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"Latar belakang : Penelitian ini bertujuan untuk mengetahui keefektifan pemberian cairan Ringer laktat dan cairan Ringer asetat dalam mencegah hipotermia dan menggigil yang terjadi pada wanita hamil yang menjalani operasi sesar dengan analgesia spinal.Metode : Seratus tiga puluh empat pasien yang menjalani operasi sesar menggunakan analgesia spinal di Instalasi Gawat Darurat Rumah Sakit Umum Pusat Cipto Mangunkusumo, diberikan cairan Ringer laktat dan cairan Ringer asetat. Perubahan suhu membran timpani, perubahan suhu perifer dan kekerapan serta derajat menggigil dinilai sampai 50 menit setelah operasi dimulai.Hasil : Didapatkan perbedaan bermakna (p=0,003) antara penurunan suhu membran timpani di antara kedua kelompok, kelompok yang mendapatkan cairan Ringer asetat mengalami penurunan suhu sebesar 0,730°C, sementara kelompok yang mendapatkan cairan Ringer laktat mengalami penurunan suhu sebesar 1,013°C. Perubahan suhu perifer diantara kedua kelompok juga berbeda bermakna (p=0,005), kelompok yang mendapatkan cairan Ringer asetat mengalami penurunan suhu perifer 0,724°C, sementara kelompok yang mendapat cairan Ringer laktat mengalami penurunan 0,964°C. Kejadian menggigil diantara kedua kelompok berbeda berakna (p=0,012), kejadian menggigil kelompok Ringer asetat 52,23% sementara kelompok Ringer laktat 74,62%. Tidak terdapat perbedaan bermakna derajat meggigil diantara kedua kelompok.Kesimpulan : Bahwa pemberian cairan Ringer asetat lebih efektif mencegah hipotermia dan menggigil pada pasien yang menjalani operasi sesar dengan analgesia spinal

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Background: The aim of this study is to determine the efficacy of lactated Ringer and acetated Ringer solutions in preventing hypothermia and shivering to parturitions women undergoing caesarean section using spinal analgesia.

Methods: One hundred thirty four parturitions women undergoing caesarean sections using spinal analgesia in emergency operating theatre of Cipto Mangunkusumo Hospital were included in this study. Those parturitions women were divided into two groups. One group received lactated Ringer solution and the other received acetated Ringer solution intravenously as maintenance and co-loading fluid. Tympanic membrane temperature and skin temperature were recorded every five minute within 50 minute interval.

Results: There was significant difference (p=0,003) between two groups in tympanic membrane temperature decrease. Acetated Ringer group had 0,730°C decrease in tympanic membrane temperature, while the lactated Ringer group had 1,013°C decrease. There was significant difference (p=0,005) between two groups in skin temperature. Acetated Ringer group had 0,724°C decrease in skin temperature, while the lactated Ringer group had 0,964°C decrease. Shivering incidence also show significant difference (p=0,412). Acetated Ringer group had 52,23% incidence while lactated Ringer group had 74,62%. There were no significant differences in shivering grade between two groups.

Conclusions: Acetated Ringer solution had greater efficacy in preventing hypothermia and shivering in parturitions women undergoing caesarean section using spinal analgesia."

"[Latar Belakang : Iskemia yang terjadi pada lokasi di tubuh mengakibatkan cedera otot reversible sampai ireversibel. Tindakan reperfusi ternyata dapat memperburuk keadaan yang disebabkan oleh kondisi iskemik. Beberapa penelitian terdahulu mencoba mencari teknik proteksi untuk mengurangi efek iskemik reperfusi diantaranya teknik iskemik prekondisi dan teknik hipotermi.Metode : Dilakukan penelitian eksperimental pada kelinci New Zealand White (n=18) dengan satu kelompok kontrol (iskemia) dan dua kelompok perlakuan (preconditioning dan hipotermia). Dilakukan ligasi a. iliaka komunis selama 4 jam, hipotermia sedang (28oC), dan iskemik prekondisi pada masing-masing kelompok. Kemudian kelinci dibiarkan hidup selama 8 jam. Sampel jaringan otot femoralis di ambil untuk pemeriksaan derajat kerusakan otot secara histopatologi.Hasil : Terdapat penurunan secara histopatologi derajat kerusakan otot yang di berikan perlakuan IPC dan perlakuan Hipotermi terhadap kelompok control. Analisis statistik tampak perbedaan bermakna pada sebagian parameter.Kesimpulan : Iskemik Prekondisi dan Hipotermi memberikan efek protektif pada otot dari akibat iskemik reperfusi tungkai bawah akut.;Introduction.Ischemia in certain location in the body could give muscle injury with certain severity from reversible to irreversible. Reperfusion turns out to give more injury than ischemic alone. Previous research try to find the best protective technic to reduce I/R injury including ischemic precondition and hypothermia technic.Method. This prospective, randomized, controlled, experimental animal study was performed in a university-based animal research facility with 18 New Zealand White Rabbit. The rabbits were randomized (n=6 per group) into three groups: I/R group (4 hours of hind limb ischemia and 8 hours of reperfusion), IPC group (three cycles of 5 minutes of ischemia/5 minutes of reperfusion immediately preceding I/R), and hypothermia ( 28oC) together with 4 hours of hind limb ischemia and 8 hours of reperfusion. Muscle tissue were examined based for their histopathological changes.Result.The histopathologic muscle damage score is decreased both in ischemic precondition group and hypothermia group.Although both groups show improvement in histological finding, this finding was statistically significant in few parametersConclusion. Ischemic preconditioning and hypothermia have shown protective effect for muscle from ischemic reperfusion injury induced by lower limb ischemia., Introduction.Ischemia in certain location in the body could give muscle injury with certain severity from reversible to irreversible. Reperfusion turns out to give more injury than ischemic alone. Previous research try to find the best protective technic to reduce I/R injury including ischemic precondition and hypothermia technic.Method. This prospective, randomized, controlled, experimental animal study was performed in a university-based animal research facility with 18 New Zealand White Rabbit. The rabbits were randomized (n=6 per group) into three groups: I/R group (4 hours of hind limb ischemia and 8 hours of reperfusion), IPC group (three cycles of 5 minutes of ischemia/5 minutes of reperfusion immediately preceding I/R), and hypothermia ( 28oC) together with 4 hours of hind limb ischemia and 8 hours of reperfusion. Muscle tissue were examined based for their histopathological changes.Result.The histopathologic muscle damage score is decreased both in ischemic precondition group and hypothermia group.Although both groups show improvement in histological finding, this finding was statistically significant in few parametersConclusion. Ischemic preconditioning and hypothermia have shown protective effect for muscle from ischemic reperfusion injury induced by lower limb ischemia.]"

"Introduksi: Iskemia yang terjadi di suatu lokasi di tubuh mengakibatkan kerusakan pada lokasi yang berjauhan; kondisi ini dikenal dengan sebutan cedera reperfusi. Vili intestinal merupakan satu target organ terjadinya kerusakan pada cedera reperfusi dan menjadi motor kegagalan multi organ sistemik. Hipotermia yang ditakuti pada syok justru menunjukkan keuntungan karena bersifat proteksi terjadinya kerusakan vili. Penelitian ini bertujuan membandingkan efek protektif hipotermia dan pre-conditioning pada iskemia.Metode. Dilakukan penelitian eksperimental pada kelinci New Zealand White (n=18) dengan satu kelompok kontrol (iskemia) dan dua kelompok perlakuan (hipotermia dan pre-conditioning). Dilakukan ligasi a. iliaca communis selama 4 jam, hipotermia sedang (28°C), dan iskemia pre-conditioning pada masing-masing kelompok. Kemudian kelinci dibiarkan hidup selama 8 jam. Setelah dekapitasi, diambil sampel ileum untuk pemeriksaan histopatologi.Hasil: Dari 18 kelinci eksperimental, 1 mengalami drop out karena infeksi. Dilakukan skoring kerusakan vili intestinal berdasarkan kriteria Pusponegoro yang dimodifikasi dengan nilai minimal 4 dan maksimum 12. Kelompok perlakuan pre-conditioning mengalami kerusakan paling minim (= 6,2 ) diikuti kelompok hipotermia (= 7,1).Konklusi: Pre-conditioning menunjukkan kerusakan paling minim; dengan kata lain memberi efek proteksi lebih baik dibandingkan dengan kelompok lainnya.

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Introduction: Ischemia occurring in a location in the body results in damage to distant locations; this condition is known as reperfusion injury. Intestinal vilia is a target organ of the occurrence of damage to reperfusion injury and a motor failure of multi-organ systemic. The dreaded hypothermia in shock actually shows an advantage because it protects the occurrence of villous damage. This study aimed to compare the protective effect of hypothermia and pre conditioning on ischemia.

Methods: Experimental studies were conducted on New Zealand White rabbit (n = 18) with one control group (ischemia) and two treatment groups (hypothermia and pre-blocking). Conducted ligation a. iliaca communist for 4 hours, moderate hypothermia (28°C), and preconditioning ischemia in each group. Then the rabbit is left alive for 8 hours. After decapitation, ileum samples were taken for histopathologic examination.

Results: Of the 18 experimental rabbits, 1 had dropped out due to infection. Scores of villus intestinal damage were performed based on modified Pusponegoro criteria with a minimum score of 4 and a maximum of 2. The pre-treatment group experienced the least damage (=6.2) followed by the hypothermia group (=7,1).

Conclusion: Pre conditioning shows the least damage; in other words gives a better protective effect compared to other groups."

"Dalam proses produksinya, PT. Pupuk Kujang mendirikan Central Control Building sebagai pusat pengawasan proses produksi Kujang 1B. Dengan menggunakan sistem peralatan canggih dengan nama Distribution Control System (DCS) maka diperlukan kondisi ruang kerja yang khusus, yaitu harus berada dalam suhu ruangan 18°C. Keadaan itu mengakibatkan pekerja terpajan suhu dingin selama jam kerjanya. Suhu tersebut merupakan suhu yang berada di bawah nilai suhu nyaman. Hal ini mengakibatkan pekerja merasa terganggu oleh dingin tersebut yang pada akhirnya dapat berpengaruh negatif bagi kesehatan pekerja.Penelitian ini membahas tentang gambaran pajanan suhu dingin terhadap kejadian hipotermia pada pekerja operator DCS di ruang kontrol Gedung CCB Kujang 1B PT. Pupuk Kujang Cikampek tahun 2009. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan disain cross-sectional.Hasil penelitian menunjukkan bahwa suhu control room Gedung CCB Kujang 1B berada di bawah nilai ambang batas (NAB) suhu nyaman (21?30°C) berdasarkan Surat Edaran Menteri Tenaga kerja dan Transmigrasi Nomor SE.01/MEN/1978. Namun, nilai Indeks Suhu Bola Basah (ISBB) control room tersebut masih berada dalam batas yang diperkenankan menurut Keputusan Menteri Tenaga Kerja No: Kep- 51/Men/1999.Penelitian ini juga tidak menemukan adanya kasus hipotermia pada pekerja operator DCS, karena penurunan suhu tubuh yang terjadi masih berada di batas suhu normal. Berdasarkan hasil tersebut, peneliti menyarankan agar dilakukan pengendalian engineering berupa pengaturan ulang suhu control room hingga mencapai suhu nyaman yang diperkenankan (21°C) atau pemasangan pembatas yang memisahkan antara pekerja dengan sumber pendingin (air conditioner - AC) serta memperbaiki fasilitas alat pelindung diri seperti jaket, sarung tangan dan penutup kepala. Memperbanyak aktivitas fisik saat bekerja serta lebih sering menyempatkan minum dan makan juga disarankan agar panas tubuh tidak hilang.

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In the process of production, PT. Pupuk Kujang establish Central Control Building as the central control of the production process Kujang 1B. By using the system with the sophisticated equipment Distribution Control System (DCS) is required then the condition that a special work space, must be in the room temperature 18°C. Circumstances that result in workers expose to cold temperatures during work hours. That temperature is below the temperature comfortable. This resulted in the workers feel disturbed by the cold, which in turn can negatively affect the health of workers.

This study discusses illustration exposure to cold temperature incident hypothermia service workers on the DCS control room in Building CCB Kujang 1B PT. Pupuk Kujang Cikampek 2009. This research is descriptive quantitative research with cross-sectional design.

Results of research indicate that the temperature control room building CCB Kujang 1B under the threshold limit value (TLV) temperature comfortable (21-30°C) based on the Circular Letter of the Minister of Manpower and Transmigration No. SE.01/MEN/1978. However, the value of Wet Bulb Globe Temperature (WBGT) control room is still in the limit permitted by the Minister of Manpower Decree No: Kep-51/Men/1999.

This study also did not find any cases hypothermia on the DCS operator workers, because a decrease in body temperature that°Ccurred was in the normal temperature limits. Based on the results, the researchers suggested that the form of engineering control be reset control room temperature to reach a comfortable temperature allowed (21°C) or the barrier that separates between the workers, the source cooling (air conditioner) equipment and improve facilities such as selfprotective jacket, gloves and headgear. Increase physical activity at work and more often to eat and drink also suggested that body heat is not lost."

"ABSTRAKHipotermia adalah keadaan suhu inti tubuh dibawah 36 C. Kejadian Hipotermia sering muncul pada pasien post operasi. Hipotermia post operasi yang berkepanjangan dapat menyebabkan kegagalan jantung dan sistem pernapasan, dan bahkan kematian. Penelitian ini bertujuan untuk menganalisa efektifitas penggunaan warmed IV line dan selimut terhadap peningkatan suhu pada pasien hipotermia post operasi. Penelitian ini merupakan deskriptif analitik dengan metode quasi experiment yang melibatkan 34 responden. Hasil penelitian ini menunjukan ada efektifitas penggunaan warmed IV line dan selimut terhadap peningkatan suhu pada pasien hipotermia post operasi p-velue = 0,011 . Hasil penelitian ini akan menjadi salah satu rekomendasi intervensi dalam upaya peningkatan suhu pasien hipotermia post operasi.

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ABSTRACTHypothermia is a condition where the body rsquo s core temperature is below 36 oC. Hypothermia often appears in post operation patients. Prolonged post operation hypothermia can lead to heart failure and respiratory system, and even death. The purpose of this research is to analyze the effectiveness of the use of warmed IV line and blankets on increase temperature in post operation hypothermia patients. This research is an analytical descriptive with quasi experiment method that involved 34 respondents. The results of this research indicated if there was effectiveness of the use of warmed IV line and blankets on increase temperature in post operation hypothermia patients p velue 0,011 . The results of this research will be one of the recommendations of intervention in an effort to increase the temperature of post operation hypothermia patients."

"Latar belakang: Hipotermia merupakan penyebab utama morbiditas dan mortalitas pada bayi, terutama pada bayi prematur dan atau dengan berat lahir kurang. Membungkus bayi menggunakan plastik terbukti mengurangi hipotermia. Saat ini terdapat Neohelp suatu plastik dengan desain baru yang diharapkan lebih efektif mencegah hipotermia. Tujuan: Mengetahui angka kejadian hipotermia bayi baru lahir dan waktu yang dibutuhkan untuk mencapai normotermia pada resusitasi bayi prematur menggunakan plastik polietilen lembaran dibandingkan dengan plastik Neohelp, serta mengetahui faktor risiko dan komplikasi hipotermia. Metode: Dilakukan randomized controlled trial pada 48 bayi baru lahir usia gestasi ≤ 32 minggu, pada 5 rumah sakit. Faktor lingkungan berupa suhu ruangan, kelembaban, waktu transport dari ruang bersalin ke ruang perawatan serta penggunaan 2 macam plastik untuk mencegah hipotermia, dianalisis secara bivariate menggunakan Uji Chi-square, Fisher exact, t-test dan Man-Whitney test. Hasil: Didapatkan nilai angka hampir sama antara kelompok plastik poietilen lembaran dibanding Neohelp untuk mencapai normotermi di ruang bersalin (4,5 menit vs 5 menit), serta rerata suhu tubuh ketika tiba di ruang perawatan (35,6⁰C vs 35,4⁰C). Suhu dan kelembaban ruangan, waktu tempuh dari ruang bersalin ke ruang perawatan, dan 2 jenis plastik tidak terbukti merupakan faktor risiko terjadinya hipotermia. Kesimpulan: Plastik Neohelp tidak terbukti lebih unggul dibanding polietilen lembaran dalam mencegah hipotermia. Peranan petugas kesehatan sangat besar dalam mencegah hipotermia, apapun jenis plastik yang digunakan.

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Background: Hypothermia is one of the primary causes of morbidity and mortality in newborn period, particularly preterm and low birth weight babies. Prevention of hypothermia by wrapping newborns with plastic sheets has been proven helpful. Neohelp is a specially designed plastic wrap for neonates to prevent hypothermia. Aim: We aimed to determine the prevalence of hypothermia of the newborn and time to reach normothermia on preterm newborn resuscitation using polyethylene plastic sheet compared to Neohelp. We also aimed to determine the risk factors and complications of hypothermia following the resuscitation. Method: This is a randomized control trial of 48 newborn ≤ 32 weeks age of gestation in 5 hospitals. The environmental factors assessed were room temperature, humidity, time of travel from delivery room to the care unit and the use of two types of plastic wrap to prevent hypothermia. All of the variables were analyzed using Chi-square, Fischer exact, t-test, and Mann-Whitney. Result: We found only slight difference between polyethylene plastic sheet and Neohelp to reach normothermia in delivery room (4.5 minutes vs 5 minutes). Average temperature on arrival in care unit was not also not significantly different (35.6 centigrade vs 35.4 centigrade). Room temperature, humidity, time of travel from delivery room to care unit, and the type of plastic wrap used were not proven as risk factors of hypothermia. Conclusion: Neohelp was not proven to be superior to polyethylene sheet in preventing hypothermia. Skill of the healthcare personnel has been the biggest role in preventing hypothermia, regardless of the type of plastic used."

"Latar Belakang: Hipotermia pascabedah seringkali terjadi pada pasien geriatri karena adanya penurunan fisiologi tubuh. Hipotermia pada pasien geriatri dapat berhubungan dengan peningkatan risiko morbiditas dan mortalitas, lama rawat inap serta komplikasi pasca pembedahan yang lebih tinggi. Lingkungan kamar bedah di Indonesia, keterampilan operator dan ketersediaan obat anestesia berbeda dengan negara lain. Penelitian ini bertujuan untuk menganalisis hubungan antara jenis anestesia, jenis operasi, dan durasi operasi terhadap hipotermia pascabedah pada pasien geriatri di RSUPN dr. Cipto Mangunkusumo.Metode: Penelitian ini menggunakan desain studi cross sectional analitik retrospektif terhadap 95 pasien geriatri yang menjalani pembedahan dengan anestesia umum dan kombinasi anestesi umum regional di RSUPN dr. Cipto Mangunkusumo pada bulan November 2018 Januari 2019. Kriteria inklusi adalah pasien dengan usia lebih dari sama dengan 60 tahun dan menjalani prosedur bedah elektif. Kriteria eksklusi adalah pasien yang rekam medisnya tidak lengkap dan menjalani pembedahan dengan durasi kurang dari satu jam.Hasil: Pada penelitian ini didapatkan prevalensi hipotermia pascabedah sebesar 63.15%. Hasil uji Fisher antara jenis anestesia dengan hipotermia pascabedah pada pasien geriatri menghasilkan nilai p sebesar 0.529. Hasil uji Chi Square antara jenis operasi dengan hipotermia pascabedah pada pasien geriatri menghasilkan nilai p sebesar 0.677. Hasil uji Chi Square antara durasi operasi dengan hipotermia pascabedah pada pasien geriatri menghasilkan nilai p sebesar 0.495.Kesimpulan: Jenis anestesia, jenis operasi, dan durasi operasi tidak memiliki hubungan yang bermakna dengan hipotermia pascabedah pada pasien geriatri.

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Background: Postoperative hypothermia occurs in geriatric patients as their physiological functions have decreased. Hypothermia in geriatric patients can be associated with an increased risk of morbidity and mortality, length of stay and higher post surgical complications. The operating room environment in Indonesia, operator skills and supply of anesthetic drugs are different from other countries. The objective of this study was to analyze the relationship between types of anesthesia, types of surgery, and duration of surgery with post surgery hypothermia in geriatric patients at RSUPN dr. Cipto Mangunkusumo.Methods: This was a retrospective analytic cross sectional study for 95 geriatric patients undergoing surgery under general anesthesia and a combination of general regional anesthesia at RSUPN dr. Cipto Mangunkusumo in November 2018 January 2019. The inclusion criteria was patients older than 60 years old and undergoing elective surgical procedures. Exclusion criteria was patients whose medical records were incomplete and undergoing surgery with a duration of less than an hour.Results: It was found that the prevalence of postoperative hypothermia was 63.5%. Fishers test results between types of anesthesia with postoperative hypothermia in geriatric patients resulted in P value of 0.529. Chi Square test results between types of surgery with postoperative hypothermia in geriatric patients resulted in P value of 0.677. Chi Square test results between the duration of surgery with postoperative hypothermia in geriatric patients resulted in P value of 0.495.Conclusion: The types of anesthesia, types of surgery, and duration of surgery did not have a significant association with postoperative hypothermia in geriatric patients."

"Latar Belakang: Hipotermia pasca bedah merupakan kejadian yang umum terjadi pada pasien pascabedah, khususnya geriatri yaitu sebesar 70%. Hipotermia memiliki dampak serius, antara lain gangguan koagulasi dan perdarahan, gangguan metabolisme obat, infeksi, iskemia miokardial, aritmia, hospitalisasi lama, dan peningkatan morbiditas serta mortalitas pascabedah. Di Indonesia, khususnya di RSUPN dr. Cipto Mangunkusumo memiliki karakteristik distribusi status fisik preoperasi, jumlah pemberian cairan, dan indeks massa tubuh yang berbeda dari negara lain.Tujuan: Studi ini dilakukan untuk menganalisa hubungan status fisik preoperasi, jumlah pemberian cairan kristaloid intraoperasi, dan indeks massa tubuh terhadap hipotermia pascabedah pada pasien geriatri.Metode: Penelitian menggunakan metode potong-lintang dengan uji observasional terhadap 108 subjek penelitian dari rekam medis sejak November 2018-Januari 2019. Subjek penelitian adalah pasien geriatri yang telah menjalani pembedahan dalam anestesi umum dengan/tanpa anestesi regional dan dirawat di RSUPN dr. Cipto Mangunkusumo. Kriteria eksklusi yaitu pasien tidak memiliki catatan rekam medis lengkap, meninggal pada saat operasi atau saat tiba di rumah sakit, dan sudah mengalami hipotermia sebelum pembedahan.Hasil: Pada penelitian ini didapatkan proporsi hipotermia pascabedah pada pasien geriatri adalah 67,6%. Hasil penelitian antara hipotermia pascabedah dengan status fisik preoperasi, jumlah pemberian cairan kristaloid intraoperasi, dan indeks massa tubuh pada pasien geriatri yaitu nilai p = 0,997, p = 0,310, p = 0,413.Kesimpulan: Hipotermia pascabedah pada pasien geriatri tidak memiliki hubungan yang bermakna dengan status fisik preoperasi, jumlah pemberian cairan kristaloid intraoperasi, dan indeks massa tubuh pada pasien geriatri.

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Background: Postoperative hypothermia is commonly found in postoperative patients, especially in geriatrics, which is 70%. Hypothermia also has serious effects, including coagulation and bleeding disorders, drug metabolism disorders, infections, myocardial ischemia, arrhythmias, prolonged hospitalization, and increased postoperative morbidity and mortality. In Indonesia, especially in Centre Cipto Mangunkusumo Hospital subjects characteristics, the distribution of preoperative physical status, amount of fluid administration, and body mass index are different from other countries.

Objective: This study was conducted to analyze the association between preoperative physical status, the amount of intraoperative crystalloid fluid administration, and body mass index for postoperative hypothermia in geriatric patients.

Methods: This was a cross-sectional observational study which included 108 research subjects and obtained from the medical records since November 2018-January 2019. Subjects were geriatric patients who under going surgery with general anesthesia with/without regional anesthesia in Centre dr. Cipto Mangunkusumo Hospital. Exclusion criteria were patient who did not have a complete medical record, died during surgery or when arrived at the hospital, and had history of hypothermia before surgery.

Results: In this study, the incidence of postoperative hypothermia among geriatric patients was 67.6%. The results of the study between postoperative hypothermia with preoperative physical status, the amount of intraoperative crystalloid fluid administration, and body mass index in geriatric patients were p = 0.997, p = 0.310, p = 0.413.

Conclusion: Postoperative hypothermia in geriatric patients did not have significant association with preoperative physical status, amount of intraoperative crystalloid fluid administration, and body mass index in geriatric patients."

"Bayi baru lahir post SC sangat rentan mengalami hipotermia, bagaimana upaya untuk mencegah dan mengatasinya merupakan tanggung jawab perawat dan tim memberikan asuhan keperawatan yang tepat. Tujuan karya ilmiah ini adalah untuk menganalisis optimalisasi asuhan keperawatam pada bayi baru lahir Post SC dengan pendekatan Teori Konservasi Levine. Metode karya ilmiah ini adalah studi kasus. Terdapat tiga kasus Bayi Post SC di ruang Perinatologi yang diberikan asuhan keperawatan dengan pendekatan Teori Konservasi Levine. Aplikasi Teori Konservasi Levine dengan memperhatikan Konservasi energi dan tiga konteks Integritas yaitu Integritas Struktural, Integritas Personal dan Integritas Sosial. Intevensi keperawatan yang dilakukan berdasarkan evidence based nursing yaitu rantai hangat dan manajemen suhu tubuh. Edukasi kepada perawat baru dengan menggunakan video dan lembar checklist persiapan SC, didapati efektif meningkatkan pengetahuan perawat untuk dapat mempersiapkan diri dan alat untuk pelaksanaan SC dengan tepat dan baik sesuai standard pada lembar cheklist yang ada.

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Post SC newborns are very susceptible to hypothermia. Nurse and other clinicians are responsible to prevent hypothermia particularly in the first period of newborn life. The aim of this study is to analyze how to improve nursing care for Post SC newborns using concept of Levine's Conservation Theory. This study using a case study method. Respondents were three cases of Post SC neonatal in the Perinatology room were given nursing care with Levine's Conservation Theory concept. Application of Levine's Conservation Theory by recognizing to energy conservation and the three contexts of Integrity, that are Structural Integrity, Personal Integrity and Social Integrity. Nursing interventions based on evidence based nursing are warm chains and body thermal management. Education for new nurses using videos and SC preparation checklist sheets are effectived to improve the knowledge of nurses for preparing themselves and tools to appropriate a good SC implementation."

"Bayi Berat Lahir Rendah (BBLR) berisiko tinggi mengalami hipotermia. Perawatan Metode Kanguru (PMK) merupakan metode yang aman, murah, dan efektif untuk mengatasi masalah tersebut. Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi PMK pada ibu BBLR di rumah sakit terhadap motivasi dan pelaksanaan PMK di rumah. Desain penelitian yang digunakan adalah quasi eksperimental dengan sampel sebanyak 32 ibu BBLR yang dipilih dengan teknik consecutive sampling. Analisis data menggunakan Chi-square menunjukkan bahwa tidak ada perbedaan motivasi antara kedua kelompok (nilai p=1,00), tetapi pada pelaksanaan PMK di rumah terdapat perbedaan yang signifikan antara kedua kelompok (nilai p=0,001). Pemberian video edukasi, diskusi, dan praktik langsung di rumah sakit direkomendasikan untuk meningkatkan kesehatan bayi berat badan lahir rendah.

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Low birthweight (LBW) infants are at higher risk of developing hypothermia. Kangaroo Mother Care (KMC) is a safe, low-cost, and effective method to solve the problem. The aim of this study is to examine the effect of KMC education in motivating LBW infant?s mothers in hospital and to monitor the implementation of KMC at home. The study used quasy-experimental design including 32 LBW infant?s mothers, selected based on consecutive technique sampling. Data analysis using Chi square shows that there is no difference in mother?s motivation between the groups (p-value =1,00), but significant different occurs between the groups in practicing KMC at home (p-value=0,001). KMC education through educating video, discussion, and practice at hospital setting can be used as a recommendation to improve LBW infant care."