AUDIOVISUAL EFFECTIVENESS AS A HEALTH SUCCESS MEDIA TO IMPROVE

KNOWLEDGE AND ATTITUDE OF MOTHER IN THE MANAGEMENT OF UNDERWEAR

WITH DIARRES IN TWO HOSPITALS OF MALANG CITY

To fulfill one of the English language tasks

Arranged by :

Leni. Sulastri.Agustin Diny. Nur. Fauziah

Eka. Rahayu Tya. Maryati
Dwi. Novianti Ihsan. Badrujaman
Tingkat 4B

PROGRAM STUDI S1 KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADIYAH CIAMIS
Jalan KH. Ahmad Dahlan 20 Ciamis 26216 Telepon (0265) 771913
2017
A. TITLE
AUDIOVISUAL EFFECTIVENESS AS A HEALTH SUCCESS MEDIA TO IMPROVE
KNOWLEDGE AND ATTITUDE OF MOTHER IN THE MANAGEMENT OF
UNDERWEAR WITH DIARRES IN TWO HOSPITALS OF MALANG CITY

B. BACKGROUND
Diarrhea is still the second most common cause of death in children under
five years. In Indonesia, according to Unicef and WHO health reports (2009), in 2008
the mortality rate for diarrhea in children under the age of five reached 41 per 1,000
live births and the number of deaths reached 173 per 1000 population.
Diarrheal disease in infants and toddlers (under five years) can be very
dangerous because it can cause death. Death is caused by a lot of fluid that comes
out with feces. According to the Central Bureau of Statistics, the National Population
and Family Planning Agency and the Ministry of Health (2008).
Parents will be able to provide the right management if equipped with
knowledge and have a good attitude. Results of research conducted in Indonesia in
2005 showed that there was a significant correlation between parental knowledge of
dehydration marks with the use of oral rehydration solution (ORS) as management at
home (MacDonald, 2007).
The success of health education in the community depends on the learning
component. Media health education is one component of the learning process.
Attractive media will provide confidence, so that affective and psychomotor cognitive
changes can be accelerated.
Audiovisual is one of the media that provide information or message in audio
and visual (Setiawati and Dermawan, 2008).
The result of preliminary study by conducting nurse interview in one of the
hospital of education and health center in Malang city, found that media type which
currently available and used still very limited that is leaflet and flipchart, but if facility
support like extension, LCD and laptop sometimes using powerpoint slides.

C. PROBLEM PROBLEMS
How is audiovisual effectiveness as a medium of health education on improving
mother's knowledge and attitude in the management of children under five with
diarrhea in two hospitals of poor city?

D. AIM
 his study aims to identify audiovisual effectiveness as a medium of health education
to change knowledge and attitude of mother in the management of children under
five with diarrhea.

E. METHOD
This research uses quasi-experimental design with pretestposttest control
group design approach. Interventions with audiovisuals were given to the treatment
group; while the control group obtained leaflets. The sample in this research is 30 for
each group, so the total sample is 60 people.
The sampling technique uses non probability sampling type of consecutive
sampling. Criteria for mother is mother of able to speak Indonesian, enforced
diagnosis of medical diarrhea by doctor, mother care of own balita at home and
toddler who have undergone two days treatment in hospital.
The tool used as data collector in this research is questionnaire about
respondent's characteristic, knowledge about the management of diarrhea and
mother attitude toward diarrhea management. Characteristics of respondents
include: age, education, family income, experience and information about the
management of diarrhea. before the questionnaire is used, the instrument has been
tested for its validity and reliability.
The analysis is done univariat and bivariate. Univariate analysis is used to
explain the variables of knowledge, attitudes, and confounding variables that include
age, education, income, experience and information in caring for children with
diarrhea at home. Bivariate analysis conducted on paired samples used t test
dependent and unpaired data in test with independent t test.

F. RESULTS
 Distribution of Mother Age with Toddler Diarrhea in Malang City May-June
2010  Categorical data were analyzed and found that in the treatment group
of respondents with family income above one million reached 80% while for
the control group, income above one million only reached 53, 3%. Higher
education in the treatment group reached 70%; while for the control group of
respondents with low education has the highest percentage of 53.3%.
Respondents with experience of treating underfive diarrhea reached 73.3%
while for control group of respondents who have experience of treating
underfives diarrhea only reached 53.3% and respondents who had received
information about management of diarrhea at home before reach 66,7%,
 while for group the control of respondents who had received information
about the management of diarrhea at home previously reached 43.3%.
 Distribution of Average Increase of Knowledge and Respondent Attitude In
Malang City May-June 2010  the average increase of mother's knowledge
value in control group was 12,94 with standard deviation of 8,53; while for the
mothers in the treatment group the average increase in knowledge was 19.46
with a standard deviation of 10.38. The result of statistical test obtained p
value = 0,02, mean at alpha 5% seen there is significant difference between
mean increase of knowledge value in control group and treatment group.
The average increase in the attitudinal attitude of the mother in the control
group was 6.07 with a standard deviation of 3.6; while for mothers in the
treatment group the average increase in attitude was 10.47 with a standard
deviation of 6.8. The statistical test results obtained p value = 0.003, mean at
alpha 5% seen there is a significant difference between the average increase
in attitude value in the control group and treatment group.
 Distribution of Knowledge Differences and Respondents' Attitudes After
Intervention in Control and Treatment Groups In Malang City May-June 2010
 The average maternal knowledge in the control group was 71.53 with a
standard deviation of 13.52; while for the mothers in the treatment group the
average value of knowledge was 82.31 with the standard deviation of 11.04.
The result of statistical test obtained p value = 0,002, mean at alpha 5% seen
there is a significant difference between mean increase of knowledge value in
control group and treatment group.
The average increase in mother attitude in the control group was 83.77 with
the standard deviation of 5.9; while for the mothers in the treatment group the
average increase in attitude was 87.07 with a standard deviation of 6.5. The
result of statistical test obtained p value = 0,044, mean at alpha 5% seen
there is difference which signifikan between mean of increase of attitude
value in control group and treatment group.

G. CONCLUSION
Based on the research result of effectivity of audiovisual media as media of health
education to increase knowledge and attitude in Malang City, can be concluded as
follows:
1. Characteristics of underfive mother with average diarrhea aged 30 years. Most of
the respondents had incomes of more than 1 million rupiah, a high level of
 education and experience of treating underfives for diarrhea, and most mothers
had received information about the management of diarrhea at home before
2. There is a significant difference of knowledge between before and after health
counseling with audiovisual media.
3. There is a significant difference in attitude between before and after health
counseling with audiovisual media.
4. There is a significant difference in knowledge sharing between the intervention
group and the control group
5. There is a significant difference in attitude gains between the intervention group
and the control group From this study concluded audiovisual media and effective
discussion to improve knowledge and attitude. Based on this, this research
recommends to do further research to know the effectiveness of media without
discussion.
 BIBLIOGRAPHY

Unicef dan WHO. (2009). Diarrhoea: Why children are still dying and what
can be done.
Http://www.unicef.org/media/files/Final_Diarrhoea_Report_October_2009_fin
al.pdf. Diperoleh tanggal 9 Pebruari 2010.
Badan Pusat Statistik, Badan Kependudukan dan Keluarga Berencana
Nasional dan Kementerian Kesehatan Survey (2008). Survey Demografi dan
Kesehatan Indonesia.
http://www.google.com/url?
sa=D&q=http://www.bkkbn.go.id/litbang/pusdu/Hasil+Penelitian/SDKI+2008/Laporan
+Pendahuluan+SDKI+2008.pdf&usg=AFQjCNFywFTVihot DIIfMiqaGi0e5MnW8A.
Diperoleh tanggal 9 pebruari 2010.
MacDonald, S. E., Moralejo, D. G., & Matthews, M. K. (2007). Maternal
understanding of diarrhea-related dehydration and its influence on ORS use in
Indonesia.
http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea/Diarrhea.pdf. Diperoleh
tanggal 23 maret 2010.
Setiawati, S., & Dermawan, A.C. (2008). Proses pembelajaran dalam
pendidikan kesehatan. Jakarta: Tran