PENGARUH PENDAMPINGAN DAN PEMBERIAN MODUL KANGARO MOTHER CARE TERHADAP KEMANDIRIAN IBU NIFAS MERAWAT BBLR DI RUMAH
Abstract
Bayi dengan berat badan lahir rendah (BBLR) merupakan salah satu faktor resiko yang berkontribusi terhadap kematian bayi khususnya pada masa perinatal, sehingga membutuhkan perhatian dan perawatan khusus. Kedekatan bayi dan orang tuanya sangat membantu peningkatan tumbuh kembang bayi. BBLR seringkali memerlukan perawatan intensif sampai stabil dan siap untuk mendapatkan perawatan dirumah. Salah satu metode alternative incubator untuk menjaga kehangatan bayi adalah Perawatan Metode Kanguru (PMK). Tujuan penelitian untuk mengetahui kemandirian ibu dalam Perawatan Metode Kanguru dirumah dibandingkan dengan kelompok kontrol. Jenis penelitian Quasi eksperimen dengan Nonequivalent Control Group Design With Pre-Post Test Design. Populasinya semua BBLR yang dirawat di RSUD Ambarawa dan RSUD Ungaran sebesar 57 BBLR. Sampel pada masing-masing kelompok 25 BBLR, data diambil secara accidental sampling. Pengumpulan data kelompok perlakuan: ibu nifas BBLR didampingi dan diberikan pendidikan kesehatan tentang PMK menggunakan modul selama 3 kali pertemuan sedangkan kelompok kontrol ibu nifas BBLR diberikan penjelasaan secara verbal tentang PMK saat akan pulang dari rumah sakit. Pengukuran dilakukan sebelum pemberian modul dan setelah 1 bulan pulang Rumah sakit. Analisa data dengan uji Mann Whitney dan Wilcoxon. Ada perbedaan kemandirian ibu antara kelompok ibu yang diberikan pendampingan dan modul Perawatan Metode Kanguru dan kelompok kontrol dengan p value <0.0001. Kelompok ibu yang diberikan pendampingan dan modul tentang perawatan metode kanguru, ibu lebih mandiri dibandingkan dengan kelompok kontrol. Perlunya bagi tenaga kesehatan di ruang perinatologi meningkatkan dan melaksanakan perawatan metode kanguru mengusulkan adanya standar operasioanl prosedur tentang PMK, kebijakan dari rumah sakit untuk menerapkan edukasi dengan pemberian modul PMK dan ditindaklanjuti ke rumah pasien.
References
2. Bahara dalam Fatimah (2006). Psikologi Perkembangan; Bandung , CV Pustaka
3. Endyarni,B.Roeslani,R.D.et.al.(2009). Mothers Respon on Kangaroo Mother Care Intervention for Preterm infants, Http://www.Pediatrica Indonesia.org/journal.asp?q=851.49(4).224-228. Diunduh 28 Januari 2015.
4. Erna Rahma Yani (2010) Pengaruh paket Pendidikan Kesehatan “RINDU”( Respon, Interaksi dan Dekapan) terhadap kesiapan ibu merawat bayi premature setelah pulang dari rumah Sakit Kediri. Jurnal Penelitian Kesehatan Forikes, Vol.1 No.3 Juli tahun 2010
5. Flacking,Ewald &Walin.(2011).Positive Effect of Kangaro Mother Care on long-term breast feeding in very pretem infant. Diunduh from e-Journal Ebsco: Poltekkes-smg.net/library
6. Indrasanto, Dharmasetiawani,N,dkk.(2008). Pelayanan Obstetri dan Neonatal Emergensi Komprehensif ( PONEK).Jakarta:IDI,POGI dan PPNI.
7. Kemenkes RI (2009) Manajemen Bayi Berat Lahir Rendah untuk Bidan dan Perawat. Buku Acuan.
8. Dirjen Bina Kesehatan Masyarakat: Jakarta. Riskesdas .(2013). Riset Kesehatan Dasar Kementrian Kesehatan RI: LitbangKes.
9. Saifuddin. (2009) Buku Acuan Nasional Pelayanan Maternal Neonatal . PT Bina Pustaka Sarwono Prawirohardjo: Jakarta.
10. Syafrudin. (2009). Promosi Kesehatan Untuk Mahasiswa Kebidanan. Jakarta: CV. Trans Info Media.
11. Shetty.A.(2007). Kangaroo Mother Care Journal of India,98(11),249-50.Retrived Januari 2015,from e-Journal Ebsco: Poltekkes-smg.net/library.
12. Rulina, S,Pratomo,H. dkk.(2009) Perawatan Bayi Berat Lahir Rendah dengan Metode Kanguru,Cetakan ke-2.Jakarta: Perinasia.
13. World Health Organization. (2008). Pedoman berat badan bayi untuk pelaksanaan metode kanguru. Diakses tanggal 14 juli 2014 dari http://whqlibdoc. who.int/publications/2003/9241590351.pdf ( kangaroo mother care ).
14. Bang, A.T., Bang, R. A., Reddy, H. M., Deshmukh, M.D., & Baitule, S. B. (2005). Reduced incidence of neonatal morbidities: effect of home based neonatal care in rural Gadchiroli, India. Journal of Perinatilogy, 25, S51 S61.
15. Wobil & Yakubu (2011). Perception and practice of Kangaroo Mother Care after discharge from hospital in Kumasi, Ghana: a longitudinal study. BioMed Central Country of Publication Journal: England NLM ID: 100967799 Varney, Helen., et al. 2007.
16. Buku Saku Bidan. Jakarta : Buku Kedokteran EGC
Please find the rights and licenses in Jurnal Ilmiah Bidan (JIB). By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User/Public Rights
JIB's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JIB permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JIB on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published.
4. Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article (please read out deposit policy),
- The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Jurnal Ilmiah Bidan).
5. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JIB will not be held liable for anything that may arise due to the author(s) internal dispute. JIB will only communicate with the corresponding author.
6. Royalties
Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that JIB entitles the author(s) to no royalties or other fees.
7. Miscellaneous
JIB will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JIB's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
