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"ABSTRAKGizi buruk, AKI dan AKB masih menjadi masalah di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian program gizi dan KIA di Indonesia. Penelitian dilakukan dengan dua tahap, tahap pertama studi kualitatif untuk membangun konstruk instrumen perilaku merawati tim pelayanan kesehatan primer program gizi dan KIA; tahap kedua studi kuantitatif untuk melihat hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian program gizi dan KIA. Wawancara dilakukan terhadap 64 pelaksana gizi, 128 pelaksana kesehatan ibu dan 128 pelaksana kesehatan anak untuk mengukur perilaku merawati tim pelayanan kesehatan primer program gizi dan KIA, serta 3200 ibu bayi/balita untuk mengukur capaian program gizi dan KIA. Hasil penelitian menunjukan terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana, pelaksana kepada kader dan pelaksana kepada ibu bayi/balita dengan capaian program gizi; terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana dengan capaian program kesehatan ibu; Terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana, pelaksana kepada kader dan pelaksana kepada ibu bayi/balita dengan pencatatan dan pelaporan program gizi dan KIA. Kesimpulan menunjukan bahwa terdapat hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian serta pencatatan dan pelaporan program gizi dan KIA. Saran agar dibuat kebijakan untuk menerapkan perilaku merawati pada tim pelayanan kesehatan primer program gizi dan KIA di Indonesia.

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ABSTRACTMalnutrition, maternal mortility rate (MMR) and infant mortility rate (IMR) still be a problem in Indonesia. This research is aim to know relationship between caring of primary health care team and achievement of nutrition and maternal and child health programme in Indonesia. The research is done in two stages. First stage is qualitative research that is building the instrument construction of caring in primary health care team on nutrition and maternal and child health (MCH) programme. Second stage is quantitative research to know relationship between caring in primary health care team and achievement on nutrition and maternal and child health programme. Interview to use the structured questions to 64 nutrition staffs, 128 maternal health staffs, 128 child health staff and 3200 infant/child-under-five-years? mother at 64 community health centers (puskesmas) in Indonesia. The result of research shows that there are the significant relationships between caring of leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and achievement of nutrition programme. There are the significant relationships between caring of leader to staff, among staffs and achievement of maternal health programme. There are the significant relationships between caring leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and achievement of child health programme. There are the significant relationships between caring leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and reporting and recording of nutrition and maternal and child health programme. The conclusion show that there are significant relationships between caring in primary health care team and the achievement as well as reporting and recording on nutrition and maternal and child health program. Recomendation is that the policy to apply the caring by primary health care team of nutrition and maternal and child health programme in Indonesia be considered."

"ABSTRAKFatigue atau kelelahan pada anak dengan kanker masih menjadi permasalahan utama dalam penanganan efek terapi dan efek samping terapi modalitas kanker. Peran keluarga khususnya ibu sangat penting dalam mengelola fatigue kanker secara efektif. Tujuan penelitian adalah memperoleh model yang efektif manajemen fatigue berfokus pada efikasi diri ibu yang memiliki anak dengan kanker. Penelitian menggunakan desain riset operasional dengan tiga tahap penelitian. Tahap 1 mengidentifikasi masalah dan aktifitas ibu merawat anak dengan kanker yang mengalami fatigue melalui penelitian kualitatif dengan desain deskriptif eksploratif menggunakan wawancara semi terstruktur. Tahap 2 dihasilkannya model manajemen kelelahan (fatigue) yang merupakan hasil integrasi dari studi tahap 1, studi literatur dan konsultasi pakar. Tahap 3 validasi model menggunakan desain kuasi eksperimen pre-post test dengan kontrol.Tehnik sampling cara konsekutif digunakan untuk merekrut sampel 40 ibu di kelompok perlakuan dan 38 ibu di kelompok kontrol, dilakukan di tiga rumah sakit pemerintah di Jakarta dan Bandung. Hasil riset tahap 1, diperoleh 6 tema. Tahap 2 dihasilkan rancangan model manajemen fatigue dengan pendukung 7 buku saku manajemen kelelahan, buku saku tanya jawab, dan buku rancangan pelatihan untuk ibu.Hasil penelitian tahap 3 didapatkan perbedaan bermakna antara stres dan efikasi diri pada ibu, fatigue multidimensi, status fungsional, kualitas hidup kanker dan kualitas hidup generik pada anak dengan kanker pada empat kali pengukuran. Kesimpulan, model manajemen fatigue berfokus efikasi diri ibu yang memiliki anak kanker efektif dalam menurunkan stres, meningkatkan efikasi diri ibu serta menurunkan fatigue multi dimensi, meningkatkan status fungsional, kualitas hidup kanker dan kualitas hidup generik pada anak dengan kanker.Rekomendasi: replikasi model manajemen fatigue di seluruh wilayah Indonesia dengan mengintegrasikan model manajemen fatigue di ruang perawatan anak dengan kanker, penelitian lanjut mengenai pengujian model manajemen fatigue dengan desain RCT, membandingkan efikasi diri ayah dan ibu dari anak dengan kanker dan efektifitas manajemen fatigue terhadap efikasi dan kualitas hidup remaja dengan kanker."

"[Pemantauan pertumbuhan dan perkembangan pada anak balita sangat penting dilakukan untukmengetahui adanya gangguan pada pertumbuhan dan perkembangan sejak dini. Tujuan penelitianini adalah mengidentifikasi faktor-faktor yang berhubungan dengan pertumbuhan danperkembangan anak balita. Desain penelitian menggunakan “cross sectional”, yang melibatkan100 responden yaitu ibu dan anak balita usia 0-59 bulan di Kota Jambi. Instrumen menggunakankuesioner tentang karakteristik responden, alat pengukur berat badan, tinggi badan dan lingkarkepala beserta kuesioner, formulir KPSP, kuesioner stimulasi dan pola asuh. Hasil penelitianmenunjukkan ada hubungan antara usia anak balita dengan perkembangan (p-value=0,014,α=0,05) dan ada hubungan antara pengetahuan ibu tentang stimulasi dengan perkembangan anakbalita (p-value=0,030, α=0,05). Rekomendasi penelitian ini adalah perlunya sosialisasi tentangstimulasi perkembangan anak kepada ibu yang memiliki balita di Kota Jambi.;The growth and development monitoring for children under five is very important in order todetect the growth and development disorder early on. The purpose of this study was to identifyfactors correlated with the growth and development of children under the age of five years. Thestudy design was cross-sectional, which involved 100 respondents including mothers and childrenaged 0-59 months in Jambi City. The instrument consisted of a questionnaire about thecharacteristics of the respondents, body weight and height scale, and head circumference alongwith the questionnaire, KPSP forms, and the questionnaire of stimulation and parenting. Theresults showed that there was no correlation between the children under five years of age and thedevelopment (p-value = 0.014, α = 0.05) and there was no correlation between the mothers'knowledge of stimulation and the development of children under five (p-value = 0.030, α = 0.05).It is recommended to improve the growth monitoring, especially for children under five in JambiCity and to optimize the socialization of the importance of the parent’s roles in providingstimulation to their children.;The growth and development monitoring for children under five is very important in order todetect the growth and development disorder early on. The purpose of this study was to identifyfactors correlated with the growth and development of children under the age of five years. Thestudy design was cross-sectional, which involved 100 respondents including mothers and childrenaged 0-59 months in Jambi City. The instrument consisted of a questionnaire about thecharacteristics of the respondents, body weight and height scale, and head circumference alongwith the questionnaire, KPSP forms, and the questionnaire of stimulation and parenting. Theresults showed that there was no correlation between the children under five years of age and thedevelopment (p-value = 0.014, α = 0.05) and there was no correlation between the mothers'knowledge of stimulation and the development of children under five (p-value = 0.030, α = 0.05).It is recommended to improve the growth monitoring, especially for children under five in JambiCity and to optimize the socialization of the importance of the parent’s roles in providingstimulation to their children.;The growth and development monitoring for children under five is very important in order todetect the growth and development disorder early on. The purpose of this study was to identifyfactors correlated with the growth and development of children under the age of five years. Thestudy design was cross-sectional, which involved 100 respondents including mothers and childrenaged 0-59 months in Jambi City. The instrument consisted of a questionnaire about thecharacteristics of the respondents, body weight and height scale, and head circumference alongwith the questionnaire, KPSP forms, and the questionnaire of stimulation and parenting. Theresults showed that there was no correlation between the children under five years of age and thedevelopment (p-value = 0.014, α = 0.05) and there was no correlation between the mothers'knowledge of stimulation and the development of children under five (p-value = 0.030, α = 0.05).It is recommended to improve the growth monitoring, especially for children under five in JambiCity and to optimize the socialization of the importance of the parent’s roles in providingstimulation to their children.;The growth and development monitoring for children under five is very important in order todetect the growth and development disorder early on. The purpose of this study was to identifyfactors correlated with the growth and development of children under the age of five years. Thestudy design was cross-sectional, which involved 100 respondents including mothers and childrenaged 0-59 months in Jambi City. The instrument consisted of a questionnaire about thecharacteristics of the respondents, body weight and height scale, and head circumference alongwith the questionnaire, KPSP forms, and the questionnaire of stimulation and parenting. Theresults showed that there was no correlation between the children under five years of age and thedevelopment (p-value = 0.014, α = 0.05) and there was no correlation between the mothers'knowledge of stimulation and the development of children under five (p-value = 0.030, α = 0.05).It is recommended to improve the growth monitoring, especially for children under five in JambiCity and to optimize the socialization of the importance of the parent’s roles in providingstimulation to their children., The growth and development monitoring for children under five is very important in order todetect the growth and development disorder early on. The purpose of this study was to identifyfactors correlated with the growth and development of children under the age of five years. Thestudy design was cross-sectional, which involved 100 respondents including mothers and childrenaged 0-59 months in Jambi City. The instrument consisted of a questionnaire about thecharacteristics of the respondents, body weight and height scale, and head circumference alongwith the questionnaire, KPSP forms, and the questionnaire of stimulation and parenting. Theresults showed that there was no correlation between the children under five years of age and thedevelopment (p-value = 0.014, α = 0.05) and there was no correlation between the mothers'knowledge of stimulation and the development of children under five (p-value = 0.030, α = 0.05).It is recommended to improve the growth monitoring, especially for children under five in JambiCity and to optimize the socialization of the importance of the parent’s roles in providingstimulation to their children.]"

"Penelitian ini bertujuan untuk mengetahui hubungan usia gestasi dengan tumbuh kembang anak usia 1 tahun yang lahir prematur. Penelitian kuantitatif yang menggunakan desain cross sectional dengan metode wawancara dan pemeriksaan tumbuh kembang (z-score dan Denver II). Subyek penelitian adalah anak yang dilahirkan prematur (usia gestasi < 37 minggu) yang berusia 1 tahun pada tahun 2013 dengan jumlah responden sebanyak 44. Hasilnya tidak ada perbedaan proporsi kejadian gangguan pertumbuhan pada perbedaan usia gestasi (p value = > 0,05) dan terdapat perbedaan proporsi kejadian suspek keterlambatan perkembangan pada perbedaan usia gestasi (p value = 0,002, OR 1,7). Semakin muda usia gestasi akan berisiko mengalami suspek keterlambatan perkembangan sebesar 1,7 kali lebih tinggi dibandingkan dengan usia gestasi yang lebih tua.

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This study aimed to know the correlation of gestational age with the growth of children development in 1 year old who were born prematurely. The study used quantitative cross-sectional design with interviews and examination of growth (z-score and the Denver II). The subjects of this research were children who were born prematurely (gestational age <37 weeks) 1 year old in 2013 with a number of respondents were 44 patients. The results is there was no differences of impaired growth in the proportion of gestational age (p value> 0.05) and there were differences in the proportion of events with suspected developmental delays in gestational age difference (p value = 0.002, OR 1.7). The younger of gestational age would be at risk of developmental delay at 1.7 times higher than the older gestational age."

"Penyakit tuberkulosis paru dapat menimbulkan penurunan terhadap aspek kualitas hidup pasien TB Paru. Beberapa faktor yang mempengaruhi kondisi tersebut adanya depresi dan stigma negatif terhadap penyakit. Tujuan penelitian ini untuk mengetahui hubungan depresi dan stigma dengan kualitas hidup pasien tuberkulosis paru yang menjalani pengobatan OAT. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain cross sectional dan teknik yang digunakan adalah concecutive sampling. Populasi target dalam penelitian ini adalah pasien tuberkulosis paru yang menjalani pengobatan OAT di poli paru RSUP Persahabatan yang berjumlah 96 responden. Data dianalisis dengan uji analisa univariat dan bivariat, hasil uji bivariat menggunakan pearson menunjukan hasil p = 0,000 p < 0,05. Berdasarkan hasil tersebut menunjukan adanya hubungan antara depresi dan kualitas hidup serta stigma dan kualitas hidup pasien tuberkulosis paru. Diharapkan hasil penelitian ini dapat menunjukan perlunya deteksi dini depresi dan stigma dilakukan oleh perawat pada saat merawat pasien TB paru.

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Treatment pulmonary tuberculosis disease may lead to a decrease in the quality of life of patients with pulmonary tuberculosis. Several factors that affect the existence of depression and negative stigma against the disease.The study aimed to identify relation of depression and stigma and quality of life of patients with tuberculosis who were undergoing anti tuberculosis regimen.

This quantitative study used cross sectional approach and used consecutive sampling technic. Target population of this study was patients with tuberculosis who have undertaking anti tuberculosis medication in polyclinic of pulmonary of RSUP Persahabatan with total sample of 96 respondents."