Tumbuh Kembang Bayi Berat Lahir Ekstrim Rendah dengan Osteopenia Prematuritas

SYIFA ARMENDA, dr.Tunjung Wibowo, MPH, SpAK; dr.Mei Neni Sitaresmi, PhD, SpAK
Universitas Gadjah Mada, 2020 | Diunduh dari http://etd.repository.ugm.ac.id/

DAFTAR ISI

HALAMAN PENGESAHAN ................................................................................... ii

HALAMAN PERNYATAAN ETIKA PENELITIAN.............................................. iii
PERSETUJUAN PENGAMBILAN KASUS PANJANG......................................... iv
DAFTAR ISI ............................................................................................................ v
DAFTAR GAMBAR ............................................................................................. viii
DAFTAR TABEL ................................................................................................... ix
DAFTAR SINGKATAN .......................................................................................... x
ABSTRAK…………………………………………………………………………………..xiii
ABSTRACT………………………………………………………………………………....xiv
BAB I. PENDAHULUAN ........................................................................................ 1
A. Latar Belakang ................................................................................................. 1
B. Tujuan Penelitian .............................................................................................. 4
C. Manfaat Penelitian ............................................................................................ 4
1. Untuk pasien .............................................................................................. 4
2. Untuk keluarga pasien ................................................................................ 5
3. Untuk penulis ............................................................................................. 5
4. Untuk rumah sakit ...................................................................................... 5
BAB II. IDENTITAS DAN URAIAN KASUS ......................................................... 7
BAB III. TINJAUAN PUSTAKA ........................................................................... 13
A. Mortalitas dan morbiditas BBLER .................................................................. 13
1. Sindrom distres respirasi .......................................................................... 15
2. Perdarahan intraventrikular ...................................................................... 16
B. Luaran BBLER yang bertahan hidup .............................................................. 17
1. Gangguan pertumbuhan ............................................................................ 18
2. Gangguan perkembangan ......................................................................... 20
3. Rehospitalisasi ......................................................................................... 23
C. Faktor prognostik bayi BBLER ....................................................................... 24

v
 Tumbuh Kembang Bayi Berat Lahir Ekstrim Rendah dengan Osteopenia Prematuritas
SYIFA ARMENDA, dr.Tunjung Wibowo, MPH, SpAK; dr.Mei Neni Sitaresmi, PhD, SpAK
Universitas Gadjah Mada, 2020 | Diunduh dari http://etd.repository.ugm.ac.id/

1. Osteopenia prematuritas ........................................................................... 24

2. Anemia prematuritas ................................................................................ 30
3. Infeksi ...................................................................................................... 33
4. Gangguan neurosensori ............................................................................ 34
5. Refluks gastroesofageal ............................................................................ 38
6. Sekuele pernapasan .................................................................................. 38
7. Sekuele neurologis ................................................................................... 39
7. Status psikososial ibu ............................................................................... 40
D. Kerangka teoretis dan konseptual ................................................................... 42
1. Kerangka teoretis ..................................................................................... 42
2. Kerangka konseptual ............................................................................... 43
BAB IV. METODE PENGAMATAN .................................................................... 45
A. Subyek ........................................................................................................... 45
B. Variabel Pengamatan ...................................................................................... 45
C. Pengamatan .................................................................................................... 52
D. Intervensi ....................................................................................................... 55
1. Pemantauan tumbuh kembang ................................................................. 55
2. Rencana diagnostik.................................................................................. 56
3. Tatalaksana diet ....................................................................................... 56
4. Edukasi .................................................................................................... 58
5. Kunjungan rumah .................................................................................... 59
6. Rencana analisis kasus ............................................................................. 60
BAB V. HASIL DAN PEMBAHASAN ................................................................. 61
A. Luaran.......................................................................................................... 61
1. Pertumbuhan ............................................................................................ 61
2. Perkembangan ......................................................................................... 71
3. Rehospitalisasi ......................................................................................... 74
B. Faktor Prognostik ......................................................................................... 75
1. Osteopenia prematuritas ........................................................................... 75

vi
 Tumbuh Kembang Bayi Berat Lahir Ekstrim Rendah dengan Osteopenia Prematuritas
SYIFA ARMENDA, dr.Tunjung Wibowo, MPH, SpAK; dr.Mei Neni Sitaresmi, PhD, SpAK
Universitas Gadjah Mada, 2020 | Diunduh dari http://etd.repository.ugm.ac.id/

2. Anemia .................................................................................................... 79
3. Infeksi...................................................................................................... 81
4. Gangguan neurosensori ............................................................................ 84
5. Refluks gastroesofageal, sekuele respirasi dan sekuele neurologis ............ 86
6. Sikap dan perilaku ibu.............................................................................. 87
BAB VI. KESIMPULAN DAN SARAN ................................................................ 89
A. Kesimpulan .................................................................................................. 89
B. Saran ............................................................................................................ 90
DAFTAR PUSTAKA ............................................................................................. 91
LAMPIRAN ........................................................................................................... 96
Lampiran 1. Data antropometri pasien selama pengamatan .................................. 96
Lampiran 2. Sikap ibu terhadap perawatan bayi prematur .................................... 97
Lampiran 3. Perilaku ibu terhadap perawatan bayi prematur ................................ 98
Lampiran 4. Penilaian rumah sehat .....................................................................100
Lampiran 5. Dokumentasi tempat tinggal pasien ................................................103

vii