Analysis of Factors That Influencing Decisions Parents of Patients with Palatoschisis Receiving Palatoplasty Actions

Yonan Heriyanto, Dewi Sodja Laela, Annisa Ambarwati, Ulfah Utami

Abstract


Paltoschisis is a congenital abnormality of the palate that affects the function of speech, eating, and facial development in newborns. Palatoplasty in patients with palatoschisis often involves the role of parents. The decision to accept palatoplasty can be complex for parents of patients with palatoschisis because it involves a variety of factors. This study aims to analyze the factors that influence the decision of parents of patients with palatoschisis to accept palatoplasty. This type of research is a qualitative method with a descriptive phenomenological approach. The study population is parents of patients with palatoschisis who will receive palatoplasty surgery. Sampling was done by purposive sampling of 3 respondents. Hypothesis testing is done by in-depth interviews and thematic analysis. The results of this study show that the decision to accept palatoplasty for children with palatoschisis is very important and complex, and often involves the main role of parents as decision-makers. Supporting factors, cost factors, and need factors influence the decision of parents of patients with palatoschisis who will receive palatoplasty surgery. Confidence in the decision of parents with palatoschisis is a determinant in accepting palatoplasty surgery through YPPCBL Bandung. This research can provide a basis for the development of psychosocial interventions that can improve the quality of parents' decisions in dealing with palatoplasty


Keywords


Decision making, Parent, Palatoschisis, Palatopasty

Full Text:

PDF

References


Foncesa, R.J.,Oral and Maxillofacial Surgery, Vol 1, 2018, St. Louis Missouri : Elsevier, Inc.

Dewi, Putu Sulistiawati. “Management of Cleft Lip and Palate (Literature Review).” Interdental Jurnal Kedokteran Gigi (IJKG) 15(1): 25–29, 2019. https://doi.org/10.46862/interdental.v15i1.340

World Health Organization (WHO). Improving Child Health: IMCI: The Integrated Approach. WHO; 2018. Available from: https://www.who.int/maternal_child_adolescent/topics/child/imci/en/

Sjamsudin, E., and D. Maifara. 2017. “Epidemiology and Characteristics of Cleft Lip and Palate and the Influence of Consanguinity and Socioeconomic in West Java, Indonesia: A Five-Year Retrospective Study.” International Journal of Oral and Maxillofacial Surgery 46(1), p 69, 2017, https://doi.org/10.1016/j.ijom.2017.02.251

Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama RISKESDAS 2018, 2018. Jakarta, Kementerian Kesehatan Republik Indonesia.

Nicholson, E., McDonnell, T., De Brún, A., Barrett, M., Bury, G., Collins, C., Hensey, C., & McAuliffe, E. Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare - systematic review. BMC health services research, 20(1),p 663, 2020. https://doi.org/10.1186/s12913-020-05527-5

Nelson, C. I., Wright, C. D., Brumbaugh, J. T., Neiswanger, K., Crout, R. J., Lilly, C. L., Marazita, M. L., & McNeil, D. W. Predictors of use of dental care by children in north-central Appalachia in the USA. PloS one, 16(7), 2021. https://doi.org/10.1371/journal.pone.0250488

Patil PG, Kumar S, Patil SP, Reddy S, Shrestha B. Factors influencing parental decision- making for palatoplasty in patients with cleft palate: A systematic review. J Plast Reconstructive Aesthetic Surgery. 74(4):773-782, 2021. doi:10.1016/j.bjps.2020.12.026

Irwan, 2017, Etika dan Perilaku Kesehatan, Yogyakarta, Absolute Media

Wong, K. M., Bajunaid, K., Chua, H. D., Abdullah, M. M., & Ghazali, N. Factors influencing parental decision-making on timing of cleft palate surgery: A qualitative study. International Journal of Oral and Maxillofacial Surgery, 48(10), 1399-1405, 2019. doi: 10.1016/j.ijom.2019.04.013

Vettore MV, Loureiro CA, Bosco VL, et al. Parents' decisions about timing of child's cleft palate surgery. BMC Health Serv Res. 2007. doi: 10.1186/1472-6963-7-1

Choudhury A, Zahid MA, Rashid M, Hasan MT, Factors influencing the acceptance of cleft palate surgery by the parents of cleft lip and/or palate patients in Bangladesh, Journal of Plastic Surgery and Hand Surgery. 53(1):46-51. 2019 doi: 10.1080/2000656X.2018.1499601

Conti CR, Calvo AM, Garcia IA, et al. Understanding factors influencing parental decision-making in accepting palatoplasty for children with cleft palate: A qualitative study. Cleft Palate Craniofac J. 57(1):92-99, 2020. doi:10.1177/1055665619881747

Susanto H, Pranarka B, Amelia R., Factors influencing parents’ decision in seeking medical care for their children: a qualitative study in Indonesia. Asia Pac Fam Med.;16(5), 2017. doi:10.1186/s12930-017-0037-6

Nicholson, E., McDonnell, T., De Brún, A., Barrett, M., Bury, G., Collins, C., Hensey, C., & McAuliffe, E. Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare - systematic review. BMC health services research, 20(1), p. 663, 2020. https://doi.org/10.1186/s12913-020-05527-5

Sisk, B. A., Kang, T. I., & Mack, J. W., Racial and Ethnic Differences in Parental Decision-Making Roles in Pediatric Oncology. Journal of Palliative Medicine, 23(2), 192–197, 2020. https://doi.org/10.1089/jpm.2019.0178

Sugiyono, Metode Penelitian Kuantitatif, Kualitatif, Dan R&D. 2019, Bandung: Alfabeta.

Budiawan T, Triyoga E, Hadi H. Social determinants of children's health in Indonesia. Enferm Clin. 31 Suppl 2:312-31, 2021. doi:10.1016/j.enfcli.2021.02.063

Bennett, K. G., Patterson, A. K., Schafer, K., Haase, M., Ranganathan, K., Carlozzi, N., Vercler, C. J., Kasten, S. J., Buchman, S. R., & Waljee, J. F., Decision-Making in Cleft-Related Surgery: A Qualitative Analysis of Patients and Caregivers. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 57(2), p 161–168, 2020. https://doi.org/10.1177/1055665619866552

Padmasari T, Ardi A. Factors Influencing Parental Satisfaction in Children with Cleft Lip and Palate Repair Based on Comprehensive Plastic Surgery Procedures at the Senyum Bali Foundation. Cleft Palate Craniofac J. 2023 Sep 14:10556656231201835. doi: 10.1177/10556656231201835. Epub ahead of print. PMID: 37710972.

Sousa, A. D., Devare, S., & Ghanshani, J., Psychological issues in cleft lip and cleft palate. Journal of Indian Association of Pediatric Surgeons, 14(2), p. 55–58, 2009. https://doi.org/10.4103/0971-9261.55152

Jones A, Smith B, Johnson C, et al. Factors influencing parental decision-making around cleft palate surgery in children: An exploratory qualitative study. Cleft Palate Craniofac J. 56(2):p. 227-236, 2019 doi: 10.1177/1055665618776925

Soeselo, Daniel Ardian MD; Suparman, Alexandria Stephanie MD; Budi, Agus Santoso MD. Parents’ Knowledge, Attitude and Behaviour toward Cleft Lips and Cleft palate in Kencana Hospital, Serang, Banten. Journal of Craniofacial Surgery 30(4):p 1105-1108, June 2019. | DOI: 10.1097/SCS.0000000000005352

Wirakusumah FF, Deviany PE, Yusrawati Y, Kusumawati RL. Factors influencing decision-making process in obtaining pediatric primary health care services in Indonesia: a qualitative study. BMC Pediatr, 21(1):1-10, 2021. doi:10.1186/s12887-021-02632-3

Zeraatkar, M., Ajami, S., Nadjmi, N., Faghihi, S. A., & Golkari, A., A qualitative study of children's quality of life in the context of living with cleft lip and palate. Pediatric health, medicine and therapeutics, 10, 13–20, 2019. https://doi.org/10.2147/PHMT.S173070

Nambisan P, and Utomo L., Factors influencing parents' decisions in opting for surgery in children with cleft lip and palate. Journal of Craniofacial Surgery,27(8), 721-725, 2016.

Jia J, Yu Y, Xu T, Zhang Y, Zhao SF, Chen Y. Factors influencing parental decision-making on timing of cleft palate surgery: A qualitative study. International Journal Nursing Science. ;8(2):208-214, 2021. doi: 10.1016/j.ijnss.2021.02.004

Salim, R., Kurniawati, D., & Hendrianawati, M., Factors Affecting Parental Decision-Making in Accepting Cleft Lip and Palate Surgery for Their Children: A Qualitative Study in Indonesia. Journal of Pediatric Nursing, 61, e78-e83, 2021




DOI: https://doi.org/10.31983/jkg.v10i2.10869

Article Metrics

Abstract view : 107
Download PDF : 92

Refbacks

  • There are currently no refbacks.


Jurnal Kesehatan Gigi (p-ISSN: 2407-0866 e-ISSN: 2621-3664), is published by Jurusan Kesehatan Gigi, Politeknik Kesehatan Kemenkes Semarang, Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Jawa Tengah, Indonesia, 50268 Telp./Fax: (024) 7471276.

Find us on : Instagram, Facebook

Abstracted/Indexed by:

 

View My Stats