Abstract
Abstrak
Kondisi klinis dan perawatan di ruang rawat intensif pada Bayi Berat Lahir Rendah (BBLR) mempengaruhi status banguntidurnya
dan menyebabkan kecemasan pada ibu. Tujuan penelitian ini mengidentifikasi pengaruh perawatan metode kanguru
terhadap kecemasan ibu dan status bangun-tidur BBLR. Rancangan penelitian one group pretest posttest design dengan sampel
16 ibu dan BBLR di sebuah rumah sakit Surabaya secara consecutive sampling. Kecemasan ibu diukur dengan PSS: NICU dan
status bangun tidur dengan modifikasi skala Brazelton oleh Priya. Hasil analisis uji statistik menggunakan Wilcoxon Sign Rank
Test dan uji Friedman menunjukkan ada perbedaan bermakna (p= 0,000; α= 0,05). PMK mempunyai pengaruh signifikan
terhadap perubahan kecemasan ibu dan status bangun-tidur BBLR. Tenaga kesehatan disarankan mengembangkan PMK untuk
peningkatan status kesehatan ibu, juga tumbuh kembang bayi yang optimal.
Kata kunci: kecemasan ibu, perawatan metode kangguru, status bangun-tidur BBLR.
Abstract
Clinical condition and treatment at Low Birth Weight Infants (LBW) in the intensive care unit affects sleep-wake status and
causes anxiety for the mother. The aims of this study is to identify the influence of methods of kangaroo care on maternal
anxiety and sleep-wake status of LBW. The design of this study was one group pretest posttest design with sample of 16 mothers
and low birth weight in a hospital in Surabaya by consecutive sampling. Maternal anxiety was measured with the PSS: NICU
and sleep-wake status with Brazelton scale modified by Priya. The result of statistical analysis test using Wilcoxon Sign Rank
Test and Friedman test showed there are significant difference (p= 0.000; α= 0.05). KMC has a significant influence on
changes in maternal anxiety and sleep-wake status of LBW. Health care provider are recommended to develop KMC for
improvement of maternal health status, as well as the optimal infant growth and development.
Keywords: maternal anxiety, kangaroo mother care, sleep-wake state in low birth weight baby
References
- Blackburn, T.S., Foreman, W.S., & Thomas, A.K. (2008). Preterm infant state development. Jurnal of Obstetric, Gynecologic, & Neonatal Nursing, 37 (6), 657-665. Doi: 10.1111/j.1552-69 09.2008.002 92.x.
- Blackwell, K., & Cattaneo, A. (2006). What is the evidence for kangaroo mother care of the very low birth weight baby? Diperoleh dari http:// www.ichrc.org/pdf/kangaroo.pdf.
- Brazelton, T.B., & Nugent, J.K. (1995). Neonatal behavior assessment scale (3rd Ed.). London: The lavenham Press Ltd., Mac Keith Press.
- Browne, J.V., & Graven, S.N. (2008). Sleep and brain development. Diperoleh dari http:// www.wonderbabiesco.org/UserFiles/File/ Graven%20and%20Browne%20sleep% 2008.pdf.
- Depkes, RI. (2008). Laporan nasional riset kesehatan dasar (Riskesdas) tahun 2007. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Depkes RI.
- Ohgi, et al. (2002). Comparison of kangaroo care and standart care: behavioral organization, development, and temperament in healthy, low birth weight infant through 1 year. Journal of Perinatology, 22, 374–379. Doi: 10.1038/sj.jp.7210749.
- Priya, J.J. (2004). Kangaroo care for low birth weight babies. The Nursing Journal of India, 95 (9), 209–212.
- Shiau, S. H. (1997). Randomized controlled trial of kangaroo care with fullterm infants: Effects on maternal anxiety, breastmilk maturation, breast engorgement, and breast-feeding status (Thesis Master, Case Western Reserve Univer-sity). Case Western Reserve University, Cleve-land, USA. Diperoleh dari http://neoreviews.aappublications.org/cgi/reprint/neoreviews;8/2/e55.
- Whilhelm, P. A. (2005). The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants (Dissertation, University of Nebraska Medical Center). University of Nebraska Medical Center, Omaha, NE, USA. Diperoleh dari http://www.newbornnetworks. org.uk/southern/PDFs/KangarooCareFinal. pdf.