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"Tugas remaja yang belum tuntas tetapi sudah harus menjadi ibu, menjadikan remaja memiliki self efficacy yang rendah dalam merawat bayinya. Tujuan penelitian ini adalah untuk mengidentifikasi maternal self efficacy remaja dan faktor-faktor yang mempengaruhi. Penelitian cross sectional ini menggunakan tehnik consecutive sampling dengan 143 responden ibu remaja yang tinggal di Wilayah Kota Bogor. Penelitian ini menggunakan kuesioner modifikasi yang sudah diterjemahkan antara lain: Maternal Attitude Scale (MAS), Infant Characteristic Questionnaire (ICQ) dan Maternal Efficacy Questionnaire (MEQ). Hasil penelitian menunjukkan rerata maternal self efficacy remaja adalah rendah (64,3%). Faktor yang berhubungan dalam penelitian antara lain usia ibu, sikap ibu, dukungan keluarga dan temperamen. Hasil uji regresi logistik menunjukkan temperamen bayi merupakan faktor yang paling mempengaruhi. Diperlukan pendampingan pada ibu remaja selama periode perinatal untuk mencegah adanya permasalahan lebih lanjut.

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Adolescents who have not completed their tasks but must become a mother, makes teenagers have low self-efficacy in taking care of their baby. The purpose of this study was to identify the adolescents? maternal self-efficacy and the influencing factors. This cross-sectional research used a consecutive sampling technique with 143 respondents of teenage mothers who live in Bogor City. This study used modified questionnaires which had been translated, including: Maternal Attitude Scale (MAS), Infant Characteristic Questionnaire (ICQ) and Maternal Efficacy Questionnaire (MEQ).

The results showed that the average of adolescents? maternal self-efficacy was low (64.3%). The influencing factors in this research included the maternal age, the maternal attitude, the family support and the baby's temperament. The result of logistic regression showed that the baby's temperament was the most influencing factor. It is necessary to accompany the teenage mothers during the perinatal period to prevent the further problems."

"Kejadian selama persalinan dapat mempengaruhi keadaan fisik dan psikologis ibu dan bayi sehingga mempengaruhi motivasi ibu untuk merawat bayinya. Tujuan penelitian ini untuk mengetahui hubungan kejadian penyulit persalinan dengan motivasi ibu merawat bayinya. Penelitian dilakukan di RSU Kota Tasikmalaya dan RSU Ciamis menggunakan rancangan cross sectional, pengambilan sampel menggunakan non probability sampling dengan pendekatan quota sampling sebanyak 80 responden. Hasil penelitian menunjukkan ada hubungan antara masalah panggul sempit dengan motivasi ibu merawat bayinya (p=0,047), tidak ada hubungan masalah kontraksi dengan motivasi ibu merawat bayinya (p=1,000), tidak ada hubungan masalah janin dan plasenta dengan motivasi ibu merawat bayinya (0,191). Perawat maternitas diharapkan memberikan perawatan extra kepada ibu yang mengalami penyulit persalinan dan penurunan motivasi dalam merawat bayinya.

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The complication occur during the childbirth could influence the physical and psychological conditions of the mother and baby so that it could affect the mother´s motivation to look after her baby. The objective of this research is to study the relation between the complication during the childbirth with the mother´s motivation to look after her baby. The work was performed at Tasikmalaya and Ciamis public hospital using the 'cross sectional' method. The samples were taken using 'non probability sampling' by the approach of 'quota sampling' with the quantity of 80 respondents.

The results showed that there is a relation between the childbirth difficulties due to narrow pelvis with the mother´s motivation to look after her baby (p=0.047), there is no relation between contraction with the mother´s motivation to look after her baby (p=1,000), there is no relation between fetus and placenta with the mother´s motivation to look after her baby (p=0,191). The maternity nurses are expected to give more caring to the mother which have complication childbirth and low the mother motivation's."

"Kelahiran prematur merupakan penyebab terbesar kematian bayi. Perawatan metode kanguru atau PMK merupakan salah satu perawatan yang efektif bagi bayi prematur. Tujuan penelitian ini adalah mengetahui pengaruh PMK terhadap respon fisiologis bayi prematur dan kepercayaan diri ibu dalam merawat bayi di dua rumah sakit di Jakarta. Desain penelitian adalah one-group pre dan post test. Pengambilan sampel dengan cara purposive sampling. Hasil uji statistik menunjukkan terdapat perbedaan bermakna pada suhu tubuh, frekuensi denyut jantung, saturasi oksigen bayi prematur, dan kepercayaan diri ibu dalam merawat bayi sebelum dan sesudah dilakukan PMK. PMK dapat diusulkan menjadi tindakan rutin di ruangan perinatalogi rumah sakit.

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The main cause of neonatal mortality is premature birth. Kangaroo mother care is one effective care for preterm infants. The purpose of the study was to identify the effect kangaroo mother care on physiological response of preterm infants and self confidence of mother caring infants in two hospitals in Jakarta. The study design was one-group pre and post test. The result of study was founded that the are significant differencies between before and after kangaroo mother care intervention on physiological infants and self confidence of mother. Based on this study, there were some recomendations including kangaroo mother care usage as a part of routine care in hospital."

"ABSTRAKMenjadi seorang ibu baru dan merawat bayi merupakan suatu pengalaman yang menyenangkan dan mencemaskan. Tujuan penelitian ini adalah untuk mendapatkan pemahaman yang mendalam tentang arti atau makna pengalaman ibu primipara dengan keluarga inti dalam merawat bayi baru lahir. Penelitian ini menggunakan desain penelitian kualitatif dengan metode fenomenologi. Partisipan adalah ibu primipara yang merawat bayi pertamanya hanya dengan suami. Prosedur pengambilan partisipan yang digunakan adalah dengan cara purposive sampling. Jumlah partisipan yang berpartisipasi dalam penelitian ini sampai dengan terjadi saturasi data sebanyak 6 orang. Prosedur pengumpulan data menggunakan teknik wawancara mendalam dan observasi. Analisis data dilakukan dengan menggunakan langkah – langkah Colaizzi. Pada penelitian ini teridentifikasi 6 tema utama, yaitu (1) makna merawat bayi untuk pertama kali tanpa bantuan langsung dari keluarga, (2) berbagai cara yang dilakukan untuk mampu merawat bayi, (3) kesenangan yang dialami ketika merawat bayinya secara mandiri, (4) merawat bayi sendiri merupakan pekerjaan yang tidak mudah, (5) dukungan yang diberikan dari tenaga profesional, dan (6) berbagai harapan ibu primipara terhadap bantuan tenaga kesehatan. Tema-tema yang teridentifikasi memperlihatkan bahwa ibu primipara yang merawat bayinya dengan keluarga inti mendapatkan makna yang mendalam, ibu merasa menjadi seorang yang sangat dibutuhkan oleh bayinya, hidup menjadi lebih berarti dan ibu juga mendapatkan makna pembelajaran untuk dirinya sendiri. Kesenangan dan kendala saat merawat bayi juga dirasakan oleh ibu, bantuan suami dirasakan dapat mengatasi kendala yang terjadi. Dukungan yang didapat dari tenaga profesional belum optimal. Harapan ibu terhadap tenaga kesehatan adalah perlunya penyuluhan, pemberian leaflet atau brosur dan kunjungan rumah. Rekomendasi dari hasil penelitian ini diharapkan perawat dapat mengidentifikasi kebutuhan ibu primipara dalam hal merawat bayi. Pengidentifikasian kebutuhan ibu sedini mungkin diharapkan dapat mengurangi kendala yang terjadi ketika harus merawat bayinya tanpa bantuan.

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ABSTRACTBeing a new mother who takes care of the newborn baby means a joy as well as a worrisome experience. A phenomenology approach was applied to this study that aimed to explore a more in-depth meaning of experience among the primiparous mothers along with the nuclear family members in caring for the newborn baby. The participants were six primiparous mothers whose first experience of caring for the baby together with their husband. A purposive sampling method was chosen to this study while interviews and observations were performed to gather the data. The collected data than analyzed using Colaizzi’s method. Six themes were identified from this study: (1) the meaning of caring for the newborn baby in the first time without family attendance; (2) the way performed to get acquainted in caring for the newborn baby; (3) joys of caring the newborn baby independently; (4) difficulties in caring for the newborn baby; (5) supports provided by the health care professional; and (6) mothers expectation towards the health care providers. The themes recognized from this study showed that mothers who cared the newborn baby along with the core family found a more in depth meaning, there were senses of being needed by babies, lives were more meaningful and mothers learned about themselves. Enjoyments and difficulties when taking care of the newborn baby were also experienced by mothers, and husband supports were useful in overcoming the problems. In other side, supports from health care providers had not sufficed. The mothers expected to get more health educations, leaflet or brochures and more home visits. This study recommended that it was obligation of nurses to identified the needs of primiparous mothers in caring for the newborn baby as early as possible. The early identification of those needs are possibly reduced the problems when caring for the newborn baby is carried out by the mothers themselves independently."

"Ibu hamil, melahirkan dan pasca persalinan bedah sesar dengan HIV/AIDS memiliki tantangan yang lebih unik dan kompleks jika dibandingkan penderita HIV/AIDS lainnya. Hal ini mengharuskan perawat untuk dapat lebih menyadari kebutuhan mereka yang khusus dan komprehensif. Penelitian fenomenologi ini menggunakan analisis data Stevick-Colaizzi. Penelitian ini mengidentifikasi enam tema sebagai intisari dari pengalaman ibu dengan HIV positif pasca bedah sesar dalam merawat diri dan bayinya yaitu Ibu terlambat mengetahui status diri dan anak; Ibu merawat kehamilan melalui program Pervention Mother to Child Transmision (PMTCT); Ibu memutuskan persalinan sesar meskipun ditawari opsi persalinan normal; Ibu mendapatkan perlakuan berbeda dari tenaga kesehatan; Ibu melakukan perawatan khusus bagi diri dan bayi-nya pasca bedah sesar; Ibu merasakan respon emosional saat merawat bayi. Hasil temuan merekomendasikan perawat maternitas untuk mengoptimalkan peran agar dapat memberikan dampak nyata dalam penanganan ibu dengan HIV dalam merawat diri dan bayinya.Mothers during pregnancy, birth and postpartum cesarean section with HIV has a more problems and complex when compared to people with HIV / AIDS. This requires nurses to be more aware of their specific and comprehensive need. This phenomenological study used data analysis Stevick-Colaizzi. This study identified six themes as the essential meaning of the experience with HIV-positive mothers in taking care of themselves and the babies post cesarean delivery. The six themes namely become late to know their status ; Participants took pregnancy care through Prevention Mother to Child Transmission program (PMTCT); Decided cesarean eventhough they have been other a normal delivery; Mother were being treated differently by healthcare provider; Mother took special care of herself and her baby after cesarean section; Participant?s emotional response feeling during giving care for the baby. The findings recommended a maternity nurse to optimize their role in order to have a real impact in treatment of women living with HIV who dealing with themselves and their babies."