri, Yovani; Setyoboedi, Bagus; Arief, Sjamsul
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3245

Abstract

Jaundice in newborns is a common condition, but it is important to distinguish between physiological and pathological forms. One of the main causes of pathological jaundice is cholestasis, with biliary atresia being the most frequent etiology. Biliary atresia is progressive and potentially fatal if treatment is delayed. Early detection is a key to successful therapy; however, limited knowledge among healthcare workers and inadequate screening tools contribute to delayed referrals. This study aimed to improve healthcare workers’ understanding of early detection of biliary atresia through education and introduction of stool color cards at RSUD dr. Sayidiman, Magetan. This study employed a quasi-experimental pre-test–post-test design involving 83 healthcare workers. Educational sessions were delivered by a pediatric gastrohepatology specialist, and participants completed questionnaires before (pre-test) and after (post-test) the intervention. Data were analyzed using the Wilcoxon signed-rank test to assess the improvement in knowledge scores, with statistical significance set at p < 0.05. A total of 83 participants took part, predominantly female (94%) with the largest age group being 30–39 years (43.4%). Most participants had more than 5 years of work experience (79.5%) and held a bachelor’s degree (55.4%). The mean knowledge score increased significantly from 90 in the pre-test to 95.3 in the post-test (p < 0.001). Socialization and introduction of stool color cards effectively improve healthcare workers’ knowledge regarding early detection of biliary atresia.