Pengaruh Comfort Care Terhadap Peningkatan Paramter Fisiologi dan Kenyamanan Neontaus Dengan Asfiksia Sedang di NICU: A Case Report
DOI:
https://doi.org/10.59841/an-najat.v2i2.1151Keywords:
asphyxia, comfort care, NICUAbstract
Bayi baru lahir (neonatus) yang mengalami kondisi yang mengancam nyawa salah satunya asfiksia ditempatkan di ruang perawatan intensif yaitu Neonatal Intensive Care Unit (NICU) untuk mendapatkan intervensi khusus untuk memperbaiki kondisinya. Comfort care berdasarkan model kenyamanan Kolcaba merupakan salah satu intervensi spesifik yang biasa dilakukan perawat untuk mendukung penatalaksanaan terapeutik pada neonatus. Tujuan penelitian ini adalah untuk mengetahui pengaruh comfort care (White noise, light reduction, dan nesting) terhadap peningkatan parameter fisiologis dan tingkat kenyamanan neonatus dengan asfiksia sedang di NICU. Penelitian ini menggunakan metode case report yang melibatkan pasien neonatal dengan asfiksia sedang. Pengukuran dilakukan sebelum dan sesudah intervensi dengan menggunakan instrumen yang terdiri dari tanda-tanda vital (denyut jantung, laju pernapasan, dan SpO2) dan Comfort neo scale. Hasil penelitian menunjukkan bahwa dengan intervensi comfort care selama 3 hari terjadi peningkatan parameter fisiologis. Denyut jantung hari ke-1 sebelum intervensi 148 x/menit hingga 131 x/menit, SpO2 dari 86% menjadi 96%, laju pernapasan dari 35x/menit menjadi 27 x/menit, kenyamanan dari 20 menjadi 8. Denyut jantung hari ke-2 sebelum intervensi 158 x /menit hingga 134 x/menit, SpO2 dari 88% menjadi 98%, laju pernapasan dari 46 x/menit menjadi 25 x/menit, kenyamanan dari 19 menjadi 8. Denyut jantung hari ke-3 sebelum intervensi 180 x/menit hingga 138 x/menit , Spo2 dari 89% menjadi 97%, laju pernapasan dari 25 x/menit menjadi 21 x/menit, kenyamanan dari 16 menjadi 7. White noise, light reduction, dan nesting dapat meningkatkan parameter fisiologis dan kenyamanan pada bayi dengan asfiksia sedang di NICU.
References
Alligood M. (2017). Nursing theorists. Elsevier.
Aziz, K., Lee, H. C., Escobedo, M. B., Hoover, A. V., Kamath-Rayne, B. D., Kapadia, V. S., Magid, D. J., Niermeyer, S., Schmölzer, G. M., Szyld, E., Weiner, G. M., Wyckoff, M. H., Yamada, N. K., & Zaichkin, J. (2020). Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 142(16 2), S524–S550. https://doi.org/10.1161/CIR.0000000000000902
Delerema, N., Misniarti, Almaini, Yanti, & Winike nopri. (2022). Asuhan Keperawatan Pada Bayi Ny. Y dengan Asfiksia Neonatorum di Ruan Rawat Inap Mawar RSUD Curup Tahun 2022. Doctoral Dissertation, Poltekkes Kemenkes Bengkulu.
Deswita, Eka Wahyuni, & Wedya Wahyu. (2023). Sistem Pernafasan Akut Pada Bayi Dengan Asfiksia Neonatorum. Penerbit adab.
Dinkes Jateng. (2022). Profil Kesehatan Jawa Tengah Tahun 2022.
Döra, Ö., & Büyük, E. T. (2021). Effect of White Noise and Lullabies on Pain and Vital Signs in Invasive Interventions Applied to Premature Babies. In Pain Management Nursing (Vol. 22, Issue 6, pp. 724–729). W.B. Saunders. https://doi.org/10.1016/j.pmn.2021.05.005
Fernando, F., Patricia, H., Pebrina, M., Syedza, S., & Padang, S. (2021). The Effect of Nesting on Changes in Physiological Stress in Low Birth Weight Babies.
Kahraman, A., Başbakkal, Z., Yalaz, M., & Sözmen, E. Y. (2018). The effect of nesting positions on pain, stress and comfort during heel lance in premature infants. Pediatrics and Neonatology, 59(4), 352–359. https://doi.org/10.1016/j.pedneo.2017.11.010
Kahraman, A., Gümüş, M., Akar, M., Sipahi, M., Bal Yılmaz, H., & Başbakkal, Z. (2020). The effects of auditory interventions on pain and comfort in premature newborns in the neonatal intensive care unit; a randomised controlled trial. Intensive and Critical Care Nursing, 61. https://doi.org/10.1016/j.iccn.2020.102904
Kain, V. J., & Chin, S. D. (2020). Conceptually Redefining Neonatal Palliative Care. Advances in Neonatal Care, 20(3), 187–195. https://doi.org/10.1097/ANC.0000000000000731
Kliegman, R. M., Behrman, R. E., & Jenson, H. B. (2016). Nelson Textboosk of Pediatrics (20th ed.). Elsevier.
Kusuma, D. C. R., Elmeida, I. F., nofita, R., & Supardi, N. (2022). Asuhan Neonatus Dan Bayi Baru Lahir Dengan Kelainan Bawaan. Global Eksekutif Teknologi.
McCarthy, F. T., Kenis, A., & Parravicini, E. (2023). Perinatal palliative care: focus on comfort. Frontiers in Pediatrics, 11. https://doi.org/10.3389/fped.2023.1258285
Mirnia, K., Saeidi, F., Hosseini, M. B., & Asgharabadi, M. (2019a). Effect of two light reduction methods on the physiological responses of preterm infants. www.japer.in
Mirnia, K., Saeidi, F., Hosseini, M. B., & Asgharabadi, M. (2019b). Effect of two light reduction methods on the physiological responses of preterm infants. www.japer.in
Nerdrum Aagaard, E., Solevåg, A. L., & Saugstad, O. D. (2023). Significance of Neonatal Heart Rate in the Delivery Room—A Review. In Children (Vol. 10, Issue 9). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/children10091551
Pietrzak, J., Kurdyś, P., Surówka, Ł., & Obuchowicz, A. (2019). Use of white noise-emitting devices in infants and small children as assessed by their parents. Pediatria i Medycyna Rodzinna, 15(3), 291–296. https://doi.org/10.15557/PiMR.2019.0049
Rohmah, M., Saputri, N., & Bahari, J. (2020). Effectiveness Of Use Of Nesting On Body Weight, Oxygen Saturation Stability, And Breath Frequency In Prematures In Nicu Room Gambiran Hospital Kediri City. STRADA Jurnal Ilmiah Kesehatan, 9(1), 119–128. https://doi.org/10.30994/sjik.v9i1.275
Saied, N., El-Nagger, M., & Ragab Bayoumi, O. (2016). Effect of Applying Nesting Technique as a Developmental Care on Physiological Functioning and Neurobehavioral Organization of Premature Infants. Life Sci J, 13(1s), 79–92. https://doi.org/10.7537/marslsj1301s1609
Sayed, H. I. El, & Hassan, G. A. (2020). Nesting Technique: it’s Effect on Physiological Parameters and Neurobehavioral Organization in Preterm Infants. International Journal of Novel Research in Healthcare and Nursing, 7(1), 133–147. www.noveltyjournals.com
Sayed, H. I. El, & Hassan, G. A. (2022). Nesting Technique: it’s Effect on Physiological Parameters and Neurobehavioral Organization in Preterm Infants. International Journal of Novel Research in Healthcare and Nursing, 7(1), 133–147. www.noveltyjournals.com
Shafiei, E., Ameri, Z. D., Sheikhbardsiri, H., Yaseri, M., & Baniasadi, H. (2020). The Effect of Mother’s Lullaby on Preterm Infants’ Physiological Parameters. The Journal of Pediatric Research, 7(1), 46–51. https://doi.org/10.4274/jpr.galenos.2019.88942
Shin, H. J., Park, J., Oh, H. K., & Kim, N. (2022). Comparison of Effects of Mothers’ and Mozart’s Lullabies on Physiological Responses, Feeding Volume, and Body Weight of Premature Infants in NICU. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.870740
Sumathy, P. (2020a). Effectiveness of Nesting Technique on Posture and Physiological Parameters. Pondicherry Journal of Nursing, 13(2), 25–28. https://doi.org/10.5005/jp-journals-10084-12149
Sumathy, P. (2020b). Effectiveness of Nesting Technique on Posture and Physiological Parameters. Pondicherry Journal of Nursing, 13(2), 25–28. https://doi.org/10.5005/jp-journals-10084-12149
Suprihatin, K., Yessy, D. A., Siri, M., Sari, L., & Alfi, M. (2022). The Effectiveness of Nesting and Lighting in Physiological Function for Low Birth Weight Babies in Sidoarjo. International Journal of Advanced Health Science and Technology, 3(1), 41–47. https://doi.org/10.35882/ijahst.v3i1.214
Wahyuni, N. S., Yeni, R., & Defi, E. (2022). Aplikasi Teori Comfort dapat Meningkatkan Kenyamanan Bayi dengan Masalah Keperawatan Disorganisasi Perilaku. Jurnal Penelitian Kesehatan Suara Forikes, 13(2), 265–268.
Wandita, S., Ramadani, R. K., & Sumadiono. (2022). Very early complications of neonatal asphyxia. International Journal of Pregnancy & Child Birth, 8(3), 66–69. https://doi.org/10.15406/ipcb.2022.08.00263
WHO. (2022). Perinatal asphyxia.
Wicaksana, A., Wilar, R., & Rompis, J. L. (2023). Peran Neonatal Comfort Care di Neonatal Intensive Care Unit. E-CliniC, 12(1), 69–76. https://doi.org/10.35790/ecl.v12i1.45365
Zhang, Q., Huo, Q., Chen, P., Yao, W., & Ni, Z. (2024). Effects of white noise on preterm infants in the neonatal intensive care unit: A meta-analysis of randomised controlled trials. Nursing Open, 11(1). https://doi.org/10.1002/nop2.2094
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