Pengaruh Perawatan Metode Kanguru Terhadap Respon Fisiologis Bayi Berat lahir Rendah

Rahayu Catur Ria Wati, Risa Etika, Esti Yunitasari

= http://dx.doi.org/10.20473/pmnj.v5i2.13333
Abstract views = 40 times | views = 20 times

Abstract


Introduction: Low Birth Weight Babies (LBWB) is one of the causes of the high Neonatal Mortality Rate in Indonesia. This occurs because LBWB has non-optimal temperature regulation centers, thin-brown and subcutaneous fat tissue, inadequate muscle growth, and organ immaturity. Kangaroo Care (KC) is expected to be an effective and efficient solution to keep LBW in a stable condition. This study aimed to determine the effect of KC on the physiological responses of LBWB.

Methods: This study is a pre-experimental design with one group pretest-posttest research design. The sample was obtained with a total sampling technique and the size was 21 LBWB. The independent variable in this study was KC; carried out for 3 days with a frequency of 2 times a day and 90 minutes per KC. Meanwhile, the dependent variable was the physiological responses of LBWB which consisted of temperature, heart rate, and oxygen saturation. The instrument used was KC observation sheets with Wilcoxon signed rank test for the data analysis.

Results: The study showed that the temperature increased from 36.50C to 36.90C; the heart rate increased from 135 x/minute to 147 x/minute; the oxygen saturation increased from 93% to 98%. The results of the Wilcoxon signed rank test on the pretest-posttest data revealed that the temperature p = 0.002, heart rate frequency p = 0.001, and oxygen saturation p = 0.000. The increased physiological responses were still in the range of normal.

Conclusion: The KC can maintain the stability of LBWB physiological responses. By that, it is recommended for parents to continue KC as a home-care for LBWB until the weight reached 2500 grams.

Keywords


LBWB; heart rate; kangaroo care; oxygen saturation; temperature

Full Text:

PDF

References


Triana A, Damayanti IP, Afni R, Yanti JS. Buku Ajar Kebidanan Kegawatdaruratan Maternal dan Neonatal: Penuntun Belajar Mata Kuliah Asuhan Kebidanan Kegawatdaruratan Maternal dan Neonatal. Deepublish; 2015.

Silvia, Yelmi R EG. Pengaruh Perawatan Metode Kanguru Terhadap Perubahan Berat Badan Bayi Lahir Rendah. J IPTEK Terap. 2015;9:1–10.

UNICEF. Comitting to Child Survival : A Promised Renewed Progress Report. 2015.

Kemenkes. Profil Kesehatan Indonesia 2016. Profil Kesehatan Provinsi Bali. 2017. 1–220 p.

Ermalena. Indikator Kesehatan SDGs di Indonesia. Jakarta; 2017.

Maryunani A, Nurhayati. Buku Saku Asuhan Bayi Baru Lahir (Asuhan Neonatal). Jakarta: Trans Info Media; 2008.

Conde-Aguedelo A, Díaz-rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants ( Review ). Cochrane Database Syst Rev. 2016;(8):1–149.

Trevisanuto D, Putoto G, Pizzol D, Serena T, Manenti F, Varano S, et al. Is a woolen cap effective in maintaining normothermia in low-birth-weight infants during kangaroo mother care ? Study protocol for a randomized controlled trial. 2016;1–7.

Riskesdas. Riset Kesehatan Dasar (Riskesdas 2013). Jakarta: Balitbangkes Kemenkes RI; 2013. 103 p.

Alasiry E. Profil Bayi Rujukan Saat Masuk Rawat Ditinjau dari the STABLE Program. 2014;13(4):235–8.

Nimbalkar SM, Patel VK, Patel D V., Nimbalkar AS, Sethi A, Phatak A. Effect of early skin-to-skin contact following normal delivery on incidence of hypothermia in neonates more than 1800 g: Randomized control trial. J Perinatol. 2014;34(5):364–8.

Suradi R, Yanuarso PB. Metode Kanguru Sebagai Pengganti Inkubator Untuk Bayi Berat Lahir Rendah. 2000;2(1).

Sindhu R, Jothi CM. Reducing Early Neonatal Heat Loss in a Low Resourced Context : An Indian Exemplar. 2015;8(1):140–52.

Etika R, Roeslani RD, Alasiry E, Endyarni B, Suginarti. Humanity First, Technology Second. Reducing Infant Mortality Rate with Kangaroo Mother Care. Practical Evidence From South Africa. J Empir Res Hum Res Ethics. 2009;45(1):219–24.

Masrukah N. Perbedaan Efektifitas Metode Inkubator Dengan Metode Kangaroo Mother Care Dalam Pencegahan Hipothermia Pada Bayi Dengan Berat Badan Lahir Rendah Di Ruang Neonatus RSUD Sidoarjo. Universitas Airlangga; 2011.

Depkes RI. Pedoman Pelayanan Kesehatan Bayi Berat Lahir Rendah (BBLR) dengan Perawatan Metode Kanguru di Rumah Sakit dan Jejaringnya. Jakarta: Departemen Kesehatan Republik Indonesia; 2009.

Srinarth B, J S, P K, PS S. Kangaroo care by fathers and mothers: comparison of physiological and stress responses in preterm infants. 2016;

Almgren M. Benefits of skin-to-skin contact during the neonatal period: Governed by epigenetic mechanisms? Genes Dis. 2018;5(1):24–6.

Etika R, Roeslani RD, Alasiry E, Endyarni B, Suginarti, Bregman. Humanity First, Technology Second” Reducing Infant Mortality Rate With Kangaroo Mother Care: Practical Evidence From South Africa. 2009;45(3):219–24.

Baker-rush M, L MSC. Reducing Stress in Infants : Kangaroo Care. 2016;31(4):14–8.

Wong D., M H-E, Wilson D, Winkelstein ML, P S. Buku Ajar Keperawatan Pediatrik. Jakarta: EGC; 2009. 294–297 p.

Choudhary M, Dogiyal H, Sharma D, Datt Gupta B, Madabhavi I, Choudhary JS, et al. To study the effect of Kangaroo Mother Care on pain response in preterm neonates and to determine the behavioral and physiological responses to painful stimuli in preterm neonates: A study from western Rajasthan. J Matern Neonatal Med. 2016;29(5):826–31.

Endhah S. Pengaruh perawatan metode kanguru terhadap stres fisiologis pada bayi berat lahir rendah di RSUD Sukoharjo. Stikes Kusuma Husada Surakarta; 2016.

Mazumder S, Taneja S, Dalpath SK, Gupta R, Dube B, Sinha B, et al. Impact of community-initiated Kangaroo Mother Care on survival of low birth weight infants: study protocol for a randomized controlled trial. Trials. 2017 Jun;18(1):1–10.

Perinasia. Perawatan Bayi Berat Lahir Rendah (BBLR) dengan Metode Kanguru. Direktorat Jenderal Bina Pelayanan Medik, Depkes RI dan Health Service Program-USAID; 2008. 1–24 p.

Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Pediatrics. 2016;

Chan GJ, Valsangkar B, Kajeepeta S, Boundy EO, Wall S. What is kangaroo mother care? Systematic review of the literature. J Glob Health. 2016;6(1):1–9.

Zarea K, Beiranvand S, Sheini-Jaberi P, Nikbakht-Nasrabadi A. Disaster nursing in Iran: Challenges and opportunities. Australas Emerg Nurs J. 2014;17(4):190–6.

Gregson S. Kangaroo care in pre-term or low birth weight babies in a postnatal ward. Britsh J Midwifery. 2011;19(9):568–77.

Rangey PB, Sheth MS. Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Physiological Responses, Chest Expansion and Body Weight in Low Birthweight Preterm Infants. Disabil CBR Incl Dev. 2014;25(3):103.

Emilia O, Budi Wahyuni R. Faktor-Faktor yang Berhubungan dengan Pernikahan Usia Dini di Kabupaten Purworejo Jawa Tengah. J Ber Kedokt Masy. 2012;25(2):51.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Pediomaternal Nursing Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

 

 

Creative Commons License

This journal (p-ISSN:2355-1577; e-ISSN:2656-4692) is licensed under a Creative Commons Attribution 4.0 International License


 View My Stats