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Abstrak :
Metode kanguru telah terbukti mampu meningkatkan berat badan bayi dengan berat lahir rendah dan mempersingkat lama hari rawat, akan tetapi dua hal tersebut juga dipengaruhi oleh pemberian nutrisi yang optimal khususnya ASI. Penelitian ini bertujuan untuk mengetahui efektivitas perawatan metode kanguru terhadap kenaikan berat badan dan lama rawat bayi dengan berat lahir rendah yang disusui langsung dan tidak disusui langsung. Penelitian ini menggunakan crossover design dengan 32 BBLR di ruang Perinatologi pada tiga rumah sakit di Tangerang. Kriteria inklusi dalam penelitian ini adalah bayi berat badan < 2500 gram, bayi yang menerima nutrisi ASI maupun susu formula, bayi dapat menghisap walaupun masih lemah, tidak dipuasakan, tidak terdapat masalah pernafasan, dan bayi tidak mendapatkan produk penambah berat badan atau Human Milk Fortifier. Teknik pengambilan sampel dengan random sampling. Hasil penelitian menunjukkan tidak ada perbedaan signifikan pada berat badan bayi yang diberikan intervensi PMK dengan disusui langsung dan PMK tanpa disusui langsung (p=0,451, α<0,05). Hasil penelitian dari lama hari rawat menunjukkan tidak ada perbedaan signifikan pada kedua grup (p=0,096). Intervensi ini diharapkan dapat dilanjutkan di ruang rawat Perinatologi dengan durasi lebih dari 60 menit. ......The application of the kangaroo method has been shown to be able to weight gain for low birth weight infants and shorten the length of hospitalization, but these two things are also influenced by optimal nutrition, especially breast milk. This study aims to determine the effectiveness of the kangaroo method of care for weight gain and length of stay of infants with low birth weight who are breastfed directly and not directly breastfed. This study used a crossover design with 32 LBW in the Neonatology room at three hospitals in Tangerang. The inclusion criteria in this study were body weight <2500 grams, infants who received both breast milk and formula milk, babies could suck even though they were still weak, not fasted, no respiratory problems, and the baby's mother was willing to take part in the study. Sampling technique with random sampling. The results showed that there was no significant difference in the weight of infants who were given the FMD intervention with direct breastfeeding and FMD without direct breastfeeding (p=0.451, <0.05). The results of the study of length of stay showed that there was no significant difference between the two groups (p=0.096). This intervention is expected to be continued in the Neonatology ward with a duration of more than 60 minutes.

Abstrak :
Penelitian ini dilakukan untuk mengetahui pengaruh perawatan metode kanguru (PMK) terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Penelitian ini menggunakan desain randomized control trial (RCT) yang melibatkan 50 responden bayi prematur yang terpasang ventilasi mekanik dan dibagi menjadi dua kelompok, yaitu kelompok kontrol (perawatan rutin rumah sakit) 25 responden dan kelompok intervensi (bayi dilakukan PMK) 25 responden sesuai kriteria inklusi. PMK dilakukan tiga hari berturut-turut selama satu jam/hari. Hasil analisis uji perbedaan menujukkan adanya perbedaan saturasi oksigen secara bermakna pada saat dilakukan PMK (p=0.000; α=0,05) dan frekuensi pernapasan intra (p= 0,007), dan post (p= 0,027) pada kelompok kontrol dan kelompok intervensi. Berdasarkan hasil tersebut, adanya pengaruh perawatan metode kanguru terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Intervensi ini diharapkan dapat dilanjutkan sebagai prosedur di ruang NICU karena sudah terbukti dapat mempercepat weaning ventilator. ......his study was conducted to determine the effect of the kangaroo method of care (PMK) on the physiological function of mechanically ventilated premature infants. This study used a randomized control trial (RCT) design involving 50 premature infants who were mechanically ventilated and divided into two groups, namely the control group (routine hospital care) 25 respondents and the intervention group (babies undergoing PMK) 25 respondents according to the inclusion criteria. . PMK is carried out three days in a row for one hour/day. The results of the analysis of the difference test showed that there was a significant difference in oxygen saturation during PMK (p=0.000; α=0.05) and intra-respiratory frequency (p= 0.007), and post (p= 0.027) in the control group and the intervention group. Based on these results, there is an effect of kangaroo treatment on physiological function in mechanically ventilated premature infants. It is hoped that this intervention can be continued as a procedure in the NICU room because it has been proven to speed up ventilator weaning