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"ABSTRAKTujuan penelitian ini adalah mengidentifikasi bayi berat lahir rendah, menilai kebiasaan dan perilaku masyarakat terhadap bayi berat lahir rendah, pengalaman ibu dan dukun bayi dalam perawatan bayi, persepsi kematian bayi serta menggali hal lain yang berkaitan dengan penerimaan para ibu terhadap Metode Kanguru.Desain penelitian adalah kualitatif, pelaksanaannya melalui studi kasus. Unit analisis penelitian adalah ibu yang melahirkan BBLR, dukun bayi yang pernah menolong persalinan BBLR, dan tokoh masyarakat. Sumber data terdiri dari 10 ibu, 5 dukun bayi, serta 4 tokoh masyarakat dengan kriteria yang telah ditetapkan oleh peneliti agar mendapatkan informasi bervariasi. Instrumen penelitian terdiri dari wawancara dan observasi. Membuat matriks data kualitatif dan di analisis secara content analisys. Keterbatasan penelitian adalah kriteria keabsahan data hanya dilakukan triangulasi sumber data dan faktor lupa atau recall bias dari sumber data. Hasil penelitian tidak dapat di generalisasi untuk di daerah lainDari hasil penelitian diperoleh bahwa bayi berat later rendah (BBLR) dikenal istilah "Kupek kecil" atau "Bayek kecil", masyarakat sudah mengenal tanda-tanda BBLR, kebiasaan "Dikilek" merupakan perilaku positip dalam perawatan bayi, pendapat umum di masyarakat bahwa Metode Kanguru merupakan pengalaman baru. Di wilayah studi jenazah bayi (usia 0-40 hari) diperlakukan sama dengan jenazah orang dewasa. Adanya "Local genius" ramuan tumbuh-tumbuhanl akar-akaran untuk merawat ibu setelah melahirkan sering di pergunakan.Saran untuk pengelola program adalah panting dikenal oleh petugas kesehatan istilah lokal untuk BBLR, bidan di desa membimbing dan memberikan ketrampilan kepada dukun bayi bagaimana rasa menggunakan pita Lingkar Dada untuk deteksi dini BBLR. Pemberdayaan ibu yang melahirkan BBLR dan keluarganya melakukan perawatan Metode Kanguru, memotivasi masyarakat dalam bentuk pelatihan penyuluhan untuk memasyarakatkan Metode Kanguru. Bagi kepentingan ilmu pengetahuan yaitu perlu penelitian lanjutan untuk kebiasaan dan perilaku "Dikilek" dalam perawatan bayi, perbedaan persepsi bayi dilahirkan dengan umur kehamilan 7 bulan dan 8 bulan, serta khasiat "Local genius" ramuan tumbuh-tumbuhan untuk merawat ibu setelah melahirkan.

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ABSTRACTThe Acceptance of the Mother towards the Kangaroo Care Method at Four Community Health Centers in the Ogan Komering Ulu Regency, South Sumatera, 1997 The aim of the study is to identify low birth weight babies (LBWB), assess common practices of the community towards LBWB, and explore the experience of mothers and traditional birth attendants covering baby health care. In addition, this study is also intended to assess the perceptions regarding infant deaths among the community into other reasons for the acceptance of the Kangaroo Care Method by the mothers.

The design of the study is a qualitative research method using case study. Approach the unit analysis consists of LBWS mothers, traditional birth attendants who assisted the birth of LBWB and community leaders. The data source consists of 10 mothers of LBWS, 5 traditional birth attendants and 4 community leaders were selected based on a pre-established criteria to obtain meaningful information. Matrix of qualitative data was constructed and content analysis was performed. The limitation of the study comprised of a single method of data validity using the triangulation method of the data source and recall bias. Generalization of the results of the study could not be mode to other area. The result of the study shows that LBWB is locally known as "Kupek Kecil" or "Bayek Kecil". In general, the signs of LBWB are well understood by the community. The local term "Dikilek" was identified as positive behavior for caring of babies and that is sent to see the Kangaroo Care Method. The Kangaroo Care Method was perceived as a new experience. The body of the infant death (0 - 40 days old) was treated as adult bodies. "Local Genius" which is a mixtures of plants and roots that are used to treat mothers after child birth was wildly common practice.

Based on the results of the study, it is streamly recommended that the local term for LBWB should be socialized and disseminated among the health personal. The community midwife should train to traditional birth attendants on the use of chest circumference measurements as an early detection tool of LBWB. It is also important to empower the mothers with LBWB, the family for the use of the Kangaroo Care method and motivate the community in the implementation of the method. Forever research should be conducted concerning the common practices of "Diklek" on baby health care , the differences perception of babies born with 7 and 8 months pregnancy and the use of "Local genius" for mother care after birth.

Bibliography : 50 (1974 - 1997)"

"Karakteristik biologis bayi prematur dan perpisahan ibu-bayi akibat hospitalisasi akan memunculkan masalah risiko gangguan perlekatan antara ibu dan bayi prematur. Tujuan penulisan karya ilmiah ini adalah untuk memberikan gambaran penerapan enam langkah proses keperawatan Roy dalam asuhan keperawatan pada bayi prematur dengan masalah risiko gangguan perlekatan. Desain yang digunakan adalah studi kasus. Lima kasus bayi prematur yang menjadi pembahasan dalam artikel ini mengidentifikasi adanya masalah risiko gangguan perlekatan antara ibu dan bayi. Intervensi keperawatan diberikan dengan mengelola stimulus lingkungan melalui serangkaian intervensi keperawatan yang saling memengaruhi antara keempat mode adaptif, salah satunya adalah melalui aplikasi perawatan metode kanguru (PMK) atau skin to skin contact. Evaluasi hasil berdasarkan pencapaian respon adaptif, menunjukkan sebagian besar tujuan asuhan keperawatan dapat tercapai atau tercapai sebagian dan menunjukkan perbaikan meskipun dapat dikatakan belum dapat diatasi secara keseluruhan. Model Adaptasi Roy dapat memberikan kerangka kerja dalam melakukan asuhan keperawatan untuk meningkatkan adaptasi bayi prematur dengan masalah risiko gangguan perlekatan di ruang perawatan khusus dan intensif neonatus. Posisi kanguru Suported Diagonal Flexion (SDF) direkomendasikan sebagai alternatif pilihan untuk dapat meningkatkan kualitas interaksi dan perlekatan ibu-bayi prematur.

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The biological characteristics of premature infants and the separation of mother-baby due to hospitalization will raise the risk of attachment disorders between the mother and premature babies. The purpose of writing this scientific paper is to provide an overview of the application of Roy's six-step nursing process in nursing care to premature babies with the problem of attachment disorder risk. The design used is a case study. The five cases of preterm infants discussed in this article identified a risk of maternal-infant attachment disorders. Nursing interventions are provided by managing environmental stimuli through a series of nursing interventions that affect each of the four adaptive modes, one of which is through the application of kangaroo mother care (KMC) or skin to skin contact.

Evaluation outcomes based on the attainment of adaptive responses shows that most nursing care goals can be achieved or partially achieved and show improvement even though it can not be said to be overcome as a whole. Roy's Adaptation Model can provide a framework for conducting nursing care to improve the adaptation of premature infants to the problem of attachment disorder risk in special and intensive care rooms of neonates. Kangaroo Suported Diagonal Flexion (SDF) positioning is recommended as an alternative choice to improve the quality of interaction and attachment of premature mothers."

"ABSTRAKBayi berat lahir rendah (BBLR) merupakan salah satu faktor yang berkontribusi terhadap angka kematian bayi, khususnya pada masa perinatal. Kesiapan ibu merawat BBLR di rumah memerlukan perhatian khusus. Penelitian ini bertujuan untuk mengetahui pengaruh kelas edukasi ibu BBLR menggunakan video dan demonstrasi terhadap berat badan, pengetahuan dan keterampilan ibu dalam perawatan bayi di ruang neonatus. Rancangan penelitian ini adalah Quasi eksperimental dengan pretes-post test with control group design. Jumlah sampel pada penelitian ini sebanyak 48 ibu BBLR sesuai kriteria inklusi yang dibagi menjadi kelompok kontrol yang mendapatkan edukasi standar ruangan neonatus sebanyak 24 responden dan kelompok intervensi yang mendapatkan edukasi menggunakan video dan demonstrasi sebanyak 24 responden. Hasil analisis didapatkan bahwa peningkatan pengetahuan dan keterampilan ibu BBLR (p <,001) setelah mendapatkan edukasi menggunakan video dan demonstrasi. Hasil analisis terhadap berat badan badan bayi hasilnya kurang bermakna (p = ,34). Penelitian ini merekomendasikan edukasi menggunakan video ini dapat dibuat dengan format lebih kecil yang bisa disimpan ibu dalam ponsel pintar atau video dapat dibuat tersedia pada halaman web yang dapat ibu kunjungi kapan saja untuk dapat menonton ulang video edukasi yang diperlukan.

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ABSTRACTLow birth weight babies (LBW) is one of the factors that contribute to infant mortality, especially during the perinatal period. Mothers readiness to care for LBW at home requires special attention. This study aims to determine the effect of LBW mothers education classes using videos and demonstrations on maternal weight, knowledge and skills in baby care in the neonate room. The design of this study is Quasi experimental with pretest-post test with control group design. The number of samples in this study were 48 LBW mothers according to inclusion criteria which were divided into a control group that received neonatal room standard education of 24 respondents and an intervention group that received education using video and demonstrations of 24 respondents. The results of the analysis I found that the increase in knowledge and skills of LBW mothers and LBW weight in the intervention group was higher than in the control group (p <.001), although after being tested between LBW weight groups the results were less significant (p = .34). This research recommends that education using this video can be made in a smaller format that mothers can store on a smart phone or videos can be made available on web pages that mothers can visit at any time to be able to watch educational videos as needed."

"Bayi berat lahir rendah memiliki kesulitan dalam penambahan berat badan diawal kehidupannya. Tujuan penelitian ini untuk mengidentifikasi pengaruh nyanyian ibu selama pelaksanaan metode kanguru terhadap kenaikan berat badan pada bayi berat lahir rendah. Desain penelitian adalah quasi experimental dengan nonequivalent control group pretest-posttest design. Tiga puluh bayi pada sampel penelitian dibagi menjadi dua kelompok; kelompok intervensi (n=15) dengan perawatan metode kanguru disertai nyanyian ibu dan kelompok kontrol (n=15) dengan perawatan metode kanguru saja, diambil secara consecutive sampling. Analisis menggunakan uji Repeated Anova dan Mann Whitney. Tidak ada perbedaan signifikan rerata kenaikan berat badan harian dan total antara kedua kelompok. Terdapat perbedaan signifikan rerata berat badan harian dan total pada kelompok intervensi. Nyanyian ibu saat PMK bisa diterapkan sebagai bagian dari asuhan perkembangan bayi yang mendukung pelayanan keluarga.

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The low birth weight infant has serious problem for weight gaining in early periode of life. The aim of the present study was to identify the effect of maternal singing during kangaroo mother care for weight gaining in low birth weight infant. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Thirty babies were divided in two groups; the intervention groups (n=15) who received maternal singing during kangaroo mother care and the control group (n=15) with only kangaroo mother care, which were collected with consecutive sampling technique. Statistical analyses used were Repeated Anova and Mann Whitney. No differences in the infants? daily and total weight gaining were found between two groups. There are significant mean differences daily and total weight gaining at intervention group. This finding has implication for developmental care neonates, encourage focus family centered care."

"Bayi dengan kondisi BBLR memiliki risiko lebih tinggi pada kematian. Tahun 2015, angka BBLR di Jakarta Utara sebesar 234. Perawatan Metode Kanguru merupakan salah satu perawatan efektif bagi BBLR. Program pelatihan PMK bagi bidan sangat penting guna meningkatkan kompetensi asuhan BBLR. Penelitian ini bertujuan untuk mengevaluasi program pelatihan PMK oleh FKM UI dan USAID dengan menggunakan model empat tingkat evaluasi Kirkpatrick ditinjau dari evaluasi reaksi, pembelajaran dan perilaku implementasi PMK. Penelitian ini menggunakan metode kualitatif dengan rancangan Rapid Assessment Procedure. Data primer diperoleh dengan wawancara mendalam dan data sekunder dari telaah dokumen hasil pre-test dan post-test. Proses pengumpulan data berlangsung setelah dua bulan dilaksanakannya pelatihan PMK yaitu bulan Juni. Seluruh informan diberikan lembar persetujuan informed consent sebelum dilakukannya penelitian. Informan penelitian dipilih menggunakan metode purposive sampling, terdiri dari bidan IBI yang mengikuti pelatihan PMK dan pasien bidan ibu hamil ANC dan ibu pasca salin dengan BBLR serta informan kunci yaitu pihak penyelenggara pelatihan. Hasil evaluasi reaksi menunjukkan bahwa sebagian besar bidan merasa puas dengan keseluruhan pelaksanaan pelatihan. Hasil evaluasi pembelajaran menunjukkan adanya peningkatan pengetahuan sebagian besar bidan setelah mengikuti pelatihan. Hasil evaluasi perilaku menunjukkan bahwa sebagian besar bidan belum mengimplementasikan perilaku pemberian penyuluhan dan praktek PMK kepada pasien setelah mengikuti pelatihan. Disarankan agar IBI mengadakan pelatihan serupa untuk seluruh anggota IBI dan perlu adanya follow-up pasca pelatihan kepada seluruh bidan oleh pihak penyelenggara secara berkala dan berkesinambungan agar bidan dapat terus meningkatkan kompetensi dalam merawat BBLR.

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Infants with Low Birth Weight LBW have a higher risk of death. In 2015, LBW rate in North Jakarta is 234. Kangaroo Mother Care KMC is one of the effective treatments for LBW. KMC training program for midwives is very important to improve the competence of LBW care. This research aims to evaluate the training program of KMC conducted by Faculty of Public Health UI and USAID using Kirkpatrick rsquo s four levels evaluation models in terms of evaluation of reaction, learning and behaviour KMC implementation.

This research used qualitative method design with Rapid Assessment Procedure. Primary data were obtained by in depth interviews and secondary data from document review of pre test and post test results. The data collection process took place after two months of KMC training in June. All of informants were given informed consent approval sheets before doing the research. The informants were chosen using purposive sampling method consisting of IBI midwives who participated in KMC training, and midwife patients i.e pregnant mother who are doing antenatal care and post partum pregnant mother who had LBW and also key informant i.e the organizer of KMC training. The results of the reaction evaluation showed that most midwives were satisfied with the overall implementation of the training.

The results of the learning evaluation indicate the increase in knowledge of most midwives after training. Behavior evaluation results show that most midwives have not implemented extension behavior and KMC practices to patients after training. It is recommended that IBI conducts similar training to all IBI members and the organizer need to follow up post training for all trainee periodically and continuously so that midwives can continue to improve their competence in treating LBW."

"ABSTRAKBayi yang lahir prematur berisiko mengalami permasalahan kesehatan, sehingga membutuhkan perawatan yang intens dari sejak di rumah sakit sampai ketika bayi sudah boleh dipulangkan ke rumah. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh edukasi dalam perencanaan pulang terhadap pengetahuan dan keterampilan ibu merawat bayi prematur. Penelitian ini merupakan studi quasi experiment dengan rancangan pre and post-test without control design. Sampel penelitian ini adalah 35 ibu yang melahirkan bayi prematur dan bayinya di rawat di ruang Perinatologi sebuah rumah sakit di Jakarta. Sampel diambil secara consecutive sampling. Intervensi penelitian adalah pemberian edukasi menggunakan media pembelajaran booklet dan audiovisual yang berisi tentang ASI, teknik menyusui, perawatan metode kanguru, cara pencegahan infeksi, dan tanda bahaya pada bayi. Hasil penelitian menunjukkan bahwa setelah diberikan edukasi selama perencanaan pulang, pengetahuan ibu merawat bayi prematur rata-rata mengalami kenaikan skor sebesar 29,52, aspek keterampilan menyusui skornya naik sebesar 33,29 dan keterampilan perawatan metode kanguru terdapat kenaikan skor sebesar 30,25. Hasil analisis menunjukkan bahwa ada perbedaaan yang signifikan antara rata-rata skor pengetahuan ibu merawat bayi prematur, skor keterampilan menyusui, dan skor keterampilan perawatan metode kanguru (PMK) sebelum dan setelah diberikan edukasi selama perencanaan pulang (p> 0,001). Pelaksanaan program edukasi selama perencanaan pulang yang dilakukan selama tiga hari dapat meningkatkan pengetahuan dan keterampilan ibu merawat bayi prematur. Edukasi dalam perencanaan pulang sebaiknya rutin diterapkan di rumah sakit sebagai intervensi keperawatan mandiri agar makin meningkatkan kualitas pelayanan keperawatan.ABSTRACTDischarge Planning Improving Knowledge and Skill Mother Who Birth Premature to Take Care Baby. Premature babies have a greater risk for health problems. Therefore, they need an intensive care since they are in the hospital until they go home. The purpose of this research was to find out the influence of education program for the knowledge and skills of the mothers on caring for their premature babies during discharge planning. This research was a quasi-experimental study with pre and post-test design without control groups. The sample of this research was 35 mothers who gave birth to premature babies and their babies receive care at a perinatology room in a hospital in Jakarta. The sample was taken using consecutive sampling. The intervention in this research was giving an education to the mothers of premature babies using booklet and audiovisual as the learning media containing information about breast milk, breastfeeding technique, kangaroo mother care, the method for infection prevention, and warning signs in babies. The research finding showed that after giving the education during the discharge planning, the knowledge of the mothers on caring for their babies, on average, had an increased score of 29.52, the score for the skills aspect increased by 33.29, and the score for kangaroo care mother skills increased by 30.25. The result of the analysis showed that there was a significant difference between the average score of the knowledge of the mothers on caring for premature babies, the score of breastfeeding skills, and the score for kangaroo care mother skills before and after the education program during the discharge planning (p> 0.001). The implementation of the education program during discharge planning that was done for three days could increase the knowledge and skills of the mothers on caring for their premature babies. The education during discharge planning should be conducted regularly at the hospital as an independent nursing intervention to improve the quality of nursing services."

"Metode kanguru telah terbukti mampu meningkatkan berat badan bayi dengan berat lahir rendah dan mempersingkat lama hari rawat, akan tetapi dua hal tersebut juga dipengaruhi oleh pemberian nutrisi yang optimal khususnya ASI. Penelitian ini bertujuan untuk mengetahui efektivitas perawatan metode kanguru terhadap kenaikan berat badan dan lama rawat bayi dengan berat lahir rendah yang disusui langsung dan tidak disusui langsung. Penelitian ini menggunakan crossover design dengan 32 BBLR di ruang Perinatologi pada tiga rumah sakit di Tangerang. Kriteria inklusi dalam penelitian ini adalah bayi berat badan < 2500 gram, bayi yang menerima nutrisi ASI maupun susu formula, bayi dapat menghisap walaupun masih lemah, tidak dipuasakan, tidak terdapat masalah pernafasan, dan bayi tidak mendapatkan produk penambah berat badan atau Human Milk Fortifier. Teknik pengambilan sampel dengan random sampling. Hasil penelitian menunjukkan tidak ada perbedaan signifikan pada berat badan bayi yang diberikan intervensi PMK dengan disusui langsung dan PMK tanpa disusui langsung (p=0,451, α<0,05). Hasil penelitian dari lama hari rawat menunjukkan tidak ada perbedaan signifikan pada kedua grup (p=0,096). Intervensi ini diharapkan dapat dilanjutkan di ruang rawat Perinatologi dengan durasi lebih dari 60 menit.

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The application of the kangaroo method has been shown to be able to weight gain for low birth weight infants and shorten the length of hospitalization, but these two things are also influenced by optimal nutrition, especially breast milk. This study aims to determine the effectiveness of the kangaroo method of care for weight gain and length of stay of infants with low birth weight who are breastfed directly and not directly breastfed. This study used a crossover design with 32 LBW in the Neonatology room at three hospitals in Tangerang. The inclusion criteria in this study were body weight <2500 grams, infants who received both breast milk and formula milk, babies could suck even though they were still weak, not fasted, no respiratory problems, and the baby's mother was willing to take part in the study. Sampling technique with random sampling. The results showed that there was no significant difference in the weight of infants who were given the FMD intervention with direct breastfeeding and FMD without direct breastfeeding (p=0.451, <0.05). The results of the study of length of stay showed that there was no significant difference between the two groups (p=0.096). This intervention is expected to be continued in the Neonatology ward with a duration of more than 60 minutes."

"Penelitian ini dilakukan untuk mengetahui pengaruh perawatan metode kanguru (PMK) terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Penelitian ini menggunakan desain randomized control trial (RCT) yang melibatkan 50 responden bayi prematur yang terpasang ventilasi mekanik dan dibagi menjadi dua kelompok, yaitu kelompok kontrol (perawatan rutin rumah sakit) 25 responden dan kelompok intervensi (bayi dilakukan PMK) 25 responden sesuai kriteria inklusi. PMK dilakukan tiga hari berturut-turut selama satu jam/hari. Hasil analisis uji perbedaan menujukkan adanya perbedaan saturasi oksigen secara bermakna pada saat dilakukan PMK (p=0.000; α=0,05) dan frekuensi pernapasan intra (p= 0,007), dan post (p= 0,027) pada kelompok kontrol dan kelompok intervensi. Berdasarkan hasil tersebut, adanya pengaruh perawatan metode kanguru terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Intervensi ini diharapkan dapat dilanjutkan sebagai prosedur di ruang NICU karena sudah terbukti dapat mempercepat weaning ventilator.

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his study was conducted to determine the effect of the kangaroo method of care (PMK) on the physiological function of mechanically ventilated premature infants. This study used a randomized control trial (RCT) design involving 50 premature infants who were mechanically ventilated and divided into two groups, namely the control group (routine hospital care) 25 respondents and the intervention group (babies undergoing PMK) 25 respondents according to the inclusion criteria. . PMK is carried out three days in a row for one hour/day. The results of the analysis of the difference test showed that there was a significant difference in oxygen saturation during PMK (p=0.000; α=0.05) and intra-respiratory frequency (p= 0.007), and post (p= 0.027) in the control group and the intervention group. Based on these results, there is an effect of kangaroo treatment on physiological function in mechanically ventilated premature infants. It is hoped that this intervention can be continued as a procedure in the NICU room because it has been proven to speed up ventilator weaning"