Page 151 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

P-DBCP-039
The Relationship Between Internet Addiction and Sleep Disorders in Adolescents

Hubert Tatara, M Renata Djatioetomo, Lydia Wangke, Hesti Lestari
Department of Child Health, Faculty of Medicine Universitas Sam Ratulangi/Prof. Dr. R. D. Kandou General Hospital,
Manado, North Sulawesi, Indonesia

Abstract
Background Sleep disorders in adolescent has increased in the last few decades. Several related factors,
one of which is the excessive use of electronic device can become addictive behavior. Objective To know
the relationship between internet addiction and sleep disorders in adolescents. Methods An observational
analytical study with cross-sectional design was conducted on adolescents aged 12-15 years from August to
October 2020. Cluster random sampling was done from five Junior High Schools in Manado City. Internet
addiction was assessed by the Kuesioner Diagnostik Adiksi Internet (KDAI) with total score more than 39
points. Sleep disorders was determined using the Sleep Disturbance Scale for Children (SDSC) with total
score more than 107 points. Statistical analysis in this study using chi-square. Results From 590 adolescents,
401 (67.9%) children experienced sleep disorders which about 234 (58.4%) girls. From a total of 401
children who have sleep disorders, about 208 (51.9%) adolescents have internet addiction. Meanwhile,
the remaining 189 children who did not experience sleep disorders, found that 49 (25.9%) adolescents had
internet addiction. Adolescents with internet addiction have a risk of experiencing sleep disorders of 3.07
(95%CI 2.07 to 4.60), with P value of <0.001. Conclusion Children who have internet addiction have a
three times risk of experiencing sleep disorders compared to those who do not experience internet addiction.
Keywords: internet addiction; sleep disorders; adolescents

P-DBCP-040
Downtrend in Pediatric Outpatient Visits During the Covid-19 Pandemic in
Wangaya Regional General Hospital

Ni Kadek Risa Astria, I Kadek Suarca
Department of Child Health, Wangaya Regional General Hospital Denpasar, Bali, Indonesia

Abstract
Background The COVID-19 pandemic has spread to almost all countries in the world. Based on data from
the COVID-19 Task Force in Indonesia, there have been 3.1 million confirmed cases, in which 12.8%
of them are children. The high number of COVID-19 cases has prompted the government to control the
pandemic including by limiting activities outside the home. Objective To determine the trend of visits
to pediatric outpatient clinic of Wangaya General Hospital Denpasar during the COVID-19 pandemic.
Methods This study was a descriptive cross-sectional study. Total sampling was implemented, therefore all
visits to the pediatric outpatient clinic from March-August 2018, March-August 2019 and March-August 2020
were included in the study. Results From March-August 2018 and March-August 2019, the number of visits
were 1329 and 1350, respectively. There was a downward trend of 55% to 60% visits from March-August
2020. During the COVID-19 pandemic, visits for communicable diseases, particularly fever due to viral
or bacterial infections, respiratory and gastrointestinal infections, dropped from 733 to 358. Neurological
condition-related visits also decreased from 91 to 34. Meanwhile, routine controls of healthy infants were
found to slightly decrease from 89 to 78 and visits of infants with vertical infections were found to increase
from 4 to 6 visits. Conclusion A more than half downward trend in visits to pediatric outpatient clinic was
observed during the COVID-19 pandemic. The decreases were found in all disease categories, both requiring
immediate treatment and routine treatment.
Keywords: visits; pediatric outpatient clinic; COVID-19

KONIKA XVIII Abstract Book 103