Summary Tesis PH

FACTORS RELATED WITH SLEEP DISORDER IN INFANTS
Permatami Herwansyah
SUMMARY
Sleep disorders are a group of symptoms characterized by a
disturbance in an individual’s sleep quality and quantity. Sleep disorder in
infants can cause a developmental problem, poor growth, behavioral
disorder, fatigue, irritability, impulsivity, and it can affect the maternal-
infant relationship.12 The parents often do not recognize the sleep disorder
in infants and it is not treated correctly.
This disorder is affected by some factors, both internal and
external. The internal factors that affect infants sleep are the characteristic
of the baby, history of low Apgar score, prematurity, various
neuropsychiatric disorders, and chronic diseases. Meanwhile, the external
factors that can affect sleep are infant sleep position, factor using of
electronic media prior to bedtime by the parents, exclusive breastfeeding
is not performed, the family condition and environments such as
socioeconomic status, maternal education, and the characteristic of
parents.
The objective of this research was to discover the factors related to
sleep disorder in infants at 3-6 months of age. The factors were
socioeconomic status, maternal education, infant sleep position, factor

using of electronic media prior to bedtime by the parents, and
breastfeeding pattern.
This research was conducted using analytic observational method
and cross-sectional design. It was done at 4 Public Health Care in Manado
city; those were selected in a simple random sampling within July -
December 2018.
Sampling was done using two steps random sampling, in which
gathered 112 subjects aged 3–5 months and 30 days of age. All samples
met the inclusion criteria. The results were analyzed univariate and
bivariate analysis. Univariate analysis was reported in the form of a
distributive table, shown as mean and standard deviation (SD). Bivariate
analysis was done using Chi-square test and phi correlation coefficient (
r ). Significant value used in this study was p<0.05. Data results then
processed using computer software. SPSS program for Windows version
25.
In this research, according to bivariate analysis, it was obtained a
significant result between socioeconomic status, maternal education,
infant sleep position, factor using of electronic media by the parents prior
to bedtime, and breastfeeding pattern toward sleep disorder in infants
(p<0.0001); and the factor of using electronic media by the parents prior to
bedtime was the factor that was strongly related to sleep disorder ( r =
0.839). Socioeconomic status affects sleep disorder by OR 17.0 (95% CI:
3.8 – 75.8). Maternal education affects sleep disorder by OR 44.5 (95%

CI: 9.8 – 202.0). The infant sleep position affects on sleep disorder by OR
8.8 (95% CI: 1.9 – 39.7). The factor of using electronic media by the
parents at an hour prior to bedtime in the same room with the infants
affects sleep disorder by OR 156.2 (95% CI: 35.2 – 692.9). Breastfeeding
pattern affects sleep disorder by OR 85.2 (95% CI: 21.1 – 344.2). From
the phi correlation coefficient ( r ), it was obtained that using electronic
media by the parents at an hour prior to bedtime in the same room with
the infants, breastfeeding pattern, maternal education, socioeconomic
status, and infant sleep position were related to sleep disorder according
to r values ( r =0.839, r =0.771, r =0.624, r =0.433, and r
=0.309).
This results suggest that there is a relationship between
socioeconomic status, maternal education, infant sleep position, factor
using of electronic media by the parents at an hour prior to bedtime in the
same room with the infants, and breastfeeding pattern with a sleep
disorder in infants. In addition, this finding also stated that factor using of
electronic media prior to bedtime by the parents was the risk factor that
was strongly related to sleep disorder and followed consecutively by
breastfeeding pattern, maternal education, socioeconomic status, and
infant sleep position. In Pediatric field, this study provides input concerning
the importance of early detection of sleep disorder in infants and the
appropriate treatment to achieve an optimum development.

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FACTORS RELATED WITH SLEEP DISORDER IN INFANTS

Sleep disorders are a group of symptoms characterized by a

disturbance in an individual’s sleep quality and quantity. Sleep disorder in

infants can cause a developmental problem, poor growth, behavioral

disorder, fatigue, irritability, impulsivity, and it can affect the maternal-

in infants and it is not treated correctly.

This disorder is affected by some factors, both internal and

of the baby, history of low Apgar score, prematurity, various

neuropsychiatric disorders, and chronic diseases. Meanwhile, the external

electronic media prior to bedtime by the parents, exclusive breastfeeding

is not performed, the family condition and environments such as

socioeconomic status, maternal education, and the characteristic of

The objective of this research was to discover the factors related to

sleep disorder in infants at 3-6 months of age. The factors were

socioeconomic status, maternal education, infant sleep position, factor

This research was conducted using analytic observational method

and cross-sectional design. It was done at 4 Public Health Care in Manado

city; those were selected in a simple random sampling within July -

Sampling was done using two steps random sampling, in which

bivariate analysis. Univariate analysis was reported in the form of a

distributive table, shown as mean and standard deviation (SD). Bivariate

processed using computer software. SPSS program for Windows version

In this research, according to bivariate analysis, it was obtained a

significant result between socioeconomic status, maternal education,

to bedtime, and breastfeeding pattern toward sleep disorder in infants

0.839). Socioeconomic status affects sleep disorder by OR 17.0 (95% CI:

3.8 – 75.8). Maternal education affects sleep disorder by OR 44.5 (95%

affects sleep disorder by OR 156.2 (95% CI: 35.2 – 692.9). Breastfeeding

the phi correlation coefficient ( r ), it was obtained that using electronic

the infants, breastfeeding pattern, maternal education, socioeconomic

to r values ( r =0.839, r =0.771, r =0.624, r =0.433, and r

This results suggest that there is a relationship between

socioeconomic status, maternal education, infant sleep position, factor

using of electronic media by the parents at an hour prior to bedtime in the

was strongly related to sleep disorder and followed consecutively by

breastfeeding pattern, maternal education, socioeconomic status, and

the importance of early detection of sleep disorder in infants and the

appropriate treatment to achieve an optimum development.

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