Efektifitas Terapi Akupresur terhadap Frekuensi Enuresis pada Anak dengan Syndrom Down
Abstract
Down Syndrome (DS) or Mongoloid is a condition in which extra genetic material causes delays in the development of children, and sometimes refers to mental retardation. One of disturbance that commonly appear form children who has down syndrome is enuresis (bedwetting). One of therapy that is believed has an effect of enuresis frequency is acupressure.The objective of this study was to determine the effectiveness of acupressure on the frequency of enuresis in children with Down syndrome. This research uses a pre- experimental design approaching Non - randomized pretest - Posttest Design. This study was 30 down Syndrome children suffering enuresis in disability elementary school (Sekolah Dasar Luar Biasa) Kuncup Mas Banyumas. Sampel was taken by total sampling method. Statistical analysis test used is the paired t test and ANOVAThe results show there is significant differences of acupressure towards frekwensi enuresis of Down syndrome children suffering enuresis with p value at 0.000. In Indonesia, an estimated number of infants up to 30% of the 250 million population of Indonesia, and according to the Household Health Survey (Survey) is estimated to number of infants who already control defecation and urination in the preschool years to reach 75 million children. Nevertheless, there are still about 30% of children aged 4 years and 10% of children aged 6 years who are still afraid to go to the bathroom let alone at night. According to the Child Development Institute Toilet training at the American Psychiatric Association study reported that 10 -20% of children aged 5 years, 5% of children aged 10 years, nearly 2% of children aged 12-14 years, and 1% of children aged 18 years still wet (Medicastore, 2008).References
Alpers, Annet al.,2006.Buku Ajar Pediatri Rudolph.Edisi 20 Volume1. Jakarta: EGC. pp. 24, 179-180
Azwar. S,(2003) Metode Penelitian, Pustaka Pelajar, Yogyakarta.
Backon J (1989) Inhibiting noradrenergic overactivity by inhibition of thromboxane and concomitant activation of opiate receptors via dietary means. Med Hypotheses ; 29: 65 – 74.
Bartocci C, Lucentini M( 1981) Acupuncture and micro-massage in the treatment of idiopathic nocturnal enuresis (in Italian, English abstract). Minerva Med ; 72: 2237.
Elvira, N., Tafwidhah,y., dan Winarianti (2014) Efektifitas Terapi Akupresur Terhadap Frekuensi Enuresis Pada Anak Usia Prasekolah Di Kota Pontianak, Skripsi Unpublish
Fadhli , A ( 2010), Buku Pintar Kesehatan Anak,Yogyakarta:Pustaka Anggrek.
GuytonA.C dan HallJ.E.2008.Buku Ajar Fisiologi Kedokteran.Jakarta:EGC. pp. 1092-4
Hartono,R.I.W (2012).Akupresur Untuk Berbagai Penyakit. Yogyakarta: Rapha Publishing
Hidayat, A.A. (2005). Pengantar ilmu keperawatan anak 1.Jakarta: Salemba Medika.
Koosnadi,S & Agustin I.(2005).Akupuntur Dasar,Airlangga University Press,Surabaya
Kurniawati, F(2008). Kejadian Enuresis (Mengompol) berdasarkan Faktor Psikologis dan Keturunan pada Anak Usia Prasekolah (4-5 tahun) di TK Sekar Ratih KrembanganJaya Selatan Surabaya. Buletin Penelitian RSUD Dr.Soetomo. Vol.10 No.2 Tahun 2008
Meadow S.RdanNewell S.J.,( 2005).Lecture Notes: Pediatrika.Edisi7. Jakarta: Erlangga. pp. 80-1
MS Yuksek, AF Erdem, C Atalay And A Demirel( 2003) Acupressure versus Oxybutinin in theTreatment of Enuresis. The Journal of International Medical Research (31): 552 – 556
Narendra M.B, Sularyo T.S, Soetjiningsih dkk., (2008). Buku Ajar I Tumbuh Kembang Anak dan Remaja.Edisi 1.Jakarta: SagungSeto
National Clinical Guideline Centre (2010) Nocturnal Enuresis:The Management of Bedwetting in Children and Young People, National Clinical Guideline Centre The Royal college of Physician, London
Pratiknya.W.A. (2008). Dasar-Dasar Metodologi Penelitian Kedokteran & Kesehatan. Jakarta :PT.Raja Grafindo Persada
Price, S A, (2006). Patofisiologi Konsep Klinis Proses-Proses Penyakit Edisi 6. Penerbit Buku Kedokteran EGC. Jakarta
Schwartz, M.W., 2005.Pedoman Klinis Pediatri. Jakarta: EGC. pp. 66, 75
Sim Kie Jie,(1997).Dasar Teori Ilmu Akupuntur,Gramida Widia Sarana,Jakarta.
Soetjiningsih (2015) ,Tumbuh Kembang Anak. Jakarta:Penerbit Buku Kedokteran EGC
Van Hoecke E, Baeyens D, Vanden Bossche H (2007). Early detection of psychological problems in a population of children with enuresis: construction and validation of the short screening instrument for psychological problems in enuresis. Journal of Urology, 178:2611-2615.