Hasil Pencarian

Ditemukan 91552 dokumen yang sesuai dengan query

Maqdhesy

Analisis kinerja NICU (neonatal intensive care unit) RSIA Hermina Pasteur dengan pendekatan balanced scorecard tahun 2007

"RSIA HERMINA Pasteur mempakan salah sam rumah sakit di Kota Bandung yang mengkhususkan pada pelayanan kesehatan ibu dan anak. RSIA HERMINA Pasteur memiliki fasilitas yang menjadi unggulan yaitu pelayanan Perinatologi, NICU, PICU, Fetomatemal dan Klinik Tumbuh Kembang. Seperti yang tercantum dalam Program Market Leader HERMINA Grup, Insialasi Perinatologi/NICU/PICU diharapkan menjadi pusal rujukan di wilayalmya. Hal ini menjadi peluang bagi RSIA HERMINA Pasteur untuk turut serw dalam penurunan AKB di Kota Bandung dan sekitamya. Salah saru instalasi yang menjadi unggulan RSIA HERMINA Pasteur adalah NICU yang merupakan nmng perawatan khusus bagi bayi risiko tinggi atau yang memerlukan pemantauan ketat dan membutuhkan alat bantu pemapasan khusus/ventilator.

Setelah berjalan hampir tiga tahun BOR NICU masih belum menunjukkan peningkatan dibandingkan produk unggulan lainnya yaitu PICU dan ICU. Berdasarkan hal tersebut perlu dilakukan penelitian mengenai kinenja NICU RSIA HBRMINA Pasteur. Untuk malakukan penilaian kincrja ini dipergunakan pendekatan Balanced Scorecard yang memiliki empat perspektif.

Dalam penclitian ini, peneliti ingin memperoleh gambaran kinerja NICU rumah sakit yang sesuai (appropriate) dan layak (/kasible), rnenggunakan prinsip kemngka manajemen Balanced Scorecard (BSC), sebagai alat ukur dan perangkat manajcmen untuk meningkatkan kinerja.

Penelitian ini merupakan penelitian kualitatif dengan menggunakan metode wawancara mendalam, telaah dokumcn dan observasi lapangan untuk memperoleh gambaran kinerja dan model BSC yang sesuai dengan NICU rumah sakit.

Dari penelitian ini didapatkan kinerja NICU RSIA HERMINA Pasteur berdasarkan perspcktif keuangan, perspektif pelanggan, perspelctjf bisnis internal dan perspelctif pertumbuhan dan pembelajaran, Kincrja NICU berdasarkan perspektif keuangan menunjukkan bahwa NICU merupakan unit kerja yang memerlukan biaya operasional besar tetapi tidak banyak mcnghasilkan kemmtungan bagi rumah sakit. Dengan demikian tidak dapat diharapkan untuk menj adi profit centre bagi rumah sakit. Gambaran kinerja NICU berdasarkan perspektif pelanggan menunjukkan bdrwa pada tahmm 2006 dan triwulan I tahun 2007 masih terjadi beberapa kasus penolakan pasien yang berkaitan dengan biaya. Hal ini bertolak belakang dengan perluasan pasar yang dilakukan rumah sal

Dari penelimian yang dilakukan dapat disimpulkan bahwa NICU RSIA HERMINA Pasteur walaupun merupakan produk unggulan tidak dapat dijadikan profit centre. Kinerja NICU berdasarkan perspektif pelanggan juga belum memuaskan karena masih banyaknya kasus penolakan pasien yang teljadi selama dna tahun terakhir ini hal ini bertolak belakang dengan perluasan pasar yang dilalcukan rumah sakit. Pertumbuhan BOR NICU pada dua tahun terakhir ini terlihat meningkat dan sebagian besar sarana dan prasarana yang diperlukan di NICU sudah tersedia atau dapat diupayakan. Kinelja NICU berdasarkan perspektif pertumbuhan dan pembelajaran menunjukkan bahwa SDM NICU masih belum sesuai dengan standar yang ditetapkan.

Saran untuk RSIA HERMINA Pasteur: Perspektif Keuangan, untuk meningkatkan pangsa pasar perlu dilakukan kexja sama dengan ASKESKIN, ASKES PNS serta Pemerinrah Daerah diprioxitaskan untuk penanganan kasus neonatal risiko tinggi. Pada crspektif Pelanggan, untuk mencegah terjadinya kasus penolakan pasien NICU, maka sebaiknya disusun suatu kebijakan rumah sakit mengenai hal tersebut dan menjalin kexjasama dengan pihak Pemda, ASKESKIN maupun ASKES PNS untuk membantu menanggulangi biaya perawatan khusus bagi pasien NICU. Perspelctif Bisnis internal, Pada perspektif bisnis intemal untuk meningkatkan BOR perlu dilakukan pemasaran pada kalangan tertentu misalnya DSOG dan dr SpA di Bandmmg dan daerah sekitarnya Perspektif pembelajaran dan Pertumbuhan. Penambahan tenaga Dokter Spesialis Anak yang Ietap dan pcningkatan pendidikan perawat menjadi Sl Keperawatan.

RSIA I-IERMINA Pasteur was one of the hospitals in the Bandtmg City that set aside in the health service of the mother and the child. RSIA HERMINA Pasteur had facilities that becames supreme that is the Perinatology services, NICU, PICU, Fetomaternal and Tumbuh Kembang Clinic. Like that was included in the Market Leader HERMINA Grup Program, Installation of Perinatology/NICUIPICU it was hoped became the centre of reconciliation in his territory. This became the opportunity for RSIA I-IERMINA Pasteur to join in as well as in the AKB decline in the Bandung City and surrounding area. One of the installations that became supreme RSIA I-IERMINA Pasteur was NICU that was special maintenance space for the high risk baby or that needed the tight monitoring and needed special respiratory aids/the ventilator. After going almost three NICU BORE years did still not show the increase was compared the other supreme product that is the TRIGGER and ICU. By this matter must be done by the research concerning the NICU RSIA HERMINA Pasteur achievement.
To do the assessment ol' this achievement was utilized by the Balanced Scorecard approach that had four perspectives. In this research, the researcher wanted to receive the picture of the NICU achievement the appropriate hospital (appropriate) and appropriate (feasible), used the principle of the framework of the Balanced Scorecard management (BSC), as the implement measured and management equipment to increase the achievement of this Research was the qualitative research by using the deep interview method, thc study of the document and observation ofthe field to receive the picture of the achievement and the BSC model that in accordance with NICU the hospital.
From this research was obtained by the NICU RSIA HERMINA Pasteur achievement was based on the perspective of finance, the perspective of the customer, the perspective of the intemal business and the perspective ofthe growth and learning. The NICU achievement was based on the perspective of finance showed that NICU was the work unit that needed the operational cost big but often did not produce the prolit for the hospital. Therefore could not be expected to become the pro fit centre for the hospital. The picture of the NICU achievement was based on the perspective of the customer showed that during 2006 and quarterly I in 2007 still was happening several cases of the patient?s refusal that was linked with the cost. This was the opposite of the expansion of the market that was done the hospital. That was needed by various breakthroughs to prevent this matter. The picture of the NICU achievement was based on the perspective of the Internal Business showed the increase in the NICU BORE for the last two years happened. Room facilities and NICU equipment were still being not yet complete like that was determined in the standard of NICU. Although the service could be carried out because generally specific equipment that was needed in NICU has been available. The picture of the NICU achievement was based on the perspective of the learning and growth showed did not yet have Pediatrics who was the hospital permanent employee. The level of education ofthe nurses still D3 whereas for the period that will come to be hoped for by all nurse ofNICU educated Sl Nurse.
From the research that was carried out could be concluded that NICU RSIA I-IERMINA Pasteur although being the supreme product could not be made the profit centre. The NICU achievement was based on the perspective of the customer also did not yet satisfy because still the number of cases of the patients refusal that happened during the last two year this was the opposite of the expansion of the market that was done the hospital. The growth of the NICU BORE was for the last two year seen increased and most means and the infrastructure that were needed in NICU have been available or could be striven for. The NICU achievement was based on the perspective of the growth and learning showed that NICU human resources still did not yet be in accordance with the standard that was detemiined.
The suggestion for RSIA I-IERMINA Pasteur: Perspective F inancial, to increase the market share must be carried out by the work was the same as ASKESKIN, ASKES PNS as well as the Regional Government was given priority to For the handling of the case neonatal the high risk. Perspective customer, for prevented the occurrence of the ease of the patient's refusal NICU, then better be compiled by a policy of the hospital concerning this matter and establish the co-operation with the Regional Government's side, ASKESKIN and the health insurance for PNS to help dealt with the special maintenance cost for the patient NICU. The perspective of the business internal, in the perspective of business internal to increase the BORE must be carried out by the marketing in the certain circle for example DSOG and Pediatrics in Bandung and the area of surrounding area. The perspective learning and the growth the increase in the Specialist Doctors power the Child that continue to and the increase in the nurse's education became Sl Nurse. References: 31 ranging from the year of 1994 to 2007."

Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2007

T34546

UI - Tesis Membership Universitas Indonesia Library

Emmelia Kristina

Analisis Tingkat Pemulihan Biaya Ruang NICU di RSIA "X" Jakarta Tahun 2008 = Cost Recovery Rate Analysis of Neonatal Intensive Care Unit at RSIA "X" Jakarta 2008

"RSIA "X" Jakara adaiah mmah sakit dengan fasilitas pelayanan NICU (Neonatal Intensive Care Unit) sejak awal tahun 2007, dimana kunjungau yang terus meningkat. Namun sebagian besar pasien merupakan golongan mayamkat miskin. Rumah sakit ini belum pemah menghitung tingkat pemulihan biaya ruang NICU, padahal memiliki rencana ekspansi kapasitas yang telah ditentukan.

Penelitian ini bertujuan untuk mengetahui kemampuan tingkat pemulihan biaya ruang NICU dengan menggunakan CPAP dan Ventilator dengan demikian dapat diketahui bcsar subsidi rumah sakit, Pcngumpulan data dilakukan dengan cara kuantitatif dengan mencatat data keuangan tahun 2007 - 2008 dan secara kualitatif melalui wawancara mendalam.

Hasil menunjukkan ruang NICU di RSIA "X" Jakarta perawatan dcngan CRR alat CPAP tahun 2007 sebesar 37% sehingga mendapatkan subsidi sebcsar 63% dan tahun 2008 CRRnya 68% sehingga menerima subsidi sebesar 32%. Prediksi subsidi pada tahun 2009 adalah 32% - 49% . Perawatan dengan ventilator CRR nya pada tahun 2007 sebesar 22% sehingga menerima subsidi sehesar 88% dan tahun 2008 CRR nya 53% schingga menerima subsidi sebesar 47%. Prediksi subsidi pada tahun 2009 adalah 33%- 45%.

Di sarankan kepada pihak rumah sakit agar mempcrtimbangkan apakah subsidi yang akan diberikan pada tahun mendatang dapat mendukung misi dari rumah sakit dalam pelayanan masyarakat miskin.

RSIA "X" Jakarta is a hospital which equipped with Neonatal intensive Care Unit since 2007. Most of the patients are poor people .This hospital has never been calculate the cost recovery rate of NICU programme but they have planned some strategies to increase the utilization of NICU's.
The purpose of this research is to know the cost recovery rate in NICU room; for both CPAP & ventilator, in order to estimate subsidy has been contributed to the patient. This is a case study research in RSIA "X" Jakarta,using two methods. The quatitative approach was done by using secondary data employed and the qrmlitative approach was done by interviewing informants.
The result shows that Cost Recovery Rate (CRR)NICU by using CPAP was 37% in 2007 accepting subsidy 37%, in 2008 (IRR was 68%.lr so predicted the subsidy will continue growing to 32% - 49% for CPAP treatment in 2009. CRR ofthe NICU by using ventilator in 2007 was 22% and in 2008 the CRR was 53% and accepting subsidy 47%. It is predicted thai the subsidy wiil reach 33%- 45% in 2009.
Its is recommended to use this result to consider whether the subsidy for the coming years will be accepted, in line with hospitaI's mission to senfe the poor."

Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2009

T34282

UI - Tesis Open Universitas Indonesia Library

Ditha Adhiaty Ratna Pratiwi

Profile of airborne fungal species in neonatal intensive care unit at two hospitals in Jakarta = Profil spesies jamur udara pada ruang perawatan intensif neonatus pada dua rumah sakit di Jakarta

"Penyakit infeksi masih menjadi masalah serius pada seperempat populasi manusia di seluruh dunia. Berbagai mikroorganisme penyebab infeksi berperan meningkatkan angka morbiditas dan mortalitas pada pasien berisiko tinggi diantaranya pasien dengan gangguan imunitas dan atau kondisi sakit berat. Jamur merupakan mikroorganisme penyebab berbagai penyakit mulai dari alergi, hipersensitivitas saluran napas atau asma, maupun infeksi sistemik yang mengancam jiwa, misalnya kandidiasis sistemik, aspergilosis sistemik, serta infeksi jamur lain. Transmisi infeksi jamur sistemik biasanya melalui inhalasi spora maupun kontaminasi elemen jamur di lingkungan sekitar pasien. Keberadaan jamur di lingkungan sekitar pasien penting mendapat perhatian mengingat potensinya sebagai sumber infeksi, termasuk di lingkungan rumah sakit.

Penelitian ini bertujuan untuk mengidentifikasi keragaman spesies jamur yang diisolasi dari lingkungan rumah sakit, dan merupakan bagian dari penelitian multisenter aspergilosis invasif pada pasien sakit berat di beberapa rumah sakit di Jakarta. Mengingat neonatus merupakan salah satu kelompok pasien berisiko tinggi mengalami infeksi jamur sistemik di rumah sakit, maka lokasi penelitian ini difokuskan pada lingkungan ruang perawatan intensif neonatus NICU. Pengambilan sampel dilakukan secara konsekutif pada lingkungan NICU di dua rumah sakit, baik di bagian dalam maupun luar NICU. Sampel udara diambil menggunakan cawan petri berisi agar Saboraud dekstrosa selama 15 menit pada ketinggian 100-150 cm, setelah itu dilakukan inkubasi dan pengamatan selama tujuh hari di laboratorium.

Hasil penelitian menunjukkan terdapat delapan jenis jamur yang diisolasi dari lingkungan NICU, yaitu Aspergillus flavus, Aspergillus fumigatus, Candida sp., Dematiceae sp., Mycelia sterilia, Paecilomyces sp., Penicillium sp., and Trichosporon sp. Spesies jamur yang paling sering ditemukan adalah Mycelia sterilia dan Aspergillus fumigatus.

Infectious diseases are still a serious problem affecting a quarter of the human population worldwide. Numerous microorganisms causing infection served to increase morbidity and mortality rate in high risk patients, including immunocompromised and or critically ill patients. Fungi are microorganisms that cause a variety of diseases ranging from allergies, hypersensitivity respiratory or asthma, as well as life threatening systemic infections, such as systemic candidiasis, systemic aspergillosis, and other fungal infections. Transmission of systemic fungal infection is usually through inhalation of the spores or fungal elements contamination in the environment around the patient. The presence of fungi in the environment around the patient extremely needs attention considering its potency as a source of infection, including in a hospital environment.
This study aims to identify the diversity of fungal species isolated from the hospital environment, and is part of a multicentre study of invasive aspergillosis in patients with serious illness at several hospitals in Jakarta. Considering neonate is one group of patients at high risk of systemic fungal infections in the hospital, subsequently the location of this research is focused on the environment of neonatal intensive care unit NICU . The sample was taken consecutively in the NICU environment at two hospitals, both indoor and outdoor of the NICU. Air samples were taken using a petri dish containing Saboroud rsquo s dextrose agar for 15 minutes at a height of 100 150 cm, after it conducted incubation and observation for seven days in the laboratory.
The results showed there are eight types of fungi isolated from the NICU environment, including Aspergillus flavus, Aspergillus fumigatus, Candida sp., Dematiceae sp., Mycelia sterilia, Paecilomyces sp., Penicillium sp., and Trichosporon sp. The most commonly fungal species found are Mycelia sterilia and Aspergillus fumigatus."

Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016

S70422

UI - Skripsi Membership Universitas Indonesia Library

Roberton, N. R. C.

A manual of neonatal intensive care

London: Edward Arnold , 1993

618.920 1 ROB m

Buku Teks Universitas Indonesia Library

Merenstein, Gerald B.

Handbook of neonatal intensive care

Philadelphia: Mosby, 2002

618.920 1 MER h

Buku Teks Universitas Indonesia Library

Nova Fajri

Asuhan keperawatan bayi baru lahir dengan masalah kenyamanan dan pernapasan melalui penerapan pengisapan lendir empat tangan berdasarkan pendekatan teori comfort kolcaba = Nursing care for newborns with comfort and respiratory problems by applying four handed suctioning through kolcaba comfort theory based

"Neonatus mengalami kondisi ketidaknyamanan selama mendapatkan perawatan di ruang intensif. Tujuan penulisan untuk menganalisis aplikasi teori Comfort Kolcaba pada bayi baru lahir dengan masalah kenyamanan dan pernapasan. Studi kasus dilakukan terhadap lima bayi di ruang perinatologi. Asuhan keperawatan berfokus pada kenyamanan fisik, psikospiritual, sosiokultural, dan lingkungan. Pengisapan lendir teknik empat tangan sebagai salah satu intervensi kenyamanan yang dievaluasi dengan Pediatric Comfort Assessment. Penerapan teori Comfort Kolcaba memberikan hasil yang baik terhadap kenyamanan kelima bayi. Kenyamanan psikospiritual dan sosiokultural dapat terpenuhi; sedangkan kenyamanan fisik dipengaruhi oleh berbagai faktor. Simpulan dari studi ini yaitu teori keperawatan Comfort Kolcaba sangat komprehensif sehingga sangat direkomendasikan untuk diterapkan pada bayi secara simultan dan berkesinambungan.

Newborn was discomfort in the intensive care unit. The purpose of this writing is to provide an analysis of Kolcaba comfort theory applications in nursing care for newborns with comfort and respiratory problems. Case study method was used in 5 infants treated in perinatology. Nursing care given using the assessment of physical comfort, psychospiritual, socio-cultural, and environmental. The implementation of four-handed suction technique as one of the comfort intervention which evaluated by pediatric comfort assessment tool. The application of the Kolcaba comfort theory gives good results towards the comfort of five infants. Psychospiritual comfort and sociocultural be fulfilled; whereas physical comfort is influenced by various factors. The conclusion of this study is Kolcaba nursing comfort theory has very comprehensive aspects therefore highly recommended for newborns' comfort through simultaneous and continuous implementation."

Depok: Universitas Indonesia, 2016

SP-Pdf

UI - Tugas Akhir Universitas Indonesia Library

Asmida Mariani

Pengetahuan ibu tentang perawatan neonatus yang didapat dari buku kia dan hubungannya terhadap kepercayaan diri ibu merawat neonatus = Maternal knowledge in neonatal care obtained from mother child handbook and its association with maternal self confidence in neonatal care

"Pengetahuan ibu tentang merawat neonatus dapat diperoleh melalui buku KIA. Pengetahuan yang baik dapat meningkatkan kepercayaan diri ibu merawat neonatus. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan ibu tentang perawatan neonatus yang didapat dari buku KIA terhadap kepercayaan diri ibu merawat neonatus. Penelitian ini mengggunakan desain cross sectional dengan consecutive sampling pada 76 responden. Pengumpulan data menggunakan kuesioner pengetahuan ibu merawat neonatus dengan nilai cronbach alpha 0,760 dan kuesioner kepercayaan diri ibu (Maternal Confidence Questionnaire) dengan nilai cronbach alpha 0,81. Analisa data menggunakan uji t independen. Hasil penelitian menunjukan perbedaan yang signifikan antara pengetahuan ibu merawat neonatus dengan kepercayaan diri ibu merawat neonatus (p=0,005). Pengetahuan ibu merawat neonatus melalui pendidikan prenatal tentang perawatan neonatus dengan menggunakan buku KIA penting dilakukan untuk meningkatkan kepercayaan diri ibu merawat neonatus.

Maternal knowledge in neonatal care can be obtained from mother-child handbook. Adequate knowledge can increase maternal self confidence in neonatal care. The purpose of this research is to reveal the association between maternal knowledge in neonatal care obtained from mother-child handbook with maternal self confidence in neonatal care. This study used cross-sectional survey on 76 respondents with consecutive sampling method. The questionnaire that used in this study were maternal knowledge in neonatal care questionnaire with Cronbach alpha 0,760 and maternal confidence questionnaire with Cronbach alpha 0,81. The result were presented with independent t-test. This study showed a significant difference between maternal knowledge in neonatal care with maternal self confidence in neonatal care (p=0,005). Maternal knowledge in neonatal care through prenatal education about neonatal care using mother-child handbook is important to improve maternal self confidence in neonatal care."

Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015

S59598

UI - Skripsi Membership Universitas Indonesia Library

Klaus, Marshall H.

Care of the high-risk neonate

Philadelphia: W.B. Saunders, 2001

618.920 1 KLA c

Buku Teks Universitas Indonesia Library

Muhammad Raoul Taufiq Abdullah

Hubungan pemberian oral care terhadap kejadian sepsis neonatorum pada bayi prematur di RSCM tahun 2015-2017 = The association between oral care administration and the incidence of neonatal sepsis in premature infants born in Cipto Mangunkusumo Hospital in 2015-2017

"Secara global, sebanyak 15 juta bayi lahir secara prematur setiap tahunnya. Indonesia menempati peringkat kelima negara dengan angka kelahiran prematuritas tertinggi di dunia. Salah satu komplikasi utama pada bayi prematur adalah sepsis neonatorum. Sepsis neonatorum adalah respon inflamasi sistemik yang dapat terjadi pada neonatus diakibatkan oleh transmisi infeksi secara vertikal maupun melalui lingkungan. Dikarenakan oleh temuan klinis sepsis yang variatif, menyebabkan upaya mendiagnosis sepsis menjadi sullit dilakukan. Oleh karena itu, perlu diberlakukan profilaksis sepsis neonatorum pada bayi prematur, sehingga muncul prosedur oral care. Pemahaman mengenai kebermanfaatan dan keamanan prosedur oral care masih diperlukan untuk dapat menggunakan prosedur ini secara optimal.

Tujuan. (1) Mengetahui karakteristik subjek penelitian berdasarkan karakteristik jenis kelamin, usia gestasi, berat lahir, usia ibu, dan jenis persalinan. (2) Mengetahui angka kejadian sepsis neonatorum pada bayi prematur yang mendapat dan tidak mendapat oral care. (3) Mengetahui hubungan antara pemberian oral care dengan kejadian sepsis neonatorum pada bayi prematur.

Metode penelitian. Sebuah studi cross-sectional dilakukan pada populasi bayi prematur yang lahir di RSCM pada tahun 2015-2017. Sebanyak 42 sampel yang dipilih secara simple random sampling. Pengambilan data dilakukan pada bulan Januari hingga Agustus 2018 dengan melihat rekam medis subjek penelitian yang dilanjutkan dengan analisis bivariat.

Hasil penelitian. Jumlah total subjek yang memenuhi kriteria inklusi dan eksklusi pada penelitian ini adalah 42 bayi prematur. Karakteristik penelitian ini adalah jenis kelamin laki-laki sebesar 52,4%, rerata usia gestasi 33 (24-36) minggu, rerata berat lahir 1569,24±493,3 gram, rerata usia ibu 30,5238±6,67 tahun, dan jenis persalinan sectio caesaria sebesar 85,7%. Didapatkan hubungan bermakna antara pemberian oral care dengan kejadian sepsis neonatorum (P=0,030 ; RR=0,533 ; IK 95%=0,290-0,980). Didapatkan hubungan bermakna antara usia gestasi dengan kejadian sepsis neonatorum pada subjek yang mendapat oral care (UG: 32-37 minggu = 91,7% subjek tidak sepsis ; P=0,003), serta hubungan bermakna antara berat lahir dengan kejadian sepsis neonatorum pada subjek yang mendapat oral care (BL: 1500-2499 gram = 100% subjek tidak sepsis ; P=0,002).

Kesimpulan. Terdapat hubungan yang signifikan antara pemberian oral care dengan kejadian sepsis neonatorum pada bayi prematur di RSCM, terdapat penurunan kemungkinan terkena sepsis neonatorum sebesar 0,533 kali lipat.

Introduction. Globally, it is estimated that there are 15 million premature infants born every year. Indonesia ranks fifth in the incidence of prematurity worldwide. One of the major complications of premature infants is neonatal sepsis. Neonatal sepsis is a systemic inflammatory response on infants caused by infections acquired vertically and enviromentally. Sepsis has a wide range of clinical findings, therefore it is hard to diagnose precisely. Therefore, profilactic measures to prevent neonatal sepsis is needed, and oral care rises as one of the solution. The understanding in regards of efficacy and safety of oral care is needed in order to be able to optimally utilize this procedure.
Objectives. (1) To determine the subject characteristic based on gender, gestational age, birth weight, maternal age, and mode of delivery. (2) To determine the incidence of neonatal sepsis in premature infants with or without the administration of oral care. (3) To determine the association between oral care administration and the incidence of neonatal sepsis in premature infants.
Methods. A cross-sectional study is done to premature infants born in RSCM in 2015-2017. 42 samples are chosen by simple random sampling. Data is collected from January to August 2018 by observing the medical records of the subject, and then continued to be analyzed using bivariate analysis.
Results. There are 42 subjects that met the inclusion and exclusion criteria. The characteristics of this study are, 52,4% subject is male, mean gestational age is 33 (24-36) weeks, mean birth weight is 1569,24±493,3 gram, mean maternal age is 30,5238±6,67 years, and 85,7% subject delivered by sectio caesaria mode. There is a significant association between oral care administration and the incidence of neonatal sepsis (P=0,030 ; RR=0,533 ; CI 95%=0,290-0,980). There is a significant association between gestational age and the incidence of neonatal sepsis in subjects receiving oral care (GA: 32-37 weeks = 91,7% subjects without neonatal sepsis ; P = 0,003), and a significant association between birth weight and the incidence of neonatal sepsis in subjects receiving oral care (BW: 1500-2499 gram = 100% subjects without neonatal sepsis ; P = 0,002).
Conclusion. There is a significant association between oral care administration and the incidence of neonatal sepsis in premature infants in RSCM, with the reduction of probability of the incidence of neonatal sepsis as much as 0,533 times higher."

Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018

S-Pdf

UI - Skripsi Membership Universitas Indonesia Library

Riri Prima Yolanda

Uji kesahihan dan keandalan neonatal oral-motor assessment scale (nomas) sebagai alat ukur oromotor skill pada neonatus prematur = Validity and reliability test of neonatal oral motor assessment scale (nomas) as oromotor skill measurement in premature neonates

"[ABSTRAK

Latar Belakang: Ketrampilan menghisap dan koordinasi antara menghisap, menelan dan bernafas belum adekuat belum adekuat pada neonatur prematur. Neonatal Oral-Motor Assessment Scale (NOMAS) adalah alat ukur yang telah sahih dan andal dalam menilai oromotor skill pada neonatus prematur. Penelitian ini ingin menguji validitas isi dan reliabilitas interrater dan test-retest yang diterjemahkan kedalam bahasa Indonesia yang belum pernah dilakukan sebelumnya.

Metode : Desain penelitian ini adalah uji validasi, terdiri dari 16 subjek yang diambil berdasarkan kriteria penerimaan; neonatus prematur, kondisi umum stabil dan diizinkan oleh orang tua dengan mengisi informed consent. Data berupa video saat menyusu diawali dari saat pertama bertemu peneliti hingga usia koreksi 40 minggu. Oromotor skill dinilai dengan NOMAS yang telah diterjemahkan ke bahasa Indonesia. Validitas isi dilakukan dengan proses non-statistik; keandalan intrarater dinilai dengan uji Cohen?s Kappa dan Inter Class Correlation, keandalan interrater dengan uji Cronbach Alpha dan Inter Class Correlation.

Hasil : Dari 16 neonatus didapatkan usia gestasi 32-35 minggu dan BBLR 93,75%. Secara isi NOMAS berbahasa Indonesia telah dinyatakan sesuai dengan NOMAS berbahasa Inggris. Keandalan intrarater bernilai baik hingga sempurna (K= 0,6-1,00 dan ICC= 0,4-1,00). Uji keandalan interrater bernilai rendah hingga hampir sempurna (Cronbach?s Alpha = 0,18-0,84 dan ICC= 0,05- 0,80).

Kesimpulan : NOMAS berbahasa Indonesia mempunyai validitas isi dan reliabilitas yang baik untuk digunakan sebagai alat ukur oromotor skill pada neonatus prematur. Sebaiknya mengikuti pelatihan NOMAS agar lebih mengusai penggunaan alat ukur ini.

ABSTRACT

Background : Sucking skills and the coordination between sucking, swallowing and breathing are inadequate on premature neonates. Neonatal Oral-Motor Assessment Scale (NOMAS) is a measuring instrument that is both valid and reliable in assessing oromotor skills in premature neonates. The study aims to test the content validity and interrater reliability and test-retest reliability of NOMAS translated to Bahasa Indonesia which has never been done before.

Methods : This study is a validation test, consisting of 16 subjects who were taken using the inclusion criteria; premature neonates, in stable general condition and allowed by their parents to participate in the study by filling out an informed consent. Data was collected in the form of a video taken during feeding, starting from the first meeting with the researcher until 40 weeks corrected age. Oromotor skills was assessed using NOMAS which has been translated into Bahasa Indonesia. Content validity was performed using non-statistical process; intrarater reliability was assessed using Cohen's Kappa test and Inter Class Correlation, and interrater reliability using Cronbach Alpha test and Inter Class Correlation.

Results : Of the 16 neonates, a mean gestation age of 32-35 weeks and low birth weight incidence of 93.75% was found. The content of NOMAS in Bahasa Indonesia has been declared in accordance with NOMAS in English. Intrarater reliability was good to perfect (K= 0,6-1,00 and ICC= 0,4-1,00). Interrater reliability was low to almost perfect (Cronbach?s Alpha = 0,18-0,84 and ICC= 0,05- 0,80)

Conclusion : NOMAS in Bahasa Indoensia has good content validity and reliability and can be used as a measuring tool for oromotor skills in premature neonates. NOMAS training is adviced to master the use of this measure., Background : Sucking skills and the coordination between sucking, swallowing and breathing are inadequate on premature neonates. Neonatal Oral-Motor Assessment Scale (NOMAS) is a measuring instrument that is both valid and reliable in assessing oromotor skills in premature neonates. The study aims to test the content validity and interrater reliability and test-retest reliability of NOMAS translated to Bahasa Indonesia which has never been done before.

2014

T-Pdf

UI - Tesis Membership Universitas Indonesia Library

<< 1 2 3 4 5 6 7 8 9 10 >>

Hasil Pencarian :: Simpan CSV :: Kembali

Hasil Pencarian