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"Mekonium peritonitis adalah kondisi peritonitis aseptik yang disebabkan karena adanya perforasi kecil pada usus yang dialiri mekonium menuju rongga perut. Mekonium peritonitis dapat diatasi dengan tindakan laparotomi eksplorasi. Namun luka pasca laparotomi eksplorasi juga dapat memberikan efek kepada bayi yakni berupa nyeri akut, gangguan integritas kulit serta adanya resiko infeksi yang menyebabkan perlambatan pemulihan pascabedah. Nyeri akut yang dialami oleh bayi tentu dapat memberikan respon yang berbeda dari orang dewasa. Nyeri akut dapat diidentifikasi melalui aktivitas tangisan bayi. Namun dalam mengatasi nyeri akut pada bayi, tindakan farmakologi tidak dapat digunakan sebab bayi masih sangat rentan terhadap efek samping darinya. Oleh karena itu dalam tulisan ini, Penulis mencoba menganalisis tentang intervensi teknik non farmakologi yaitu terapi sentuhan untuk mengatasi nyeri akut pada bayi selama masa perawatannya di rumah sakit. Kasus bayi Ny.N diperoleh hasil bahwa terapi sentuhan dapat secara efektif digunakan untuk mengatasi nyeri akut pasca laparotomi eksplorasi pada bayi mekonium peritonitis.

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Meconium peritonitis is a condition of aseptic peritonitis caused by a small perforation of the intestine that drains meconium into the abdominal cavity. Meconium peritonitis can be treated with exploratory laparotomy. However, post-exploratory laparotomy wounds can also influence the baby in the form of acute pain, impaired skin integrity and the risk of infection. Acute pain experienced by infants can certainly give a different response from adults. In infants, acute pain can be identified by the infant's crying activity. However, in dealing with acute pain in infants, pharmacological measures cannot be used because infants are still very susceptible to side effects from it. Therefore, in this paper. The author tries to analyze the effectiveness of non-pharmacological techniques, namely touch therapy to treat acute pain in infants during their treatment in the hospital. In the case of Mrs. N baby, it was found that touch therapy can be effectively used to treat acute pain after exploratory laparotomy in meconium peritonitis infants."

"Salah satu kelainan kongenital yang dapat dialami bayi adalah cacatnya dinding abdomen seperti adanya omfalokel. Omfalokel dengan ukuran di atas 5 cm atau adanya herniasi pada hati dapat dikategorikan sebagai giant omphalocele. Penelitian ini dilakukan pada bayi dengan giant omphalocele yang dirawat pada ruang perina rumah sakit ibu dan anak. Intervensi dilakukan dengan memulai white noise melalui speaker bluetooth ketika tanda-tanda nyeri muncul. Penelitian ini menghasilkan bahwa terapi white noise mengalami penurunan skala nyeri sebanyak 3-4 poin dari sebelum diberikan intervensi, mampu meningkatkan kenyamanan pasien, dan mempermudah neonatus untuk tidur. Namun penurunan dan peningkatan laju napas neonatus setelah tindakan kurang relevan untuk menunjukkan efektivitas pada kasus ini. Penelitian lebih lanjut terkait efektivitas terapi white noise dalam mengatasi masalah nyeri pada beragam subjek penelitian dibutuhkan.

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One of the congenital abnormalities experienced by neonates is an abdominal wall defect such as an omphalocele. Omphalocele with a size above 5 cm or the presence of herniation of the liver categorizes as a giant omphalocele. This study was conducted on neonates with giant omphalocele treated in the perineal ward of the maternal and child hospital. The intervention was carried out by starting white noise through a Bluetooth speaker when signs of pain appeared. This study resulted that white noise therapy decreased the pain scale by 3-4 points, increased patient comfort, and made it easier for neonates to sleep. However, the fluctuation of respiratory rate in the neonatal after the procedure is irrelevant to showing effectiveness in this case. Further research on the effectiveness of white noise therapy in overcoming pain problems in various research subjects is needed."

"Penelitian ini bertujuan membandingkan pemberian minum dengan cawan dan sendok terhadap efektifitas minum bayi baru lahir. Desain penelitian menggunakan quasi experimental post test-only non equivalent control group design dengan jumlah sampel 20 pada sampel kelompok cawan dan 20 pada kelompok sendok, teknik sampling menggunakan consecutive sampling. Hasil menunjukkan adanya perbedaan jumlah tumpahan (p=0,012), waktu yang dibutuhkan (p=0,000), volume yang dikonsumsi (p=0,012) dan efektifitas minum (p=0,000) pada α=0,05. Tidak ditemukan kejadian tersedak selama pemberian minum dengan cawan dan sendok. Selain itu cawan lebih efektif dibanding sendok dengan nilai rerata efektifitas minum adalah 0,32 ± 0,13 ml/detik. Penelitian ini merekomendasikan bahwa cawan dapat digunakan secara aman sebagai metode alternatif pemberian minum pada bayi baru lahir yang bermasalah.

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The aims of this research was to identify the effectiveness of neonates?s feeding ability using spoon feeding compared with cup feeding. Quasi experimental post-test only non equivalent control group design was used as the research design, in which data were collected by consecutive sampling method. The sample of this research was 40 neonates, 20 neonates of them was feed using cup feeding and other 20 neonates was feed using spoon feeding. The result showed significant amount of breast feeding milk spilled out (p=0.012), time needed to feed (p=0.000), the volume of milk consumed (p=0.012), and feeding effectivity (p=0.000). It wasn?t found of aspiration cases while neonates feed with cup feeding and spoon feeding. Feeding neonates using cup feeding was more effective compared with spoon feeding (mean=0.32±0.13 seconds). It was recommended to use cup feeding as an alternative method to feed neonates with breastfeeding problems."

"Demonstrasi dan pendampingan menyusui merupakan pendidikan kesehatan, untuk meningkatkan motivasi dan kemampuan ibu dalam pemberian ASI. Tujuan penelitian untuk mengidentifikasi pengaruh demonstrasi dan pendampingan menyusui terhadap motivasi dan kemampuan ibu dalam pemberian ASI. Desain penelitian adalah kuasi eksperimen dengan pre and post test nonequivalent control group design. Teknik pengambilan sampel dengan consecutive sampling yang terdiri dari 38 responden. Hasil penelitian menunjukan ada pengaruh demonstrasi dan pendampingan menyusui terhadap motivasi dan kemampuan ibu dalam pemberian ASI pada kelompok intervensi (p < 0,05). Disarankan agar metode demonstrasi dan pendampingan menyusui dapat dijadikan sebagai intervensi keperawatan untuk meningkatkan program pemberian ASI pada bayi.

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The demonstration and guidance in breast feeding is a health education that aims at increasing the motivation and the ability of nursing mothers to provide milk. The research aims at identifying the effects of the demonstration and the guidance as aforementioned. The design of the research is quasi-experiment which employed the preand post-test nonequivalent control group design. Consecutive sampling was used to gather data from 38 respondents.

The results indicated that there were effects of such demonstration and guidance towards the mothers' motivation and ability to nurse their children in the intervention group (p < 0,05). The study recommended that the same demonstration and guidance method be implemented as a nursing intervention to improve breast feeding programs."

"ABSTRAKPenelitian bertujuan mengetahui pengaruh kontak kulit ke kulit terhadap suhutubuh ayah dan BBLR serta menggali pengalaman ayah. Desain penelitianexperiment dengan repeated measured dan fenomenologi. Jumlah responden 15dan 7 partisipan. Hasil penelitian ada pengaruh PMK dengan suhu tubuhsebelum-selama dan sebelum-sesudah, sedangkan suhu tubuh selama-sesudahPMK tidak berpengaruh. Hasil wawancara mendalam diidentifikasi tema: responsebelum PMK, persepsi ayah terhadap PMK dan perawat, manfaat selama PMKbagi bayi dan ayah, respon psikologis setelah PMK dan harapan serta saranterhadap PMK. Perlunya pelatihan PMK bagi perawat, optimalisasi media video,penyediaan ruangan PMK dan penerapan PMK bagi BBLR.

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Abstract The aims of study are to determine the influence of skin to skin contact betweenfather's and his infant with low birth weight on father's and infant's bodytemperature as well as to explore the father's experience related to.skin to skincontact with his infant. This study applies quasi experiment design with repeatedmeasurement and phenomenological design. The number of respondents are 15fathers and his infants and 7 participants. The result of temperature measurementshows that Kangaroo Daddy Care (KDC). influences the temperature of father andinfant before-during and before-after KDC. However KDC does not influence theinfant's and father body temperature during and after it. Themes emerge frominterviews are the response before KDC, the perception of father toward KDC andthe nurse. The psychological response toward KDC and the hopes and suggestionsabout KDC. Other themes are KDC trained needed for nurses, the optimum usageof video, availability room for KDC and application KDC for LBW (LowBirthweight)."

"Kelahiran bayi prematur dan perawatan di ruang rawat intensif neonatus merupakan peristiwa yang menyebabkan sumber stres pada orang tua khususnya ibu. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam mengenai pengalaman ibu selama perawatan masa awal kehidupan bayi prematur di ruang rawat intensif neonatus RSUP Dr. Soeradji Tirtonegoro Klaten. Desain penelitian kualitatif dengan pendekatan fenomenologi ini pada delapan partisipan. Analisis data menggunakan metode Colaizzi dan menghasilkan tujuh tema penelitian, yaitu: reaksi ibu, proses berduka, dampak perawatan bayi prematur, koping diri ibu, upaya ibu untuk meningkatkan hubungan kelekatan (bonding attachment), dukungan terhadap ibu, dan harapan selama perawatan bayi prematur.

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The birth and treatment of premature infants in the neonatal intensive care unit is the event that makes it the source of stress to parents especially the mother. This study aims to gain a deeper understanding of the experience of mother during the early life of premature infants in the neonatal intensive care unit of Dr. Soeradji Tirtonegoro Central Hospital, Klaten. This qualitative research design with phenomenology approach took eight participants. The data analysis uses Colaizzi method and produced seven research themes, namely: the mothers reaction, the grieving process, the impact of premature infant care, mother's self 'coping efforts, the mothers' attempts to improve the close and attached relationship (bonding attachment), the support for the mother, and expectations for the care of premature infants."

"Kelahiran bayi prematur dan perawatan di ruang rawat intensif neonatusmerupakan peristiwa yang menyebabkan sumber stres pada orang tua khususnyaibu. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalammengenai pengalaman ibu selama perawatan masa awal kehidupan bayi prematurdi ruang rawat intensif neonatus RSUP Dr. Soeradji Tirtonegoro Klaten. Desain penelitian kualitatif dengan pendekatan fenomenologi ini pada delapan partisipan. Analisis data menggunakan metode Colaizzi dan menghasilkan tujuh tema penelitian, yaitu: reaksi ibu, proses berduka, dampak perawatan bayi prematur, koping diri ibu, upaya ibu untuk meningkatkan hubungan kelekatan (bonding attachment), dukungan terhadap ibu, dan harapan selama perawatan bayi prematur.

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The birth and treatment of premature infants in the neonatal intensive care unit is the event that makes it the source of stress to parents especially the mother. This study aims to gain a deeper understanding of the experience of mother during the early life of premature infants in the neonatal intensive care unit of Dr. Soeradji

Tirtonegoro Central Hospital, Klaten. This qualitative research design with phenomenology approach took eight participants. The data analysis uses Colaizzi method and produced seven research themes, namely: the mothers? reaction, the grieving process, the impact of premature infant care, mother?s self ?coping efforts, the mothers? attempts to improve the close and attached relationship (bonding attachment), the support for the mother, and expectations for the care of premature infants.

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"Pendidikan kesehatan perawatan metode kanguru (PMK) merupakan usaha membimbing orang tua mencapai peran ibu dalam perawatan dan pengasuhan bayi. Tujuan penelitian untuk mengetahui pengaruh intervensi terhadap keterampilan dan kepercayaan diri ibu memberikan air susu ibu (ASI). Desain penelitian menggunakan quasi-experimental pre test and post test without control group design. Responden adalah 17 ibu yang mempunyai bayi berat lahir rendah (BBLR) di ruang perinatologi RSUP Sanglah Denpasar. Pengumpulan data menggunakan instrument kuesioner kepercayaan diri dan lembar observasi keterampilan memberikan ASI. Analisis hasil menggunakan uji paired t test. Terdapat perbedaan yang signifikan keterampilan dan kepercayaan diri ibu memberikan ASI sebelum dan sesudah diberikan intervensi (keterampilan: p=0,000, α=0,05; kepercayaan diri: p=0,000, α=0,05). Pendidikan kesehatan PMK sebaiknya dijadikan prosedur tetap perawatan BBLR.

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Kangaroo care health education is an attempt to guide parent achieving mother?s role in the baby care. The objective of this research was to determine the influence of kangaroo care health education on mothers skill and confidence to breastfeeding their baby. The study design used a quasi-experimental pre and post-test without control group design. Respondents were 17 mothers with low birth weight (LBW) infant in the Perinatology Sanglah Hospital in Denpasar. In the collection of the data, confidence questionnaires and breastfeeding skills observation sheets were used as instrument tool. The data was analyzed with paired t test. This research found that there were a significant influence on mother?s skill and confidence in breastfeed their baby as the result of kangaroo care health education (skills: p=0.000, α=0.05; confidence: p=0.000, α=0.05). it was recommended that kangaroo care health education is should be implemented in the care of LBW infant."