KUESIONER HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN DIARE PADA ANAK USIA 12-24 BULAN DI PUSKESMAS TERJUN KECAMATAN MEDAN MARELAN TAHUN 2014

  KUESIONER

HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN DIARE

PADA ANAK USIA 12-24 BULAN DI PUSKESMAS TERJUN KECAMATAN

MEDAN MARELAN TAHUN 2014

A. Karakteristik Ibu

  1. Nama :

  2. Umur :

  3. Alamat :

  4. Pendidikan :

  a. Tidak tamat SD

  b. Tamat SD

  c. SMP

  d. SMU

  e. Akademi

  f. S-1/S-2/S-3

5. Status Pekerjaan Ibu

  b. PNS

  c. Peg. Swasta

  d. Petani

  e. Wiraswasta

  f. Tidak Bekerja Karakteristik Anak

  6. Nama Anak :

  7. Umur :

  8. Jenis Kelamin : 1. Laki-laki 2. Perempuan

  9. Imunisasi : apakah anak pernah mendapatkan imunisasi?

  1. Ya 2. Tidak 10. Jika ya, sebutkan imunisasi apa saja yang telah diberikan pada anak…..

a. BCG (Bacillus Calmette Guerin) b. DPT (Dipteri Pertusis Tetanus)

  c. polio

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  18. Ibu harus mencuci tangan dengan air dan sabun sebelum memegang bayi?

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  17. Keuntungan pemberian ASI adalah bayi sehat, lincah, cerdas, dan tidak cengeng.

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  a. Benar (1) b. Salah (0) c. Tidak tahu (0) 16. ASI saja dapat memenuhi kebutuhan zat gizi bayi umur 0-6 bulan .

  

15. Bayi yang diberikan ASI eksklusif akan lebih jarang sakit dibandingkan bayi

yang tidak ASI eksklusif? .

  14. Kolostrum mengandung zat kekebalan yang dapat memberikan sistem kekebalan tubuh pada bayi sehingga dapat mencegah diare? a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  13. ASI yang pertama kali keluar setelah lahir disebut kolostrum?

  d. campak,

  c. Agar bayi tidak rewel (0)

  a. Agar bayi mendapatkan cukup gizi, terhindar dari penyakit seperti diare dan bayi menjadi cerdas (1) b. Agar bayi dapat minum susu formula (0)

  12. Dibawah ini yang merupakan manfaat memberikan ASI eksklusif adalah?

  c. Tidak tahu (0)

  a. Memberikan ASI saja tanpa makanan lain kecuali vitamin, obat, dan minieral selama 6 bulan. (1) b. Memberi ASI selama < 4 bulan (0)

  11. Menurut Ibu, apa yang dimaksud dengan ASI eksklusif?

  Pengetahuan Ibu

  e. hepatitis B

  a. Benar (1) b. Salah (0) c.Tidak tahu (0)

  

19. Diare jika tidak segera ditangani dapat menyebabkan anak menjadi lemas,

dehidrasi, dan berat badan menurun?

a. Benar (1) b. Salah (0) c. Tidak tahu(0)

20. Penggunaan oralit merupakan awal penanganan diare pada anak di rumah?

a. Benar (1) b. Salah (0) c. Tidak tahu (0)

21. Suplemen zink bermanfaat untuk mengatasi diare pada anak?

23. Diare adalah salah satu penyakit pencernaan?

  a. 1 bulan d. 4 bulan g. > 6 bulan

  

a. Apakah bayi ibu hanya diberi ASI saja selama 6 (enam) bulan tanpa makanan

dan minuman tambahan ?

  Pemberian ASI Eksklusif

  c. 3 bulan f. 6 bulan

  b. 2 bulan e. 5 bulan

  28. Jika ya, usia berapa bayi diberikan?

  a. Benar (1) b. Salah (0) c. Tidak tahu (0) 22. Diare dapat disebabkan oleh kuman yang ada pada makanan kotor.

  1. Ya 2. Tidak

  27. Apakah saat ini bayi sudah mulai diberi makanan tambahan/susu formula ?

  26. Apakah bayi masih diberi ASI ? 1. Ya 2. Tidak

  Pemberian Makanan Tambahan

  25. Anak harus mendapat imunisasi secara lengkap sesuai umur, terutama imunisasi campak untuk mencegah terjadinya diare a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  

24. Bila ibu bekerja, bayi dibawah 6 bulan harus tetap diberikan ASI dengan cara

pemerahan ASI ibu dan kemudian ASI disimpan serta tidak boleh diberikan susu formula ?

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

  a. Benar (1) b. Salah (0) c. Tidak tahu (0)

a. Ya

b. Tidak

  Kejadian Diare

  b. Apakah dalam 1 bulan terakhir ini bayi ibu mengalami frekuensi buang air besar sudah lebih dari 3 kali dengan konsistensi tinjanya encer? a. Ya

  b. Tidak No Umr ibu Umrk pddkan Pkrjaa n pengeta huan

  JK anak Umur anak (bln) umurK imunisasi PMT ASI Diare

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  1

  1

  19

  35

  1

  1

  1

  2

  2

  2

  21

  2

  1

  2

  2

  2

  86

  31

  1

  1

  2

  1

  2

  24

  2

  1

  2

  2

  1

  87

  31

  1

  1

  1

  1

  90

  2

  1

  1

  2

  93

  31

  1

  1

  1

  1

  2

  20

  2

  1

  2

  2

  94

  1

  27

  1

  2

  2

  1

  1

  16

  1

  1

  2

  2

  1

  95

  29

  1

  1

  1

  2

  1

  1

  2

  15

  1

  1

  2

  2

  1

  91

  41

  2

  2

  1

  1

  1

  15

  1

  1

  2

  2

  1

  92

  28

  1

  1

  2

  1

  1

  14

  2 Universitas Sumatera Utara

  Frequencies Frequency Table umuribuK

Frequency Percent Valid Percent Cumulative Percent

Valid <35

  67

  63.8

  63.8

  63.8

  38

  36.2 36.2 100.0 ≥35 Total 105 100.0 100.0

  Pddkan Frequency Percent Valid Percent Cumulative Percent Valid Tinggi

  69

  65.7

  65.7

  65.7 Rendah

  36

  34.3 34.3 100.0 Total 105 100.0 100.0 Pekerjaan

  Frequency Percent Valid Percent Cumulative Percent Valid Bekerja

  51

  48.6

  48.6

  48.6 tidak bekerja

  54

  51.4 51.4 100.0 Total 105 100.0 100.0 umur bayi dalam bulan

  

Frequency Percent Valid Percent Cumulative Percent

Valid <18

  57

  54.3

  54.3

  54.3 ≥18

  48

  45.7 45.7 100.0 Total 105 100.0 100.0 JKbayi

  Frequency Percent Valid Percent Cumulative Percent Valid laki-laki

  58

  55.2

  55.2

  55.2 perempuan

  47

  44.8 44.8 100.0 Total 105 100.0 100.0 Imunisasi

  Frequency Percent Valid Percent Cumulative Percent Valid Lengkap

  86

  81.9

  81.9

  81.9 tidak lengkap

  19

  18.1 18.1 100.0 Total 105 100.0 100.0 pengetahuan

  Frequency Percent Valid Percent Cumulative Percent Valid kurang

  80

  76.2

  76.2

  76.2 baik

  25

  23.8 23.8 100.0 Total 105 100.0 100.0 PMT

  Frequency Percent Valid Percent Cumulative Percent Valid Baik

  28

  26.7

  26.7

  26.7 tidak baik

  77

  73.3 73.3 100.0 Total 105 100.0 100.0 ASIeks

  Frequency Percent Valid Percent Cumulative Percent Valid asi eksklusif

  28

  26.7

  26.7

  26.7 tidak asi eksklusif

  77

  73.3 73.3 100.0 Total 105 100.0 100.0 Diare

  Frequency Percent Valid Percent Cumulative Percent Valid Diare

  64

  61.0

  61.0

  61.0 tidak diare

  41

  39.0 39.0 100.0 Total 105 100.0 100.0

  Crosstabs

Case Processing Summary

  Cases Valid Missing Total N Percent N Percent N Percent

pddkan * diare 105 100.0% .0% 105 100.0%

pekerjaan * diare 105 100.0% .0% 105 100.0%

umur bayi dalam bulan * 105 100.0% .0% 105 100.0%

diare

JKbayi * diare 105 100.0% .0% 105 100.0%

imunisasi * diare 105 100.0% .0% 105 100.0%

pengetahuan * diare 105 100.0% .0% 105 100.0%

PMT * diare 105 100.0% .0% 105 100.0%

ASIeks * diare 105 100.0% .0% 105 100.0%

pddkan * diare pddkan * diare Crosstabulation diare diare tidak diare Total pddkan rendah Count

  

29

  7

  36 Expected Count

  

21.9

  14.1

  36.0 % within pddkan 80.6% 19.4% 100.0% % within diare 45.3% 17.1% 34.3% % of Total 27.6% 6.7% 34.3%

  Tinggi Count

  

35

  34

  69 Expected Count

  

42.1

  26.9

  69.0 % within pddkan 50.7% 49.3% 100.0% % within diare 54.7% 82.9% 65.7% % of Total 33.3% 32.4% 65.7%

  Total Count

  

64

41 105 Expected Count

64.0

41.0 105.0 % within pddkan 61.0% 39.0% 100.0%

  % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

  

Chi-Square Tests

Asymp. Sig. (2- Exact Sig. (2- Exact Sig. (1- Value df sided) sided) sided) a Pearson Chi-Square 8.845 b 1 .003 Continuity Correction 7.636

  1 .006 Likelihood Ratio 9.374 1 .002 Fisher's Exact Test

  .003 .002 Linear-by-Linear Association 8.761 1 .003 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 14,06.

  b. Computed only for a 2x2 table Risk Estimate

  95% Confidence Interval

Value Lower Upper

Odds Ratio for pddkan 4.024 1.555 10.414 (rendah / tinggi) For cohort diare = diare 1.588 1.197 2.107 For cohort diare = tidak diare .395 .195 .800 N of Valid Cases 105 pekerjaan * diare Crosstab

  Diare diare tidak diare Total pekerjaan bekerja Count

  45

  6

  51 Expected Count

  31.1

  19.9

  51.0 % within pekerjaan 88.2% 11.8% 100.0% % within diare 70.3% 14.6% 48.6% % of Total 42.9% 5.7% 48.6% tidak bekerja Count

  19

  35

  54 Expected Count

  32.9

  21.1

  54.0 % within pekerjaan 35.2% 64.8% 100.0% % within diare 29.7% 85.4% 51.4% % of Total 18.1% 33.3% 51.4%

  Total Count

  64 41 105 Expected Count 64.0 41.0 105.0 % within pekerjaan 61.0% 39.0% 100.0%

  % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

  

Chi-Square Tests

Asymp. Sig. (2- Exact Sig. (2- Exact Sig. (1- Value df sided) sided) sided) a Pearson Chi-Square 31.014 b 1 .000 Continuity Correction 28.825

  1 .000 Likelihood Ratio 33.489 1 .000 Fisher's Exact Test

  .000 .000 Linear-by-Linear Association 30.719 1 .000 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 19,91.

  b. Computed only for a 2x2 table Risk Estimate

  95% Confidence Interval

Value Lower Upper

Odds Ratio for pekerjaan 13.816 4.989 38.260 (bekerja / tidak bekerja) For cohort diare = diare 2.508 1.722 3.651 For cohort diare = tidak diare .182 .083 .395 N of Valid Cases 105 umur bayi dalam bulan * diare Crosstab diare diare tidak diare Total umur bayi dalam bulan <18 Count

  38

  19

  57 Expected Count

  34.7

  22.3

  57.0 % within umur bayi dalam 66.7% 33.3% 100.0% bulan % within diare 59.4% 46.3% 54.3% % of Total 36.2% 18.1% 54.3% ≥18 Count

  26

  22

  48 Expected Count

  29.3

  18.7

  48.0 % within umur bayi dalam 54.2% 45.8% 100.0% bulan % within diare 40.6% 53.7% 45.7% % of Total 24.8% 21.0% 45.7% Total Count

  64 41 105 Expected Count 64.0 41.0 105.0 % within umur bayi dalam 61.0% 39.0% 100.0% bulan % within diare 100.0% 100.0% 100.0%

  Crosstab diare diare tidak diare Total umur bayi dalam bulan <18 Count

  38

  19

  57 Expected Count

  34.7

  22.3

  57.0 % within umur bayi dalam 66.7% 33.3% 100.0% bulan % within diare 59.4% 46.3% 54.3% % of Total 36.2% 18.1% 54.3% Count

  26

  22

  48 ≥18 Expected Count

  29.3

  18.7

  48.0 % within umur bayi dalam 54.2% 45.8% 100.0% bulan % within diare 40.6% 53.7% 45.7% % of Total 24.8% 21.0% 45.7% Total Count

  64 41 105 Expected Count 64.0 41.0 105.0 % within umur bayi dalam 61.0% 39.0% 100.0% bulan % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

  

Chi-Square Tests

Asymp. Sig. (2- Exact Sig. (2- Exact Sig. (1- Value df sided) sided) sided) a Pearson Chi-Square 1.711 b 1 .191 Continuity Correction 1.226

  1 .268 Likelihood Ratio 1.711 1 .191 Fisher's Exact Test

  .230 .134 Linear-by-Linear Association 1.694 1 .193 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 18,74.

  b. Computed only for a 2x2 table

  Risk Estimate 95% Confidence Interval Value Lower Upper

  47 Expected Count

  1 .346 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 18,35.

  1 .343 Fisher's Exact Test .422 .228 Linear-by-Linear Association .887

  Value df Asymp. Sig. (2- sided) Exact Sig. (2- sided) Exact Sig. (1- sided) Pearson Chi-Square .896 a 1 .344 Continuity Correction b .555 1 .456 Likelihood Ratio .900

  

% within diare 100.0% 100.0% 100.0%

% of Total 61.0% 39.0% 100.0%

Chi-Square Tests

  64 41 105 Expected Count

64.0

41.0 105.0

% within Jkbayi 61.0% 39.0% 100.0%

  Total Count

  47.0

% within Jkbayi 66.0% 34.0% 100.0%

% within diare 48.4% 39.0% 44.8%

% of Total 29.5% 15.2% 44.8%

  18.4

  

28.6

  16

  Odds Ratio for umur bayi dalam bulan (<18 / >=18)

1.692 .767 3.732

For cohort diare = diare 1.231 .895 1.692

  31

  58.0

% within Jkbayi 56.9% 43.1% 100.0%

% within diare 51.6% 61.0% 55.2%

% of Total 31.4% 23.8% 55.2%

perempuan Count

  22.6

  

35.4

  58 Expected Count

  25

  33

  JKbayi laki-laki Count

  For cohort diare = tidak diare .727 .451 1.174 N of Valid Cases 105 JKbayi * diare Crosstab diare diare tidak diare Total

  b. Computed only for a 2x2 table

  Risk Estimate 95% Confidence Interval Value Lower Upper

  86 Expected Count

  1 .016 Fisher's Exact Test .036 .018 Linear-by-Linear Association 5.222

  Value df Asymp. Sig. (2- sided) Exact Sig. (2- sided) Exact Sig. (1- sided) Pearson Chi-Square 5.272 a 1 .022 Continuity Correction b 4.147 1 .042 Likelihood Ratio 5.852

  % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

Chi-Square Tests

  64 41 105 Expected Count 64.0 41.0 105.0 % within imunisasi 61.0% 39.0% 100.0%

  Total Count

  86.0 % within imunisasi 55.8% 44.2% 100.0% % within diare 75.0% 92.7% 81.9% % of Total 45.7% 36.2% 81.9%

  33.6

  52.4

  38

  Odds Ratio for JKbayi (laki- laki / perempuan)

.681 .307 1.511

For cohort diare = diare .863 .637 1.169

  48

  19.0 % within imunisasi 84.2% 15.8% 100.0% % within diare 25.0% 7.3% 18.1% % of Total 15.2% 2.9% 18.1% lengkap Count

  7.4

  11.6

  19 Expected Count

  3

  16

  For cohort diare = tidak diare 1.266 .771 2.079 N of Valid Cases 105 imunisasi * diare imunisasi * diare Crosstabulation diare Total diare tidak diare imunisasi tidak lengkap Count

  1 .022 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 7,42.

  b. Computed only for a 2x2 table Risk Estimate

  95% Confidence Interval Value Lower Upper Odds Ratio for imunisasi 4.222 1.146 15.562 (tidak lengkap / lengkap) For cohort diare = diare 1.509 1.151 1.978 For cohort diare = tidak diare .357 .123 1.037 N of Valid Cases 105 pengetahuan * diare pengetahuan * diare Crosstabulation diare diare tidak diare Total pengetahuan kurang Count

  54

  26

  80 Expected Count

  48.8

  31.2

  80.0 % within pengetahuan 67.5% 32.5% 100.0% % within diare 84.4% 63.4% 76.2% % of Total 51.4% 24.8% 76.2% baik Count

  10

  15

  25 Expected Count

  15.2

  9.8

  25.0 % within pengetahuan 40.0% 60.0% 100.0% % within diare 15.6% 36.6% 23.8% % of Total 9.5% 14.3% 23.8%

  Total Count

  64 41 105 Expected Count 64.0 41.0 105.0 % within pengetahuan 61.0% 39.0% 100.0%

  % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

Chi-Square Tests

  Asymp. Sig. (2- Exact Sig. (2- Exact Sig. (1- Value df sided) sided) sided) a Pearson Chi-Square 6.052 b 1 .014 Continuity Correction 4.952 1 .026 Likelihood Ratio 5.938 1 .015 Fisher's Exact Test

  .019 .014 Linear-by-Linear Association 5.995 1 .014 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 9,76.

  

Chi-Square Tests

Value df Asymp. Sig. (2- sided) Exact Sig. (2- sided) Exact Sig. (1- sided) Pearson Chi-Square 6.052 a 1 .014 Continuity Correction b 4.952 1 .026 Likelihood Ratio 5.938

  77.0 % within PMT 80.5% 19.5% 100.0% % within diare 96.9% 36.6% 73.3% % of Total 59.0% 14.3% 73.3%

  64 41 105 Expected Count 64.0 41.0 105.0 % within PMT 61.0% 39.0% 100.0%

  Total Count

  28.0 % within PMT 7.1% 92.9% 100.0% % within diare 3.1% 63.4% 26.7% % of Total 1.9% 24.8% 26.7%

  10.9

  17.1

  28 Expected Count

  26

  

2

  Baik Count

  30.1

  1 .015 Fisher's Exact Test .019 .014 Linear-by-Linear Association 5.995

  46.9

  77 Expected Count

  15

  62

  PMT tidak baik Count

  PMT * diare PMT * diare Crosstabulation

diare

Total diare tidak diare

  (kurang / baik) 3.115 1.233 7.871 For cohort diare = diare 1.688 1.020 2.792 For cohort diare = tidak diare .542 .346 .849 N of Valid Cases 105

  Value 95% Confidence Interval Lower Upper Odds Ratio for pengetahuan

  b. Computed only for a 2x2 table Risk Estimate

  1 .014 N of Valid Cases 105 a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 9,76.

  % within diare 100.0% 100.0% 100.0% % of Total 61.0% 39.0% 100.0%

  

Chi-Square Tests

Value df Asymp. Sig. (2- sided) Exact Sig. (2- sided) Exact Sig. (1- sided) Pearson Chi-Square 46.450 a 1 .000 Continuity Correction b 43.419 1 .000 Likelihood Ratio 50.132

  77.0 % within ASIeks 80.5% 19.5% 100.0% % within diare 96.9% 36.6% 73.3% % of Total 59.0% 14.3% 73.3%

  64 41 105 Expected Count 64.0 41.0 105.0 % within ASIeks 61.0% 39.0% 100.0%

  Total Count

  28.0 % within ASIeks 7.1% 92.9% 100.0% % within diare 3.1% 63.4% 26.7% % of Total 1.9% 24.8% 26.7%

  10.9

  17.1

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