Evaluasi Tingkat Pengetahuan Perawat tentang Terapi Stimulasi Fisik pada Hiperbilirubinemia Neonatus

  • Eni Rahmawati Jutusan Keperawatan, Fakultas Ilmu-ilmu Kesehatan, Universitas Jenderal Soedirman
  • Dian Susmarini Jurusan Keperawatan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto
  • Meivita Dewi Purnamasari Jurusan Keperawatan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto
Keywords: nurse; knowledge; hyperbilirubinemia; physical stimulation

Abstract

Background. Infants with hyperbilirubin have management in lowering bilirubin levels. Management of the physiological management of jaundice is regular drinking with frequent breastfeeding and light therapy if possible. WHO guidelines for the pathological management of jaundice can be carried out by phototherapy and pharmacology. Physical stimulation therapy is a complementary therapy in the form of passive Range of Motion (ROM) movements. The aim of the study was to evaluate the level of knowledge of nurses about physical stimulation therapy in hyperbilirubinemia neonates.

Methods. This study used a quasi-experiment with a one-group pretest-posttest design approach. The research was conducted in May-August 2020 in virtual or online due to the Covid 19 pandemic situation. The number of respondents was 30 people. Data collection using a modified questionnaire by the researcher. The data were then processed and analyzed using univariate analysis and bivariate analysis using the Paired Sample T-Test.

Results. The mean pre-test score was 77.18 and the post-test mean score was 93.74. The statistical test results showed a difference in knowledge before and after education with a p-value of 0.000 (p <0.05).

Conclusion. Nurses' level of knowledge about physical stimulation therapy increased after being given an education.

References

Altun, I., & Karakoc, A. (2012). Management of hypothermia: Impact of lecturebased interactive workshops on training of pediatric nurses. Pediatric Emergency Care, 28(5), 455-459.
Bhutani, V. K., Zipursky, A., Blencowe, H., Khanna, R., Sgro, M., Ebbesen, F., Bell, J., Mori, R., Slusher, T. M., Fahmy, N., Paul, V. K., Du, L., Okolo, A. a, de Almeida, M.-F., Olusanya, B. O., Kumar, P., Cousens, S., & Lawn, J. E. (2013). Neonatal hyperbilirubinemia dan Rhesus disease of the newborn: incidence dan impairment estimates for 2010 at regional dan global levels. Pediatric Research, 74 Suppl1(December), 86–100. https://doi.org/10.1038/pr.2013.208
Brethauer M, Carey L. Maternal experience with neonatal jaundice. MCN Am J Matern Child Nurs. 2010;35(1):8-14.
Burd, I. (2012). Low Birth Weight. University of Maryldan Medical Center, 1–8. http://umm.edu/health/medical/pregnancy/labor-dan-delivery/low-birth-weight
Diana, S. R. (2006). Hubungan pengetahuan komunikasi terapeutik terhadap kemampuan komunikasi perawat dalam melaksanakan asuhan keperawatan di rumah sakit elisabeth purwokerto. Skripsi, Universitas Jenderal Soedirman.
Ferndanes, P., Paul, S., & Savitha, B. (2013). Effectiveness of an information booklet on knowledge among staff nurses regarding prevention dan management of perineal tear during normal delivery. Nitte University Journal of Health Science, 3(1), 3-7.
Khotimah, S. K., Rahmawati, E., & Susmarini, D. (2019). Efektivitas metode video dan demonstrasi terhadap kangaroo mother care self efficacy. Jurnal Pendidikan Keperawatan Indonesia, 5(2), 136–145.
Matthews, T. J., Macdorman, M. F., & Thoma, M. E. (2015). Infant mortality statistics from the 2013 period linked birth/infant death data set. National vital statistics reports : from the centers for disease control dan prevention, national center for health statistics, national vital statistics system, 64(9), 1–30. Http://www.ncbi.nlm.nih.gov/pubmed/26270610
Mendoza, I.Y.Q., Peniche, A. D. G., & Puschel, V.A.D. (2012). Educational intervention regarding hypothermia: A teaching strategy for education in the Surgery Department. Rev Esc Enferm USP, 46(4), 849-855.
Muchowski, K.E., 2014, Evaluation dan Treatment of Neonatal Hyperbilirubinemia, Am Fam Physician. 2014;89(11):873-878
Mumtaz, B. (2009). Effectiveness of competency based teaching programme on prevention of neonatal hypothermia. Asian Journal of Cardiovascular Nursing. 1, 12-16.
Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (2013). Fundamentals of nursing, 8th ed. Missouri: Mosby.
Rahmawati, E., Susmarini, D., Lestari, P., & Putri, A. D. (2019). Physical Stimulation For Hiperbilirubin. IOP Conference Series: Earth dan Environmental Science. https://doi.org/10.1088/1755-1315/255/1/012001
Rajakumari, A., Kumar, S.S., & Soli. (2015). Effectiveness of incubator care among staff nurses working in NICU. Journal of Science, 5(9), 791-795.
Rustina, Y., Wdana, d., Waluyanti, F.T., & Kusumasari, A.P. (2016). Nurses' dan parents' perspectives on low birth weight infants discharge planning at a secondary government hospital in Jakarta, Indonesia: a case study. Neonatal, Paediatric, dan Child Health Nursing, 19(1), 2-6.
Sgro M, Campbell D, Shah V. Incidence dan causes of severe neonatal hyperbilirubinemia in Canada. CMAJ. 2006;175 (6):587-590.
Usatin D, Liljestrdan P, Kuzniewicz MW, Escobar GJ, Newman TB. Effect of neonatal jaundice dan phototherapy on the frequency of first-year outpatient visits. Pediatrics. 2010;125(4):729-734.
United Nations Children’s Fund dan World Health Organization. (2019). UNICEF-WHO Low birthweight estimates: Levels dan trends 2000-2015. World Health Organization.
WHO. (2016). WHO | Children: reducing mortality. In World Health Organization. http://www.who.int/mediacentre/factsheets/fs178/en/
WHO. (2017). Care of the preterm dan low-birth-weight newborn. Geneva, WHO.
Bhutani, V.K., Zipursky, A., Blencowe, H., Khanna, R., Sgro, M., Ebbesen, F., Bell, J., Mori, R., Slusher, T.M., Fahmy, N., Paul, V.K., Du, L., Okolo, A. a, de Almeida, M.-F., Olusanya, B.O., Kumar, P., Cousens, S., Lawn, J.E., 2013. Neonatal hyperbilirubinemia and Rhesus disease of the newborn: incidence and impairment estimates for 2010 at regional and global levels. Pediatr. Res. 74 Suppl 1, 86–100. https://doi.org/10.1038/pr.2013.208
Burd, I., 2012. Low Birth Weight. Univ. Maryl. Med. Cent. 1–8.
Dinkes Jateng, 2018. Profil Dinas Kesehatan Jawa Tengah. Profil Kesehat. Jawa Tengah.
Khotimah, S.K., Rahmawati, E., Susmarini, D., 2019. Efektivitas Metode Video Dan Demonstrasi Terhadap Kangaroo Mother Care Self Efficacy. J. Pendidik. Keperawatan Indones. 5, 136–145.
Matthews, T.J., MacDorman, M.F., Thoma, M.E., 2015. Infant Mortality Statistics From the 2013 Period Linked Birth/Infant Death Data Set. Natl. Vital Stat. Rep. 64, 1–30.
Negrato, C.A., Gomes, M.B., 2013. Low birth weight: Causes and consequences. Diabetol. Metab. Syndr. https://doi.org/10.1186/1758-5996-5-49
Purwandari, H., Rahmawati, E., Kartikasari, A., 2020. Jurnal of Bionursing Risk Factors for Late Preterm Infants in One Public Hospital at Banyumas District Indonesia. J. Bionursing 2, 113–119.
Rahmawati, E., Susmarini, D., Lestari, P., Putri, A.D., 2019. Physical Stimulation For Hiperbilirubin. IOP Conf. Ser. Earth Environ. Sci. https://doi.org/10.1088/1755-1315/255/1/012001
Rahmawati, E., Susmarini, D., Purnamasari, M.D., 2020. Extremity strengthening exercise on neonates receving phototheraphy. J. Keperawatan Soedirman 15, 33–40.
United Nations Children’s Fund and World Health Organization, 2019. UNICEF-WHO Low birth weight estimates: Levels and trends 2000-2015 [WWW Document]. URL https://www.unicef.org/reports/UNICEF-WHO-low-birthweight-estimates-2019
Published
2020-11-30
How to Cite
Rahmawati, E., Susmarini, D., & Purnamasari, M. D. (2020). Evaluasi Tingkat Pengetahuan Perawat tentang Terapi Stimulasi Fisik pada Hiperbilirubinemia Neonatus. Journal of Bionursing, 2(3), 189-195. https://doi.org/10.20884/1.bion.2020.2.3.77