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Abstrak :
Latar belakang: Anak tunarungu mengalami gangguan pendengaran yang dapat menyebabkan kecemasan terhadap perawatan gigi. Anak tunarungu cenderung rentan terhadap kecemasan karena ketidakmampuan mereka dalam mengkomunikasikan emosi negatif dan kesulitan untuk menerima informasi tentang kesehatan gigi mulut. Perawatan gigi dikenal merupakan perawatan yang menimbulkan stress. Menangani pasien yang cemas merupakan tantangan bagi dokter gigi; perawatan membutuhkan lebih banyak waktu dan timbulnya perilaku tidak kooperatif pasien yang memberikan efek negatif pada kinerja dokter gigi. Kecemasan perawatan gigi dapat menyebabkan pasien menghindar, perilaku tidak kooperatif dan perubahan fisiologis dalam tubuh seperti meningkatnya frekuensi pernapasan dan detak jantung. Pendekatan khusus untuk mendidik anak-anak tunarungu dengan menggunakan media visual dapat berguna untuk mengurangi kecemasan gigi. Tujuan: Tujuan dari penelitian ini adalah untuk menganalisis pengaruh edukasi menggunakan buku pop-up 'Aku dan Gigiku' pada kecemasan gigi pada anak-anak tunarungu, yang diamati dari frekuensi napas. Metode Penelitian: 42 anak tunarungu dibagi menjadi masing-masing 21 anak dalam kelompok intervensi dan tanpa intervensi. Penilaian kecemasan dilakukan dengan mengukur frekuensi napas yang dilakukan sebelum dan sesudah intervensi menggunakan buku pop-up 'Aku dan Gigiku'. Data statistik kemudian dianalisis menggunakan t-tes berpasangan untuk membandingkan antara kelompok intervensi dan kelompok tanpa intervensi. Hasil: Terdapat perbedaan yang signifikan secara statistik dalam nilai delta dari frekuensi napas antara kelompok intervensi dan kelompok tanpa intervensi. Kesimpulan: Buku pop-up terbukti efektif sebagai media edukasi visual untuk mengurangi kecemasan gigi pada anak tunarungu. ......Background: Children with hearing impairment has communication barrier, that can induce dental anxiety. Deaf children are prone to dental anxiety because of their disability to communicate their negative feelings and difficulties to receive information about dental health care. Dental treatment is known as a stressful treatment. Treating an anxious patient is a challenge for dentists; treatment might take more time and the patient's uncooperative behavior gives a negative effect on the dentist's performance. Anxiety of dental treatment can lead to avoidance, uncooperative behavior and physiologic changes in the body such as respiratory rate and heart rate. Special approach to educate hearing-impaired children by using visual media can be useful to reduce dental anxiety. Aim: The aim of this study is to verify the impact of education using pop-up book on dental anxiety in hearing-impaired children, observed from respiratory rate. Methods: 42 children with hearing impairment who were retrospectively subclassified for study and control group. Assesment of anxiety by measuring respiratory rate were conducted before and after intervention using pop-up book. The data were analyzed using unpaired t-test for intergroup comparison between the study and control group. Result: There were a significant mean reduction of respiratory rate in the study group and mean increase of respiratory rate in the control group. A significant difference of respiratory rate was found among the study and control group. Conclusion: Our result suggest that pop-up book was found to be effective as a visual education tool to reduce dental anxiety in hearing-impaired children.

Abstrak :
Latar belakang: Anak tunarungu sering mengalami kecemasan yang disebabkan karena keterbatasan mereka dalam memahami bahasa melalui indera pendengaran. Hal ini yang menjadi hambatan bagi anak tunarungu dalam berkomunikasi sehingga timbul perasaan tidak aman yang dapat mengakibatkan kecemasan. Kecemasan yang dialami anak tunarungu menjadi hambatan bagi mereka dalam melakukan perawatan gigi. Buku pop-up adalah buku dengan gambar timbul tiga dimensi sehingga dapat meningkatkan imajinasi dan ketertarikkan pada anak tunarungu. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi buku pop-up "Aku dan Gigiku" terhadap kecemasan perawatan gigi dinilai melalui alfa amilase saliva anak tunarungu. Metode Penelitian: Pengukuran nilai alfa amilase pada 42 anak tunarungu dibagi menjadi 2 kelompok yaitu kelompok intervensi dengan buku pop-up "Aku dan Gigiku" dan kelompok tanpa intervensi buku pop-up "Aku dan Gigiku" masing-masing 21 anak dari usia 7–9 tahun. Anak tunarungu dalam kelompok intervensi di edukasi dengan buku-buku pop-up "Aku dan Gigiku". Penelitian ini merupakan penelitian eksperimental klinis. Hasil: Data statistik dianalisis dengan uji Mann-Whitney. Terdapat  perbedaan yang signifikan secara statistik pada nilai delta alfa amilase saliva antara kelompok intervensi dengan buku pop-up "Aku dan Gigiku" dan kelompok tanpa intervensi. Kesimpulan: Terdapat pengaruh intervensi buku pop-up "Aku dan Gigiku" terhadap alfa amilase saliva pada anak tunarungu usia 7-9 tahun. ......Children who have hearing impairments often experience feelings of anxiety because of both their limitations in understanding language through their auditory senses and the barriers of limitations they encounter when communicating. The anxiety experienced by children with hearing impairments becomes an obstacle for them when they receiving dental treatments. This pop-up book is a form of three-dimensional interactive literature that allows children to become involved in the story. The book has grown into a genre that delights and educates children of all ages. The aim of this study is to assess and compare the anxiety levels of hearing impaired children who were educated by using the pop-up book "Aku dan Gigiku" before receiving dental treatments to the levels of children who were not educated with the book before receiving dental treatments. The assessment and comparison were done by measuring the children's salivary alpha amylase (SAA) levels. The SAA levels were measured in 42 seven-to-nine-year-old children who had hearing impairments. The children were divided into two groups: the intervention group, which used the pop-up book "Aku dan Gigiku," and the control group, which did not. This study used the experimental design for clinical research. The Mann-Whitney U test was used to compare measurements of any decreases in SAA levels between the two groups. Statistical comparison of how much the SAA levels changed indicated significant differences between the intervention group that used pop-up book "Aku dan Gigiku" and the control group, p = 0.001 (p < 0.05). Analysis of the changes in the SAA levels showed that the pop-up book was effective in reducing anxiety among hearing impaired children.