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HUBUNGAN TINGKAT PENGETAHUAN DENGAN POLA PEMBIASAAN TOILET TRAINING PADA ANAK DISABILITAS INTELEKTUAL DI SEKOLAH LUAR BIASA Lilis Suryani; Purnomo Suryantoro; Herlin Fitriani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 7, No 2 (2016): April 2016
Publisher : FORIKES

Masalah terbanyak yang dialami anak berkebutuhan khusus di Indonesia adalah kemampuan mengurus diri, capaian wilayah tertinggi di Jawa Timur (BPSN, 2010). Pemahaman orang tua dalam menerapkan pengetahuan dan pola asuh mempunyai hubungan dengan kamampuan toilet training. Untuk itu perlu dikembangkan pengetahuan ibu dan pola asuh yang baik agar dapat merubah pola pembiasaan toilet training pada anak disabilitas intelektual. Tujuan penelitian ini adalah menganalisis hubungan pengetahuan ibu dengan pola pembiasaan toilet training pada anak disabilitas intelektual, menggunakan desain cross sectional. Sampel penelitian adalah ibu yang memiliki anak disabilitas intelektual di SLB Wilayah Kabupaten Madiun sebanyak 96 responden. Data dianalisis menggunakan uji regresi logistik. Hasil analisis multivariat dari pengetahuan dan pola asuh, variabel yang dominan dengan pola pembiasaan toilet training adalah variabel pola asuh dengan nilai RP = 4,46 dengan CI 2,56 – 8,81. Selanjutnya disimpulkan bahwa pengetahuan dan pola asuh memiliki hubungan dengan pola pembiasaan toilet training pada anak disabilitas intelektual. Hubungan yang paling dominan berhubungan dengan pola pembiasaan toilet training adalah pola asuh ibu. Kata kunci: Toilet Training, Pengetahuan, Pola Pembiasaan, Pola Asuh, Disabilitas Intelektual

Correlation between nosocomial pneumonia and ventilated patients in pediatric intensive care unit Cahya Dewi; Purnomo Suryantoro; Roni Naning
Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

Background NP (NP) especially YAP (ventilator-associated pneu-monia) is the most common infection in intensive care unit, whichcorrelates with the increasing of morbidity and mortality. Thereare some risk factors for development ofNP, the most importantone is duration of mechanical ventilator and reintubation.Objective To determine the correlation between NP and use ofmechanical ventilator in pediatric intensive care unit (PICU).Methods A matched case control study was conducted at Dr.Sardjito Hospital on all patients admitted to the PICU from2004 until 2006. Case group was defined as all patients who hadNP; age and sex matched control group included all patients notdiagnosed as NP. Statistical analysis was done by using chi-squareand t-tests as appropriate. Logistic regression analysis was doneto determine the role of risk factors.Results One-hundred and forty-one patients were included inthis study. The incidence of NP was 25. 7%. There was associa-tion between using mechanical ventilator (OR 1.08; 95%CI 1.07;8.20, P=0.036) and duration of using mechanical ventilator morethan four days (OR 1.75, 95%CI 1.87;18.02) with developmentof NP. There was a significant difference in event free survival ofNP between those using mechanical ventilator group and thosenot using mechanical ventilator group (P<O.OOl).Conclusion There is an association between the use of mechani-cal ventilator and duration of use of mechanical ventilator morethan four days with the development of NP

Effect of urethral meatus cleansing on midstream urine contamination rate in boys Musim Musim; M P Damanik; Purnomo Suryantoro
Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

Background Clean-catch midstream urine (MSU) remains thestandard procedure for urine collection even if it's role to reducebacterial contamination rate is unclear.Objective To compare bacterial contamination rate betweenclean-catch (cleaning urethral meatus with medicated soap) andnon clean-catch MSU among boys.Methods An experimental study with parallel groups and blockrandomization was conducted. Toilet-trained boys aged 3 to 18years, without symptoms or signs of urinary tract infection wererecruited from the Pediatric Outpatient Clinic at Sardjito Hospitaland from a local elementary school. Subjects with history of renaldisease, those who were on under antibiotic treatment in thepreceding week, or with meatal abnormality or non-cooperativewere excluded. Urine specimen was collected by a trained nurse,and was cultured within one hour by personnel blinded to theassignment. Significant bacteriuria was defined as growth of asingle pathogenic organism (degree of pathogenicity group I-III)with colony count 2: 105 colony forming unit/mi. Contaminationwas defined as any growth not fulfilling criteria for significantbacteriuria or growth of multiple organisms.Results A total of 80 boys were enrolled. The contamination ratein the clean-catch group was 13% (5 out of 40) compared with10% (4 out of 40) in the non clean-catch group (P=l.O). Theadjusted risk ratio for contamination in the clean-catch MSUgroup, adjusted to age and circumcision status, was 1.37 (95%CI 0.42; 4.51).Conclusion Clean-catch method does not reduce bacterial con-tamination rate of midstream urine cultures in boys

Percentage birth weight loss and hyperbilirubinemia during the first week of life in term newborns S. A. K. Indriyani; I Wayan Retayasa; Achmad Surjono; Purnomo Suryantoro
Paediatrica Indonesiana Vol 49 No 3 (2009): May 2009
Publisher : Indonesian Pediatric Society

Background Hyperbilirubinemia is the most common problem interm newborns during the first week of life. Hyperbilirubinemiain term newborns without other risk factors is usually causedby dehydration and reduced calorie intake that is marked byexcessive weight loss.Objective To determine the relationship between percentage birthweight loss and hyperbilirubinemia during the first week of lifein term newborns.Methods A cross sectional study was conducted at the Departmentof Child Health, Medical School, Udayana University, SanglahHospital, Denpasar, Indonesia. The weight of term newbornswas measured on the first, third, and seventh day after birth.In addition, a complete blood count, reticulocyte count, andperipheral blood smear, were carried out on the first day. Serumbilirubin level was measured on the first, third, and seventh day.Clinical signs, jaundice, type and frequency of intake, and timeof meconium transit were followed during the stay in hospital.Linear regression, correlation, and logistic regression analysis wereperformed to determine variables related to hyperbilirubinemia.Results 68 newborns were enrolled in this study, with 7 developedhyperbilirubinemia by the third day. There was a significant(P<0.001) but weak to moderate correlation (r = 0.39)between percentage birth weight loss and total serum bilirubinconcentration on the third day. Logistic regression analysisshowed that percentage birth weight loss on the third day wassignificantly related to hyperbilirubinemia [OR 38.18 (95% CI2.29 to 637.61), P=0.011].Conclusion Percentage birth weight loss is related to hyperbilirubinemiain term newborn during the first week of life.

Diagnostic accuracy of single-voided urine protein/ creatinine ratio for proteinuria assessment in children with nephrotic syndrome Devie Kristiani; Pungky Ardani Kusuma; Purnomo Suryantoro
Paediatrica Indonesiana Vol 49 No 6 (2009): November 2009
Publisher : Indonesian Pediatric Society

Background Measurement of protein excretion is not onlyused for diagnostic purpose but also to monitor disease severityand prognosis in children with nephrotic syndrome (NS).The common method to measure proteinuria is 24-hour urinecollection. However, 24-hour urine collection is cumbersome,time consuming, and tedious. An alternative simplified methodis the measurement of protein/creatinine ratio in single-voidedurine specimens.Objective The aim of this study was to determine whether urineprotein/creatinine ratio is accurate to predict pathologic (> 100mg/m2/day) and massive proteinuria (> 1 g/m2/day).Methods Seventy single voided and 24-hour urine specimenswere collected from children aged 3-18 years. The relationshipbetween urinary protein/creatinine ratio and total daily proteinexcretion was calculated using correlation and linear regressionanalysis. Diagnostic test was conducted to estimate the accuracyof protein/creatinine ratio for the diagnosis of pathologic andmassive proteinuria in NS.Results Correlation coefficient between quantity of protein in24-hour urine specimens and protein/creatinine ratio in singlevoided urine specimens was 0.96 (R2=0.93). Both sensitivity and specificity of urinary protein/creatinine ratio were 87% in diagnosing pathologic proteinuria, whereas the sensitivity and specificity of the ratio to predict massive proteinuria were 88% and 91%, respectively.Conclusion The urinary protein/creatinine ratio in single voidedurine specimen has a good accuracy to predict pathologic andmassive proteinuria in children with NS aged 3-18 years.

Relapse episodes in childhood primary nephrotic syndrome treated by alternate or three consecutive daily dose prednisone therapy Denny Sujatno; M. P. Damanik; Purnomo Suryantoro
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Background Prednison is still the drug of choice for the treatmentof nephrotic syndrome, especially for those with minimal change.Methods of treatment to optimize the effectiveness and efficacyare still in discussion.Objectives To evaluate the episode of relapsing minimal changenephrotic syndrome patients who received prednisone therapy byalternate or by three consecutive dose methods.Methods We performed a retrospective cohort study using medicalrecords of the patients with primary nephrotic syndrome admittedto Division of Nephrology, Sardjito Hospital, Yogyakarta fromJanuary 1995 to January 2005. Subjects were divided into twogroups, the first group treated with alternate days while thesecond group with three consecutive days prednisone program.Evaluation had been done to compare both treatment program(alternate days or consecutive days).Results Relapse episodes after six month recovery periods withalternate days treatment was 33% while those with consecutivedays was as high as 83% (P>O.Ol).Conclusion Alternate dose group has a lower relapse eventcompared to three consecutive dose group in children withnephrotic syndrome.

Detection of hypoxemia and hyperoxemia by pulse oximetry in neonates and children Sri Murni A. Ritonga; Ekawati Lutfia Haksari; Purnomo Suryantoro
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Objective To assess the validity of pulse oximetry for detectinghypoxemia and hyperoxemia in neonates and children.Methods This was a diagnostic test study conducted in NeonatalIntensive Care Unit (NICU). The subjects of the study wereneonates of 0-28 days and children aged one month to 14 yearsin Pediatric Intensive Care Unit (PICU) of Sardjito Hospital.Hypoxemia and hyperoxemia were obtained by using NellcorRpulse oximetry, at the same time as blood gas analysis was obtainedas a gold standard.Results There were 240 neonates and 268 children enrolled inthis study. Pulse oximetry test with cut-off point 91% (neonates)and 90% (children) for detecting hypoxemia had sensitivity of81% and 80%, specificity of 79% and 95% positive predictivevalue of 54% and 82% negative predictive value of93% and 93%positive likelihood ratio of 3. 79 and 14.20 and negative likelihoodratio of0.25 and 0.24. Pulse oximetry test with cut-off point 95%(neonates) and 97% (children) for detecting hyperoxemia hadsensitivity of 7 8% and 81% specificity of 66% and 79%, positivepredictive value of77% and 76% negative predictive value of 66%and 83% positive likelihood ratio of 2.26 and 3.84 and negativelikelihood ratio of 0.34 and 0.24.Conclusion Pulse oximetry has a fairly good validity in detectinghypoxemia in neonates and children and in detecting hyperoxemiain children to however, it is not good enough to be used to detecthyperoxemia in neonates.

FACTORS ASSOCIATED WITH IRON ANEMIA DEFICIENCY IN CHILDREN AGED 12 TO 36 MONTHS IN PUBLIC HEALTH CENTER JATILAWANG, BANYUMAS CENTRAL JAVA Sawitri Dewi; Purnomo Suryantoro; Sulistyaningsih Sulistyaningsih
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: According to the WHO, anemia prevalence in preschool children in the world obtained 47.4% from the total population of anemia sufferers. Indonesia collected 44.5%, therefore, it was included in the prone region to anemia cases in pre-school children. Iron Deficiency Anemia (IDA) was closely related to low birth weight babies and premature age, nutritional status, socio-economic and low maternal education. Children who experienced anemic iron deficiency (ADB) in infancy at risk of barriers to growth and development Method: This was a cross sectional study. The population covered all healthy children aged from 12 to 36 months. The sample on the study determined by consecutive sampling, 152 subjects were selected. Examination conducted by the method Hb and serum ferritin cyanmethemoglobin using ELISA method. Data analysis used chi-square and Logistic Regression. Results: The prevalence of IDA in Puskesmas Jatilawang Banyumas regency was 28 cases (18.4%). Malnutrition status, maternal education and family income contributed a significant relationship to the incidence of iron deficiency anemia in infants. Children with malnutrition status collected 10.5 higher risk than children with good nutrition. Children with mother education backgrounds were only at Elementary School or Junior High School supported 12 times greater iron deficiency anemia (95% CI: 12,16- 202.5), and children who came from families with incomes <Rp 1.100.000,- obtained 7.08 times iron deficiency anemia(95% CI: 1,70- 29.3). Conclusions: The prevalence of iron deficiency anemia was 18.4%. Malnutrition status, maternal education and family income were risk factors of anemic iron deficiency in children aged 12 to 36 months in Puskesmas Jatilawang Banyumas.

Hubungan pengetahuan ibu tentang perawatan bayi berat lahir rendah (BBLR) dengan kenaikan berat badan bayi Sri Ratna Ningsih; Purnomo Suryantoro; Evi Nurhidayati
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 2 (2016): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Abstrack: The objective of the research is to know the correlation between mother’s knowledge about the treatment of LBW and baby’s weight gain at RSUD Wates in 2016. This research is a correlative-descriptive research using cross sectional time approach. The population of this research was mothers who have LBW, and 59 respondents were selected using quota sampling. This research uses questionnaire to get the data and chi-square for analysis test. Test the validity of using Product Moment correlation and Cronbach Alpha reliability test with. The research result is mother’s knowledge in gaining weight to Low Birth Weight. Therefore, it is hoped that mother whose baby is LBW can enrich knowledge especially is managing correct breastfeeding.

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