Siti Chodidjah
Fakultas Ilmu Keperawatan, Universitas Indonesia

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Diagnostic accuracy of CAPD and SOS-PD in detecting delirium infants: A systematic review Alfin Nugroho; Mega Hasanul Huda; Siti Chodidjah; Lhesmi Tri Yana Putri Simanjuntak
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.1859

Abstract

Background: Delirium in infants admitted to the neonatal intensive care unit (NICU) is a critical but often underrecognized condition. The Cornell assessment of pediatric delirium (CAPD) and Sophia observation withdrawal symptoms–pediatric delirium (SOS-PD) are used for early detection, yet their diagnostic accuracy in infants remains unclear. Purpose: To evaluate the sensitivity, specificity, and validity of CAPD and SOS-PD in detecting delirium among infants. Method: A systematic review was conducted on observational diagnostic validation studies published in the last ten years involving infants. Searches were performed in PubMed, ProQuest, ScienceDirect, SAGE Journal, Taylor & Francis, Cochrane, and Clinical Key. Risk of bias was assessed using QUADAS-2, and data were synthesized narratively. Results: Seven studies met the inclusion criteria. CAPD showed sensitivity of up to 94.1% and specificity of 79.2%, while SOS-PD demonstrated sensitivity of 92.3% and specificity of 96.5%. A major challenge was distinguishing delirium from iatrogenic withdrawal syndrome (IWS). Conclusion: CAPD and SOS-PD are valid and reliable tools for delirium screening in NICU infants, supporting early detection and improving patient safety and quality of care.
Determinant factors of psychological well-being and parental resilience in parents of children with cancer: A systematic review Azizah Nurrohmah; Siti Chodidjah; Ayu Widya Lestari; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1798

Abstract

Background: Childhood cancer remains a major global health concern, significantly impacting parents psychological well-being. A child’s cancer diagnosis often triggers emotional distress, anxiety, and long-term uncertainty for the family. Purpose: To identify the determinant factors of psychological well-being and parental resilience among parents of children with cancer. Method: Observational studies evaluating psychological well-being and resilience in parents of children with cancer were systematically searched in the databases PubMed, ScienceDirect, EBSCOhost, Sage Journals, and Scopus. Data were extracted independently by two reviewers. We included seven studies involving a total of 892 parents from various countries who have children with cancer. Results: Protective factors that were found to significantly enhance resilience and psychological well-being include spiritual well-being, social support, self-efficacy, and coping strategies. Conversely, psychological factors such as trauma, depression, anxiety, and general health status were significantly negatively correlated with both psychological well-being and resilience (p < 0.05). Conclusion: The reviewed studies consistently demonstrate that parental resilience and well-being are strongly influenced by spiritual well-being, social support, self-efficacy, and coping strategies. Negative psychological variables such as depression, anxiety, and trauma significantly contribute to the decline in psychological well-being and resilience.