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Abstrak :
Latar belakang: Status Epilepticus Severity Score (STESS) merupakan instrumen untuk memprediksi luaran pasien status epileptikus (SE) sebelum dilakukan tata laksana. Status Epilepticus Severity Score sudah divalidasi sebelumnya di Swiss dengan nilai cut-off > 4. Instrumen ini adalah instrumen sederhana, dan dapat digunakan dengan cepat, pada pasien di Instalasi Gawat Darurat (IGD) dan ruang perawatan intensif. Tujuan utama penelitian ini untuk menilai validitas dan reliabilitas STESS yang telah diterjemahkan ke dalam Bahasa Indonesia. Tujuan tambahan adalah untuk melihat hubungan antara nilai STESS dengan luaran pada 24 jam, 48 jam, hari ke 7, hari ke 30, dan akhir perawatan pasca-SE ditegakan. Metode penelitian: Penelitian ini dilakukan di RS Cipto Mangunkusumo Jakarta pada bulan Juni 2020 hingga November 2020. Penelitian ini menggunakan disain potong-lintang prospektif dan dilakukan penilaian secara serial untuk melihat luaran pada 24 dan 48 jam pertama, hari ke-7, 30 dan akhir perawatan. Luaran yang dinilai adalah hidup dan mati. Kriteria inklusi adalah pasien SE konvulsivus yang belum mendapatkan tata laksana kejang. Kuesioner STESS telah diterjemahkan ke dalam Bahasa Indonesia. Dilakukan uji validitas dan reliabilitas STESS Bahasa Indonesia (STESS-INA). Selanjutnya ditentukan nilai titik potong STESS dengan menggunakan kurva Receiver Operating Characteristic (ROC) dan menilai Area Under Curve (AUC) terhadap titik potong yang ditentukan. Setelah itu dilakukan analisa statistik berdasarkan titik potong tersebut terhadap luaran pasien pada 24 dan 48 jam, hari ke-7 dan 30, serta akhir perawatan. Luaran yang dinilai dalam bentuk pasien hidup atau meninggal. Hasil: Didapatkan 17 subyek penelitian yang memenuhi kriteria inklusi. Hasil uji validitas interna STESS-INA untuk tiap item didapatkan koefisien korelasi 0,484 hingga 0,702 dengan nilai Cronbach’s Alpha 0,71. Pada studi ini didapatkan mortalitas adalah sebesar 23%. Berdasarkan kurva ROC, didapatkan nilai titik potong 4. Nilai AUC STESS-INA pada akhir perawatan 96,2% dengan menggunakan nilai titik potong STESS > 4. Nilai STESS-INA > 4 berhubungan bermakna dengan luaran kematian pada akhir perawatan (p=0,006). Kesimpulan: STESS-INA merupakan instrumen valid dan reliabel. Nilai STESS-INA > 4 berhubungan bermakna terhadap luaran kematian pada akhir perawatan. ......Background: STESS in an instrument to predict the outcome of a status epilepticus (SE) patient before being managed. STESS has been validated before in Swiss with a cut-off point of ≥4. This simple instrument can be used quickly for patients in the ER and ICU. The goal of this research is to assess the validity, reliability of STESS Indonesia version (STESS-INA) and to evaluate the association of score of STESS-INA and outcome on 24 hours, 48 hours, 7th day, 30th day, and at the last day of hospitalization. Method: Research was being done at RSUPN Cipto Mangunkusumo on June 2020 to November 2020. STESS was translated to Indonesia version (STESS-INA) followed by validity and reliability evaluation. STESS-INA was assessed when patient is being diagnosed with SE before being managed, then being observed on the first 24 hours, 48 hours, 7th day, 30th day and the last day of hospitalization. Predictive value of STESS-INA was being assessed by Receiver Operating Character (ROC) with the cut-off point at the most optimal sensitivity and specificity followed by assess the correlation between STESS-INA cut-off point and the outcome on 24 hours, 48 hours, 7th day, 30th day, and at the last day of hospitalization. The outcome was live/deceased. Result: There were 17 patients in this study. The results of the internal validity test obtained a correlation coefficient of STESS-INA was 0.484 to 0.702. Internal consistency reliability test with Cronbach’s Alpha was 0.71. The mortality rate of these study was 23%. The AUC value of STESS-INA at the end of hospitalization was 96.2 with cut-off point >4. In this study, STESS-INA with cut-off point 4 has significantly associated with outcome at the last day of hospitalization (p = 0.006). Conclusion: STESS-INA is a valid and reliable instrument in predicting outcome at the end of hospitalazation. STESS with a cut-off >4 was associated with mortality at the last day of hospitalization.

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.

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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. ]

Abstrak :
Gangguan jiwa sering tidak mendapat pengobatan yang seharusnya. Dokter pada pelayanan primer merupakan kontak awal bagi pasien gangguan jiwa. Pada saat ini belum ada instrumen untuk menilai pengetahuan, sikap dan perilaku dokter Puskesmas terhadap gangguan jiwa sehingga perlu dibuat suatu instrumen dan menilai validitas serta reliabilitasnya.Sembilan puluh tujuh dokter umum yang bertugas di Puskesmas di DKI Jakarta, disertakan dalam penelitian dengan purposive sampling. Kuesioner terdiri dari sepuluh pertanyaan tentang perilaku, sepuluh pertanyaan tentang sikap dan dua puluh pertanyaan tentang pengetahuan terhadap gangguan jiwa. Hasil penghitungan denganCrohnbach?s Alpha menunjukkan instrumen ini belum memiliki construct validitydan reliabilitasyang baik (< 0,7). Di samping itu, terdapat korelasi antarbutiryang kurangkuat pada beberapa pertanyaan. Reliabilitas konsistensi internal masih belum dapat menunjukkan hasil yang baik, beberapa pertanyaan dapat memperbaiki nilai Crohnbach?s Alpha if item deleted secara signifikan.Instrumen pengetahuan, sikap dan perilaku dokter Puskesmas terhadap gangguan jiwa ini masih belum terbukti validitas dan reliabilitasnya, masih butuh penelitian lebih lanjut untuk mengembangkan instrumen ini.

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Mental disorders are often go untreated. Primary care phyisician is the initial contact to people with mental disorders. Currently, there are no instruments which can evaluate knowledge, attitude and behavior of primary care physician towards mental disorders. It is important to make such an instrument and to test its validity and realibility.Ninety seven primary care physicians who work at the Puskesmas in DKI Jakarta were involved. Purposive sampling was used in this study. Questionnaire consist of ten questions about behavior, tenquestions about attitude, and twenty questions about knowledge toward mental disorders.The analysis using by Crohnbach Alpha?s showed that this instrumen haven?t met good construct validity and reliability (< 0,7). There are also weak inter-item correlation in some of the questions. Internal consistency reliability is still not able to show good result. Some questions may improve Crohnbach?s Alpha if some items are deleted, but still cannot reach the level of good.The instrument of knowledge, attitudes and behavior of primare care physicians toward mental disorders is still not valid and reliabel and still need further research to develop this instrument.