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"Penelitian ini dilatarbelakangi oleh masih rendahnya perilaku baik ibu hal kesehatan neonatal dan bayi. Perilaku ini akan meningkatkan angka kesakitan pada bayi prematur dan BBLR yang berkontribusi terhadap Angka Kematian Bayi. Fokus penelitian ini membahas pengetahuan, sikap, dan perilaku ibu post partum di kota Bandung dalam merawat bayi prematur dan BBLR dengan diberikannya informasi melalui pemberian paket pendidikan kesehatan pada perencanaan pulang ibu post partum. Tujuan penelitian adalah untuk mengidentifikasi pengaruh paket 'CINTA IBU' terhadap pengetahuan, sikap, dan perilaku ibu dalam merawat bayi prematur dan BBLR. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan design post-test only with control group. Hasil penelitian menyimpulkan bahwa pengetahuan, sikap, dan perilaku ibu post partum pada kelompok intervensi lebih baik bila dibandingkan dengan kelompok non intervensi; dengan nilai p untuk pengetahuan dan sikap yaitu 0.000 sedangkan untuk perilaku yaitu 0.001. Saran dari penelitian yaitu dapat digunakannya paket 'CINTA IBU' pada perencanaan pulang ibu post partum yang memiliki bayi prematur dan BBLR.

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The background of this study lies on the fact that the majority of mothers in Bandung lack sufficient behavior on neonatal and baby's health. This condition has lead to increasing illness rate among premature-born babies and low birth weigt (LBW) eventually contributing to baby mortality rate.

The reasearch discusses the post partum mothers' knowledge, skills, and attitude in treating premature-born babies and LBW after being given health education package before they go home.The research aims at identifying the influence of "Cinta Ibu" health education package on mothers' knowledge, skills, and attitude in treating premature-born babies and BBLR. This quantitative research employs post-test with the control group design.

The result shows the intervened post partum mothers perform better on the knowledge, attitude, and behavior than the nonintervened ones. The latter obtains the p value 0.000 for knowledge and attitude, and 0.001 for behavior. Therefore, 'Cinta Ibu' health aducation package is highly recommended for post partum mothers with premature-born babies and LBW in post partum discharge planning."

"Perawatan metode kanguru (PMK) dapat digunakan dalam merawat bayi berat lahir rendah (BBLR). Tujuan penelitian ini untuk mengetahui pengaruh perawatan metode kanguru terhadap pertumbuhan bayi, pengetahuan dan sikap ibu dalam merawat BBLR di RSUD Cibabat-Cimahi. Desain penelitian yang digunakan quasi experiment. Sampel penelitian terdiri atas 16 orang kelompok kontrol (tanpa PMK) dan 16 orang kelompok intervensi (PMK), yang diambil secara consecutive sampling.Hasil penelitian menunjukkan tidak ada perbedaan yang signifikan dalam pertumbuhan bayi antara kelompok intervensi dan kelompok kontrol. Terdapat perbedaan yang signifikan pada pengetahuan dan sikap ibu pada kedua kelompok. Rekomendasi untuk penelitian lebih lanjut agar dilakukan teknik PMK secara continue dan intermiten.

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Kangaroo Mother Care (KMC) can be used in the care of low birth weight (LBW). The purpose of this study is to determine the effect of KMC on the growth of infants, knowledge and attitudes of mothers in caring for LBW in Cibabat Hospital. The study design used was quasi experiment. The samples in this study were 16 infants and mother in control group (without KMC) and 16 infants and mother in intervention group (KMC). Samples were taken by consecutive sampling.

The results showed that there were no significant differencies in the growth of infants between control and intervention groups. There were a significant differencies of knowledge and attitudes of mother at two group. Recommends further research with continuous and intermittent classifying of KMC."

"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."

"Penelitian ini dilatarbelakangi oleh pentingnya pengetahuan, kepercayaan diri ibu dan perawatan bayi pada tahun pertama kehidupannya. Penelitian ini dirancang dengan desain kuasi eksperimen, dengan pendekatan pre dan post test dengan kelompok kontrol. Penelitian yang melibatkan 58 orang ibu primipara dengan persalinan normal ini bertujuan untuk menguji efektifitas pendidikan kesehatan dengan Metode Ceramah Plus Demonstrasi dan Latihan (CPDL) dalam meningkatkan pengetahuan dan perilaku ibu primipara merawat bayi. Pendidikan kesehatan dengan metode CPDL ini didasari oleh teori belajar dari Bandura, kerucut pembelajaran (cone of learning), teori behavioristik dan teori humanistic. Pendidikan kesehatan diberikan pada hari kedua dan ketiga post partum selama 45-60 menit dengan materi menyusui, memandikan bayi, dan memberikan stimulasi. Evaluasi terhadap pengetahuan dan perilaku ibu merawat bayi dilakukan satu bulan setelah intervensi dilakukan. Hasil penelitian ini menunjukkan. pendidikan kesehatan dengan metode CPDL cukup efektif dalam meningkatkan pengetahuan ibu dalam merawat bayi, meliputi: menyusui (p =0,00), memandikan bayi (p=0,05) dan memberikan stimulasi (p=0,00). Perilaku menyusui (p=0,03), memandikan (p=0,05), memberikan stimulasi (p=0,00). Hasil penelitian ini menyarankan untuk perawat yang bekerja dalam area keperawatan maternitas untuk dapat menyiapkan pendidikan kesehatan dengan metode CPDL ini dengan tetap memperhatikan kesiapan fisik dan psikologis ibu post partum. Sehubungan dengan waktu kepulangan yang semakin singkat (48 - 72 jam) post partum pada persalinan normal, penelitian ini menyarankan agar pendidikan perawatan bayi telah diperkenalkan sejak masa prenatal.

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This research was considering the important of improvement mother's knowledge and self confidence of primipara in caring their infant on the first year of his life. This research design was quation experiment, pre-test and post-test with control group. The study involves 58 primiparas was normal delivery which purpose to examine the effectiveness of health education with CPDL method in improving mother's knowledge and behavior of primipara in caring their infant. Health Education with CPDL method was based on learning theory from Bandura, Cone of learning, Behavioral and Humanistic theory. The intervention was done on the second and third day of post partum during 45 - 60 minutes about breastfeeding, bathing baby, and stimulating for growth and development. Before intervention was provided, pre test was done of mother's knowledge about breastfeeding, bathing baby and stimulating, while evaluation of mother's knowledge and behavior in caring their infant was done for 1 month after intervention was done. The finding of this study indicate that health education with CPDL method was effective in improving mother's knowledge in caring their infant, breastfeeding (p=0,00), bathing baby (p=0,05) and stimulating (p=0,00). Mother's behavior in caring their infant of breastfeeding (p=0,03), baby bathing (p=0,05), stimulating (p=0,00). This research result suggests for maternity nurse to prepare health education with CPDL method without neglecting readiness of mother's physical and psychological of post partum. This health education integrated in nursing care during 24 hours. Referring to go home time which shorten progressively (48 - 72 hours) of partum post, this research also suggest that information about infant care had been provided since prenatal."

"Low birth weight (LBW) and preterm birth are the most cause of infant death. After going home there is a problem of preterm infant care due to inadequate and inability mother to anticipate the emergency condition that threat the baby. The purpose of this study is to identify the influence of 'RINDU' health education package to mother readiness for nurturing preterm baby at home. The design of the study is quasi-experimental with pretest-posttest control group. The samples of this study was 50 mothers of preterm infant treated in Aura Syifa, Melinda, Muhammadiyah, and Gambiran district hospital at Kediri. The samples was devided in two groups, 25 participants of intervention group and 25 participants of control group. Descriptive statistic were gotten the data that almost 56% mother were 25th years, 88% had the under junior high school, 52% participants had income more than Rp 450.000,00 and 76% had no experience to preterm infant care. There are significant differences in the readiness of the mother in intervention and control group for caring preterm infant at home (p=0,000; α=0,05). Readiness of mother take care of preterm infant is not influenced by age, education, incomes and experience ( p>0,05). 'RINDU' health education package effectively used to improve knowledge, attitude, and skill of mother to care the preterm babies at home. Nursing services in hospital should be using 'RINDU' a health education package as an independent nursing intervention programe for preterm infant’s mother."

"Tujuan penelitian adalah teridentifikasinya kontribusi karakteristik. pengetahuan dan sikap post partum primipara serta dukungan perawat terhadap kemandirian dalam perawatan diri dan bayi. Desain penelitian adalah deskriptif analitik bersifat cross sectional terhadap 134 ibu post partum primipara di Bagian Rawat Inap Ibu RSAB Harapan Kita Jakarta selama bulan April 2003. Hasil penelitian menunjukkan bahwa faktor yang mempunyai kontribusi terhadap kemandirian post partum primipara adalah umur, jenis persalinan dan pengetahuan.

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Primiparous Characteristics, Knowledge and Attitude Contributions and Nursing Support toward Self Care and Nursing the Baby. Study in Maternity Ward, "Harapan Kita" Children and Maternity Hospital, Jakarta April 2003The purpose of this study is to find primiparous characteristics, knowledge and attitude contributions and nursing support toward self care and nursing the baby. Design of the research is analytical descriptive with cross sectional toward 134 primiparous in maternity ward, Children and Maternity Hospital Jakarta, during April 2003. The study results that mother age, type of childbirth and knowledge have contribution toward self care and nursing the baby."

"Wanita hamil sering (25%-45%) menjadi korban kekerasan yang dilakukan oleh suaminya, padahal dukungan sosial dari suami sangat dibutuhkan untuk meningkatkan kemampuan ibu beradaptasi pada masa post partum dan melakukan interaksi ibu-bayi secara adekuat. Tujuan penelitian ini adalah untuk menganalisa pengaruh kekerasan fisik, psikologis, ekonomi, dan seksual selama kehamilan terhadap interaksi ibu-bayi selama periode post partum awal. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain kasus kontrol. Populasi penelitian ini adalah ibu post partum normal dengan persalinan spontan pervaginam tanpa komplikasi dan bayi sehat yang di rawat di RSUD Koja Jakarta, dan RSVP Fatmawati. Jumlah sampel dalam penelitian ini sebanyak 100 orang ibu post partum yang terdiri dari 50 orang kelompok kasus yang mengalami gangguan interaksi dan kelompok kontrol yang tidak mengalami gangguan interaksi. Teknik pengumpulan data dengan menggunakan lembar observasi untuk mengidentifikasi interaksi ibu-bayi selama tiga bari, dan pada hari ketiga post partum ibu diberi kuesioner untuk mengidentifikasi pengalaman kekerasan fisik, psikologis, ekonomi dan seksual yang dialami selama hamil. Pegujian pengaruh kekerasan dengan interaksi ibu-bayi dilakukan dengan menggunakan uji Chi Square. Hasil analisis pada a 5% diperoleh tidak ada pengaruh kekerasan fisik, psikologi, ekonomi dan seksual selama kehamilan terhadap interaksi ibu-bayi selama periode post partum. Variabel confounding lama perkawinan, paritas dan perencanaan kehamilan juga tidak mempengaruhi interaksi ibubayi. Disarankan kepada perawat untuk melakukan pengkajian tentang pengalaman kekerasan kepada ibu selama masa perinatal dan selalu mendorong interaksi ibu-bayi seawal mungkin.

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Pregnant women are vulnerable to violence victim by her husband (25%-45%), however, family support is highly needed for her in order to increase mother's ability in adapting in new inexperienced situation, which is the post partum period, therefore they can perform mother-baby relation adequately. The goals of this research are to analyze the influence of physical, psychological, economy, and sexual violence during pregnancy to the mother-baby interaction in the early post partum period. Sample used for this research are 100 post partum mothers, whom consist of two groups. The cases group is 50 mothers whose have adequacy interaction and the control group is 50 mothers whose have adequacy interaction. The data obtained using observation sheet that identified mother-baby interaction for three days, at the end of the observation day, mothers are given other questionnaire to identify physical, psychological, economical, and sexual violence experienced during pregnancy. The relation between violence during pregnancy and mother-baby interaction is using Chi Square Test. The results with a value 5% is there is no relation between physical, psychological, economical, and sexual violence experienced during pregnancy to the mother-baby interaction in the early post partum period. Confounding variables are length of marital status, parity status, and pregnancy management also doesn't have relation with the mother-baby interaction. It is suggested for the nurses always to assess prenatal mother violence experienced and always to promote mother-baby interaction as early as possible."

"ABSTRAKAngka Kematian Ibu (AKI) di Indonesia sampai sekarang masih tetap tinggi. Salah satu penyebabnya karena komplikasi pada masa nifas. Tujuan penelitian ini untuk melihat pengaruh paket pendidikan kesehatan perawatan ibu nifas (PK-PIN) yang telah dimodifikasi dengan desain quasi eksperimental post test only design with control group yang diukur dengan melihat tingkat pengetahuan, sikap dan perilaku merawat diri ibu postpartum primipara. Hasil riset menunjukkan perbedaan yang bermakna antara kelompok intervensi dan kelompok non intervensi pada pengetahuan, sikap dan perilaku responden. Pelayanan keperawatan di rumah sakit hendaknya menggunakan paket PK-PIN yang dimodifikasi sebagai program intervensi keperawatan mandiri bagi ibu postpartum.

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ABSTRACT

Maternal Mortality Rate (MMR) in Indonesia is still high. One of the cause this situation is a complication during postpartum period. The aim of research is to know the effect of health education package for mother in postpartum period (PK-PIN) which have been modified. Research design was quasi experimental with post test only control group to measured the knowledge, attitude and behavior of self care of postpartum primipara mother's. Sample number were 68 mother for each group control and intervention. The result showed there is significant difference between intervention group and control group on knowledge, attitudes and behavior of self care. Nursing service in hospital should be used PK-PIN which have modified a health education package as an independent nursing intervention program for postpartum."

"Penelitian ini bertujuan mengidentifikasi pengaruh edukasi terhadap kecemasan dan efikasi ibu merawat BBLR. Desain penelitian quasi experiment, pretestposttest with control group. Sampel penelitian 44 ibu BBLR dibagi dua kelompok, 22 kelompok intervensi, dan 22 kelompok kontrol. Edukasi diberikan dengan media leaflet, video dan phantom bayi.Hasil penelitian menunjukkan sesudah diberikan edukasi 86,4% responden mengalami penurunan kecemasan dan 18,2% responden mengalami peningkatan efikasi diri. Kecemasan berhubungan dengan pendapatan dan pengalaman (p<0,05); sedangkan efikasi diri berhubungan dengan pendapatan, pengalaman, dan jumlah anak (p<0,05). Edukasi efektif untuk menurunkan kecemasan dan meningkatkan efikasi diri.

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The research has aims to identify the influence of education in discharge planning towards the level of anxiety and self efficacy on mother's for caring a low birth weight baby (LBWB). This research is quasi experiment study with pretest post test with controlled group design. Samples are divided into 2 groups, 22 respondents as intervention group and 22 respondents as controlled group. Educating on the treatment with leaflet, video and also phantom of baby.The result of research showed 86,4% after education given respondents decreased anxiety and 18,2% of respondents experienced an increase in self efficacy. The level of anxiety influenced by income and experience (p<0,05); whereas self efficacy is influenced by income, experience and the number of children. (p<0,05). The education effective to decrease anxiety and to improve self efficacy."