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"Latar belakang : Tidur berguna untuk kesehatan mental, emosi, fisik, dan sistemimunitas tubuh. Gangguan tidur pada anak semakin menjadi masalah karena akanberdampak pada mood, perilaku dan intelektual anak. Dilaporkan, insidensigangguan tidur pada anak lebih tinggi pada kasus epilepsi.Tujuan : Mengetahui prevalensi gangguan tidur pada anak dengan epilepsi, sertamenilai hubungan antara faktor-faktor risiko yang memengaruhinya kejadiangangguan tidur pada anak dengan epilepsi.Metode : Studi potong lintang yang dilakukan di Poliklinik Anak Kiara RS CiptoMangunkusumo Jakarta dengan populasi anak epilepsi usia 4-18 tahun. Penilainvariabel gangguan tidur menggunakan kuesioner sleep disturbance scale forchildren (SDSC) terdiri dari 26 pertanyaan yang telah tervalidasi sebelumnya.Kuesioner akan diisi oleh orang tua mengenai pola tidur anak dalam 6 bulanterakhir. Pasien yang sebelumnya memiliki gangguan tidur primer sepertiobstructive sleep apnea (OSA), sindrom epilepsi, disabilitas intelektual, attentiondeficit hyperactivity disorder (ADHD) akan dieksklusi.Hasil : Didapatkan 99 subyek dengan karakteristik 22,2% menderita epilepsiintraktabel, 28,2% serebral palsi dan 64,6% tipe kejang umum. Dari hasilkuisioner SDSC didapatkan 71,7% anak dengan epilepsi mengalami gangguantidur, jenis terbanyak 62% gangguan memulai dan mempertahankan tidur. Faktorrisiko yang terbukti memengaruhi secara independen kejadian gangguan tidurpada pasien epilepsi adalah tipe kejang umum, serebral palsi, epilepsi intraktabel,elektroensefalografi (EEG) abnormal, dan obat antiepilepsi (OAE) jenis nonbenzodiazepin.Kesimpulan : Tipe kejang umum, serebral palsi, epilepsi intraktabel,abnormalitas EEG, dan OAE jenis non-benzodiazepin bermakna secara statistikindependen memengaruhi kejadian gangguan tidur pada epilepsi.

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Background : Sleep is affecting mental health, emotional, physical, and immunesystem. Sleep disorder in children was increased and became a burden because itwill affect the mood, behaviour and intellectual. Reportedly, the incidence ofsleep disorder is higher in children with epilepsy.Objective : Knowing the prevalence of sleep disorder in children with epilepsy,and to assess the risk factors which affecting it.Methods : A cross-sectional study was conducted at children polyclinic CiptoMangunkusumo Hospital in Jakarta with populations of epilepsy children aged 4-18 years old. The assessment of sleep disorder using the sleep disturbance scalefor children (SDSC), which consist of 26 questions that had been previouslyvalidated. The questionnaire will be filled out by parents regarding the childssleep pattern in the past 6 months. Patients who had primary sleep disorders suchas obstructive sleep apnea (OSA), epilepsy syndrome, intellectual disabilities,attention deficit hyperactivity disorder (ADHD) will be excluded.Results : There were 99 subjects, with characteristics are 22.2% had intractableepilepsy, 28.2% had cerebral palsy and 64.6% generalized seizures. Theprevalence of sleep disorder in child with epilepsy in this study was 71.7%, themost frequent type was disorder of starting and maintaining sleep. Risk factorsthat have been shown to independently affecting the incidence of sleep disorder inepilepsy patients are generalized seizures, cerebral palsy, intractable epilepsy,electroencephalography (EEG) abnormality, and non-benzodiazepine typeantiepileptic drugs (AED).Conclusion : Generalized seizure, cerebral palsy, intractable epilepsy, EEGabnormality, and non-benzodiazepine type of AED are statistically significantaffecting the incidence of sleep disturbance in epilepsy independently."

"ABSTRAKLatar Belakang: Anestesiologis adalah profesi yang rentan mengalami kelelahan. Gangguan tidur adalah keluhan yang sering dialami oleh anestesiologis. Penelitian ini menggunakan kuesioner PSQI Pittsburgh Sleep Quality Index untuk menilai kualitas tidur dan kuesioner ESS Epworth Sleepines Scale untuk menilai skala kantuk berlebih. Metode: Penelitian observasional ini menggunakan rancangan potong lintang. Setelah disetujui komite etik didapatkan 114 peserta PPDS Anestesiologi dan Terapi Intensif FKUI RSUPN Cipto Mangunkusumo menggunakan total sampling selama April - Mei 2016. Formulir penelitian meliputi penilaian kualitas tidur menggunakan PSQI dan skala kantuk menggunakan ESS. Analisis deskriptif meliputi data gangguan kualitas tidur, skala kantuk, distribusi karakteristik dan jam kerja. Analisis bivariat menilai kriteria terkait nilai PSQI ? 5 kualitas tidur kurang dan ESS ?10 skala kantuk berlebih . Analisis multivariat dengan regresi logistik biner untuk melihat hubungan variabel paling dominan dengan variabel dependen. Setelah itu, dilakukan perbandingan antara data kualitas tidur dengan skala kantuk berlebih. Hasil: Faktor durasi tidur, keluhan tidur dan skala kantuk berlebih adalah faktor penyebab kualitas tidur kurang

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ABSTRACTBackground Anesthesiologists is a profession prone to fatigue. Sleep disorder is a common complaint suffered by the anesthesiologist. This study used a questionnaire PSQI Pittsburgh Sleep Quality Index to assess the quality of sleep and ESS Epworth Sleepines Scale to assess the scale of excessive sleepiness. Methods This observational study used cross sectional design. After approval from ethics committee we obtained 114 resident of Anesthesiology and Intensive Therapy at Cipto Mangunkusumo Hospital using total sampling during April May 2016. The research form contained PSQI questionnaire to asses sleep quality and ESS to asses sleepiness scale. Data of sleep quality disorder, sleepiness scale, characteristics distribution and working hours presented by descriptive analysis. The bivariate analysis measured the relevant criteria PSQI score 5 sleep disorder and ESS 10 excessive sleepiness scale . Multivariate analysis by binary logistic regression used to see the most significant variable from the dependent variable. After that, comparison between data quality of sleep with excessive sleepiness scale was done. Results Factor of sleep duration, sleep complaints and excessive sleepiness scale were causative factor of sleep quality disorder p "

"Latar Belakang: Gangguan tidur dan masalah psikososial sampai saat ini masih cukup tinggi pada anak. Namun, penelitian mengenai hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia belum banyak di publikasi di Indonesia. Penelitian sebelumnya menelaah hubungan antara gangguan tidur dan masalah psikososial pada anak sehat. Berdasarkan hal tersebut, peneliti ingin mengetahui apakah terdapat hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia dengan perbedaan pada dua buah aspek, yaitu aspek penegakan diagnosis masalah psikososial dan kelompok sampel yang dipilih. Tujuan: Mengetahui hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia. Metode: Penelitian observasional potong-lintang dengan sampel anak yang mengalami thalassemia major yang berobat ke Poliklinik Thalassemia/Ruang Transfusi RSCM pada Oktober 2022. Hasil: Dari 141 subjek, terdapat 87 subjek (61,7%) yang mengalami gangguan tidur dan 22 subjek (15,6%) yang mengalami masalah emosi perilaku. Hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia usia 6-15 tahun menunjukkan memiliki hubungan yang bermakna ( P<0.05). Kesimpulan: Anak thalassemia usia 6-15 tahun dengan gangguan tidur memiliki risiko 3,261 kali mengalami masalah psikososial (emosi dan perilaku).

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Background: Sleep disorders and psychosocial problems are still quite high in children. However, research on the relationship between sleep disorders and psychosocial problems in thalassemia children has not been widely published in Indonesia. Previous research has examined the relationship between sleep disorders and psychosocial problems in healthy children. Based on this, the researchers wanted to find out whether there is a relationship between sleep disorders and psychosocial problems in thalassemia children with differences in two aspects, namely the aspect of establishing a diagnosis of psychosocial problems and the selected sample group. Purpose: To determine the relationship between sleep disorders and psychosocial problems in thalassemia children Methods: This is an observational cross-sectional study on children with thalassemia major who went to the Thalassemia Polyclinic/Transfusion Room RSCM in October 2022. Result: Of 141 subjects, there were 87 subjects (61.7%) had sleep disorders and 22 subjects (15.6%) had psychosocial problems. The association between sleep disorders and psychosocial problems in thalassemic children aged 6-15 years showed a significant association (P<0.05). Conclusion: Thalassemia children aged 6-15 years with sleep disorders have a 3.261 times the risk of experiencing psychosocial problems."

"Tingkat aktivitas fisik merupakan salah satu indikator kesehatan yang penting. Berdasarkan Riskesdas 2018, Provinsi DKI Jakarta menempati posisi pertama pada proporsi tingkat aktivitas fisik kurang pada anak usia lebih dari 10 tahun. Gangguan tidur memiliki korelasi dengan penurunan performa akademik siswa pada sekolah dasar, peningkatan risiko depresi, dan juga ketidakseimbangan emosional. Berdasarakan penelitian oleh Hermoniati et al., Prevalensi gangguan tidur pada anak usia sekolah di Kota Jakarta Pusat sebesar 25,1%. Penelitian ini bertujuan untuk melihat hubungan tingkat aktivitas fisik dan gangguan tidur pada anak usia sekolah di Provinsi DKI Jakarta. Desain penelitian yang digunakan adalah studi potong lintang dengan menggunakan sub data sekunder dari penelitian SEANUTS 2.0 dengan jumlah sub-sampel sebesar 104 anak. Hasil penelitian menunjukkan bahwa tingkat aktivitas fisik paling dominan secara berurutan adalah tingkat aktivitas fisik rendah (50%), tingkat aktivitas fisik sedang (42,30%), dan tingkat aktivitas fisik tinggi (7,6%). Gangguan tidur terjadi pada 55,77% dari total sampel. Secara bivariat terdapat korelasi lemah antara tingkat aktivitas fisik dan gangguan tidur pada anak usia sekolah di Provinsi DKI Jakarta dengan nilai r = -0,05 dan tidak signifikan dengan nilai p = 0,617. Selain itu, dilakukan juga uji korelasi terhadap aktivitas fisik dan sub-gangguan tidur dengan hasil gangguan memulai dan mempertahankan tidur (r = -0,068), gangguan pernapasan saat tidur (r = 0,017), gangguan kesadaran (r = -0,023), gangguan transisi tidur-bangun (r = 0,061), gangguan somnolen berlebihan (r = -0,83), dan gangguan saat tidur (r = -0,176). Oleh karena itu, intervensi terhadap aktivitas fisik demi mencegah kejadian gangguan tidur perlu dilakukan. Tenaga kesehatan dan tenaga pendidik pada sekolah dasar diharapkan mengetahui dan memahami pentingkat tingkat aktivitas fisik terhadap pencegahan gangguan tidur pada anak usia sekolah.

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The level of physical activity is an important indicator of health. Based on Riskesdas 2018, DKI Jakarta Province occupies the first position in the proportion of the level of physical activity that is lacking in children aged more than 10 years. Sleep disturbances have been correlated with decreased academic performance in elementary school students, increased risk of depression, as well as emotional imbalance. Based on research by Hermoniati et al., the prevalence of sleep disorders in school-age children in Central Jakarta is 25.1%. This study aims to see the relationship between the level of physical activity and sleep disturbances in school-age children in DKI Jakarta Province. The research design used was a cross-sectional study using secondary data from the SEANUTS 2.0 study with a sub-sample of 104 children. The results showed that the most dominant levels of physical activity, respectively, were low levels of physical activity (50%), moderate levels of physical activity (42.30%), and high levels of physical activity (7.6%). Sleep disturbances occurred in 55.77% of the total sample. Bivariately there is a weak correlation between the level of physical activity and sleep disturbances in schoolage children in DKI Jakarta Province with a value of r = -0.05 and not significant with a value of p = 0.617. In addition, correlation tests were also conducted on physical activity and sleep sub-disorders with the results of disturbances in initiating and maintaining sleep (r = -0.068), sleep disturbances (r = 0.017), impaired consciousness (r = -0.023), transitional disorders sleep-wake (r = 0.061), excessive somnolence (r = -0.83), and sleep disturbances (r = -0.176). Therefore, intervention on physical activity to prevent sleep disturbances needs to be done. Health workers and educators in elementary schools are expected to know and understand the level of physical activity on the prevention of sleep disorders at school-age."

"[ABSTRAK Latar belakang: Gangguan tidur adalah kumpulan kondisi yang ditandai dengan gangguan jumlah, kualitas, atau waktu tidur. Dampaknya adalah gangguan belajar, memori, perubahan mood, perilaku, dan kesulitan mempertahankan perhatian. Data intervensi Sleep Hygiene di Indonesia belum tersedia.Tujuan: Untuk mengetahui: (1) prevalens dan gambaran gangguan tidur, (2) pengaruh intervensi Sleep Hygiene pada keluhan mengantuk, mood, kesulitan bangun, dan durasi tidur, (3) pengaruh intervensi terhadap nilai SDSC dan PDSS.Metode: Penelitian quasi eksperimental di 3 SDN di Jakarta Pusat pada bulan Mei-Juni 2015. Skrining gangguan tidur menggunakan Sleep Disturbance Scale for Children (SDSC) dan Pediatric Daytime Sleepiness Scale (PDSS). Murid dengan gangguan tidur dimintakan persetujuan intervensi selama 8 minggu. Evaluasi dengan kuesioner SDSC dan PDSS.Hasil: Prevalens gangguan tidur 25,1%. Gambaran gangguan tidur yaitu Disorder of initiating and maintaining sleep (DIMS) 61,5%, Sleep wake transition disorder (SWTD) 61,5%, Disorder of excessive somnolence (DOES) 55,4%, dan Disorder of arousal (DA) 51,5%. Terdapat perbaikan keluhan mengantuk, perubahan mood, dan kesulitan bangun pagi. Terdapat penurunan nilai SDSC pre dan post intervensi (p < 0,001).Kesimpulan: Prevalens gangguan tidur anak usia sekolah 25,1%. Dampak intervensi sleep hygiene yaitu perbaikan keluhan mengantuk, perubahan mood, dan kesulitan bangun pagi. Terdapat perbedaan bermakan nilai SDSC pre dan post intervensi.ABSTRACT

Background: Sleep disorder is a condition characterized by disorder of amount, quality, or duration of sleep. Its impacts are difficulties in learning, memory, mood, behavior, and attention. No data of sleep hygiene intervention in Indonesia.

Objectives: To evaluate: (1) prevalence and description of sleep disorder in school age children, (2) impact of intervention on daytime sleepiness, mood, difficulty waking up, and duration of sleep, (3) impact of intervention on SDSC and PDSS score.

Methods: A quasi experiment study in 3 elementary school in Central Jakarta on Mei-June 2015. Screening of sleep disorder used the Sleep Disturbance Scale for Children (SDSC) and the Pediatric Daytime Sleepiness Scale (PDSS). Students with sleep disorder followed intervention for 8 weeks. Evaluation used SDSC and PDSS.

Results: There were 25.1% subjects with sleep disorders, consisting of Disorder of initiating and maintaining sleep (DIMS) 61.5%, Sleep wake transition disorder (SWTD) 61.5%, Disorder of excessive somnolence (DOES) 55.4%, and Disorder of arousal (DA) 51.5%. There were improvements in daytime sleepiness, mood, difficulty waking up, and the SDSC score.

Conclusions: Sleep disorder prevalence in school age children is 25.1%. Sleep hygiene intervention shows improvement in daytime sleepiness, mood, difficulty waking up, and significant improvement of the SDSC score.;Background: Sleep disorder is a condition characterized by disorder of amount, quality, or duration of sleep. Its impacts are difficulties in learning, memory, mood, behavior, and attention. No data of sleep hygiene intervention in Indonesia.

Objectives: To evaluate: (1) prevalence and description of sleep disorder in school age children, (2) impact of intervention on daytime sleepiness, mood, difficulty waking up, and duration of sleep, (3) impact of intervention on SDSC and PDSS score.

Methods: A quasi experiment study in 3 elementary school in Central Jakarta on Mei-June 2015. Screening of sleep disorder used the Sleep Disturbance Scale for Children (SDSC) and the Pediatric Daytime Sleepiness Scale (PDSS). Students with sleep disorder followed intervention for 8 weeks. Evaluation used SDSC and PDSS.

Results: There were 25.1% subjects with sleep disorders, consisting of Disorder of initiating and maintaining sleep (DIMS) 61.5%, Sleep wake transition disorder (SWTD) 61.5%, Disorder of excessive somnolence (DOES) 55.4%, and Disorder of arousal (DA) 51.5%. There were improvements in daytime sleepiness, mood, difficulty waking up, and the SDSC score.

Conclusions: Sleep disorder prevalence in school age children is 25.1%. Sleep hygiene intervention shows improvement in daytime sleepiness, mood, difficulty waking up, and significant improvement of the SDSC score., Background: Sleep disorder is a condition characterized by disorder of amount, quality, or duration of sleep. Its impacts are difficulties in learning, memory, mood, behavior, and attention. No data of sleep hygiene intervention in Indonesia.

Objectives: To evaluate: (1) prevalence and description of sleep disorder in school age children, (2) impact of intervention on daytime sleepiness, mood, difficulty waking up, and duration of sleep, (3) impact of intervention on SDSC and PDSS score.

Methods: A quasi experiment study in 3 elementary school in Central Jakarta on Mei-June 2015. Screening of sleep disorder used the Sleep Disturbance Scale for Children (SDSC) and the Pediatric Daytime Sleepiness Scale (PDSS). Students with sleep disorder followed intervention for 8 weeks. Evaluation used SDSC and PDSS.

Results: There were 25.1% subjects with sleep disorders, consisting of Disorder of initiating and maintaining sleep (DIMS) 61.5%, Sleep wake transition disorder (SWTD) 61.5%, Disorder of excessive somnolence (DOES) 55.4%, and Disorder of arousal (DA) 51.5%. There were improvements in daytime sleepiness, mood, difficulty waking up, and the SDSC score.

Conclusions: Sleep disorder prevalence in school age children is 25.1%. Sleep hygiene intervention shows improvement in daytime sleepiness, mood, difficulty waking up, and significant improvement of the SDSC score.]"