Mother's Independence Model within Caring for Low Birth Weight Babies at Home after Hospital Care Based on Mother Factors, Family Support, and Social Support

2019 ◽  
Vol 10 (10) ◽  
pp. 1685
Author(s):  
Erlina Suci Astuti ◽  
Nursalam Nursalam ◽  
Shrimarti Rukmini Devy ◽  
Risa Etika
Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 10
Author(s):  
Erlina Suci Astuti ◽  
Nursalam Nursalam ◽  
Shrimarti Rukmini Devy ◽  
Risa Etika

Introduction: Low birth weight (LBW) infants are very susceptible to illness.LBW treatment with the principle of preventing infection is very important athome. The purpose of this study was to determine the relationship betweenmaternal knowledge and family support with the prevention of infection at home.Methods: This study used a correlation design. The samples were 160 motherswho had low birth weight infants with inclusion criteria mothers give birth tobabies weighing less than 2,500 grams with ages 0-2 months. The samples wereobtained through purposive sampling. The dependent variable was the mother'sability to prevent infection while the independent variable was the mother'sknowledge and family support. The instruments used were questionnaires. Thisresearch analyzed using Spearman Rho.Results: The results showed that there was a strong correlation betweenknowledge and the ability to prevent infection in treating low birth weight (r =0.696; p = 0.00) and that there was a moderate correlation between familysupport and infection prevention ability when treating a low birth weight (r =0.54. p = 0.000).Conclusion: Factors of maternal knowledge about infection prevention andfamily support need to be considered in increasing the ability of mothers to carefor babies with LBW. The factor of maternal knowledge about prevention ofinfection has a strong correlation value when compared to family support factors.Further research is needed on the model of increasing maternal knowledge aboutLBW infants during home care. 


2021 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Ratna Widhiastuti ◽  
Susi Muryani

Bayi Berat Badan Lahir Rendah (BBLR) memerlukan perawatan lebih khusus dibandingkan dengan bayi lahir dengan berat badan normal, hal ini terlihat dari beberapa ibu yang kembali ke RSI Muhammadiyah Tegal  karena ibu  kurang memahami tentang perawatan bayi BBLR di Rumah. Family Centered Maternity Care (FCMC) adalah perawatan yang berpusat pada keluarga dengan memberikan perawatan bagi wanita dan keluarga mereka yang mengintegrasikan kehamilan, persalinan, persalinan, dan perawatan bayi ke dalam kontinum kehidupan keluarga.Tujuan penelitian ini untuk mengidentifikasi kebutuhan perawatan bayi BBLR di rumah dengan pendekatan family centered maternity care secara studi kualitatif. Penelitian dilakukan di RSI PKU Muhammadiyah Tegal. Metode dengan kualitatif dengan design studi kasus menggunakan ibu dan keluarga yang bayi BBLR sebanyak 9 orang dan focus group discussion (FGD) pada 7 perawat perinatologi. Berdasarkan hasil analisa Colaizzi didapatkan beberapa tema yaitu dukungan keluarga untuk meningkatkan kepercayaan diri ibu merawat bayi BBLR, strategi pemenuhan kebutuhan nutrisi, strategi mencegah terjadinya hipotermia, upaya mencegah terjadinya infeksi, home visit perawat. Peningkatan perhatian untuk menjaga bayi BBLR tetap hangat dalam bentuk FCMC berintergrasi pada ibu, keluarga serta perawat dapat mengoptimalkan perawatan Bayi BBLR di rumah. Kata Kunci : Bayi BBLR; family centered; maternity care, motherQualitative Study: Identification Of Low Birth Weight Baby Care Needs At Home With Family Centered Maternity Care ApproachAbstractBabies with low birth weight require more special care than babies born with normal weight; this can be seen from some mothers who return to RSI Muhammadiyah Tegal because mothers do not understand how to care for low birth weight babies at home. Family Centered Maternity Care (FCMC) is family-centered care providing care for women and their families that integrates pregnancy, childbirth, childbirth, and infant care into the continuum of family life. The purpose of this study was to identify the care needs of low birth weight baby at home with a family centered maternity care approach in a qualitative study. The research was conducted at Muhammadiyah Hospital Tegal. Qualitative method with case study design was used in 9 mothers and families of low birth weight babies and focus group discussion on 7 perinatology nurses. Based on the results of Colaizzi's analysis, several themes were found, namely family support to increase mother's confidence in caring for low birth weight babies, strategies to fulfill nutritional needs, strategies to prevent hypothermia, efforts to prevent infection, nurse home visits. Increased attention to keeping low birth weight babies warm in the form of Family Centered Maternity Care with interaction with mothers, families and nurses can optimize the care of low birth weight babies at home. Keywords: low birth weight babies; family center; maternity care; mother 


2020 ◽  
Vol 5 (2) ◽  

Background: Low birth weight continues to be a significant public health problem globally. Kangaroo mother care (KMC) is a promising intervention to improve the survival of low birth weight babies. KMC comprises of early and continuous skin-to-skin contact between mother and baby as well as exclusive breastfeeding. More interest has given to initiate KMC at the health facility for low birth weight babies born at home but, there has been trace evidence to support initiation of KMC at home. Thus, this study was aimed at to estimate the proportion of mothers who continued to practice kangaroo mother care at home and identify factors influencing this practice following hospital discharge. Methods: It was a cross-sectional study of 190 mothers with their low birth weight babies who were discharged from KMC unit at Dessie referral and Akesta hospitals and counseled about KMC to practice at home. In the first week following hospital discharge the data collectors visited the mothers to interviewe her about KMC practice and the factors influencing it; and analyzed by SPSS V.25.0. Crud odd ratio and adjusted odd ration were performed to test the association between dependent and independent variables. Result: The proportion of mothers who practice KMC at home was 89 (46.8%). Multivariate logistic regression showed that support from husband (AOR= 4.4, 95% CI = 1.8-10.4), support from HEW(AOR=3.4, 95% CI = 1.6-7.2), availability of helper (AOR= 4.5, 95% CI= 1.9-4.10) and mothers explained the important of KMC (AOR =2.3,95% CI =1.1- 4.9) were statistically associated with KMC practice at home. Conclusion: This study concludes that support comes from husband, health extension workers and family and the mothers understanding of importance of KMC were found to be the significant enhancing factors to implement KMC at home.


2021 ◽  
Vol 3 (3) ◽  
pp. 93-97
Author(s):  
Ramenia M Lubis

Behavior of caring for babies with low birth weight (LBW) is a reaction or response to the condition of LBW babies which is divided into three domains, namely knowledge, attitudes and actions. Good behavior of mothers in caring for infants with LBW will have an impact on reducing mortality and morbidity rates for infants and toddlers. Descriptive research was conducted with the aim of knowing the level of knowledge, attitudes and actions of mothers in caring for LBW babies at home. The sample in this study were 30 mothers who had LBW babies aged 1 year, residing in Medan and had been taking care of them at home. This research uses purposive sampling technique. The results showed that the mother's behavior in caring for LBW babies at home for the majority knowledge domain was good (100%), for the attitude domain the majority is positive (100%) and for the action domain the majority is good (100%). It is concluded that knowledge, attitudes, actions in this study are in line with behavioral theory. It is recommended to conduct research by exploring the factors that support the formation of a good level of knowledge, positive attitudes and good actions.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 10
Author(s):  
Erlina Suci Astuti ◽  
Nursalam Nursalam ◽  
Shrimarti Rukmini Devy ◽  
Risa Etika

Introduction: Low birth weight (LBW) infants are very susceptible to illness.LBW treatment with the principle of preventing infection is very important athome. The purpose of this study was to determine the relationship betweenmaternal knowledge and family support with the prevention of infection at home.Methods: This study used a correlation design. The samples were 160 motherswho had low birth weight infants with inclusion criteria mothers give birth tobabies weighing less than 2,500 grams with ages 0-2 months. The samples wereobtained through purposive sampling. The dependent variable was the mother'sability to prevent infection while the independent variable was the mother'sknowledge and family support. The instruments used were questionnaires. Thisresearch analyzed using Spearman Rho.Results: The results showed that there was a strong correlation betweenknowledge and the ability to prevent infection in treating low birth weight (r =0.696; p = 0.00) and that there was a moderate correlation between familysupport and infection prevention ability when treating a low birth weight (r =0.54. p = 0.000).Conclusion: Factors of maternal knowledge about infection prevention andfamily support need to be considered in increasing the ability of mothers to carefor babies with LBW. The factor of maternal knowledge about prevention ofinfection has a strong correlation value when compared to family support factors.Further research is needed on the model of increasing maternal knowledge aboutLBW infants during home care. 


2018 ◽  
Vol 1 (1) ◽  
pp. 53-58
Author(s):  
Widy Santri Ningsih ◽  
Setiawan Setiawan

Bayi Berat Lahir Rendah (BBLR) adalah bayi baru lahir yang berat badannya kurang dari 2.500 gram (sampai dengan 2.499 gram). BBLR merupakan penyebab utama dalam mortalitas, morbiditas dan kecacatan pada neonatus, balita dan anak-anak serta memiliki efek yang sangat panjang dalam kesehatan dewasa nantinya. Penelitian ini bertujuan untuk mengeksplorasi pengalaman ibu usia remaja dalam merawat bayi berat lahir rendah di Kota Medan. Desain penelitian yang digunakan adalah studi fenomenologi. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah partisipan sebanyak sepuluh orang. Kriteria partisipan adalah ibu remaja usia 17-20 tahun yang melahirkan bayi berat lahir rendah dan mempunyai pengalaman merawat bayi berat lahir rendah di rumah. Penelitian ini dilaksanakan di satu rumah sakit dan satu klinik bersalin. Penelitian ini dimulai tanggal 16 Februari 2016 sampai 30 April 2016. Analisa data menggunakan metode Colaizzi. Hasil penelitian ini didapatkan lima tema pengalaman ibu usia remaja dalam merawat bayi berat lahir rendah, yaitu (1) mengupayakan pengobatan untuk BBLR; (2) memberikan perawatan khusus pada BBLR; (3) mengalami keterbatasan dalam kegiatan sosialisasi; (4) menderita secara fisik, psikologis dan emosional saat merawat BBLR; dan (5) mendapat dukungan dari pihak keluarga dan tenaga kesehatan. Berdasarkan hasil penelitian, diharapkan agar pelayanan keperawatan dapat memberikan asuhan keperawatan secara holistik pada ibu remaja dalam perawatan bayi berat lahir rendah di rumah. Low birth weight (LBW) baby is a newborn whose weight is less than 2,500 grams (up to 2,499 grams). LBW is the main cause of mortality, morbidity and disability in neonates, toddlers and children which still affects their health up to their adulthood. This study aimed to explore the experiences of adolescent mothers in caring for low birth weight babies in Medan. This study used a phenomenology study design. The sampling technique used was purposive sampling. Ten mothers were selected as the participants. The criteria of participants were adolescent mothers aged 17-20 years who gave births to low birth weight babies and had experiences in caring for low birth weight babies at home. This study was conducted in a hospital and in a maternity clinic from February 16 to April 30, 2016. Data were analyzed using Colaizzi method. The results of this study showed that there were five themes of experiences of adolescent mothers in caring for low birth weight babies, namely (1) seeking treatment for LBW; (2) providing special care for LBW; (3) having limited time for social activities; (4) suffering physically, psychologically, and emotionally when treating LBW; and (5) getting support from the family and medical staffs. It is expected that nurses provide holistic nursing care to adolescent mothers in caring for low birth weight babies at home.


2014 ◽  
Vol 3 (3) ◽  
pp. 189-93
Author(s):  
Soheila Riahinejad ◽  
Behrouz Farhangfar ◽  
Reza Kazemi ◽  
Marzieh Arabi

Introduction: Pregnancy as a stressful event may cause some consequence for both mother and infant such as low birth weight (LBW). LBW is seen in about 7% of pregnancies in Iran. It was proved there is a correlation between infants weight and maternal social support. This study was designed to evaluate maternal perceived social support in LBW infants and infants with normal weight.Methods and Materials: This was a case-Control study which was done in Isfahan, Iran during April-November 2012 on 188 participants in 2 groups. In case group we had evaluated mothers with low birth weight infants and control group were mother with normal infants. Farsi version of Multidimensional Scale of Perceived Social Support (MSPSS-P) was used for social support evaluation.Results: In LBW group mean family support subscale score was 14.87 ± 4.33, Mean friends support subscale score was 9.65 ± 5.89 and significant others support subscale mean score was 15.18 ± 5.11. In normal weight  group mean family support subscale score was 18.46 ± 3.98, Mean friends support subscale score was 15.4 ± 6.41 and significant others support subscale mean score was 18.46 ± 4.1.Conclusion: Maternal perceived prenatal social support could be a predictor for  infants birth weight. Supportive family could helps pregnant women to reduce adverse pregnancy out comes such as low birth weight.


2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.


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