Effect of Kangaroo Mother Care plus Touch Therapy versus Kangaroo Mother Care Alone on the Low-Birth-Weight Infant’s Growth and Physiologic Responses: Randomized Controlled Trial

Background. Kangaroo Mother Care (KMC) has facilitated infant growth and decreased morbidities and hospital stay. Adding touch therapy (TT) may potentiate the KMC benefits. Objective. To compare the effectiveness of KMC+TT versus KMC alone in improving anthropometric and physiologic parameters and decreasing morbidities and hospital stay in low birth weight (LBW) infants. Methods. Stable LBW infants (<2000 g) admitted in the KMC ward were randomized to either intervention (KMC+TT) or control (KMC only) group. The KMC+TT group underwent thrice daily touch therapy sessions until discharge. Results. A total of 50 infants were included in the study. Baseline characteristics between the two groups were comparable. There was a significant increase in weight gain (grams/kg/day) in the KMC+TT group compared to KMC only. Physiologic parameters like heart rate, respiratory rate, and temperature were significantly better in the KMC+TT group. More infants in the KMC only group were transferred to NICU care, while more KMC+TT infants went home against advice. Hospital stay was similar between the two groups. Conclusion. Touch therapy added to KMC is more effective than KMC alone in improving weight gain and physiologic parameters. It is associated with lower morbidities, although it did not affect the hospital stay.

GAMBARAN PENGETAHUAN IBU TENTANG PIJAT BAYI DI DESA RAMBAH TENGAH HILIR KECAMATAN RAMBAH HILIR KABUPATEN ROKAN HULU

ABSTRACT Baby massage is a health treatment in the form of touch therapy with certain techniques given to babies so that treatment and therapy can be achieved. physically and psychologically. Do baby massage regularly in order to maintain his health. Moreover, baby massage has many benefits, namely making babies calmer, increasing the effectiveness of sleeping rest, improving baby's concentration and increasing milk production. knowledge will increase according to the process of experience experienced. The author's aim is to determine the description of mother's knowledge about baby massage in Rambah Tengan Hilir Village, Rambah Hilir District, Rokan Hulu Regency in 2021. The type of research used is descriptive research with a cross sectional research design. The population in this study is mothers. who have babies aged 1-10 months. The sampling technique used was Total Sampling with a sample size of 50 people. data collection using a questionnaire with 20 questions. Data analysis using univariate analysis. The results of the analysis showed that the mother's knowledge about infant massage had sufficient knowledge of the majority as many as 27 people (54.0%), Good as many as 16 people (32.0%), Less as many as 7 people (14.0%). Health workers, especially in the village of Rambah, strive to improve services for infants and toddlers, especially baby massage and often provide counseling to mothers, what is the meaning, benefits, and techniques of baby massage to mothers who have babieshow to do a good massage. Keywords: Knowledge, Mother, Baby Massage

Comparison of mother’s therapeutic touch and voice stimulus in reduce pain in premature infants undergoing invasive procedures

Invasive procedures commonly cause recurring pain in preterm infants. Noninvasive pain management is an essential part of nursing intervention in the Neonatal Intensive Care Unit (NICU). The study’s aim is to identify the impact of touch therapy on pain in premature infants undergoing invasive treatments. The method was a quasi- experiment with 63 premature infants. The premature infants were classified into four groups: i) Mother’s touch Therapy (MTT), ii) Mother’s Voice Stimulus (MVS), iii) a combination of MTT and MVS, and iv) routine care. The observed infants’ pain scores were determined through a multiple regression model using the Generalized Estimating Equation (GEE) method. The GEE test showed that the combination of touch and sound therapy significantly reduced pain in premature infants undergoing invasive measures (p<0.05). A combined application of MTT and MVS is the most effective in reducing pain scores in infants undergoing invasive procedures and thus, can used safely as part of nursing intervention in the NICU.

Gambaran Pengetahuan Ibu Tentang Pijat Bayi Di Desa Dajan Peken Tabanan

- is the oldest and most popular touch therapy. Lack of stimulation given to babies adds to the delay in baby development. This baby massage needs to be known by a mother because with the touch and eyes when the massage will be able to drain the strength of the relationship between the two. The purpose of this study is to describe the knowledge of mothers about infant massage in the village of Dajan Peken Tabanan. The research methodology used a quantitative descriptive method which was carried out in the village of Dajan Peken Tabanan in September 2020. The sample in this study were 33 mothers who had babies aged 0-12 months and were taken by total sampling. The instrument in this study used a questionnaire sheet. The data analysis technique used univariate analysis. The result of the research is that the knowledge of mothers about baby massage in the village of Dajan Peken Tabanan is mostly in the sufficient category, namely as many as 22 people (66.7%). The conclusion in this study is that the description of the knowledge of mothers about baby massage in the village of Dajan Peken Tabanan is mostly sufficient as many as 22 respondents (66.7%). Therefore, Posyandu cadres together with midwives should provide information or counseling about infant massage to mothers who have babies 0-12 months.

Sosialisasi dan Simulasi Tentang Pemijatan Bayi Untuk Mendukung Tumbuh Kembang Bayi

AbstrakPijat bayi merupakan terapi sentuh paling tua dan paling populer yang dikenal manusia serta salah satu bentuk stimulasi dini yang sangat penting untuk menunjang tumbuh kembang anak. Di Indonesia pelaksanaan pijat bayi di masyarakat dilakukan oleh dukun bayi, dimana pelaksanaanya hanya pada saat bayi sakit. Pijat bayi akan optimal sebagai stimulasi tumbuh kembang jika dilakukan secara rutin saat sehat, bukan pada saat sakit. Pengabdian ini bertujuan untuk memberikan pemahaman dan praktek tentang pijat bayi kepada masyarakat terkhususnya ibu yang memiliki bayi agar dapat melakukan secara mandiri pijat bayi kepada anaknya. Metode yang digunakan adalah pelatihan dan pendidikan kepada masyarakat dengan sasaran ibu nifas beserta bayinya yang berjumlah 16 orang, dan dilakukan selama 2 hari. Kegiatan pada hari pertama yaitu penyuluhan dengan memberikan pengetahuan tentang pijat bayi dan pengaruhnya terhadap tumbuh kembang bayi, sedangkan hari kedua dilaksanakan pelatian pijat bayi kepada ibu dan bayi dipandu oleh instruktur bersertifikat. Hasil pengabdian menunjukkan ibu memiliki pengetahuan yang baik tentang pijat bayi dan pengaruhnya terhadap tumbuh kembang bayi, serta adanya sikap positif dan mampu melakukan secara mandiri pijat bayi di rumah bahkan enjoy bersama bayinya.Kata Kunci: Pijat Bayi, Baby Spa, Tumbuh Kembang, BayiAbstractBaby massage is the oldest and most popular touch therapy known to man and one of the most important forms of early stimulation to support a child's growth and development. In Indonesia, the implementation of infant massage in the community is carried out by traditional birth attendants, where it is only implemented when the baby is sick. Baby massage will be optimal as a stimulation for growth and development if it is done regularly when healthy, not when sick. This service aims to provide understanding and practice of infant massage to the community, especially mothers who have babies so that they can independently massage their babies to their children. The method used is training and education to the community with the target of postpartum mothers and their babies totaling 16 people, and is carried out for 2 days. The activity on the first day was counseling by providing knowledge about baby massage and its effect on infant growth and development, while on the second day, training was held for infant massage for mothers and babies guided by certified instructors. The results of this dedication show that mothers have good knowledge about baby massage and its effect on baby growth and development, as well as a positive attitude and are able to independently massage babies at home and even enjoy them with their babies.Key Word: Baby Massage, Baby Spa, Growth and Development, Baby

The BLOOD PRESSURE DIFFERENCES AFTER GIVEN TOUCH THERAPY BY CONTROLLING IMT

Hypertension often results in dangerous conditions that are often not realized and often do not cause complaints. Hypertension is also often referred to as the silent kiler because it is a deadly disease. Even hypertension can lead to other deadly diseases and can increase the risk of heart attack, stroke and kidney failure. The research design used Quasi Experiment with Non Equivalent Control Group design with pre-postest control one group design. The research was conducted in the working area of ​​the Dlanggu Health Center on September 2020. The population in this study were all hypertension sufferers. The sampling technique used simple random sampling of 60 people. The instrument used was a sphygmomanometer, measuring height and weight and an observation sheet. Data analysis used the Ancova test with the assumption of normal and homogeneous data distribution. Ancova analysis results showed that BMI did not affect systolic blood pressure (F = 0.014, p value 0.907> α), but there was a difference in systolic blood pressure between the control group and the treatment group (F = 105.06, p-value 0,000 <α). The results of the ancova analysis showed that BMI did not affect diastolic blood pressure (F = 0.003, p value 0.953> α), but there was a difference in diastolic blood pressure between the control group and the treatment group (F = 80.899, p-value 0.000 <α). It can be concluded that the difference in systolic and diastolic blood pressure after being given Touch Therapy is not controlled by the BMI variable. This is because blood pressure is controlled by other influencing factors, including stress and physical activity.