Tesis

Uji Kesahihan Dan Keandalan Neonatal Oral-Motor Assessment Scale (Nomas) sebagai Alat Ukur Oromotor Skill pada Neonatus Prematur = Validity and Reliability Test of Neonatal Oral-Motor Assessment Scale (NOMAS) as Oromotor Skill Measurement in Premature Neonates

Latar Belakang: Ketrampilan menghisap dan koordinasi antara menghisap,
menelan dan bernafas belum adekuat belum adekuat pada neonatur prematur.
Neonatal Oral-Motor Assessment Scale (NOMAS) adalah alat ukur yang telah
sahih dan andal dalam menilai oromotor skill pada neonatus prematur. Penelitian
ini ingin menguji validitas isi dan reliabilitas interrater dan test-retest yang
diterjemahkan kedalam bahasa Indonesia yang belum pernah dilakukan
sebelumnya.
Metode : Desain penelitian ini adalah uji validasi, terdiri dari 16 subjek yang
diambil berdasarkan kriteria penerimaan; neonatus prematur, kondisi umum stabil
dan diizinkan oleh orang tua dengan mengisi informed consent. Data berupa video
saat menyusu diawali dari saat pertama bertemu peneliti hingga usia koreksi 40
minggu. Oromotor skill dinilai dengan NOMAS yang telah diterjemahkan ke
bahasa Indonesia. Validitas isi dilakukan dengan proses non-statistik; keandalan
intrarater dinilai dengan uji Cohen’s Kappa dan Inter Class Correlation,
keandalan interrater dengan uji Cronbach Alpha dan Inter Class Correlation.
Hasil : Dari 16 neonatus didapatkan usia gestasi 32-35 minggu dan BBLR
93,75%. Secara isi NOMAS berbahasa Indonesia telah dinyatakan sesuai dengan
NOMAS berbahasa Inggris. Keandalan intrarater bernilai baik hingga sempurna
(K= 0,6-1,00 dan ICC= 0,4-1,00). Uji keandalan interrater bernilai rendah hingga
hampir sempurna (Cronbach’s Alpha = 0,18-0,84 dan ICC= 0,05- 0,80).
Kesimpulan : NOMAS berbahasa Indonesia mempunyai validitas isi dan
reliabilitas yang baik untuk digunakan sebagai alat ukur oromotor skill pada
neonatus prematur. Sebaiknya mengikuti pelatihan NOMAS agar lebih mengusai
penggunaan alat ukur ini.
Kata kunci : Neonatal Oral-Motor Assessment Scale, NOMAS,oromotor skill,
prematur , uji kesahihan, uji keandalan.


Background : Sucking skills and the coordination between sucking, swallowing
and breathing are inadequate on premature neonates. Neonatal Oral-Motor
Assessment Scale (NOMAS) is a measuring instrument that is both valid and
reliable in assessing oromotor skills in premature neonates. The study aims to test
the content validity and interrater reliability and test-retest reliability of NOMAS
translated to Bahasa Indonesia which has never been done before.
Methods : This study is a validation test, consisting of 16 subjects who were
taken using the inclusion criteria; premature neonates, in stable general condition
and allowed by their parents to participate in the study by filling out an informed
consent. Data was collected in the form of a video taken during feeding, starting
from the first meeting with the researcher until 40 weeks corrected age. Oromotor
skills was assessed using NOMAS which has been translated into Bahasa
Indonesia. Content validity was performed using non-statistical process; intrarater
reliability was assessed using Cohen's Kappa test and Inter Class Correlation, and
interrater reliability using Cronbach Alpha test and Inter Class Correlation.
Results : Of the 16 neonates, a mean gestation age of 32-35 weeks and
low birth weight incidence of 93.75% was found. The content of NOMAS in
Bahasa Indonesia has been declared in accordance with NOMAS in English.
Intrarater reliability was good to perfect (K= 0,6-1,00 and ICC= 0,4-1,00).
Interrater reliability was low to almost perfect (Cronbach’s Alpha = 0,18-0,84 and
ICC= 0,05- 0,80)
Conclusion : NOMAS in Bahasa Indoensia has good content validity and
reliability and can be used as a measuring tool for oromotor skills in premature
neonates. NOMAS training is adviced to master the use of this measure.
Key word : Neonatal Oral-Motor Assessment Scale, NOMAS, oromotor skill,
prematurity , validity test, reliability test.