Defi Efendi
Faculty of Nursing, Universitas Indonesia, Depok 16424

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Oral Care Prevents Late-Onset Sepsis in Risk Preterm Infants Fitri Wahyuni; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 23 No 1 (2020): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.551

Abstract

The incidence of infections in preterm infants is still quite high. In this study, oral care with human breast milk was implemented in risk preterm infants as a precaution. The study was conducted using a quasi-experimental method with a non- equivalent control group and posttest only design in 40 risk preterm infants. The participants were divided into two groups of 20. The data were analyzed using independent t-test and a Wilcoxon test. The results show that this intervention has an effect on the incidence of late-onset sepsis in preterm infants. The effect is based on symptoms: body temperature instability (p= 0.021), C-reactive protein (p= 0.006), and leukocytes (p= 0.020) all indicated differences between the two groups. It is recommended that this practice be adopted as a routine therapy program in perinatology. Abstrak Perawatan Mulut Mencegah Sepsis Neonatorum Awitan Lambat pada Bayi Prematur Risiko Tinggi. Angka kejadian infeksi setelah lahir pada bayi prematur masih cukup tinggi. Pelaksanaan intervensi pemberian oral care menggunakan air susu ibu pada bayi prematur risiko tinggi telah dilakukan sebagai pencegahan. Penelitian dilakukan menggunakan metode kuasi eksperimen dengan desain post-test only, kelompok kontrol non ekuivalen, pada 40 bayi prematur risiko tinggi sebagai sampel. Responden dibagi menjadi dua kelompok, masing-masing kelompok 20 responden. Data dianalisis menggunakan uji t independen dan wilcoxon. Hasil Intervensi ini terbukti memiliki manfaat terhadap dalam menurunkan kejadian sepsis neonatorum awitan lambat pada bayi prematur berdasarkan tanda klinis seperti ketidakstabilan suhu tubuh (p= 0,021), hasil pemeriksaan C-Reaktif Protein (p= 0,006) dan leukosit (p= 0,020) yang menunjukkan adanya perbedaan yang bermakna antara kelompok kontrol dan kelompok intervensi. Intervensi ini diharapkan dapat dilanjutkan menjadi program terapi rutin yang akan dilakukan di ruang rawat perinatologi. Kata Kunci: ASI eksklusif, bayi prematur, oral care, sepsis, sepsis neonatorum awitan lambat
Program Perencanaan Pulang dapat Meningkatkan Pengetahuan dan Keterampilan Ibu yang Melahirkan Bayi Prematur Merawat Bayinya Erna Julianti; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 22 No 1 (2019): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i1.540

Abstract

Bayi 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. Abstract Discharge 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. Keywords: premature baby care, discharge planning, kangaroo mother care