Utilization of cleft lip and palate postoperative care guidebook for caregivers based on local wisdom for rural area communities

• Published in: Journal of international oral health 2020-01, Vol.12 (1), p.80-85
• Main Authors: Rasyida, Anindita, Kamadjaja, Stanley, Kamadjaja, David, Bramantoro, Taufan, Sumarta, Ni
• Format: Article
• Language: English
• Subjects: Age; Care and treatment; Caregivers; Cleft lip; Cleft lip/palate; Cleft palate; Families & family life; Guidebooks; Infections; Management; Methods; Patients; Postoperative care; Postoperative infection; Postoperative period; Rural areas; Rural health; Socioeconomic factors; Surgery; Training
• ISSN: 0976-7428; 0976-1799
• DOI: 10.4103/jioh.jioh_136_19

Aim: Indonesia is presumed to be a country with high incidence of cleft lip and palate (CLP). We carried out a cleft mission in Bima, Nusa Tenggara Barat, Indonesia, which is considered as a rural area. Education barrier as well as facilities and socioeconomic status of the rural area residents may contribute as challenges of verbal postoperative care information. CLP postoperative care guidebook and local wisdom may deliver a proper explanation. The aim of this study was to describe the utilization of CLP postoperative care guidebook for caregivers based on local wisdom for rural area communities. Materials and Methods: We provided CLP postoperative care guidebook after cleft and lip surgery. A total of 20 respondents were asked to complete questionnaires with 10 closed-ended questions and 1 open question in two weeks after surgery. We provided the postoperative infection questionnaire to clinicians who carried out patient follow-up care to evaluate potency of infection after surgery. Results: Most of the respondents were parents of patients with CLP (75%). Potency of postoperative infection was found in 30% patients, and it showed no correlation in all patients who were treated using this book as a guide (odds ratio = 0.76, [0.06-9.51]). All respondents (100%) used the guidebook as patient's care guide after CLP surgery, and considered it easy to understand. Conclusion: CLP postoperative care guidebook for caregivers based on local wisdom is useful as a health education-promotion media for rural area communities, and it may help in informing early potency of postoperative infection to caregivers.