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Raden Roro Nur Fauziyah
Abstrak :
Anemia Gizi, khususnya Anemia Gizi Besi (AGB) merupakan masalah terbesar gangguan defisiensi gizi di dunia saat ini. Anemia merupakan masalah kesehatan masyarakat termasuk remaja (adolescents) karena pertumbuhan memerlukan sejumlah besar zat besi secara terus menerus untuk meningkatkan mssa tubuh. Prevalensi anemia pada kelompok usia 5 - 14 tahun cukup tinggi dibanding kelompok umur yang lain yaitu sebesar 28,3 %. Hasil beberapa penelitian didapatkan sekitar 41,4 % - 66,7 % remaja putri di Indonesia menderita anemia (WHO, 2001). Prevalensi kejadian anemia pada siswa SMP di Kabupaten Administrasi Kepulauan Seribu sebesar 22% merupakan masalah kesehatan masyarakat dengan kriteria sedang dan belum dakukan penelitian tentang faktor determinan kejadian anemia pada siswa SMP tersebut. Penelitian ini bertujuan untuk mendapatkan gambaran dan faktor determinan kejadian anemia pada siswa SMP. Penelitian ini merupakan analisis data sekunder dari kegiatan upaya perbaikan gizi institusi Kabupaten Administrasi Kepulauan Seribu, menggunakan rancangan potong lintang (cross sectional). Populasi studi adalah semua siswa kelas VII, VIII dan IX SMP Negeri 133 Pulau Pramuka dan SMP Negeri 260 Pulau Harapan Kabupaten Administrasi Kepulauan Seribu. Unit sampel adalah siswa yang terpilih melalui teknik pengambilan sampel Stratified Random sampling alokasi proporsional sebanyak 309 orang dan memenuhi syarat untuk uji hipotesis beda dua proporsi. Hasil penelitian menunjukkan proporsi kejadian anemia siswa SMP adalah 22%. Dari hasil analisis bivariabel didapatkan hubungan yang bermakna antara kejadian sakit, konsumsi protein, vitamin C, zat besi dengan kejadian anemia. Dori analisis multivariable didapat faktor detenninan kejadian anemia adalah konsumsi protein, vitamin C dan zat besi. Konsumsi zat besi kurang atau sama dengan 12,4838 mg merupakan faktor determinan yang paling dominan terhadap kejadian anemia dengan nilai OR 20,39 kali dibanding siswa yang konsumsi zat besi lebih dari 12,4838 mg. Perbanyak konsumsi zat besi, dengan cara menghidangkan lebih banyak daging, hati, ikan dan bahan makanan hewani lainnya, perbanyak konsumsi bahan makanan yang kaya vitamin C seperti sayur-sayuran dan buah-buahan. Pemberian tablet tambah darah kepada siswa perempuan yang telah menstruasi dan laki-laki yang menderita anemia.
Nutritional anemia, particularly iron deficiency anemia (IDA), is perhaps clinically the most widespread nutritional deficiency disorder in the world today. Anemia is a a public health problem, not only among pregnant mothers, infants and young children but also among school age children including adolescent. Growing children require large amounts of iron for continous increase in body mass and are therefore vulnerable to iron deficiency and its consequences. Prevalence of anemia at the age group of 5 - 14 years old is higher than the other age group, that is 28,3%. This research result got 41,4 - 66,7% girl students with anemia in Indonesia (WHO, 2001). Prevalence of anemia occurrence among Junior High School students in Kabupaten Administrasi Kepulauan Seribu is 22%. It is a health problem with medium criteria at society and there is not a conducted research yet concerning determinant factor of anemia occurrence among Junior High School students. This research purpose to get describing a determinant factor of anemia occurrence among Junior High School students. This research used a secondary data analysis of improvement effort activities in sub-province of Administrasi Kepulauan Seribu using a cross sectional design. Study population are all students at the 7th, 8th and 9th class of Junior High School 133 Pulau Pramuka and SMPN 260 Pulau Harapan, Kabupaten Administrasi Kepulauan Seribu. Sample units are chosen students by Stratified Random Sampling, proportional allocation are 309 samples based on standard with the different test hypothesis of two proportions. The research result indicated an anemia occurrence proportion among Junior High School students with anemia were 22%. From bivariable analysis result got a meaning relation between pain occurrence, protein consumption, vitamin C, iron with anemia occurrence. By a multivariable analysis found that determinant factor of anemia occurrence were protein consumption, vitamin C and iron. Less consumption of iron or 12,4838 mg is most dominant determinant factor of anemia occurrence with value of OR 2039 compared with students which their iron consumption are more than 12,4838 mg. It is important to be done a health monitoring and assessment of hemoglobin level routinely, supported by improving a health promotion concerning knowledge, nutrition consumption, personal hygiene and also giving tablet Fe for anemia patient, especially for girl students who have menstruated.
Depok: Universitas Indonesia, 2006
T19062
UI - Tesis Membership  Universitas Indonesia Library
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Zolla Amely Ilda
Abstrak :
Pelibatan ibu dalam perawatan bayi prematur merupakan salah satu komponen konsep family centered care. Penelitian ini bertujuan untuk menguji pengaruh pelibatan ibu terhadap interaksi ibu dan bayi dan kepercayaan diri ibu dalam merawat bayi prematur. Desain penelitian yang digunakan adalah kuasi eksperimen one-group pretest-posttest. Penelitian ini melibatkan 16 orang ibu dan bayinya yang dipilih dengan teknik konsekutif di ruang Perinatologi di sebuah RSUP di Jakarta, selama sebulan. Instrumen yang digunakan untuk menilai interaksi ibu-bayi adalah terjemahan Modified Observation of Communication Interaction dan kepercayaan diri ibu diukur menggunakan Maternal Confidence Questionaire yang juga diterjemahkan. Hasil analisis statistik menunjukkan bahwa skala interaksi ibu-bayi dan kepercayaan diri ibu meningkat secara signifikan (p= 0,0005). Hasil penelitian ini merekomendasikan upaya peningkatan pelibatan ibu dalam perawatan bayi prematur di ruang Perinatologi.
Enhancement of Mother-Infant Interaction and Maternal Confidence: The Impact of Mother Involvement in Infant Care in the Neonatology Unit. Mothers? involvement in premature infant care is one of components of the family centered care. The purpose of this study was to examine the impact of mothers? involvement on mother-infant interactions and maternal confidence in premature infant care. This study used a quasy experimental with one-group pretest-posttest design. Sixteen participants were selected using consecutive sampling technique in Neonatal Unit Level I-II in General Hospital in Jakarta during one month. Modified Observation of Communication Interaction was translated in to Indonesian and used to observe mother-infant interaction and maternal confidence measured by translated Maternal Confidence Questionaire. The result of statistic analysis showed that mother-infant interactions scale and maternal confidence increase significantly (p= 0.0005). This study recommends the improvement of mothers? involvement in premature infant care in neonatal unit.
Padang: Poltekkes Kemenkes Padang. Jurusan Keperawatan ; Universitas Indonesia. Fakultas Ilmu Keperawatan, 2013
610 JKI 16:3 (2013)
Artikel Jurnal  Universitas Indonesia Library
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Shafira Chairunnisa
Abstrak :
Bonding merupakan ikatan emosi yang terbentuk antara seorang ibu dengan anaknya sejak pertama kali terjadinya kontak antara ibu dan anak. Bonding yang erat pada masa awal perkembangan anak, khususnya pada usia bawah tiga tahun, merupakan hal yang sangat penting bagi perkembangan emosi dan sosial anak. Salah satu faktor yang sangat berpengaruh terhadap bonding ibu-anak adalah psikopatologi ibu. Terdapat berbagai studi yang meneliti hubungan antara psikopatologi ibu dengan bonding, tetapi studi-studi tersebut umumnya berfokus pada depresi. Penelitian ini bertujuan untuk mengidentifikasi korelasi antara jenis psikopatologi lainnya pula dengan bonding ibu-anak usia bawah tiga tahun. Pada penelitian cross-sectional ini, sebanyak 65 ibu yang memiliki anak berusia 0-36 bulan diminta untuk mengisi kuesioner Mother Infant Bonding Scale (MIBS) sebagai instrumen pengukuran bonding ibu-anak dan kuesioner Symptoms Checklist 90 (SCL-90) sebagai instrumen pengukuran psikopatologi pada ibu. Uji korelasi Spearman kemudian dilakukan untuk melihat korelasi antara skor total MIBS dengan skor total SCL-90 maupun skor per dimensi psikopatologi, yang mencakup gejala depresi, ansietas, obsesif kompulsif, phobic anxiety, hostilitas, ideasi paranoid, somatisasi, sensitivitas interpersonal, serta psikosis. Ditemukan korelasi positif lemah yang bermakna antara psikopatologi ibu secara keseluruhan (r=0,228), gejala depresi (r=0,236), ansietas (r=0,313), phobic anxiety (r=0,207), dan psikosis (0,221) dengan bonding ibu-anak usia bawah tiga tahun. Tidak ditemukan korelasi yang bermakna antara gejala obsesif kompulsif, hostilitas, ideasi paranoid, somatisasi, dan sensitivitas interpersonal dengan bonding (p>0,05). Diperlukan penelitian lebih lanjut untuk mengidentifikasi hubungan antara psikopatologi yang memiliki korelasi tidak bermakna tersebut dengan bonding, serta penelitian untuk mengeksplorasi faktor-faktor lain yang dapat turut memengaruhi bonding ibu-anak usia bawah tiga tahun. ...... The term bonding refers to the emotional tie between a mother and her infant which forms since their earliest contact. Bonding during the childs early years, especiallyup until the age of three, is crucial for the childs emotional and socia development. Maternal psychopathology is one of the most important factors affecting mother-child bonding. Studies in this area have primarily focused on the association between depression and mother-child bonding, with limited studies investigating other types of psychopathology. This cross-sectional research aims to identify the correlation between various types of psychopathology and bonding among mothers and children under three years old. As many as 65 mothers of children aged 0-36 months were asked to complete two questionnaires: the Mother-Infant Bonding Scale (MIBS) as a measure of mother-child bonding and the Symptoms Checklist 90 (SCL-90) as a measure of maternal psychopathology. Spearmans correlation test was then performed to investigate the correlation between the total scores of each questionnaire, as well as the correlatio between MIBS total score and the SCL-90 subscores for each type of psychopathology. This includes depression, anxiety, obsessive-compulsiveness, phobic anxiety, hostility, paranoid ideation, somatization, interpersonal sensitivity, and psychoticism. Weak but significant positive correlation between maternal psychopathology in general and mother-child bonding was observed (r=0.228). Similar correlation was also observed between bonding and maternal depression (r=0,236), anxiety (r=0.313), phobic anxiety (r=0.207), and psychoticism (r=0,221). No significant correlation was found between bonding and maternal obsessive-compulsiveness, hostility, paranoid ideation, somatization, as well as interpersonal sensitivity (p>0.05). Further research investigating the association of these five psychopathologies with mother-child bonding is needed. Factors other than materna psychopathology that might have affected mother-child bonding also needs to be explored.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
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UI - Skripsi Membership  Universitas Indonesia Library
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Tri Lestari Handayani
Abstrak :
Wanita hamil sering (25%-45%) menjadi korban kekerasan yang dilakukan oleh suaminya, padahal dukungan sosial dari suami sangat dibutuhkan untuk meningkatkan kemampuan ibu beradaptasi pada masa post partum dan melakukan interaksi ibu-bayi secara adekuat. Tujuan penelitian ini adalah untuk menganalisa pengaruh kekerasan fisik, psikologis, ekonomi, dan seksual selama kehamilan terhadap interaksi ibu-bayi selama periode post partum awal. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain kasus kontrol. Populasi penelitian ini adalah ibu post partum normal dengan persalinan spontan pervaginam tanpa komplikasi dan bayi sehat yang di rawat di RSUD Koja Jakarta, dan RSVP Fatmawati. Jumlah sampel dalam penelitian ini sebanyak 100 orang ibu post partum yang terdiri dari 50 orang kelompok kasus yang mengalami gangguan interaksi dan kelompok kontrol yang tidak mengalami gangguan interaksi. Teknik pengumpulan data dengan menggunakan lembar observasi untuk mengidentifikasi interaksi ibu-bayi selama tiga bari, dan pada hari ketiga post partum ibu diberi kuesioner untuk mengidentifikasi pengalaman kekerasan fisik, psikologis, ekonomi dan seksual yang dialami selama hamil. Pegujian pengaruh kekerasan dengan interaksi ibu-bayi dilakukan dengan menggunakan uji Chi Square. Hasil analisis pada a 5% diperoleh tidak ada pengaruh kekerasan fisik, psikologi, ekonomi dan seksual selama kehamilan terhadap interaksi ibu-bayi selama periode post partum. Variabel confounding lama perkawinan, paritas dan perencanaan kehamilan juga tidak mempengaruhi interaksi ibubayi. Disarankan kepada perawat untuk melakukan pengkajian tentang pengalaman kekerasan kepada ibu selama masa perinatal dan selalu mendorong interaksi ibu-bayi seawal mungkin.
Pregnant women are vulnerable to violence victim by her husband (25%-45%), however, family support is highly needed for her in order to increase mother's ability in adapting in new inexperienced situation, which is the post partum period, therefore they can perform mother-baby relation adequately. The goals of this research are to analyze the influence of physical, psychological, economy, and sexual violence during pregnancy to the mother-baby interaction in the early post partum period. Sample used for this research are 100 post partum mothers, whom consist of two groups. The cases group is 50 mothers whose have adequacy interaction and the control group is 50 mothers whose have adequacy interaction. The data obtained using observation sheet that identified mother-baby interaction for three days, at the end of the observation day, mothers are given other questionnaire to identify physical, psychological, economical, and sexual violence experienced during pregnancy. The relation between violence during pregnancy and mother-baby interaction is using Chi Square Test. The results with a value 5% is there is no relation between physical, psychological, economical, and sexual violence experienced during pregnancy to the mother-baby interaction in the early post partum period. Confounding variables are length of marital status, parity status, and pregnancy management also doesn't have relation with the mother-baby interaction. It is suggested for the nurses always to assess prenatal mother violence experienced and always to promote mother-baby interaction as early as possible.
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2006
T17472
UI - Tesis Membership  Universitas Indonesia Library
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Imelda Gracia Gani
Abstrak :
[ABSTRAK
Bonding antara ibu dengan anak merupakan proses yang bersifat dinamik dan dua arah. Bonding berperan sangat penting pada masa awal kehidupan seorang anak. Bonding yang terbentuk akan mempengaruhi sikap pengasuhan ibu terhadap anak yang masih bergantung penuh pada dirinya. Bonding juga mempengaruhi perkembangan sensorik dan motorik anak. Dalam jangka panjang, gangguan bonding dapat menyebabkan berbagai gangguan emosi dan perilaku pada anak. Diperlukan alat ukur untuk menilai bonding antara ibu dengan anak, sehingga jika terdapat masalah maka dapat dilakukan intervensi segera. Penelitian ini dilakukan untuk mengelaborasi kesahihan dan keandalan instrumen Mother-Infant Bonding Scale dalam Bahasa Indonesia. Kesahihan instrumen ini dalam Bahasa Indonesia baik, dibuktikan oleh uji validitas isi. Keandalan instrumen Mother-Infant Bonding Scale versi Bahasa Indonesia menurut nilai Cronbach?s alpha untuk keseluruhan butir instrumen adalah 0,4; untuk faktor lack of affection adalah 0,4; sedangkan untuk faktor anger and rejection adalah 0,5.
ABSTRACT
Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child?s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon. We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2. ;Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon. We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2. ;Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon. We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2. , Bonding between a mother to her infant is a dynamic and bidirectional process, it play a very important role in the first days of life. Bonding create nurturing behavior of a mother to her infant that fully dependent to others to fulfill its need. Bonding also has important role in sensory motor development of the baby. In a long term, disorder of mother-infant bonding affect child’s emotional regulation and behavior. Assessment tools is needed to assess the quality of mother-infant bonding, so if there was problem, intervention should be done soon. We did this research to evaluate validity and reliability of Mother-Infant Bonding Scale in Indonesian version. The validity of these instruments in Indonesian version tested with content validity by experts worth 1.00. Reliability of Mother-Infant Bonding Scale in Indonesian version according to Cronbach's alpha values for whole item is 0.4; for lack of affection factor is 0.4; whereas for anger and rejection factor is 0.2. ]
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Nopi Nur Khasanah
Abstrak :
[ABSTRAK
Kemampuan ibu mengenal isyarat bayi sangat bervariasi dan penting bagi perkembangan bayi prematur. Penelitian ini mengidentifikasi pengaruh pemberian edukasi melalui buku saku pada kelompok kontrol, di sisi lain video berdurasi 10,51 menit dan ?kartu isyarat? sebagai latihan identifikasi isyarat bayi prematur diberikan pada kelompok intervensi. Rancangan menggunakan eksperimen acak terkontrol dengan teknik pretest posttest equivalent group melibatkan 30 ibu dan bayi prematur. Instrumen untuk menilai interaksi ibu-bayi yang digunakan adalah Modified Observation of Communication Interaction. Hasil penelitian menunjukkan adanya pengaruh pemberian edukasi terhadap skor interaksi ibu-bayi yang meningkat bermakna pada kelompok intervensi (p=0,005) dan kelompok kontrol (p=0,011), serta terdapat perbedaan yang bermakna antara kedua kelompok (p=0,015). Peningkatan pemahaman ibu tentang identifikasi isyarat bayi prematur sebaiknya menggunakan video dan latihan.
ABSTRACT
Mother?s ability to recognize cues were varies greatly and it is important for infants development. This study was to examine the impact of education method using booklet on controled group, on the other hand 10,51 minutes video and ?cues card? to recognize directly are given on intervention group. This study used a randomized controled trial with pretest posttest equivalent group design. Thirty mothers and premature infants were selected. A Modified Observation of Communication Interaction used to observe mother-infant interaction. The result shown a significant effect of education on mother-infant interaction?s score that increase significantly in the intervension group (p=0,005) and controled group (p=0,011), there were different mean between two group (p=0,015). To improve understanding?s mother of premature infants cue should use video and training , Mother’s ability to recognize cues were varies greatly and it is important for infants development. This study was to examine the impact of education method using booklet on controled group, on the other hand 10,51 minutes video and ‘cues card’ to recognize directly are given on intervention group. This study used a randomized controled trial with pretest posttest equivalent group design. Thirty mothers and premature infants were selected. A Modified Observation of Communication Interaction used to observe mother-infant interaction. The result shown a significant effect of education on mother-infant interaction’s score that increase significantly in the intervension group (p=0,005) and controled group (p=0,011), there were different mean between two group (p=0,015). To improve understanding’s mother of premature infants cue should use video and training ]
2015
T44412
UI - Tesis Membership  Universitas Indonesia Library
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Fiona Valerie Muskananfola
Abstrak :
Tidur merupakan aspek substansial dalam tumbuh kembang anak, mulai dari aspek kesehatan hingga fungsi sehari-hari anak. Salah satu faktor yang diduga memengaruhi adalah kualitas bonding ibu-anak. Penelitian ini bertujuan untuk mengidentifikasi kualitas bonding ibu-anak terhadap kualitas tidur anak usia batita (0-36 bulan) serta mencari proporsi kedua variabel tersebut. Penelitian ini menggunakan desain potong lintang dengan subjek penelitian yaitu ibu beserta anak usia batitanya. Sebanyak 63 ibu beserta anak usia batitanya ikut dalam penelitian ini. Pemilihan subjek penelitian sampel secara konsekutif melalui kesediaan ibu untuk mengikuti penelitian ini. Penelitian ini menggunakan dua buah kuesioner dalam bahasa Indonesia yaitu, Mother-Infant Bonding Scale (MIBS) untuk menilai bonding ibu-anak dan Brief Infant Sleep Questionnaire (BISQ) untuk menilai kualitas tidur anak usia batita. Pengisian kuesioner dilakukan oleh ibu. Analisa data dilakukan dengan uji korelasi Spearmans melalui SPSS versi 23. Proporsi anak dengan gangguan kualitas tidur sebesar 33,3%. Pada bonding ibu-anak, ditemukan adanya rasa takut atau panik pada sebagian besar ibu dengan kadar yang berbeda. Meskipun terdapat perasaan negatif terhadap anak, 100% responden ingin melindungi anaknya. Selain itu, ditemukan korelasi berbanding lurus dengan kekuatan korelasi lemah pada bonding ibu-anak dan kualitas tidur anak p<0,05; r=0,392). Dari penelitian ini dapat disimpulkan bahwa gangguan kualitas tidur pada anak memiliki prevalensi cukup tinggi. Ibu dengan nilai MIBS tinggi memiliki risiko gangguan tidur pada anak batitanya. ...... Sleep is a substantial aspect in a childs development which is reflected in their health and daily functions. Mother-child bonding quality has been said to influence the quality of sleep. This research aims at identifying how the quality of mother-child bonding influences toddlers sleep quality and at analyzing the proportion of the two variables. The cross-sectional study that analyzes data from a representative subset is adopted in this research with mothers and their toddlers (0-36 months) as the subjects. A group of 63 mother-toddler pairs from consecutive sampling participated in the study. Two sets of questionnaires in Bahasa Indonesia which are Mother-Infant Bonding Scale (MIBS) to assess the mother-child bonding, and Brief Infant Sleep Questionnaire (BISC) to assess the sleep quality of toddlers were used. The questionnaires were completed by the mothers. Spearmans correlation test was used in the analysis using SPSS v.23. The findings of the study indicate that the proportion of toddlers with sleep problem was 33.3%. In the mother-child bonding analysis it was found that the majority of mothers experienced various levels of fear and panic attack during parenting. However, despite the negative feelings towards the child, 100% of the respondents are determined to protect their children. The mother-child bonding was found to be significantly correlated with sleep quality of the child. And although there is a statistically weak relationship between the two variables, the direction is positive where stronger bonding between mothers and their toddlers results in higher quality of the children sleep (p<0.05; r=0.392). It can also be concluded that there is a high prevalence of toddlers sleep quality problem and that toddlers of mothers with high MIBS are susceptible to sleeping problem risks.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Wira Febrisandi Irsan
Abstrak :
Latar belakang: Kolik infantil merupakan tangisan berlebih tanpa tanda gagal tumbuh atau sakit. Salah satu penyebab kondisi ini adalah bonding ibu-bayi yang tidak adekuat. Ibu yang mengalami depresi dan tidak mendapat dukungan dalam pengasuhan dapat meningkatkan risiko terjadinya kolik infantil. Kolik infantil dapat menyebabkan bayi mengalami admisi berulang ke instalasi gawat darurat, pemberian terapi yang tidak rasional, serta mendapatkan perlakuan salah. Ibu peserta Program Pendidikan Dokter Spesialis (PPDS) berisiko mengalami jam kerja berlebih sehingga mengurangi waktu membentuk bonding dengan bayinya, burnout, hingga depresi yang merupakan faktor risiko terjadinya kolik infantil. Hingga saat ini belum ada penelitian mengenai prevalens dan faktor risiko kolik infantil pada bayi dari ibu peserta PPDS. Metode: Studi potong lintang dilakukan pada 67 bayi dari ibu peserta PPDS berasal dari tujuh senter pendidikan di Sumatra dan Jawa dengan menggunakan kuesioner laporan orangtua untuk anak usia 0-3 tahun yang telah diterjemahkan secara resmi dari Rome Foundation dan kuesioner Mother Infant Bonding Scale versi bahasa Indonesia. Kuesioner diisi secara daring, dengan tautan yang diberikan melalui aplikasi WhatsApp© kepada ibu peserta PPDS. Hasil: Sebanyak 18 (26,8%) subjek mengalami kolik infantil, dan bayi dari ibu peserta PPDS dengan risiko tinggi masalah bonding ibu-bayi memilki risiko kolik infantil lebih tinggi dengan P<0,046, OR:2,922 (IK95%: 1,07-4,87). Jenis pemberian nutrisi berupa ASI atau kombinasi susu formula dan ASI tidak menunjukan perbedaan bermakna secara statistik terhadap kejadian kolik infantil dengan P=0,602, OR: 1,333 (IK95%: 0,451-3,940). Simpulan: Risiko tinggi masalah bonding ibu-bayi dapat meningkatkan risiko kejadian kolik infantil pada bayi dari ibu peserta PPDS. ......Background: Infantile colic is excessive crying without signs of failure to thrive or illness. Inadequate mother-infant bonding is one of the possible causes, and the risk is increased in mothers with depression and lack of family support. Infantile colic could lead to recurrent admission to the emergency department, irrational therapy, and child abuse. Mothers participating in medical residency training programs could experience excess working hours, less time to bond with their babies, burnout, and depression, which could increase the risk of infantile colic. Until recently, there has been no data on the prevalence and associated factors of infantile colic in infants of mothers participating in medical residency training program. Methods: This is a cross-sectional study of 67 infants of mothers participating in medical residency training programs from seven training centers in Java and Sumatra, using a Parent Report Questionnaire for Children Aged 0-3 years which had been officially translated into Indonesian language from the Rome Foundation and the Indonesian version of the Mother-Infant Bonding Scale Questionnaire. In addition, an online link to fill online questionnaire was distributed via the WhatsApp© application. Results: As many as 18 (26.8%) subjects experienced infantile colic. A high risk of mother-infant bonding problems is associated with infantile colic with P<0.046, OR:2.922 (95% CI: 1.07-4.87). The type of nutrition in the form of breast milk or a combination of formula and breast milk was not statistically significantly different, with P=0.602, OR: 1.333 (95% CI: 0.451-3.940). Conclusion: High risk of mother-infant bonding issues can increase the likelihood of infantile colic in babies born to mothers participating in medical residency training programs.
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library