SOSIALISASI DAN PENGENALAN KARTU WARNA TINJA: STRATEGI PENINGKATAN PENGETAHUAN TENAGA KESEHATAN DALAM SKRINING ATRESIA BILIER
DOI:
https://doi.org/10.29303/abdiinsani.v12i12.3245Keywords:
Atresia Bilier, Bayi, Jaundice, KolestasisAbstract
Jaundice in newborns is a common condition, but it is important to distinguish between physiological and pathological forms. One of the main causes of pathological jaundice is cholestasis, with biliary atresia being the most frequent etiology. Biliary atresia is progressive and potentially fatal if treatment is delayed. Early detection is a key to successful therapy; however, limited knowledge among healthcare workers and inadequate screening tools contribute to delayed referrals. This study aimed to improve healthcare workers’ understanding of early detection of biliary atresia through education and introduction of stool color cards at RSUD dr. Sayidiman, Magetan. This study employed a quasi-experimental pre-test–post-test design involving 83 healthcare workers. Educational sessions were delivered by a pediatric gastrohepatology specialist, and participants completed questionnaires before (pre-test) and after (post-test) the intervention. Data were analyzed using the Wilcoxon signed-rank test to assess the improvement in knowledge scores, with statistical significance set at p < 0.05. A total of 83 participants took part, predominantly female (94%) with the largest age group being 30–39 years (43.4%). Most participants had more than 5 years of work experience (79.5%) and held a bachelor’s degree (55.4%). The mean knowledge score increased significantly from 90 in the pre-test to 95.3 in the post-test (p < 0.001). Socialization and introduction of stool color cards effectively improve healthcare workers’ knowledge regarding early detection of biliary atresia.
Downloads
References
Bezerra, J. A., Wells, R. G., Mack, C. L., Karpen, S. J., Hoofnagle, J., Doo, E., & Sokol, R. J. (2018). Biliary atresia: Clinical and research challenges for the 21st century. Hepatology, 68(3), 1163–1173. https://doi.org/10.1002/hep.29905
Davenport, M., Muntean, A., & Hadzic, N. (2021). Biliary atresia: Clinical phenotypes and aetiological heterogeneity. Journal of Clinical Medicine, 10(23), Article 5675. https://doi.org/10.3390/jcm10235675
Degtyareva, A., Razumovskiy, A., Kulikova, N., Ratnikov, S., Filippova, E., Gordeeva, E., Albegova, M., Rebrikov, D., & Puchkova, A. (2020). Long-term effects of Kasai portoenterostomy for biliary atresia treatment in Russia. Diagnostics, 10(9), Article 686. https://doi.org/10.3390/diagnostics10090686
Fawaz, R., Baumann, U., Ekong, U., Fischler, B., Hadzic, N., Mack, C. L., McLin, V. A., Molleston, J. P., Neimark, E., Ng, V. L., & Karpen, S. J. (2017). Guideline for the evaluation of cholestatic jaundice in infants. Journal of Pediatric Gastroenterology and Nutrition, 64(1), 154–168. https://doi.org/10.1097/MPG.0000000000001334
Feldman, A. G., & Sokol, R. J. (2021). Neonatal cholestasis: Updates on diagnostics, therapeutics, and prevention. NeoReviews, 22(12), e819–e836. https://doi.org/10.1542/neo.22-12-e819
Harpavat, S. (2025). AAP clinical report outlines how to detect biliary atresia by 2-4 weeks of life. AAP News & Journals Gateway. https://publications.aap.org/aapnews/news/31302/AAP-clinical-report-outlines-how-to-detect-biliary
Harpavat, S., Lupo, P. J., Liwanag, L., Hollier, J., Brandt, M. L., Finegold, M. J., & Shneider, B. L. (2018). Factors influencing time-to-diagnosis of biliary atresia. Journal of Pediatric Gastroenterology and Nutrition, 66(6), 850–856. https://doi.org/10.1097/MPG.0000000000001887
Lemoine, C. P., LeShock, J. P., Brandt, K. A., & Superina, R. (2022). Primary liver transplantation vs. transplant after Kasai portoenterostomy for infants with biliary atresia. Journal of Clinical Medicine, 11(11), Article 3012. https://doi.org/10.3390/jcm11113012
Liu, S., Yang, Q., Ji, Q., Wang, Z., Sun, R., & Zhan, J. (2024). Effect of Kasai procedure on liver transplantation in children with biliary atresia: A systematic review and updated meta-analysis. Translational Pediatrics, 13(1), 10–25. https://doi.org/10.21037/tp-23-504
Masturina, M., Prihaningtyas, R. A., Setyoboedi, B., & Arief, S. (2025). Late referral of biliary atresia and poor clinical outcomes. The Korean Journal of Gastroenterology, 85(3), 382–388. https://doi.org/10.4166/kjg.2025.005
Prihaningtyas, R. A., Setyoboedi, B., Nesa, N. N. M., Masturina, M., Utomo, M. T., & Arief, S. (2024). Primary healthcare providers’ knowledge on the early detection of biliary atresia. Folia Medica Indonesiana, 60(1), 85–93. https://doi.org/10.20473/fmi.v60i1.48446
Quelhas, P., Jacinto, J., Cerski, C., Oliveira, R., Oliveira, J., Carvalho, E., & dos Santos, J. (2022). Protocols of investigation of neonatal cholestasis—A critical appraisal. Healthcare, 10(10), Article 2012. https://doi.org/10.3390/healthcare10102012
Schreiber, R. A., Harpavat, S., Hulscher, J. B. F., & Wildhaber, B. E. (2022). Biliary atresia in 2021: Epidemiology, screening and public policy. Journal of Clinical Medicine, 11(4), Article 999. https://doi.org/10.3390/jcm11040999
Setyoboedi, B., Prihaningtyas, R. A., Winahyu, A. K., & Arief, S. (2024). Delayed admission in neonatal cholestasis. Journal of Community Medicine and Public Health Research, 5(2), Article 2. https://doi.org/10.20473/jcmphr.v5i2.47315
Setyoboedi, B., Utomo, M. T., Prihaningtyas, R. A., Winahyu, A. K., & Arief, S. (2022). Tingkat pengetahuan atresia bilier pada bidan di Puskesmas Kabupaten Sidoarjo. Jurnal Abdi Insani, 9(4), 1839–1846. https://doi.org/10.29303/abdiinsani.v9i4.813
Siddiqui, A. I., & Ahmad, T. (2025). Biliary atresia. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK537262/
Tambucci, R., de Magnée, C., Szabo, M., Channaoui, A., Pire, A., de Meester de Betzenbroeck, V., Scheers, I., Stephenne, X., Smets, F., Sokal, E. M., & Reding, R. (2021). Sequential treatment of biliary atresia with Kasai hepatoportoenterostomy and liver transplantation: Benefits, risks, and outcome in 393 children. Frontiers in Pediatrics, 9, Article 697581. https://doi.org/10.3389/fped.2021.697581
Wang, H., Yang, L., & Wang, J. (2022). Etiology of neonatal cholestasis after emerging molecular diagnostics. Translational Pediatrics, 11(3), 359–367. https://doi.org/10.21037/tp-21-503
Yang, C., Ke, M., Zhou, Y., Xu, H., Diao, M., & Li, L. (2022). Impact of early Kasai portoenterostomy on short-term outcomes of biliary atresia: A systematic review and meta-analysis. Frontiers in Surgery, 9, Article 924506. https://doi.org/10.3389/fsurg.2022.924506.
