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Abstrak :
Insomnia merupakan gangguan tidur yang paling sering ditemukan pada lanjut usia (lansia) dengan prevalensi sekitar 67%. Penelitian ini bertujuan untuk menilai hubungan antara kecemasan, depresi, dukungan keluarga, dan kondisi lingkungan dengan kejadian insomnia pada lansia di Panti Sosial Tresna Werdha Gau Mabaji Kabupaten Gowa. Penelitian ini menggunakan desain studi observasional dengan rancangan cross sectional dan metode exhausive sampling. Data dianalisis dengan uji chi square, koefisien phi (f) dengan a = 0,05. Sebanyak 96 lansia penghuni panti memenuhi kriteria penelitian. Uji chi square menunjukkan bahwa terdapat hubungan antara kecemasan (nilai p = 0,014; f = 0,251), depresi (nilai p = 0,019; f = 0,238), dukungan keluarga (nilai p = 0,000); f = 0,797), dan kondisi lingkungan panti (nilai p < 0,05; f = 0,238) dengan kejadian insomnia. Pemberian penyuluhan kepada keluarga lansia adalah salah satu kegiatan yang penting dilakukan untuk meningkatkan pengetahuan keluarga lansia bahwa lansia tidak hanya sekadar diperhatikan kebutuhan fisiknya tetapi juga kebutuhan psikologisnya.

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Insomnia is sleep disorder, most often found on elderly with high prevalence about 67%. The aim of this research is to prove the relation between anxiousness, depression, family support, and environmental condition with the occurence of insomnia at old ages in social institution Tresna Werdha Gau Mabaji Gowa Regency. This research used an observasional study with cross sectional design, using the exhausive sampling method. Data were analysed by chi square test, phi coefficient with a = 0,05. About 96 elderly in social institution met the research criteria, chi square test indicates that there are relation between anxiousness (p value = 0,014); f = 0,251), depression (p value = 0,019); f = 0,238), family support (p value = 0,000); f = 0,797), and environmental condition of social institution (p value = 0,019); f = 0,238) with the occurence of insomnia. Providing counseling to the family of the elderly is one of the important activities to improve their knowledge to note not only elderly physical needs, but also their psychological needs.

Abstrak :
Angka kematian bayi di Indonesia masih tergolong tinggi, kematian neonatal 50% terjadi pada bayi berat lahir rendah (BBLR) dan lebih dari 50% kematian bayi adalah kematian neonatal dini. Penelitian ini bertujuan untuk mengetahui faktor-faktor antenatal care (ANC), status imunisasi Tetanus Toxoid (TT) ibu hamil, anemia pada saat hamil, berat lahir, status paritas, dan status hipotermia terhadap kematian neonatal dini. Penelitian menggunakan desain penelitian case control di Rumah Sakit Bersalin Kota Makassar dengan sampel 40 kasus dan 120 kontrol. Data diperoleh melalui wawancara langsung dengan responden. Hasil penelitian menunjukkan bahwa faktor risiko kejadian kematian neonatal dini meliputi ANC (nilai p = 0,000; odds ratio, OR = 7,333; CI 95% = 2,966 _ 18,129), status imunisasi TT (nilai p = 0,000; OR = 19,205; CI 95% = 7,902 _ 46,678), anemia ibu hamil (nilai p = 0,000; OR = 32,818; CI 95% = 7,549 _ 142,674), berat lahir (nilai p = 0,000; OR = 122,212; CI 95% = 32,324 _ 462,068), status paritas (nilai p = 0,000; OR = 5,537; CI 95% = 2,029 _ 15,111), status asfiksia (nilai p = 0,000; OR = 8,197; CI 95% = 0,452 _ 2,745). Status hipotermia bukan merupakan faktor risiko kematian neonatal dini (nilai p = 0,815; OR = 1,114; CI 95% = 3,646 _ 18,428). Hasil uji regresi logistik ganda menemukan bahwa berat lahir bayi merupakan faktor yang paling berisiko terhadap kematian neonatal dini (nilai p = 0,000).

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Infant mortality rate in Indonesia is still high. Fifty percent of the neonatal mortality occurred among low birth weight infants (LBWI) and neonatal mortality within 7 days of life accounted for 50% of total infant mortalities. This study was aimed to examine the extent of early neonatal mortality risk by antenatal care (ANC), Tetanus Toxoid (TT) immunization status of pregnant women, anemia during pregnancy, birth weight of neonatal, parity status, and hypothermia status.This study was a case control study with direct in- terview to respondents, conducted in the Maternity Hospital of Makassar with 40 cases and 120 controls. Samples were selected by purposive sampling. Study results indicated that risk factor of early neonatal mortality were ANC (p value = 0,000; odds ratio, OR = 7,33; CI 95% = 2,966 _ 18,129), TT immunization status (p value = 0,000; OR = 19,205; CI 95% = 7,902 _ 46,678), pregnancy anemia (p value = 0,000; OR = 32,818; CI 95% = 7,549 _ 142,674), birth weight (p value = 0,000; OR = 122,212; CI 95% = 32,324 _ 462,068), parity status (p value = 0,000; OR = 5,537; CI 95% = 2,029 _ 15,111), asphyxia status (p value = 0,000; OR = 8,197; CI 95% = 0,452 _ 2,745), whereas hypothermia status (p value = 0,815; OR = 1,114; 0,452 _ 2,745) was not a risk factor. Results of logistic regression multivariate analysis indicated that infant?s birth weight was the most risk factor of early neonatal mortality (p value = 0,000). Specific surveillance program for high risk neonatal needed to be arranged in all health centers.