EFEKTIVITAS PERAWATAN TALI PUSAT TOPIKAL ASI DAN PERAWATAN TERBUKA TERHADAP LAMA PELEPASAN TALI PUSAT DI KLINIK KARTIKA JAYA SAMARINDA

GEMA KESEHATAN Pub Date : 2023-12-28 DOI:10.47539/gk.v15i2.337

M. Sari, Dini Indo Virawati, Satriani, Pelepasan Tali Pusat, Perawatan Tali, Pusat Terbuka

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Abstract

Data dari WHO menghitung insidensi secara global kejadian tetanus di dunia secara kasar berkisar antara 0,5 – 1 juta kasus. Tetanus Neonatorum (TN) terhitung sekitar 50% dari kematian akibat tetanus di negara – negara berkembang. Survei Demografi dan Kesehatan Indonesia (SDKI) kematian bayi pada Tahun 2020 dari seluruh kematian neonatus yang dilaporkan, 72,0% (20.266 kematian) terjadi pada usia 0-28 hari. Teknik perawatan tali pusat yang tidak benar akan menimbulkan infeksi tali pusat. Tujuan penelitian adalah untuk mengetahui efektivitaserawatan tali pusat topikal ASI dan perawatan terbuka terhadap lama pelepasan tali pusat di Klinik Kartika Jaya. Jenis penelitian yang digunakan pada penelitian ini adalah Quasy Experimental Design dengan rancangan Posttest Only Control Design. Populasi dalam penelitian ini adalah seluruh bayi baru lahir yang tercatat didalam buku register Klinik Kartika Jaya. Sampel diambil secara Purposive Sampling yaitu sebanyak 35 orang. Hasil penelitian ini menunjukkan bahwa perawatan topikal ASI lebih efektif dibandingkan dengan perawatan terbuka terhadap lama pelepasan tali pusat (p- value = 0.002) dengan nilai α = 0,05. Kata kunci: Pelepasan Tali Pusat, Perawatan Tali Pusat Terbuka, Perawatan Topical ASI Data from WHO calculates the global incidence of tetanus events ranging from 0.5 to 1 million cases. Tetanus Neonatorum (TN) accounts for about 50% of deaths due to tetanus in developing countries. Demographic and Health Survey of Indonesia (IDHS) infant mortality in 2020 of all reported neonatal deaths, 72.0% (20,266 deaths) occurred at the age of 0-28 days. Improper umbilical cord care techniques will lead to umbilical cord infection. Culture in the community that affects mothers' knowledge of caring for the umbilical cord causes mothers to be afraid or hesitant to take care of their baby's umbilical cord. Hence, mothers still behave incorrectly in caring for the baby's umbilical cord by sprinkling the umbilical cord with turmeric or leaves to allow the development of Clostridium spores that can cause infection. It can cause disease in neonates. To determine the effectiveness of topical breast milk umbilical cord care and open treatment on the length of umbilical cord detachment at Kartika Jaya Clinic. The type of research used in this research is Quasi-Experimental Design with Posttest Only Control Design. The population in this study were all newborns recorded in the register book of the Kartika Jaya Clinic. Samples were taken by purposive sampling of as many as 35 people. The results of this study indicate that topical breastfeeding treatment is more effective than open treatment on the length of umbilical cord detachment (p-value = 0.002) with a value of = 0.05. Keywords: Length of Umbilical Cord Detachment, Open Umbilical Cord Care, Topical Breast Milk Treatment

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三马林达 Kartika Jaya 诊所局部母乳喂养和开放式脐带护理对脐带脱落长度的影响

世卫组织的数据显示，全球破伤风发病率为 0.5-1 千卡。新生儿破伤风（TN）的发病率占全国破伤风发病率的 50%。印度尼西亚人口与健康调查（SDKI）显示，2020 年，0-28 岁年龄段的新生儿破伤风发病率为 72.0%（20266 人）。新生儿护理技术可预防新生儿畸形。在 Klinik Kartika Jaya，我们的医疗团队将为您提供最先进的人工关节置换术（ASI）和最先进的治疗技术。在该研究中，采用的是 "简单实验设计"（Quasy Experimental Design）和 "事后测试对照设计"（Posttest Only Control Design）。该问卷调查的对象是在马来西亚Klinik Klinik医院注册的所有居民。有目的抽样调查的样本为 35 人。结果表明，ASI的最高值（P-值=0.002）与ASI的最高值（P-值=0.002）相差无几，而α=0.05。Kata kunci: Pelepasan Tali Pusat, Perawatan Tali Pusat Terbuka, Perawatan Topical ASI 世界卫生组织的数据计算出全球破伤风发病率为 50 万至 100 万例。在发展中国家，新生儿破伤风（TN）约占破伤风死亡病例的 50%。2020 年印度尼西亚人口与健康调查（IDHS）的婴儿死亡率显示，在所有报告的新生儿死亡病例中，72.0%（20266 例死亡）发生在 0-28 天内。不正确的脐带护理技术会导致脐带感染。社区文化影响了母亲对脐带护理知识的了解，导致母亲在护理婴儿脐带时害怕或犹豫不决。因此，母亲们在护理婴儿脐带时仍有不正确的行为，即在脐带上撒姜黄或树叶，使梭状芽孢杆菌滋生，从而引起感染。它会导致新生儿患病。在 Kartika Jaya 诊所确定局部母乳脐带护理和开放式治疗对脐带脱落长度的影响。本研究采用的研究类型为 "准实验设计"（Quasi-Experimental Design）和 "后测对照设计"（Posttest Only Control Design）。研究对象是 Kartika Jaya 诊所登记簿上记录的所有新生儿。样本是通过有目的的抽样获得的，抽样人数多达 35 人。研究结果表明，在脐带脱落长度方面，局部母乳喂养治疗比开放式治疗更有效（P值=0.002），P值=0.05。关键词脐带脱落长度开放式脐带护理局部母乳喂养治疗

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