Faktor-Faktor yang Mempengaruhi Terjadinya Gangguan Tidur pada Anak dengan Leukemia Limfoblastik Akut yang Menjalani Kemoterapi

This study aims to examine the relationship between these factors and sleep disorders and determine the factors that most influence the occurrence of sleep disorders in ALL children undergoing chemotherapy. The design of this research is descriptive-analytic with a cross-sectional approach. The results showed a statistically significant relationship between the type of ALL, chemotherapy regimen, hemoglobin levels, fatigue, pain, and anxiety with a value of (p<0.005). In conclusion, pain and anxiety factors are the most influencing sleep disorders. Cancer and treatment, physiological, and psychological factors are related to the occurrence of sleep disturbances that will affect the quality of life of the next child.   Keywords: Sleep Disorders, Chemotherapy, Acute Lymphoblastic Leukemi

Paket Pendidikan Kesehatan “Siaga” terhadap Kesiapan Ibu Pasca Abortus untuk Hamil Kembali

This study aims to determine the effect of the "Siaga" health education package on the readiness of post-abortion mothers to become pregnant again. This research method is quantitative with a quasi-experimental design with a pretest-posttest approach with a control group. The results showed that most post-abortion mothers, both the intervention group and the control group, had secondary education, namely 65.9%. The majority did not work or were homemakers, as many as 27 people (54%). Most families have sufficient income, more than the UMR Bukittinggi, namely 31 people (62%). Most of them did not have children, namely 15 people (44.1%), and had a history of abortion at most once, namely nine mothers (36%) in the intervention group and as many as 12 people (48%) in the control group. Based on bivariate analysis, the mean difference in readiness in the intervention group was 13.92 (p=0.001; α p<0.05), while in the control group, it was only 0.62. In conclusion, the effect of providing health education packages on the readiness of post-abortion mothers to become pregnant again. There was a significant difference between the readiness of post-abortion mothers before and after being given the intervention, with the mean difference in the intervention group being more important than the difference in the control group.   Keywords: Abortion, Pregnancy Readiness, Health Educatio

EDBEHOS Sleep Therapy on Sleep Quality in Children with Acute Lymphoblastic Leukemia During Chemotherapy

This study aims to analyze the optimization of meeting children's rest/sleep needs by implementing EdBeHos Sleep Therapy. The method used is quasi-experimental with the application of Evidence-Based Nursing Practice EdBeHos Sleep Therapy. The study's results found a significant difference in sleep quality scores between the intervention and control groups (p<0.001). In conclusion, the EdBeHos Sleep Therapy intervention can be applied to overcome sleep problems so that it can improve the quality of life of children with cancer. Keywords: Edhebos, Sleep Quality, Acute Lymphoblastic Leukemia, Chemotherapy, Sleep Qualit

MASALAH TIDUR ANAK DENGAN LEUKEMIA LIMFOBLASTIK AKUT DALAM MENJALANI KEMOTERAPI FASE INDUKSI

Chemotherapy has an effect on the occurrence of sleep disorders in children who suffer from acute lymphoblastic leukemia. Sleep disorders experienced by children have an impact on optimizing the long-term quality of life of children. This study aims to describe sleep problems that occur in children suffering from acute lymphoblastic leukemia who undergo induction phase chemotherapy. The design of this study was descriptive analytic with repeated measurements of sleep disorders in children aged 7-18 years (n = 62). Data collection was carried out for 7 days, that is, one day before, five days during, and one day after chemotherapy. The results of data analysis found that children have > 15 minutes to fall asleep, children have less than normal amounts of sleep (the number of hours of sleep is normal, school age: 9-11 hours / day, adolescence: 8-10 hours / day) and there was a decrease in the quality of sleep scores. In conclusion, there are sleep disorders that occur in children, namely children have less time to sleep, children need a long time to be able to fall asleep, and children experience a decrease in the quality of sleep. The need for exploration of interventions to facilitate efficient sleep according to the stages of child development

Kelelahan Pada Anak Dengan Leukemia Limfoblastik Akut Dalam Menjalani Kemoterapi Fase Induksi

Kemoterapi memiliki dampak terjadinya kelelahan pada anak yang menderita leukemia limfoblastik akut. Kelelahan yang dialami anak berdampak pada kehidupan dan mempengaruhi kualitas hidup anak. Penelitian ini bertujuan untuk menggambarkan kelelahan yang terjadi pada anak yang menderita leukemia limfoblastik akut yang menjalani kemoterapi fase induksi. Desain penelitian ini adalah deskriptif analitik dengan pengukuran berulang kelelahan pada anak berumur 7-18 tahun (n=62). Pengambilan data dilakukan selama 7 hari yaitu, satu hari sebelum, lima hari selama, dan satu hari setelah kemoterapi. Hasil analisis data didapatkan bahwa hampir seluruh anak mengalami kelelahan (98%). Kelelahan terjadi selama menjalani kemoterapi dan terus meningkat hingga hari terakhir kemoterapi. Terjadinya kelelahan juga berlanjut setelah kemoterapi. Kesimpulannya kelelahan yang terjadi pada anak terus meningkat selama dan setelah menjalani kemoterapi. Perlu eksplorasi intervensi untuk mengatasi atau meminimalkan kelelahan yang dialami anak sesuai tahap perkembangannya agar meningkatkan kualitas hidup anak

Mothers Awareness of Pneumonia and the Toddler Breastfeeding Duration Affect Pneumonia Incidence

This study aims to determine the relationship between the mother's level of awareness about the pathology of pneumonia and the duration of breastfeeding under five with the incidence of pneumonia in DR. M.A. Hospital Hanafiah. This research is a retrospective analytic descriptive study with a cross-sectional design. The results showed that mothers' awareness of pneumonia was lower by 71.8%, they breastfed their babies for less than six months (71.8%), and more than two-thirds of children under five (76.9%) were diagnosed with pneumonia. Furthermore, statistical analysis significantly correlated the mothers' awareness of pneumonia and the duration of breastfeeding they performed on their children with pneumonia. The conclusion is that the mother's understanding of pneumonia has a linear effect on the incidence of pneumonia in infants and toddlers. The duration of breastfeeding has a significant impact. We assume that non-exclusive breastfeeding in infants stimulates underweight and immunological disorders that accelerate the incidence of pneumonia.   Keywords: Mother's Awareness, Length of Breastfeeding, Toddler Pneumoni

HERD IMMUNITY (KEKEBALAN KELOMPOK) DALAM PEMBERIAN IMUNISASI VAKSIN COVID-19 DI WILAYAH KERJA PUSKESMAS GUGUK PANJANG KELURAHAN AUR KUNING BUKITTINGGI

In Indonesia, the target of herd immunity/(herd immunity) is 70% in accordance with the characteristics of the spread of Covid-19. The development and discovery of the Covid-19 vaccine as well as minimal public compliance raises the issue of "herd immunity. The purpose of this community service is to increase public knowledge about the delivery of the COVID-19 vaccine. From the field survey data, it was found that 88% of the residents of Aur Kuning Village on average had a bad attitude about PHBS in the New Normal Era, and were not willing to be vaccinated to prevent Covid-19 transmission. Furthermore, observation and interview data for three families (Heads of Families) in the Aur Kuning sub-district also knowledge about the Covid-19 vaccine is still not good, people think that vaccines are not effective in preventing the transmission of Covid 19, and there is no information regarding the Covid-19 vaccine given to them. Public. This made the community service team interested in providing an explanation about Herd Immunity (herd immunity) in administering the Covid-19 vaccine and also the head of the village at that time asked the Community Service Team of the Perintis Indonesia University to provide counseling about administering the Covid-19 vaccine in the Guguk Panjang Health Center Work Area. Aur Kuning Village, Bukittinggi. The method used in this service is to provide counseling about the importance of the Covid-19 vaccine by means of lectures, discussions, and questions and answers. The results of this activity obtained that the majority of participants were aged around 30 to 60 years, the majority of which were high school education. After conducting health education about the Covid-19 vaccine, there was an increase in public knowledge about the importance of the Covid-19 vaccine. It is recommended that after this service the community is willing to carry out the Covid-19 vaccine and still pay attention to health protocols Keywords: Herd Immunity, Covid-19 vaccin