Pengaruh Metode Kasa Steril terhadap Lamanya Pelepasan Tali Pusat pada Bayi Baru Lahir di Wilayah Kerja Puskesmas Alai
DOI:
https://doi.org/10.57214/jasira.v4i1.287Keywords:
Cord Detachment Duration, Neonate, Newborn Infant, Sterile Gauze Technique, Umbilical Cord ManagemenAbstract
Umbilical cord infection is one of the leading causes of neonatal mortality in Indonesia. Appropriate umbilical cord care is essential to accelerate separation and prevent infection. In the working area of UPT Puskesmas Alai, variations in cord care practices and delayed separation cases were still found. This study aimed to analyze the effect of umbilical cord care using sterile gauze method on cord separation duration at UPT Puskesmas Alai. The study employed quasi-experimental design with one-group pre-test post-test approach on 32 respondents selected through purposive sampling. Pretest data were obtained from medical records, while posttest data through direct observation. Analysis used Wilcoxon Signed Rank Test (α=0.05). Results showed mean cord separation time in pretest group was 9.2 days (SD=1.08) and posttest group 6.0 days (SD=0.84). Wilcoxon test showed Z=-4.94 with p-value=0.000, indicating significant difference. Umbilical cord care using sterile gauze method effectively accelerates separation time compared to conventional methods. Healthcare workers are recommended to implement this method as standard care.
References
Abdullah, A. Z., Rahman, M. M., & Masud, J. H. B. (2022). Umbilical cord care practices and their impact on cord separation time in low-resource settings: A comparative study. Journal of Neonatal Nursing, 28(3), 245–252. https://doi.org/10.1016/j.jnn.2022.03.015
Afiyanti, Y., & Rachmawati, I. N. (2020). Metode penelitian kualitatif dalam riset keperawatan. Rajawali Pers.
Ambarwati, R., & Sunarsih, T. (2021). Asuhan kebidanan neonatus, bayi, dan balita. Nuha Medika.
Azwar, S. (2019). Reliabilitas dan validitas (Edisi ke-4). Pustaka Pelajar.
Darmawan, S., Putri, D. E., & Susanti, M. (2023). Perbandingan efektivitas perawatan tali pusat kering dengan antiseptik topikal terhadap waktu pelepasan tali pusat. Jurnal Kesehatan Ibu dan Anak, 14(2), 89–97. https://doi.org/10.25311/jkia.2023.14.2.89
Dewi, V. N. L. (2020). Asuhan neonatus bayi dan anak balita (Edisi ke-2). Salemba Medika.
Hidayat, A. A. A. (2021). Metode penelitian kebidanan dan teknik analisis data. Salemba Medika.
Kementerian Kesehatan Republik Indonesia. (2019). Pedoman pelayanan kesehatan neonatal esensial di tingkat pelayanan kesehatan dasar. Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia tahun 2021. Kementerian Kesehatan RI.
Manuaba, I. B. G. (2019). Ilmu kebidanan, penyakit kandungan, dan KB untuk pendidikan bidan (Edisi ke-2). EGC.
Mullany, L. C., Coffey, P., Khatry, S. K., & LeClerq, S. C. (2021). Chlorhexidine umbilical cord care and neonatal mortality: A systematic review and meta-analysis. Pediatrics, 147(4), e2020049609. https://doi.org/10.1542/peds.2020-049609
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan (Edisi revisi). Rineka Cipta.
Nurjanah, S., & Widyastuti, Y. (2020). Efektivitas perawatan tali pusat menggunakan kasa steril terhadap lama pelepasan tali pusat pada neonatus. Jurnal Ilmiah Kebidanan Indonesia, 10(4), 198–205. https://doi.org/10.33221/jiki.2020.10.04.198
Pratiwi, A. D., & Sari, K. M. (2021). Pengaruh metode perawatan tali pusat terhadap waktu pelepasan dan kejadian infeksi pada bayi baru lahir. Indonesian Journal of Midwifery, 4(1), 45–53. https://doi.org/10.25077/ijm.4.1.45-53.2021
Prawirohardjo, S. (2020). Ilmu kebidanan (Edisi ke-4). PT Bina Pustaka Sarwono Prawirohardjo.
Rukiyah, A. Y., & Yulianti, L. (2019). Asuhan neonatus bayi dan anak balita. Trans Info Media.
Saifuddin, A. B. (2020). Buku acuan nasional pelayanan kesehatan maternal dan neonatal (Edisi ke-3). Yayasan Bina Pustaka Sarwono Prawirohardjo.
Sondakh, J. J. S., Tendean, L., & Loho, M. (2022). Perbandingan waktu pelepasan tali pusat antara perawatan terbuka dan tertutup pada bayi baru lahir. Jurnal e-Clinic, 10(1), 112–118. https://doi.org/10.35790/ecl.v10i1.35892
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D (Edisi ke-2). Alfabeta.
World Health Organization. (2014). Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice (3rd ed.). World Health Organization.
World Health Organization. (2018). WHO recommendations on newborn health: Guidelines approved by the WHO Guidelines Review Committee. World Health Organization.
World Health Organization. (2023). Newborns: Improving survival and well-being. https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jurnal Siti Rufaidah
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
