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Bedjo Santoso
Poltekkes Kemenkes Semarang
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Journal : Global Health Management Journal

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Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia Freya Nazera Iskandar; Ari Suwondo; Bedjo Santoso
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31277

Abstract

Background: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies’ weight significantly increased day by day only if the premature neonates received Tactile-Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies’ weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care. Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby.
Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia Freya Nazera Iskandar; Ari Suwondo; Bedjo Santoso
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31553

Abstract

Background: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies' weight significantly increased day by day only if the premature neonates received Tactile Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies' weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care. Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby Received: 06 September 2018, Reviewed: 13 September 2018, Received: in revised form 24 October 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31553  
Gargling with Aloe vera extract is effective to prevent the Ventilator-Associated Pneumonia (VAP) Mita Agustina; Bedjo Santoso; Sudirman
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23558

Abstract

Background: Long-term use of a mechanic ventilator may cause Ventilator- Associated Pneumonia (VAP) infection, nosocomial pneumonia that occurs after 48 hours in patients using mechanical ventilation either through the endotracheal tube or the tracheostomy tube. To prevent the occurrence of VAP, antiseptic liquid (mouthwash) such as chlorhexidine 2% maybe recommended. However, gargling using chlorhexidine may also cause allergies, thus, Aloe vera extract could be an alternative.Aims: The purpose of this study was to determine the effectiveness of Aloe vera extract as mouthwash to prevent the occurrence of Ventilator-associated pneumonia.Methods: This research is a quasi-experiment case-control study with a preposttest control group design. The sample size in this study was 30 respondents who were equally distributed into two groups; intervention group was administered using Aloe vera extract, while chlorhexidine was practiced for the control group. To determine the occurrence of VAP, Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia was measured on the first day of intubation and the fourth day, enumerated by nurses in the emergency room. CPIS is a set of indicators comprised of temperature, leucocyte, trachea secretion, oxygenation (PaO2/FiO in mm Hg), and thorax photo. CPIS value below than five will be regarded non-VAP, while CPIS scored 6-9 will be diagnosed as VAP.Results: Oral hygiene with Aloe vera extract was able to prevent the occurrence of VAP (p-value = 0.001), but there was no significant difference between the control group and intervention in the CPIS component temperature, leukocytes, tracheal secretions, FiO2, and the thoracic component.Conclusions: Oral hygiene with Aloe vera extract effectively prevented the occurrence of Ventilator-Associated Pneumonia (VAP) compared to chlorhexidine. Keywords: Aloe vera extract, Ventilator-Associated Pneumonia, Clinical Pulmonary Infection Score Received: 25 August 2018, Reviewed: 30 August 2018, Received: in revised form 22 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23558
Co-Authors Aini, Fajaria Nur Ana Sakinatun Nisa Ani Subekti Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Suwondo Arip Rahman Arwani Arwani Arwani Arwani Bambang Sutomo Bambang Sutomo Bambang Sutomo Boby Irsan Sakbana Dedy Dedy Dina Hanifa Diyah Fatmasari Emilda Sari Endah Aryati Ekoningtyas Esti Handayani Fastabiqul Hanif Francisca Fatima De Sena Freya Nazera Iskandar Freya Nazera Iskandar Hermien Nugraheni Ida Rahmawati Imam Djamaluddin Mashoedi Indiyah Sulistiyowati Irmanita Wiradona Irmanita Wiradona Julia Dance Setyowati Kadek Yuli Hesti Karsum Udin Kharismana Umia Krisdiana Wijayanti lely Surya Ningsih Leni Latifah Lina Rismayani Luci Fitrianti M. Choiroel Anwar Mardiyono Mardiyono Mardiyono, Mardiyono Masrifan Djamil Masrifan Djamil Masrifan Djamil Masrifan Djamil Melani Agis Marludia Melanie Agis Marludia Melyana Nurul Widyawati Melyana Nurul Widyawati Mita Agustina Muflihah Isnawati Muh. Firdaus Tullah Muhaji Muhaji Muliadi Muliadi Nabiha, Puteri Inandin Nanda Bupa Pratama Ngadiyono Ngadiyono Niya Fittarsih Fittarsih Noor Afifah Noor Pramono Novi Atiyata Maula Novi Indriani Noviasari Nursasi Nurul Aeni Nurul Istiqomah Pamunarsih Pamunarsih Peni Yuliawati Prasko , Prasko Prasko Provita Wijayanti Purnama, Tedi Putrono Putrono Rappi Rappi Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Ratna Puspita Rieza Zulfahmi Taftazani Riski Riski Rizki Amalia Rohisotul Laily Rr Sri Endang Pujiastuti Rr Sri Endang Pujiastuti Rr. Sri Endang Pujiastuti Runjati Sadimin Sadimin Salikun Salikun Salikun Salikun Sarkum Sarkum Setiadji Musthofa Shelvi Ovi Lestari Shinta Dhian Hasna Atifah Shobirun Shobirun Siti Aisiyah Suciningtyas Soeharyo Hadisaputro Sri Wahyuni Sri Widiyanti Suciyati Sundu Sudirman Sudirman Sudirman Sudirman Sudirman SUGIYANTO Suharyo Hadisaputro Suharyo Hadisaputro Sukini, Sukini Sulur Joyo Sukendro Supriyadi Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Suryati Kumorowulan Syaukia Adini Titi Suherni Tri Wiyatini Tri Wiyatini Ulliana - Wahyu Jati Dyah Utami Waljuni A Rahman Waljuni Astu Rahman Wanda Nur Aida Yodong Mustofa Yuli Admasari Yuli Sulistiyo yulistina yulistina Yuni Maulida