KONSEP SETTING DAN STRATEGI PENGELOLAAN RUANG BERMAIN DALAM PENGEMBANGAN KREATIVITAS ANAK USIA DINI

Penelitian ini untuk mengetahui: 1) konsep setting ruang bermain yang dapat menunjang kreativitas anak; 2) penataan ruang bermain yang dapat menunjang kreativitas anak yang sesuai dengan perkembangannya; 3) pengelolaan elemen fsik ruang bermain dalam mengembangkan kreativitas anak; 4) pola seting ruang bermain (indoor) yang dilakukan di dua tempat penitipan anak (TPA) besar di Yogyakarta. Jenis penelitian ini adalah penelitian lapangan (field research) bersifat deskriptif kualitatif non statistik dengan menggunakan studi kasus (case study). Data diperoleh melalui observasi, dokumentasi, dan wawancara kemudian dianalisis dengan analisis tringulasi Moleong, yakni tringulasi sumber, tringulasi dengan metode, dan tringulasi dengan teori. Penelitian ini dilakukan di dua tempat peneitipan anak (TPA) besar yang ada di Yogyakarta yaitu Taman Pengasuhan Anak (TPA) Beringharjo dan Lembaga Pendidikan Islam Terpadu Untuk Anak Usia Dini Tiara Candra. Hasil penelitian ini menemukan bahwa: 1) konsep setting ruang bermain yang pada setiap lembaga yaitu menggunakan konsep home schooling dengan beyound centre and circle times (BCCT). 2) penataan ruang bermain dengan menggunakan sistem pembelajaran berdasarkan BCCT dan sudut ruang bermain yang disesuaikan dengan peralatan  dan sesuai dengan masa perkembangannya. 3) pengelolaan elemen fisik ruang bermain seperti pemilihan warna dan furniture disesuaikan dengan kebutuhan anak serta tidak mengandung bahan yang berbahaya. 4) pola setting ruang bermain ditata sesuai dengan konsep ruang bermain seperti yang telah diprogramkan. Kata kunci: Ruang Bermain, Anak Usia Dini, Kreativitas

Relationship Between Gestational Diabetes and a Positive Depression Screen

Introduction: Gestational diabetes mellitus (GDM) and its treatment have a marked effect on women’s lives consequently aggravating psychosocial disruptions of a normal pregnancy. The demand for behavioural adaptation as well as postulated biological interactions are likely to increase the risk of maternal depression in GDM patients. There is however inadequate literature concerning the relationship between GDM and depression. Objective: To compare the proportion of women with GDM who screen positive for depression and the proportion of women without GDM who screen positive for depression at the Aga Khan University Hospital, Nairobi. Socio-demographic factors associated with a positive depression screen were explored. Methods: This was a case control study, applying the Edinburgh Postnatal Depression Scale (EPDS) and a socio-demographic tool on two antenatal groups; women with GDM and women without GDM. The proportion of women with depression was determined as the percentage of pregnant women with domain and overall scores below the cut-off levels that is 13. The Chi-square test and Fisher’s exact test were used to test for statistically significant differences in the proportion of GDM and non GDM women who screened positive for depression. Secondary analysis was done using univariate and multivariate analysis to examine the relationship between gestational diabetes, mode of treatment, and selected socio-demographic characteristics and a positive depression screen. Results: A total of 315 pregnant participants were enlisted for the study (104 with GDM and 211 without GDM). The two study groups were comparable demographically except for maternal age, parity, BMI, ethnicity, mode of conception and alcohol intake (p <0.05). Thirty-five of 104 (33.7%) women with GDM had a positive depression screen compared to 13 of 211(6.2%) women without GDM (p <0.001). Multivariate analysis showed that GDM is associated with the occurrence of a positive depression screen (odds ratio 6.7, 95% confidence interval 3.3-13.6). However mode of treatment of GDM and other socio-demographic characteristics were not associated with a positive depression screen. Conclusion: Women with GDM are significantly more likely to screen positive for depression in pregnancy compared to women without GDM. Screening for depression as well as psycological support may be required in women diagnosed with GDM.