Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKTesis ini disusun untuk mengetahui kondisi kualitas hidup ibu yang mengasuh anak dengan palsi serebral (PS), serta hubungannya dengan kondisi PS anak, faktor sosial demografik dan kondisi mental ibu. Penelitian menggunakan desain potong lintang. Subjek ibu diminta untuk mengisi kuesioner WHOQOL-BREF dan dilakukan wawancara untuk penilaian faktor sosial demografik dan kondisi mental ibu menggunakan MINI ICD-10, serta penilaian kondisi PS anak melalui pemeriksaan dan data rekam medis. Analisa statistik untuk menilai kualitas hidup ibu serta korelasinya dengan kondisi PS anak, faktor sosial demografik, dan kondisi mental ibu. Hasil penelitian menyatakan bahwa nilai tengah dari kualitas hidup ibu sebesar 50 (31-88), 63 (13-94), 62,5 (0-100), dan 50 (25-75) pada setiap domain. Faktor sosial demografik mempengaruhi kualitas hidup ibu pada faktor usia ibu, usia anak, pendapatan keluarga, jarak dari rumah ke pusat terapi, status tempat tinggal, jenis kelamin anak, pekerjaan ibu, dan pendidikan ibu. Tidak terdapat hubungan yang bermakna antara kondisi PS anak dan kondisi mental ibu terhadap kualitas hidup ibu. Maka, penelitian ini dapat menjadi pertimbangan untuk mulai memberikan pendampingan dan pelayanan yang komperhensif kepada para ibu yang mengasuh anak dengan PS ataupun kondisi disabilitas lainnya.

---

ABSTRACTThis thesis was aimed to determine the mother s quality of life (QoL) who caring for cerebral palsy (CP) child, also its relationship with CP child s condition, socio-demographic factors and mother s mental conditions. The design was cross-sectional. Mothers were asked to fill out the WHOQOL-BREF questionnaire and interviews to assess the social demographic factors and mental conditions using the MINI ICD-10, also assess the CP child s condition from examination and medical record data. Statistical analysis was conducted to assess the mother s QoL and its correlation with the CP child s condition, socio-demographic factors, and the mother s mental condition. The results stated that the mean value of mother s QoL were 50 (31-88), 63 (13-94), 62.5 (0-100), and 50 (25-75) in each domain. Social demographic factors affect the mother s QoL on the mother s age, child s age, family income, distance from home to the therapy center, residence state, child s sex, mother s occupation, and mother s education. There is no significant correlation between the CP child s condition and mother s mental condition to the mother s QoL. Thus, this research can be considered to start providing comprehensive assistance and services to mothers with CP child or other disability conditions. "

"Latar Belakang: Ketrampilan menghisap dan koordinasi antara menghisap, menelan dan bernafas belum adekuat belum adekuat pada neonatur prematur. Neonatal Oral-Motor Assessment Scale (NOMAS) adalah alat ukur yang telah sahih dan andal dalam menilai oromotor skill pada neonatus prematur. Penelitian ini ingin menguji validitas isi dan reliabilitas interrater dan test-retest yang diterjemahkan kedalam bahasa Indonesia yang belum pernah dilakukan sebelumnya. Metode : Desain penelitian ini adalah uji validasi, terdiri dari 16 subjek yang diambil berdasarkan kriteria penerimaan; neonatus prematur, kondisi umum stabil dan diizinkan oleh orang tua dengan mengisi informed consent. Data berupa video saat menyusu diawali dari saat pertama bertemu peneliti hingga usia koreksi 40 minggu. Oromotor skill dinilai dengan NOMAS yang telah diterjemahkan ke bahasa Indonesia. Validitas isi dilakukan dengan proses non-statistik; keandalan intrarater dinilai dengan uji Cohen?s Kappa dan Inter Class Correlation, keandalan interrater dengan uji Cronbach Alpha dan Inter Class Correlation. Hasil : Dari 16 neonatus didapatkan usia gestasi 32-35 minggu dan BBLR 93,75%. Secara isi NOMAS berbahasa Indonesia telah dinyatakan sesuai dengan NOMAS berbahasa Inggris. Keandalan intrarater bernilai baik hingga sempurna (K= 0,6-1,00 dan ICC= 0,4-1,00). Uji keandalan interrater bernilai rendah hingga hampir sempurna (Cronbach?s Alpha = 0,18-0,84 dan ICC= 0,05- 0,80). Kesimpulan : NOMAS berbahasa Indonesia mempunyai validitas isi dan reliabilitas yang baik untuk digunakan sebagai alat ukur oromotor skill pada neonatus prematur. Sebaiknya mengikuti pelatihan NOMAS agar lebih mengusai penggunaan alat ukur ini.

---

Background : Sucking skills and the coordination between sucking, swallowing and breathing are inadequate on premature neonates. Neonatal Oral-Motor Assessment Scale (NOMAS) is a measuring instrument that is both valid and reliable in assessing oromotor skills in premature neonates. The study aims to test the content validity and interrater reliability and test-retest reliability of NOMAS translated to Bahasa Indonesia which has never been done before.

Methods : This study is a validation test, consisting of 16 subjects who were taken using the inclusion criteria; premature neonates, in stable general condition and allowed by their parents to participate in the study by filling out an informed consent. Data was collected in the form of a video taken during feeding, starting from the first meeting with the researcher until 40 weeks corrected age. Oromotor skills was assessed using NOMAS which has been translated into Bahasa Indonesia. Content validity was performed using non-statistical process; intrarater reliability was assessed using Cohen's Kappa test and Inter Class Correlation, and interrater reliability using Cronbach Alpha test and Inter Class Correlation.

Results : Of the 16 neonates, a mean gestation age of 32-35 weeks and low birth weight incidence of 93.75% was found. The content of NOMAS in Bahasa Indonesia has been declared in accordance with NOMAS in English. Intrarater reliability was good to perfect (K= 0,6-1,00 and ICC= 0,4-1,00). Interrater reliability was low to almost perfect (Cronbach?s Alpha = 0,18-0,84 and ICC= 0,05- 0,80).

Conclusion : NOMAS in Bahasa Indoensia has good content validity and reliability and can be used as a measuring tool for oromotor skills in premature neonates. NOMAS training is adviced to master the use of this measure."

"ABSTRAKLatar Belakang: Disfagia fase faring ditemukan pada sebagian besar pasien karsinoma nasofaring (KNF) pasca-kemoradiasi. Manuver Mendelsohn bertujuan untuk meningkatkan durasi elevasi kompleks hyolaringeal, telah digunakan dalam penatalaksanaan disfagia dengan berbagai penyebab. Penelitian ini menilai pengaruh latihan manuver Mendelsohn pada penderita KNF pasca-kemoradiasi dengan disfagia fase faring.Metode: Desain kuasi eksperimen dengan penilaian sebelum dan sesudah latihan menelan dengan manuver Mendelsoh selama 6 minggu. Penelitian dilakukan pada 20 pasien KNF yang memenuhi kriteria penelitian. Sampel didapat secara konsekutif. Penilaian dilakukan dengan flexible endoscopic swallowing study (FEES) terhadap standing secretion, residu, penetrasi, dan aspirasi menggunakan konsistensi pure, thick liquid dan thin liquid.Hasil: Terdapat perbedaan bermakan pada penilaian standing secretion (p=0,034). Penilaian terhadap residu mendapatkan perbedaan bermakna pada pemberian pure dan thick liquid (p=0,021 dan p=0,008), sedangkan pada pemberian thin liquid tidak didapatkan perbedaan bermakna (p=0,129). Penilaian terhadap penetrasi mendapatkan perbedaan bermakna pada pemberian pure dan thick liquid (p=0,034 dan p=0,008), pada pemberian thin liquid tidak didapatkan perbedaan bermakna (p=0,059). Penilaian terhadap aspirasi tidak mendapatkan perbedaan bermakna pada pemberian ketiga konsistensi (p=>0,05).Kesimpulan: Latihan menelan dengan manuver Mendelsohn selama 6 minggu memeperbaiki standing secretion, residu pada pemberian pure dan thick liquid, penetrasi pada pemberian pure dan thick liquid. Latihan ini tidak memperbaiki aspirasi secara bermakna pada pemberian ketiga konsistensi.

---

ABSTRACTBackground: Dysphagia is commonly seen in patients with nasopharingeal carcinoma (NPC) post chemoradiation. The Mendelsohn maneuver which promotes a prolonged voluntary of hyolaryngeal elevation at the peak of swallowing process has been used to treat various causes of pharyngeal dysphagia. The aim of the study was to see of the influence of swallowing exercise with Mendelsohn manuever in post-chemoradiation NPC patients with pharyngeal phase dysphagia.Methods: A quasi experimental with pre and post-test assessment at before and after six weeks exercise of Mendelsohn manuever. The study was conducted on 20 NPC patients who met the study criteria. Flexible endoscopic of swallowing study (FEES) was used to asess standing secretion, residue, penetration, and aspiration by giving 3 consistency of food/fluid (pure, thick liquid and thin liquid).Results: There was a significant difference in standing secretion assesment (p=0,034). Significant differences were found in residue assesment of pure and thick liquid, although no significant difference was found in thin liquid (p=0,129). There were also significant differences in penetration assesment of pure and thick liquid (p=0.034 and p = 0.008), but no significant difference in thin liquid ( p = 0.059 ). The study did not find significant differences in assesment of aspiration in all kind of consistencies (p > 0.05). Conclusion: Six weeks swallowing exercise with Mendelsohn manuever can reduce severity of standing secretion, residue and penetration of pure and thick liquid. However the exercise improve aspiration status but did not reach significant difference at all consistencies. ;Background: Dysphagia is commonly seen in patients with nasopharingeal carcinoma (NPC) post chemoradiation. The Mendelsohn maneuver which promotes a prolonged voluntary of hyolaryngeal elevation at the peak of swallowing process has been used to treat various causes of pharyngeal dysphagia. The aim of the study was to see of the influence of swallowing exercise with Mendelsohn manuever in post-chemoradiation NPC patients with pharyngeal phase dysphagia.Methods: A quasi experimental with pre and post-test assessment at before and after six weeks exercise of Mendelsohn manuever. The study was conducted on 20 NPC patients who met the study criteria. Flexible endoscopic of swallowing study (FEES) was used to asess standing secretion, residue, penetration, and aspiration by giving 3 consistency of food/fluid (pure, thick liquid and thin liquid).Results: There was a significant difference in standing secretion assesment (p=0,034). Significant differences were found in residue assesment of pure and thick liquid, although no significant difference was found in thin liquid (p=0,129). There were also significant differences in penetration assesment of pure and thick liquid (p=0.034 and p = 0.008), but no significant difference in thin liquid ( p = 0.059 ). The study did not find significant differences in assesment of aspiration in all kind of consistencies (p > 0.05). Conclusion: Six weeks swallowing exercise with Mendelsohn manuever can reduce severity of standing secretion, residue and penetration of pure and thick liquid. However the exercise improve aspiration status but did not reach significant difference at all consistencies. "

"ABSTRAK Penanganan palsi serebral(PS) yang baik membutuhkanperan serta aktif pelaku rawat . Sehingga diperlukan alat ukur penilaian fungsimotorik kasar yang singkat dan dapat dimengerti .Tujuan penelitian ini adalahmenguji kesahihan dan keandalan FRQ-GMFCS versi Bahasa Indonesia .agardapat dipergunakan para klinisi dan pelaku rawat anak dengan PS. METODE.Desain penelitian dengan metode potong lintang pada 53 subjek,berusia 2-18 tahun.yang dikelompokan sesuai dengan pembagian usia pada FQGMFCS. Pengolahan data dilakukan dengan analisa univariat dan nilai CohenKappa . HASIL: Hasil uji kesahihan dan keandalan FRQ-GMFCS versi Indonesiamendapat hasil yang secara statistik bermakna. KESIMPULAN: FRQ-GMFCS versi Bahasa Indonesia terbukti memilikikesahihan dan keandalan yang baik serta cukup spesifik untuk digunakan klinisidan pelaku rawat anak dengan PS.ABSTRACT A good handling of cerebral palsy requires the activeparticipation of caregivers. So, we need an understandable short questionaire of gross motor function assessment.The aim of this study was to determine thevalidity and reliability of Indonesian version of FRQ-GMFCS so it can be usedfor clinicians and caregivers of children with cerebral palsy(CP). METODE:We conducteds a cross-sectional study in 53 caregivers of childrenwith CP, aged 2-18 yeras old and was grouped according to the age distribution ofthe FRQ-GMFCS. Data processing was performed with univariate analysis andCohen Kappa value. RESULTS: The validity and reliability of Indonesian version of FRQ-GMFCSstatistically are significant. CONCLUSION: Indonesian version of FRQ-GMFCS shown to have goodvalidity and reliability as well as the specific enough to be used clinicians andcaregivers of children with CP. ;BACKGROUND: A good handling of cerebral palsy requires the activeparticipation of caregivers. So, we need an understandable short questionaire of gross motor function assessment.The aim of this study was to determine thevalidity and reliability of Indonesian version of FRQ-GMFCS so it can be usedfor clinicians and caregivers of children with cerebral palsy(CP). METODE:We conducteds a cross-sectional study in 53 caregivers of childrenwith CP, aged 2-18 yeras old and was grouped according to the age distribution ofthe FRQ-GMFCS. Data processing was performed with univariate analysis andCohen Kappa value. RESULTS: The validity and reliability of Indonesian version of FRQ-GMFCSstatistically are significant. CONCLUSION: Indonesian version of FRQ-GMFCS shown to have goodvalidity and reliability as well as the specific enough to be used clinicians andcaregivers of children with CP. "