Empowerment of Posyandu Cadres in the Implementation of Atraumatic Care Approach: Swaddle and Sponge Bath to Optimize Neonatal Adaptation in Pangururan
Keywords:
atraumatic care approach, empowerment, neonatal adaptation, posyandu cadres, swaddle bath sponge bath
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.
References
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Tambunan, D. M., & Mediani, H. S. (2019). Bathing Method for Preterm Infants: A Systematic Review. KnE Life Sciences, 2019, 1–11. https://doi.org/10.18502/kls.v4i13.5220
Tambunan, D. M., Mediani, H. S., & Nurjanah, N. (2019). Effectiveness Of Swaddle And Conventional Tub Bath On Thermal Stability In Premature Infants At Dustira Hospital Cimahi. School of Health Sciences Jenderal Achmad Yani, 3(1), 134–137.
Tambunan, D. M., Mediani, H. S., Nurjanah, N., Sansuwito, T. Bin, & Hassan, M. M. (2022). Effect of Swaddle and Conventional Tub Bath on Physiological and Comfort Response in Premature Newborns at a Government Hospital in West Java, Indonesia. Malaysian Journal of Medicine and Health Sciences, 187(1), 108–116.
Tambunan, D. M., & Simatupang, L. L. (2023). Atraumatic Care Approach Pada Neonatus. CV Jejak (Jejak Publisher).
Tambunan, D. M., & Simatupang, L. L. (2024). Effectiveness Of Atraumatic Care Approach: Swaddle And Sponge Bath On Vital Signs And Pain Scale In Neonates. Jurnal Keperawatan, 16(1), 437–446. Retrieved from http://journal.stikeskendal.ac.id/index.php/Keperawatan
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United Nations (UN). (2023). The Sustainable Development Goals Report 2023. United States of America: United Nations Publications.
Vinall, J., & Grunau, R. E. (2014). Impact of repeated procedural pain-related stress in infants born very preterm. Pediatric Research, 75(5), 584–587. https://doi.org/10.1038/pr.2014.16
Ceylan, S. S., & Bolւşւk, B. (2018). Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 15(4), 296–303. https://doi.org/10.1111/wvn.12299
Datta, P. (2018). Pediatric Nursing (4th Ed). New Delhi, India: Jaypee Brothers Medical Publishers (P) Ltd.
de Freitas, P., Bueno, M., Holditch-Davis, D., Santos, H. P., & Kimura, A. F. (2018). Biobehavioral Responses of Preterm Infants to Conventional and Swaddled Tub Baths. The Journal of Perinatal & Neonatal Nursing, 00(00), 1–8. https://doi.org/10.1097/JPN.0000000000000336
de Freitas, P., Marques, S. R., Alves, T. B., Takahashi, J., & Kimura, A. F. (2014). Changes in physiological and behavioral parameters of preterm infants undergoing body hygiene: A systematic review. Revista Da Escola de Enfermagem, 48(SpecialIssue), 178–183. https://doi.org/10.1590/S0080-623420140000600025
Dinas Kesehatan (Dinkes) Provinsi Sumatera Utara. (2019). Profil Kesehatan Provinsi Sumatera Utara. Retrieved from Dinas Kesehatan (Dinkes) Provinsi Sumatera Utara website: https://dinkes.sumutprov.go.id/halaman/profil-dinas-kesehatan-provinsi-sumatera-utara
Edraki, M., Paran, M., Montaseri, S., Nejad, M. R., & Montaseri, Z. (2014). Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial. Journal of Caring Sciences, 3(2), 83–91. https://doi.org/10.5681/jcs.2014.009
Elsharkawy, A. A. H., Al-latif, K. A. A., Mohamed, M. M. F., & Mohamed, N. M. A. (2022). Effect of Swaddle Bathing on Neonatal Thermal Stability and Cardio- Respiratory Parameters. ASNJ, 24(4), 79–90.
Fernández, D., & Antolín-Rodríguez, R. (2018). Bathing a Premature Infant in the Intensive Care Unit: A Systematic Review. Journal of Pediatric Nursing, 42, e52–e57. https://doi.org/10.1016/j.pedn.2018.05.002
Kementerian Kesehatan Republik Indonesia (Kemenkes RI). (2021). Profil Kesehatan Indonesia 2020. Retrieved from Kementerian Kesehatan Republik Indonesia (Kemenkes RI) website: https://repository.kemkes.go.id/book/828
Kurniandri, N., & Tambunan, D. M. (2024). Efektivitas Sponge Dan Conventional Tub Bath Terhadap Tanda-Tanda Vital Dan Skala Nyeri Pada Bayi Baru Lahir Di Rumah Sakit Murni Teguh Ciledug. Indonesian Trust Nursing Journal (ITNJ), 2(1), 63–69.
Lee, J., & Lee, Y. (2021). Physiologic changes during sponge bathing in premature infants. International Journal of Environmental Research and Public Health, 18(5), 1–8. https://doi.org/10.3390/ijerph18052467
Mohamed, S. S., & Elashry, R. S. (2022). Effect of Swaddle Bathing versus Traditional Bathing on Physiological Stability and Comfort level among Neonates. Assiut Scientific Nursing Journal, 10(28), 68–79. https://doi.org/10.21608/asnj.2022.114551.1293
Oktiawati, A., Khodijah, Setyaningrum, I., & Dewi, R. C. (2017). Teori dan Konsep Keperawatan Pediatrik: Dilengkapi Dengan Format Penilaian Laboratorium. Jakarta: Trans Info Media.
Paran, M., Edraki, M., Montaseri, S., & Nejad, M. R. (2016). Comparing the effects of swaddle and conventional bathing methods on behavioral responses in preterm neonates. Iranian Journal of Neonatology, 7(4), 37–40. https://doi.org/10.22038/ijn.2016.7778
Rustina, Y. (2015). Bayi Prematur: Perspektif Keperawatan. (Cet. 1). Jakarta: CV Sagung Seto.
Sinaga, E. R. I., & Tambunan, D. M. (2024). Efektivitas Metode 2S (Swaddling Dan Sucking) Terhadap Penurunan Nyeri Pada Bayi Setelah Imunisasi HB0 Di Praktek Mandiri Bidan Medan. Indonesian Trust Nursing Journal (ITNJ), 2(1), 31–39.
Swapna, G., Nandhini, P. J., Princely, R., Kanchana, S., & Celina, D. (2017). Relative Effectiveness of Swaddle Bath and Conventional Bath on Level of Thermal Stability and Crying Duration among Preterm Infants at Selected Hospital in North – PG Scholar , Omayal Achi College of Nursing , Chennai , Tamilnadu , India . – Research Gui. International Centre For Collaborative Research Journal Of Nursing Research (ICCR-JNR), 2(1), 34–54.
Tambunan, D. M., & Mediani, H. S. (2019). Bathing Method for Preterm Infants: A Systematic Review. KnE Life Sciences, 2019, 1–11. https://doi.org/10.18502/kls.v4i13.5220
Tambunan, D. M., Mediani, H. S., & Nurjanah, N. (2019). Effectiveness Of Swaddle And Conventional Tub Bath On Thermal Stability In Premature Infants At Dustira Hospital Cimahi. School of Health Sciences Jenderal Achmad Yani, 3(1), 134–137.
Tambunan, D. M., Mediani, H. S., Nurjanah, N., Sansuwito, T. Bin, & Hassan, M. M. (2022). Effect of Swaddle and Conventional Tub Bath on Physiological and Comfort Response in Premature Newborns at a Government Hospital in West Java, Indonesia. Malaysian Journal of Medicine and Health Sciences, 187(1), 108–116.
Tambunan, D. M., & Simatupang, L. L. (2023). Atraumatic Care Approach Pada Neonatus. CV Jejak (Jejak Publisher).
Tambunan, D. M., & Simatupang, L. L. (2024). Effectiveness Of Atraumatic Care Approach: Swaddle And Sponge Bath On Vital Signs And Pain Scale In Neonates. Jurnal Keperawatan, 16(1), 437–446. Retrieved from http://journal.stikeskendal.ac.id/index.php/Keperawatan
The World Bank Data. (2024). World Population Prospects 2023 Revision. Retrieved from United Nations Population Division; 2024 website: https://data.worldbank.org/indicator/SP.DYN.CBRT.IN
United Nations (UN). (2017). The Sustainable Development Goals Report 2017. United States of America:
United Nations (UN). (2023). The Sustainable Development Goals Report 2023. United States of America: United Nations Publications.
Vinall, J., & Grunau, R. E. (2014). Impact of repeated procedural pain-related stress in infants born very preterm. Pediatric Research, 75(5), 584–587. https://doi.org/10.1038/pr.2014.16
Published
2024-12-14
How to Cite
Tambunan, D. M., Silaen, H., Simanullang, R. H., Buaton, K., & Lumbantobing, D. S. (2024). Empowerment of Posyandu Cadres in the Implementation of Atraumatic Care Approach: Swaddle and Sponge Bath to Optimize Neonatal Adaptation in Pangururan. Proceedings of the International Conference on Nursing and Health Sciences, 5(2), 843-852. https://doi.org/10.37287/picnhs.v5i2.5248
Section
Articles
