Hasil Pencarian

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Hasil Pencarian

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Yanti Hermayanti
"Peningkatan kasus kanker serviks di Indonesia mengakibatkan permasalahan kompleks, menyangkut seluruh aspek kehidupan, membutuhkan penanganan holistik agar pasien adaptif. Penelitian ini bertujuan untuk membuat dan mengevaluasi model asuhan keperawatan holistik-adaptif sebagai upaya membantu mengatasi permasalahan melalui peningkatan kemampuan adaptasi pasien secara fisik, psikologis, sosial dan spiritual. Desain penelitian Action research dengan pendekatan mixed methods pada pengkajian masalah, pengembangan, dan evaluasi model. Model diaplikasikan di Bandung pada 96 responden pada dua kelompok berbeda. Sampel diambil purposive, matching, randomization. Hasil menggambarkan model yang diterapkan mampu membantu kelompok intervensi beradaptasi 22,4 kali dibanding kelompok kontrol, p=0,005. Confounding faktor adalah self-efficacy. Faktor lainnya yang berpengaruh adalah pekerjaan, dan stadium penyakit. Keberhasilan intervensi ditentukan oleh kemampuan perawat/bidan saat melakukan asuhan keperawatan.
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The complex problems caused by increasing cases of cervical cancer in Indonesia needs a holistic approach to guide patient adaptive to new condition. This research aims to create a model to help patient during adaptation process physically, psychological, socially and spiritually. Design was action research, used mixed methods during problem identification, model development and model evaluation. Model applied at a General Hospital in Bandung. Samples were taken purposively, matching, randomization. The results illustrate the ratio between the intervention and control groups based on adaptability was 22,4 : 1, p=0,005. Confounding factors was self-efficacy. Other factors that influences adaptation process were stadium and work. Success of the intervention determined by the ability of nurses or midwives in performing nursing care."
Lengkap +
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
D1486
UI - Disertasi Membership  Universitas Indonesia Library
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Nani Nurhaeni
"Pneumonia pada masa kanak-kanak masih menjadi penyebab utama kematian dunia bagi anak balita. Sejumlah 7-13% kasus pneumonia yang terjadi di masyarakat cukup berat dan memerlukan hospitalisasi. Hospitalisasi menyebabkan anak cemas, takut, dan stres. Pentingnya peran, keterlibatan, dan pemberdayaan keluarga dalam memberikan asuhan keperawatan adalah hal yang utama dan perlu diukur efektivitasnya. Tujuan studi ini adalah untuk mendapatkan model dan alat ukur pemberdayaan keluarga yang valid dan reliabel. Desain yang digunakan adalah campuran kualitatif dan kuantitatif. Studi kualitatif (tahap 1) untuk menggali fenomena aplikasi pemberdayaan keluarga di rumah sakit sebagai dasar pengembangan instrumen dan studi kuantitatif survey (tahap 2) untuk menguji validitas dan reliabilitas instrumen serta mendapatkan model akhir pemberdayaan keluarga. Responden dalam studi tahap 1 ada 6 keluarga-anak di satu rumah sakit dan studi tahap 2 berjumlah 221 keluarga-anak tersebar di 8 rumah sakit di Jakarta (4 RSUP dan 4 RSUD). Hasil studi tahap 1 menggunakan analisis Colaizi menemukan 7 tema yaitu: persepsi pneumonia, penatalaksanaan pneumonia, peran keluarga, keinginan merawat dari keluarga, partisipasi keluarga, kerjasama keluarga, dan dukungan informasi pelayanan kesehatan dan dana (rumah sakit). Pada tahap dua analisis yang digunakan univariat, bivariat, dan multivariat (CFA dan SEM). Hasil penelitian menunjukkan ada 5 konstruk instrumen meliputi motivasi, caring, dukungan sosial, efikasi diri dan pemberdayaan. Berdasarkan hasil uji instrumen ditemukan bahwa semua konstruk valid dan reliabel. Ada perbedaan rerata pemberdayaan keluarga yang bermakna antara responden RSUP dengan RSUD. Dari hasil uji model persamaan struktural, ditemukan bahwa ada pengaruh motivasi, caring, dan dukungan sosial terhadap pemberdayaan keluarga baik secara langsung maupun melalui efikasi diri. Berdasarkan hasil yang didapat, instrumen yang telah dikembangkan dapat menjadi alat ukur dan acuan dalam pengembangan/ uji model intervensi pemberdayaan keluarga sebagai upaya peningkatan kemampuan keluarga untuk merawat anak yang sakit khususnya pneumonia.
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Pneumonia has been a major cause of children death in the world. Around 7-13% of pneumonia cases occur in the community and need hospitalization. Hospitalization creates anxiety, fear, and stress in children. Therefore, it is important to involve and empower the family in nursing care during hospitalization, and it needs to be measured. This study aimed to develop a model and a valid and reliable instrument to measure family empowerment. Method: Qualitative and quantitative designs were used in this study. A qualitative design (phase 1) was employed to explore the usage of family empowerment phenomena in the hospital as a baseline in developing an instrument, and a quantitative survey (phase 2) was used to test the validity and reliability of the instrument as well as to developed a final model of family empowerment. There were six families in a hospital involved in first phase and in second phase , 221 families in eight hospitals in Jakarta were involved. Data collected from phase 1 were analysed using Colaizzi's method. Whereas, quantitative data from phase 2 were analysed using univariate, bivariate, and multivariate analysis (CFA and SEM). Seven themes arose from qualitative data were the perception of pneumonia, pneumonia treatment, family role, family intention to care for their child, family participation, family collaboration, and health and financial information support. From quantitative data, it was found that there were five construct instruments which were motivation, caring, social support, self-efficacy, and empowerment. Based on instrument test, all the construct was valid and reliable. There were significant difference in empowerment mean between RSUP and RSUD. It was found that motivation, caring, and social support significantly influence family empowerment either directly or through improvement self efficacy. Based on the results, the instrument developed can be a tool and guideline in developing/testing a model of family empowerment intervention in order to increase family abilities to take care of their sick children, particularly who suffer from pneumonia."
Lengkap +
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
D1465
UI - Disertasi Membership  Universitas Indonesia Library
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Atik Hodikoh
"ABSTRAK
Asuhan keperawatan holistik peka budaya (AKHPB) sangat penting diberikan pada ibu pascaseksio sesarea. Tujuan penelitian yaitu memperoleh model asuhan keperawatan holistik peka budaya yang efektif untuk meningkatkan kemampuan merawat dan kepuasan.
Penelitian ini menggunakan pendekatan action research melalui tiga tahap penelitian yaitu:
Tahap I, identifikasi masalah pelayanan dengan penelitian kualitatif dengan desain fenomenologi deskriptif dan kuantitasif deskriptif.
Tahap II, solusi pengembangaan model asuhan keperawatan holistik peka budaya pada ibu pascaseksio melalui pengembangan instrumen, seminar pakar dan pelatihan kompetensi budaya perawat pelaksana. Tahap III, uji coba dan evaluasi model dengan desain quasi experiment with control group design. Hasil tahap I, diperoleh 5 tema dari partisipan ibu pascaseksio dan 6 tema dari perawat pelaksana , tahap II, dihasilkan model asuhan keperawatan holistik peka budaya dengan dua modul dan panduan bagi perawat, hasil pelatihan didapatkan peningkatan pengetahuan, kesadaran diri, sikap, ketrampilan peka budaya dan kemampuan mendokumentasikan asuhan keperawatan.
Tahap III, terdapat perbedaan bermakna kemampuan merawat diri, dan kemampuan merawat bayi dan kepuasan antara sebelum dan sesudah implementasi model.
Kesimpulan, model Asuhan keperawatan holistik peka budaya efektif meningkatkan kemampuan merawat diri, kemampuan merawat bayi, dan kepuasan ibu pascaseksio. Rekomendasi: (1) replikasi model pada budaya yang berbeda, (2) implementasi model di setiap rumah sakit, (3) Pelatihan berkelanjutan bagi perawat maternitas, (4) pengembangan kurikulum pendidikan berbasis budaya dan (5) penelitian lanjut yaitu model AKHPB meningkatkan kesehatan reproduksi perempuan.

ABSTRAK
Culturally sensitive, holistic nursing care (CSHNC) is very important to be given to postcaesarean mothers. The purpose of the study was to obtain a model of culturally sensitive, holistic nursing care which is effective to improve the ability of care and satisfaction.
This research applied an action research approach through three stages of research, namely:
Stage I, the identification of service problems by qualitative research with phenomenological descriptive and quantitative descriptive design.
Stage II, the solution of the culturally sensitive, holistic nursing care model development to postcaesarean mothers through the instrument development, expert seminars and cultural competency training for staff nurses. Stage III, Model trial and evaluation with a quasi-experiment design with control group design. The first stage acquired 5 themes from postcaesarean mother participants and 6 themes from nurses. Stage II produced a model of culturally sensitive, holistic nursing care with two modules and guides for nurses, the training results were the increase of knowledge, self-awareness, attitudes, culturally sensitive skills, and the ability to document the nursing care.
Stage III, there was a significant difference of self-care and infant care ability, as well as the satisfaction before and after the implementation of the model. In conclusion, the model of culturally sensitive, holistic nursing care was effective to enhance the postcaesarean mothers? self-care and infant-care ability, as well as the maternal satisfaction.
Recommendations: (1) the replication of the model in different cultures, (2) the implementation of the model in every hospital, (3) the ongoing training for maternity nurses, (4) the development of culture-based education curriculum and (5) the further research, namely CSHNC model to improve female reproductive health."
Lengkap +
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
D1476
UI - Disertasi Membership  Universitas Indonesia Library
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Kuswantoro Rusca Putra
"ABSTRAK Perawat merupakan profesi yang memiliki tingkat stres tinggi dan berisiko burnout. Tujuan penelitian ini yaitu mengembangkan model lingkungan kerja perawat berbasis caring serta mengidentifikasi pengaruhnya terhadap burnout perawat pelaksana. Penelitian ini secara keseluruhan dilakukan dalam dua tahap. Tahap satu yaitu pengembangan model yang diawali dengan penelitian kuantitatif tentang persepsi perawat pelaksana terhadap lingkungan kerja dan burnout. Model kemudian dikembangkan dengan cara melakukan uji statistic pemodelan, studi literatur dan konsultasi pakar. Tahap kedua yaitu uji coba model untuk menentukan pengaruh terhadap burnout. Penelitian tahap dua merupakan penelitian kuasi eksperimen menggunakan desain post test with control group. Perawat yang berpartisipasi dalam penelitian ini sejumlah 485 perawat untuk tahap 1,  85 perawat kelompok intervensi dan 85 perawat kelompok kontrol untuk tahap 2. Hasil penelitian tahap satu diketahui perilaku caring kepala ruangan , beban kerja, kendali, penghargaan mempengaruhi kelelahan emosional (p<0.005) dan dihasilkan model lingkungan kerja perawat berbasis caring. Hasil penelitian tahap dua membuktikan adanya penurunan skor kelelahan emosional, depersonalisasi, dan berkurangnya penurunan pencapaian prestasi secara signifikan (p<0.001) dibandingkan skor awal. Kesimpulan hasil penelitian yaitu model lingkungan kerja perawat berbasis caring menurunkan gejala burnout pada perawat dan direkomendasikan digunakan oleh kepala ruangan dalam pengelolaan lingkungan kerja.

ABSTRACT
Nurses are professions that have high stress levels and cause susceptibility to burnout. The purpose of this reserach is to develop a nurse work environment based on caring model and identify its effectiveness on burnout among nurses. This study conducted in two stages. First stages acknowledge constructing a model by integrating the results of quantitative study about perception of work environment and burnout among nurses. Model was developed using statistic modeling test, literature review, and expert review. The second stage identified the influence the model on reducing burnout. The second stage of this study used quasi experimental research using post test with control group design. The number of nurses who participated in this study is 85 nurses in intervention group and 85 nurses in control group. The results of the first stage study found that the nurse manager caring behavior (p=0.0001), workload (p=0.0001), control (p=0.0001), rewards (p=0.004) affect emotional exhaustion. The second stage of research proved the significant decrease in emotional exhaustion, depersonalization, and increase personal accomplishment (p=0.0001) after intervention compared with in control group. The conclusion of the research is that nurses work environment based on caring models reduce symptoms of burnout in nurses and it is recommended for use by the nurse manager in managing the work environment.

 

Keyword: nurses work environment based on caring mode; emotional exhaustion; depersonalization; reduce personal accomplishment.

 

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Lengkap +
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
D2576
UI - Disertasi Membership  Universitas Indonesia Library
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Tri Hartiti
"Sumber daya manusia keperawatan yang berkualitas merupakan kepribadian yang tidak cacat emosionalnya seperti kesalahan/kekurang telitian dalam pekerjaan, keterlambatan dalam menyelesaikan pekerjaan, semangat kerja yang buruk, bekerja secara asal-asalan dan kesal hati. Sebaliknya sumber daya manusia keperawatan yang berkualitas adalah perawat yang memiliki kegairahan dalam bekerja, kreatif, proaktif, mempunyai kehangatan dan mudah tersenyum, terkait dengan kompetensi perawat pelaksana didapatkan bahwa kompetensi inti yang dimiliki oleh perawat pelaksana adalah kepemimpinan, cara kerja, interpersonal/softskill, dan pengusaan lingkungan. Softskill sendiri dapat dikembangkan dan ditumbuhkan melalui berbagai cara, dan faktor yang dapat membentuk softskill diantaranya pelatihan, tantangan yang didapat, lingkungan, dan pendidikan.
Penelitian ini bertujuan mengetahui efektifitas model Kepemimpinan Transformasional Kepala Ruang berbasis softskill, mendapatkan modul dan panduan panduan model yang terdiri dari panduan, modul dan portopolio model Kepemimpinan Transformasional Kepala Ruang berbasis softskill Metode yang digunakan dalam penelitian ini adalah action research dengan desain riset pengembangan dengan studi eksperimen kuasi, dengan menggunakan penilaian times series. Penelitian terdiri dari 3 tahap yaitu tahap studi pendahuluan, tahap pengembangan model, dan tahap implementasi model, alat ukur yang digunakan yaitu Kuesioner Transformational Leadership Questionnaire (TLQ) dan Nurse Soft skill Questionnaire (NSQ), panduan model yang terdiri dari panduan, modul dan portopolio model Kepemimpinan Transformasional Kepala Ruang berbasis softskill, pada tahap implementasi dilakukan sosialisasi, pelatihan, pendampingan penerapan panduan model yang terdiri dari panduan, modul dan portopolio model Kepemimpinan Transformasional Kepala Ruang berbasis softskill. Populasi dalam penelitian ini terdiri dari 18 kepala ruang yang ada dimasingmasing Rumah Sakit sebagai kelompok kontrol dan kelompok perlakuan (total sampel), dan 47 perawat pelaksana yang diambil secara random sampling.
Hasil penelitian didapatkan panduan model yang telah divalidasi dan diuji keterterapannya oleh 2 orang pakar dan 2 orang praktisi, hasil implementasi model diperoleh adanya efektifitas model dalam meningkatkan softskill perawat pelaksana dalam hal kemampuan beradaptasi, berkomunikasi, bekerjasama tim, memecahkan masalah, percaya diri, disiplin dan teliti, didapatkan perbedaan kemampuan softskill pada bulan ke 1 dengan ke II, dan ke I dengan ke III setelah implementasi model. Model kepemimpinan transformasional kepala ruang berbasis soft skill sangat mungkin diterapkan ditatanan Unit perawatan di seluruh Rumah Sakit yang ada, untuk dapat menjawab tantangan dunia terhadap perbaikan sumber daya manusia melalui perbaikan kinerja dalam hal kemampuan interpersonal dan intrapersonal, kegiatan harian perawat kegiatan ini yang sering terbengkalai, portopolio lembar kerja yang sangat efektif dalam penerapan model.
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Human resources qualified nursing an emotional personality defects such as errors / lack of carefully situations in the work, the delay in completing the work, poor morale, work carelessly and bitter. Instead of nursing human resources are qualified nurses who have a passion for working, creative, proactive, have a warmth and an smiling, related to the competence of nurses found that the core competencies possessed by nurses is leadership, how to work, interpersonal / soft skills, and procurement environment. Soft skill can be developed and grown through a variety of ways, and the factors which may form such soft skills training, the challenge is to come, the environment, and education.
This study aims to determine the effectiveness of transformational leadership model of Head Room-based soft skills, gain module guides and guide model consisting of guides, modules and portfolio models Transformational Leadership Head Room-based soft skills. The method used in this study is an action research with research design the development of quasi-experimental studies, using the assessment times series. The study consisted of three phases: a preliminary study, the model development stage, and the implementation phase models, The instruments used Transformational Leadership Questionnaire (TLQ) and Nurse Soft skills Questionnaire (NSQ), guide model consisted of guides, modules and portfolio Transformational Leadership Model Head Room-based soft skills, at the implementation stage by socialization, training, mentoring guide application model consisted of guides, modules and portfolio models Transformational Leadership Head Room-based soft skills. The population in this study consisted of 18 head rooms in each of the existing hospital as a control group and the experimental group (total sampling), and 47 nurses were taken by random sampling.
The results was obtained the model guide has been validated and tested by 2 experts and 2 practitioners, the results obtained by the model of implementation effectiveness of the model in improving the soft skills of nurses in terms of adaptability, communication, team work, problem solving, self-confidence, discipline and meticulous, There were significant differences at 1st months and 2nd months, and 1st months and 3rd months after the implementation of the model. Transformational leadership model of head room-based soft skills are very likely applicable in care units of hospital, to be able to meet the challenges of the world to the improvement of human resources through improved performance in terms of interpersonal and intrapersonal skills, daily activities of the nurse's activities are often neglected, portfolio worksheet very effective in the application of the model."
Lengkap +
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
D1449
UI - Disertasi Membership  Universitas Indonesia Library
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Imami Nur Rachmawati
"Persalinan merupakan hal penting bagi ibu dan juga tenaga kesehatan dalam konteks kesehatan maternal. Keperawatan sangat memperhatikan keluhan nyeri selama persalinan dengan mengembangkan berbagai metode mengurangi nyeri tetapi belum banyak diterapkan di Indonesia. Studi ini bertujuan mengidentifikasi konsep penerapan manajemen nyeri persalinan di Indonesia, khususnya di daerah perkotaan melalui rancangan constructivist grounded theory. Sebanyak 36 orang yaitu 17 ibu dan 19 tenaga kesehatan (dokter dan bidan) yang dipilih melalui theoretical sampling dari Rumah Sakit dan Klinik di Jakarta, Depok, Bekasi, dan Tangerang berpartisipasi. Data yang diperoleh dari wawancara mendalam, observasi dan studi dokumen dianalisis dengan pengodean awal, pengodean berfokus, pengodean berporos, dan pengodean teoretis.
Studi ini mengungkapkan bahwa manajemen nyeri persalinan merupakan suatu proses dan terjadi divergensi dalam penerapannya, yaitu pendekatan partisipatif, pendekatan medis dan pendekatan koersif. Kondisi ini terjadi karena pengaruh individu (ibu bersalin dan tenaga kesehatan), institusi profesi, sistem sosio-struktural, sistem kultural, perlindungan pasien dan kontingensi. Pendekatan koersif merupakan pendekatan yang mayoritas diterapkan di Indonesia. Model ini dapat dibandingkan dengan teori manajemen nyeri akut dan teori bureaucratic caring. Hasil ini merekomendasikan pentingnya peran perawat dalam persalinan, karena perawat mampu memberikan pelayanan yang komprehensif berdasarkan filosofi caring. Sistem institusi pelayanan juga perlu mendukung tenaga kesehatan dalam memenuhi kebutuhan perempuan dan keluarganya dalam persalinan.

Childbirth is an important moment for the mother as well as care providers in the context of maternal health. Nursing is very concerned about pain during labor through the development of various methods of alleviating the pain that has not been widely applied in Indonesia. This study aimed to identify the concept of labor pain management practices in Indonesia, particularly in urban areas through constructivist grounded theory. A total number of 36 people consisting of 17 mothers and 19 care providers participated in this study. They were selected through theoretical sampling from Hospitals and Clinics in Jakarta, Depok, Bekasi and Tangerang Data was obtained through in-depth interviews, observation and document analysis. The data was analyzed with initial coding, focused coding, axial coding, and theoretical coding.
This study revealed that pain management during labor is a process and a divergence occurs in its application, namely participatory approach, medical approach and coercive approach. This condition can occur because of the influence of maternal individual, care provider individual, professional institutions, socio-structural system, cultural system, the protection of patients, and contingency. Coercive approach is the majority approach applied in Indonesia. This model could be compared to the theory of acute pain management, bureaucratic caring theory, and organization culture theory.These results recommend the importance of the involvement of the nurse?s role in the labor care, because the nurse is able to provide comprehensive care based on the philosophy of caring. The health care institution system also needs to support care provider in meeting the needs of women and families in childbirth."
Lengkap +
Depok: Universitas Indonesia, 2014
D1997
UI - Disertasi Membership  Universitas Indonesia Library
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Joni Haryanto
"Disertasi ini membahas efektivitas model keperawatan sugesti pola tidur sehat Lansia yang mengalami insomnia dan hipertensi di Kota Surabaya. Hal ini dilakukan karena Surabaya mempunyai jumlah Lansia tertinggi se Jawa Timur, dan secara Nasional Jawa Timur mempunyai persentase Lansia terbanyak ke dua setelah DIY. Lansia sering diikuti penyakit degeneratif, seperti hipertensi. Lansia sering mengalami gangguan tidur jenis insomnia, maka perlu ada model yang memperbaiki kualitas dan kuantitas tidur Lansia agar status kesehatan dan tekanan darah dapat terjadi normotensi. Hasil penelitian tahap I, mengahasilkan pola tidur sehat Lansia, yaitu suatu bentuk pola atau rutinitas tidur Lansia yang dapat menyehatkan Lansia dalam suatu waktu tertentu. Hasil penelitian tahap II, berupa Model keperawatan Sugesti Pola Tidur Sehat Lansia, ini menggunakan pendekatan integrative concept and theory; self care, comfort care, transcendental meditation, aromatherapy, dan hypnosis, yang ditambahkan dengan hasil dari penelitian tahap I yaitu variabel suhu dan dukungan sosial. Penelitian tahap III, didapatkan hasil bahwa model keperawatan sugesti pola tidur sehat Lansia dapat efektif meningkatkan kualitas tidur, status kesehatan dan mampu menurunkan tekanan darah Lansia yang mengalami hipertensi, namun untuk berefek kepada peningkatan kuantitas tidur Lansia tidak secara bermakna.
......Nursing models of Suggestion Elderly Healthy Sleeping Patterns (SPTSL) was developed for elderly with hypertension in meeting the sleeping needs. Elderly with hypertension often experience sleeping disturbances - types of insomnia, that was need to be intervened. Therefore, nursing intervention that can improve the quality and quantity of sleep was necessary to maintain elderly health status and blood pressure. This study applied operational research design. The first phase aimed to identify elderly healthy sleep patterns, phase II produced SPTSL nursing model, and phase III, to test the effectiveness of the model SPTSL in improving sleep quality and health status of the elderly as well as lowering blood pressure in elderly with hypertension. Nursing model SPTSL effectively improve the elderly quality of sleep, which was experience insomnia and hypertension. However, the effect of the model on increasing the elderly quantity of sleep was not statistically significant because physiologically elderly need for sleep decreased up to 5-6 hours per day than when younger. This model is recommended into nursing intervention on elderly who experience sleep disturbances."
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
D2080
UI - Disertasi Membership  Universitas Indonesia Library
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Sri Ratna Laksmiastuti
"Karies gigi bersama penyakit periodontal merupakan penyakit gigi dan mulut yang paling banyak dijumpai pada anak. Prevalensi karies pada anak di Indonesia tetap tinggi, meskipun banyak upaya telah dilakukan. Karies gigi merupakan penyakit multifaktorial, dalam arti melibatkan banyak faktor yaitu faktor etiologi dan faktor risiko.
Tujuan penelitian ini adalah menganalisis faktor-faktor risiko karies dari ibu dan anak sebagai alat penilaian risiko karies dan pedoman penyusunan manajemen karies gigi pada anak melalui penggunaan suatu perangkat lunak. Identifikasi 8 delapan faktor risiko karies dari ibu dan 10 faktor risiko karies dari anak ditentukan berdasarkan kajian literatur, pengalaman klinis dan keadaan masyarakat setempat.
Penelitian diagnostik dilakukan pada 248 pasangan ibu dan anak. Melalui analisis regresi logistik dihasilkan model penilaian risiko terjadinya karies pada anak dengan sensitivitas 84,06. Penentuan titik potong dilakukan untuk mengelompokkan anak dengan risiko karies rendah dan risiko karies tinggi, supaya dapat dilakukan manajemen yang tepat dan spesifik. Penilaian risiko karies selanjutnya diaplikasikan sebagai suatu animasi penilaian tingkat risiko karies dan upaya manajemennya pada program perangkat lunak komputer.
......Dental caries and periodontal diseases are the most common oral diseases impacting to the children. Caries prevalence of children in Indonesia is still high, despite a lot of efforts have been taken. Dental caries is a multifactorial disease which comprise etiologic factor and risk factor.
The research aim is to analyze maternal and children caries risk factor as a prediction instrument for children rsquo s caries risk and a guidance to determine caries management for the children by a software application. The identification 8 eight maternal caries risk factor and 10 children caries risk factor are designated based on literature study, clinical experience and local people condition.
The diagnostic study was conduct on 248 pairs of mothers and children. Using logistic regression analysis it is possible to formulate assessment model of caries risk in children, with 84.06 sensitivity. Cut off point was determined to classify the children into low risk and high risk, for proper and specific management. Hence, caries risk assessment is applied as a level animation and management by a software application program."
Lengkap +
Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2017
D-Pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Febriana Setiawati
"Latar belakang: ECC adalah masalah kesehatan penting di Indonesia. Prevalensi dan keparahan usia dibawah tiga tahun meningkat, pencegahan harus dilakukan saat gigi erupsi. Gigi sulung berperan dalam proses tumbuh kembang anak, pemeliharaannya melibatkan peran ibu, antara lain pada pola pemberian ASI. Tujuan: Diketahuinya hubungan pola pemberian ASI dan berbagai faktor risiko kejadian ECC dan ditemukannya model pencegahan yang sesuai di DKI Jakarta. Metode: Cross-sectional pada 424 anak usia 6-24 bulan, wawancara, pemeriksaan klinis dan laboratorium.Hasil:Faktor prediktor ECC:plak, usia anak, cara pemberian, lama kontak ASI, dan kapasitas buffer saliva. Kesimpulan: Model menjelaskan 52,5% variasi ECC dengan akurasi prediksi 82%. Dihasilkan soft ware dan kartu sebagai alat bantu pencegahan ECC. ...... Background: ECC is an important health problem in Indonesia. Under 3-yr-old prevalence and severity tend to increase, prevention must start since teeth eruption. Primary teeth plays role in the child development, oral care mainly involves the mother?s role, among others, breastfeeding pattern. Purpose: To determine relationship between breastfeeding patterns and ECC risk factors to find a prevention model in Jakarta. Methods: Cross-sectional study on 424 children aged 6-24 months, interviews, clinical and laboratory examinations. Result: ECC predictor factors: dental plaque, age, breastfeeding pattern, salivary buffer capacity. Summary:Model explained 52.5% variation in ECC with 82% accuracy prediction. Soft ware and card were developed as prevention model."
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Jakarta: Fakultas Kedokteran Gigi Universitas Indonesia, 2012
D1301
UI - Disertasi Open  Universitas Indonesia Library
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Jeddy Januardi Sardjono
"Dalam mengukur tingkat keparahan karies gigi, jumlah serotipe Streptococcus mutans serta ekspresi gen glukosiltransferase gtfs dan LuxS dapat digunakan sebagai prediktor aktivitas bakteri karies dalam kategori karies rendah dan karies tinggi pada anak-anak di Indonesia. Tujuan: Tujuan penelitian ini adalah untuk menganalisis hubungan antara jumlah serotipe Streptococcus mutans, ekspresi gen LuxS dan glucosyltransferase dengan aktivitas bakteri karies gigi yang diukur dengan menggunakan Cariostat. Metode: Penelitian observasional potong silang dilakukan pada 76 anak usia 3 - 5 tahun 37 anak perempuan dan 39 anak laki-laki di Jakarta. Sampel plak gigi diambil dari subyek untuk mengukur jumlah serotipe, dan ekspresi mRNA gen glukosiltransferase dan LuxS. Tingkat keparahan karies gigi juga diukur dengan menggunakan indeks dmft, sedangkan aktivitas bakteri karies gigi diukur dengan menggunakan metode Cariostat. Jumlah serotipe, ekspresi mRNA gen glukosiltransferase dan ekspresi LuxS diukur menggunakan metode Quantitative Polymerase Chain Reaction qPCR . Hasil: Hasil analisis regresi berganda menunjukkan bahwa jumlah tingkat ekspresi gen S. mutans serotipe f dan gtfD yang dapat secara signifikan digunakan untuk memprediksi aktivitas bakteri karies gigi atau dengan kata lain berkontribusi terhadap aktivitas bakteri karies gigi. Kesimpulan: Metode Cariostat valid untuk mengukur aktivitas bakteri karies berdasarkan mikrobiologi dan penelitian biomolekuler. Dengan menggunakan instrumen klinis yang relatif sederhana dan ekonomis, seperti Cariostat, praktisi klinis mendapatkan gambaran mikrobiologi laboratorium dan hubungan biomolekuler seperti yang telah dibuktikan melalui penelitian ini. ...... Measuring the severity of dental caries, the quantities of Streptococcus mutans serotypes as well as its genes expression of glucosyltransferases gtfs and LuxS could be used as predictor of the activity of caries in both low and high caries experience in Indonesian children. Aim This study rsquo s aim was to analyze the relationship between Streptococcus mutans serotype quantity, glucosyltransferase LuxS gene expression with dental caries bacteria activity as measured by using cariostat. Methods Cross sectional observational study was conducted in 76 children aged 3 5 years 37 girls and 39 boys in Jakarta. The dental plaques samples were taken from the subjects for measuring serotype quantity, and the mRNA expression of glucosyltransferases and LuxS genes. The dental caries severity was also measured using the dmft index, while dental caries bacterial activity was measured using Cariostat method. The quantity of serotype, expression of the glucosyltransferases and the expression of the LuxS were measured using the quantitative Polymerase Chain Reaction qPCR method. Results Result of the multiple regression analysis shows that the quantity of S. mutans serotype f and gtfD gene expression level that could significantly be used to predict the activity of dental caries bacteria or in other words contribute to dental caries bacterial activity. Conclusions Cariostat method is valid to measure activity of bacteri caries base on microbiology and biomolecular research. Using a relatively simple and economical clinical instrument, such as Cariostat, clinical practitioners get a picture of the laboratory microbiology and biomolecular relationship as has been proven through this study."
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Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2017
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