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Empowerment of Posyandu Cadres in the Implementation of Atraumatic Care Approach: Swaddle and Sponge Bath to Optimize Neonatal Adaptation in Pangururan Tambunan, Dior Manta; Silaen, Harsudianto; Simanullang, Rostime Hermayerni; Buaton, Kristina; Lumbantobing, Dikki Samuel
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5248

Abstract

Neonates experience transition from the intrauterine to the extrauterine environment which can cause stress and have long-term consequences on the development of the infant’s brain. One of the neglected and traumatic neonatal care is bathing. Objective: The objective of this community service is to increase the knowledge level of posyandu cadres and the communities about the application of the atraumatic care approach: swaddle and sponge bath to optimize neonatal adaptation. Method: The implementation method is with pre- and post-tests, cadre briefings, health education and demonstration of the swaddle bath method at the Sait Nihuta Village Hall, Pangururan District. This activity was attended by 6 posyandu cadres, 25 community members which are mothers with infants aged 0-5 months, pregnant women, and mothers planning to have their first/next child). Results: It was found that the pre-test knowledge level of posyandu cadres was low in 3 people (50%) and the post-test knowledge level of posyandu cadres was good for 4 people (66.7%). While the pretest knowledge level of community was low in 14 people (56%) and the posttest knowledge level of community was good in 15 people (60%). Conclusions: It can be concluded that there is a significant increase in knowledge level on posyandu cadres and the community about the implementation of the atraumatic care approach: swaddle and sponge bath to optimize neonatal adaptation. Reccomendation: It is expected that the program will continue through cadres who have been provided with education through materials and demonstrations that have been given to the community.
Optimalisasi adaptasi neonatus dengan penerapan atraumatic care approach: swaddle dan sponge bath di Pangururan Tambunan, Dior Manta; Silaen, Harsudianto; Simanullang, Rostime Hermayerni; Buaton, Kristina; Lumbantobing, Dikki Samuel
JOURNAL OF Public Health Concerns Vol. 4 No. 4 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i4.450

Abstract

Background: Neonates experience a transition from the intrauterine to the extrauterine environment which can cause stress and have long-term consequences on the development of the baby's brain. One of the neglected and traumatic neonatal care is during the process of bathing the baby. Purpose: To improve the knowledge of posyandu cadres and the community about the application of the Atraumatic Care Approach: Swaddle and Sponge Bath in an effort to optimize adaptation in neonates. Method: Implementation of community service with pre-test and post-test, provision of cadres, health education and demonstration of the swaddle bath method at the Sait Nihuta Village Hall, Pangururan District. This activity was attended by 6 posyandu cadres, 25 community members consisting of mothers with children aged 0-5 months, pregnant women, and mothers who were planning to have their first/next child. By providing education in the form of material presentation, demonstration and simulation of the Atraumatic Care Approach: Swaddle and Sponge Bath care approach actions for participants. Results: Of the 6 posyandu cadres, there was an increase in knowledge about the Atraumatic Care Approach: Swaddle and Sponge Bath care approach of posyandu cadres from before (pre-test) PKM activities in the less category of 3 people (50.0%) to the majority in the good category of 4 people (66.7%) after (post-test) PKM activities. And for participants from the community, a total of 25 people also experienced an increase in knowledge about the Atraumatic Care Approach: Swaddle and Sponge Bath care approach from before (pre-test) PKM activities in the less category of 14 people (56.0%) to the good category of 15 people (60.0%) after (post-test) PKM activities. Conclusion: Educational activities through PKM can significantly increase knowledge of the Atraumatic Care Approach: Swaddle and Sponge Bath care approach in posyandu cadres and the community. The atraumatic care approach can minimize traumatic experiences during bathing in neonates. Suggestion: It is hoped that this program can continue through cadres who have received education through materials and demonstrations delivered to the community. Keywords: Atraumatic Care Approach; Neonates; Posyandu Cadres; Sponge Bath; Swaddle Bath Pendahuluan: Neonatus mengalami perpindahan dari lingkungan intrauterin ke ekstrauterin yang dapat menyebabkan stres dan mengakibatkan konsekuensi jangka panjang pada perkembangan otak bayi. Salah satu perawatan neonatus yang terabaikan dan traumatik adalah pada waktu proses memandikan bayi. Tujuan: Untuk meningkatkan pengetahuan kader posyandu dan masyarakat tentang penerapan pendekatan perawatan Atraumatic Care Approach: Swaddle  dan Sponge Bath dalam upaya mengoptimalkan adaptasi pada neonatus. Metode: Pelaksanaan pengabdian kepada masyarakat dengan pre-test dan post-test, pembekalan kader, edukasi kesehatan dan demonstrasi metode swaddle bath di balai Desa Sait Nihuta Kecamatan Pangururan. Kegiatan ini diikuti 6 orang kader posyandu, 25 orang masyarakat yang terdiri dari ibu yang mempunyai anak 0-5 bulan, ibu hamil, dan ibu yang merencanakan untuk mempunyai anak pertama/selanjutnya. Dengan memberikan edukasi berupa pemaparan materi, demonstrasi dan simulasi tindakan pendekatan perawatan penerapan Atraumatic Care Approach: Swaddle dan Sponge Bath pada peserta. Hasil: Dari sejumlah 6 orang kader posyandu terdapat peningkatan pengetahuan tentang pendekatan perawatan Atraumatic Care Approach: Swaddle  dan Sponge Bath kader posyandu dari sebelum (pre-test) kegiatan PKM dalam kategori kurang sebanyak 3 orang (50.0%) menjadi sebagian besar dalam kategori baik sebanyak 4 orang (66.7%) setelah (post-test) kegiatan PKM. Dan untuk peserta dari masyarakat sejumlah 25 orang juga mendapatkan peningkatan pengetahuan tentang pendekatan perawatan Atraumatic Care Approach: Swaddle dan Sponge Bath dari sebelum (pre-test) kegiatan PKM dalam kategori kurang sebanyak 14 orang (56.0%) menjadi dalam kategori baik sebanyak 15 orang (60.0%) setelah (post-test) kegiatan PKM. Simpulan: Kegiatan edukasi melalui PKM dapat meningkatkan pengetahuan pendekatan perawatan Atraumatic Care Approach: Swaddle  dan Sponge Bath yang signifikan pada kader posyandu dan masyarakat. Pendekatan perawatan atraumatik (Atraumatic Care Approach) dapat meminimalkan pengalaman traumatik selama dimandikan pada neonatus. Saran: Diharapkan program ini dapat berlanjut melalui kader yang telah menerima edukasi melalui materi dan demonstrasi yang disampaikan kepada masyarakat.