PENGETAHUAN, SIKAP, DAN PERILAKU IBU DALAM TATALAKSANA DIARE DENGAN DERAJAT KEPARAHAN DIARE PADA BALITA DI RSUD RUTENG MANGGARAI

LODOVIKUS DEMUNG MOA, Prof. dr. Muhammad Juffrie, SpA(K), Ph.D

2012 | Tesis | S2 Ilmu Kedokteran Tropis

Latar Belakang. WorldHealth Organization (WHO) (2002) memperkirakan jumlah mortalitas anak di negara sedang berkembang mencapai 10,5 juta setiap tahun, (15%) disebabkan oleh diare dan (80%) kematian tersebut terjadi pada dua tahun pertama umur anak. Di Indonesia,Angka kematian akibat diarepada balita 75 per 100 ribu balita.Derajat keparahan diare pada balita di Kabupaten Manggarai dipengaruhi oleh persepsi sebagian besar masyarakat khususnya ibu-ibu yang memiliki balita yang masih mempercayai kebiasaan lokal dalam memahami realita penyakit diare pada balita. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, sikap dan prilaku ibu dalam tatalaksana diare pada balita dengan derajat keparahan diare. Metode. Jenis penelitian ini adalah observasional dengan rancangan cross sectional. Responden sebesar 81 dipilih secara consecutive. Hubungan antara variabel penelitian dianalisis dengan Chi Square, kekuatan hubungan dihitung dengan ratio prevalens dengan 95% CI. Hasil. Dari analisis didapatkan mayoritas ibu berpengetahuan rendah sebanyak 58,0%, sebagian besar bersikap positif (82,7), dan yang berperilaku benar sebanyak 75,3%. Hasil analisis regresi logistik menunjukkan hubungan bermakna antara perilaku tentang tatalaksana diare dengan derajat keparahan diare (OR= 4,15; 95% CI 1,32-13,09). Sikap tentang tatalaksana diare berhubungan dengan derajat keparahan diare (OR=3,34; 95% CI 0,93-11,98). Pendidikan berhubungan dengan derajat keparahan diare(OR=3,30; 95% CI 0,93-11,75) Kesimpulan. Perilaku dan sikap ibu berhubungan dengan derajat keparahan diare pada balita. Pengetahuan ibu tidak berhubungan dengan derajat keparahan diare pada balita.

Background.World Health Organization (WHO) (2002) estimates the number of child mortality in developing countries reached 10.5 million per year, (15%) are caused by diarrhea and (80%) deaths occurred in the first two years of age. In Indonesia, the death rate from diarrhea in children 75 per 100 thousand children under five. The degree of severity of diarrhea in childrens in Manggarai largely influenced by the perception of the public, especially mothers who have young children who still believe in local customs in understanding the realities of diarrhea disease in childrens. Objective.To investigate the relationship between mothers’ knowledge, attitudes and behavior in the management of diarrhea in infants with diarrhea severity. Method. This was an observational study with cross-sectional study design. eighty one respondents were selected consecutively. The association among variables was analyzed by chi-square while strength of association was counted by ratio prevalence with 95% CI Results.Obtained from the analysis of the majority of mothers of low knowledge as much as 58,0%, mostly positive (82,7%), and who behave properly as much as 75,3%.The results of logistic regression analysis showed significant relationship between behavior about the management of diarrhea with the degree of severity of diarrhea (OR=4.15, 95% CI 1.32 to 13.09). The attitude of the management of diarrhea associated with the degree of severity of diarrhea (OR=3.34, 95% CI 0.93 to 11.98).Education associated with the degree of severity of diarrhea( OR=3,30; 95% CI 0,93-11,75) Conclusion.Mothers behavior and attitude was related to the degree of severity of diarrhea in childrens while mothers knowledge was not related to the degree of severity of diarrhea in children.

Kata Kunci : Pengetahuan, sikap, perilaku, derajat keparahan diare, diare