Pengalaman Ibu dalam Melakukan Perawatan Metode Kanguru

Santi Wahyuni, Dwi Putri Parendrawati

Abstract


Bayi Berat Badan Lahir Rendah (BBLR) merupakan salah satu penyebab tingginya kematian bayi dalam satu
bulan pertama kehidupan di Indonesia. Bayi BBLR rentan terhadap hipotermia. Salah satu penanganannya dengan
Perawatan Metode Kanguru (PMK). Metode ini tak sekedar menggantikan peran inkubator tapi juga memberi peluang
bayi untuk beradaptasi baik dengan lingkungan ekstrauterin. Tujuan penelitian kualitatif deskriptif fenomenologi
ini untuk mengeksplorasi pengalaman ibu dalam melakukan PMK. Delapan partisipan terpilih dengan metode
purposive dan memenuhi kriteria memiliki bayi BBLR dan berpengalaman melakukan PMK selama dirawat di
rumah sakit serta menindaklanjuti di rumah. Data dikumpulkan melalui wawancara mendalam sebanyak dua kali
yang dilengkapi dengan catatan lapangan, baik yang dilakukan di rumah ataupun di tempat lain yang disepakati
oleh partisipan. Wawancara direkam kemudian dibuat transkrip verbatim dan dianalisis dengan metode Colaizzi.
Hasil penelitian mengungkapkan kelahiran bayi BBLR menimbulkan ekspresi emosional baik positif dan negatif.
Makna, perasaan, alasan dan motivasi yang diungkapkan partisipan adalah mempertahankan kelangsungan hidup
bayi, memberi kehangatan, melakukan yang terbaik untuk bayinya. Gambaran cara ibu melakukan PMK mengikuti
cara yang diajarkan di rumah sakit, PMK secara kontinu dengan posisi pronasi. Bentuk dukungan berupa dukungan
edukasi, emosional dan fisik. Harapan partisipan adanya peningkatan kualitas pelayanan kesehatan, sosialisasi
PMK, dan pemantauan perkembangan bayi BBLR. Hasil penelitian ini memberikan implikasi berupa informasi
yang bermanfaat untuk mempromosikan posisi lateral dekubitus yang dapat memperbaiki kondisi psikologis ibu dan
neuromotor bayi, meningkatkan pelayanan konseling dan memfasilitasi pembentukan kelompok pendukung PMK.

Kata kunci: beratbadan lahir rendah, fenomenologi, perawatan metode kanguru

 

Abstract
Low birth weight (LBW) baby is one of the causes of high infant mortality rate, especially in the first one month of
birth, in Indonesia. LBW babies are vulnerable to hypothermia. The kangaroo mother care method can be used to
prevent hypothermia in LBW babies. This method is not only replacing the incubator, but also giving the chance for
babies to adapt well with extra-uterine environment. The aim of this descriptive phenomenology study is to explore
the mothers’ experience in performing the kangaroo mother care method. Eight participants were chosen using
purposive method and fulfilled criteria of having LBW baby and has been performing the kangaroo mother care
method in the hospital and continuing this method of care at home. The data were collected twice through in-depth
interview in the mothers’ house or elsewhere that has been agreed by participants. The interview is recorded and then
transcribed verbatim and analyzed using Colaizzi method. The result shows that the baby, who was born with LBW,
caused positive and emotional expression for the mothers. The reason and motivation that is expressed by participants
are maintaining the baby survival, giving the warmth for the baby, and doing the best for her baby. The mothers
followed the kangaroo method as shown in the hospital which is continuous kangaroo mother care method in prone
position. The mothers perceived that they have received support in terms of educational, emotional and physical.
The mother are hoping that there will be improvement in health care service quality, socialization of kangaroo mother
care method, and monitoring of LBW babies’ development .This study can be used to give information to promote
lateral decubitus position that could improve mothers’ psychological condition as well as improve neuromotor of
babies , to improve the counseling service, and to facilitate the establishment of support group for kangaroo method.

Key words: Low birth weight baby, kangaroo mother care method, phenomenology


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DOI: https://doi.org/10.24198/jkp.v1i3.67
Abstract view : 833     PDF Downloads : 33

DOI (PDF): https://doi.org/10.24198/jkp.v1i3.67.g64

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