Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKNeonatus yang dirawat di rumah sakit sering mendapatkan tindakan yang menimbulkan nyeri. Sukrosa dan nonnutritive sucking (NNS) merupakan analgesik nonfarmakologi. Tujuan penelitian adalah mengetahui efektifitas sukrosa dan NNS terhadap respon nyeri dan lama tangisan neonatus yang dilakukan tindakan invasif.Desain penelitian adalah quasi experimental, rancangan postest only control group design. Teknik pengambilan sampel dengan nonprobability sampling jenis consecutive sampling. Sampel penelitian berjumlah 45 neonatus aterm yang terbagi menjadi tiga kelompok, tiap kelompok 15 neonatus.Hasil penelitian menunjukkan respon nyeri tidak berbeda bermakna antara kelompok sukrosa dan NNS (p=0,635). Lama tangisan tidak berbeda bermakna antara kelompok sukrosa dan NNS (p=0,848). Umur merupakan variabel perancu yang memberikan pengaruh pada respon nyeri. Pemberian sukrosa maupun NNS terbukti dapat menurunkan nyeri dalam manajemen nyeri nonfarmakologi pada neonatus yang dilakukan prosedur invasif.

---

ABSTRACT

Hospitalized neonates may experience pain caused by invasive procedures. Sucrose and non-nutritive sucking are non-pharmacological analgesics. This study aimed to examine the effectiveness of sucrose and non-nutritive sucking administration on pain and crying duration of neonates during invasive procedures.

The study used quasi-experimental design with post-test only control group design approach. This study used nonprobability sampling technic with consecutive sampling. The sample consisted of 45 neonates, divided into three groups, each group of 15 neonates. The study used nonprobability sampling technic with consecutive sampling.

The results showed that the pain response and the crying duration were insignificantly different between the sucrose group and the NNS, respectively p=0,635 and p=0,848. Age was identified as a confounding variable that effected pain responses. Provision of sucrose and NNS proven to reduce pain as non-pharmacological pain management for neonates during invasive procedures."

"Menangis merupakan bahasa pertama yang dikuasai oleh bayi yang baru lahir. Tangisan bayi ini menjadi sinyal untuk orang tua atau pengasuh agar memberikan perlindungan dan kenyamanan yang dibutuhkan oleh bayi. Umumnya bayi membutuhkan pertolongan pengasuhnya ketika merasa haus, mengantuk, tidak dapat bersendawa, mengalami masalah perut dan merasa tidak nyaman. Apabila pertolongan tidak segera diberikan maka dapat membahayakan bayi tersebut. Namun terdapat faktor psikologis dan pengetahuan orang tua yang kurang dalam memahami setiap tangisan bayi. Berdasarkan masalah tersebut, studi klasifikasi arti tangisan bayi menjadi salah satu domain yang mulai dikembangkan agar dapat membantu orang tua dan pengasuh dalam memahami bayi. Berbagai metode diusulkan untuk memberikan hasil terbaik namun terdapat tantangan dalam studi ini yaitu sinyal suara tangis bayi yang susah dikenali karakteristiknya dibandingkan suara verbal dewasa. Oleh karena itu, penelitian ini mengusulkan pengembangan metode gabungan dari CNN dan RNN untuk mengatasi tantangan dan permasalahan pada studi pengenalan tangisan bayi. Hasil akurasi terbaik metode usulan CRNN mencapai 87,31%.

---

Crying is the first communication language of newborns. Infant cries can be considered as a cue that hopefully motivate parents and caregivers to give affection, safety, and protection to their infants. Generally, infant cries can be caused by many different reasons, for example when they feel hungry, sleepy, uncomfortable, want to burp, and have a stomachache. If the caregivers do not give their need immediately, it may get worse and harm their safety. But there are some psychological factors and lack of knowledge in understanding each infant’s cries. Based on these problems, the study of infant cry classification becomes one of the studies that began to be developed in order to help parents and caregivers understand their infants. Various methods have been proposed to provide the best result, but there is a challenge in this study which is infant cries signal is difficult to recognize compared to adult speech. Therefore, this study proposes the development CNN and RNN combination methods to overcome challenges and problems in the study of infant cry classification. We obtain best result of CRNN performance up to 87,31%."

"ABSTRAKNyeri adalah pengalaman tidak menyenangkanakibat kerusakan jaringan bersifa tsubjektif dapat dinilai dari ekspresi wajah, gerakant ubuh,menangis dan istirahat dengan skala nyeri yang dapat digunakan adalah Neonatal InfantPain Scale (NIPS).Terapi nonfarmakologis mandiri dapat dilakukan perawat untuk meminimalisir nyeri neonatussetelah tindakan invasif. Pemberian kombinasi NNSdansukrosaefektifmengurangiresponnyerineonatussetelahpemasanganinfus.Penelitianinimerupakanpenelitianquasi experimental post test only control groupdesign. Sampelpenelitiansebanyak 20respondendibagimenjadikelompokintervensidankelompokkontrol. Analisis datamenggunakanujiindependent ttest.Kelompokintervensidengannilairesponnyeriterendah 0 dantertinggi 2dengannilaitengah 0,5. Kelompokkontroldengannilainyeriterendah 5 dantertinggi7 dengaannilaitengah 0,5. Rekomendasihasilpenelitianini, pemberiankombinasiNNS dansukrosasebagaiterapi nonfarmakologisuntukmengurangiresponnyerineonatussetelahpemasanganinfus.

---

Abstract Pain is an unpleasant subjective response due to tissue disruption. In neonates, itcan be assessed by Neonatal Infant Pain Scale (NIPS) from the facial expression,body movement, crying or resting behavior of the infant. Nurses may carry on thenon-pharmacological intervention to minimize the pain of the neonates afterinvasive procedures. One of the interventions is the combination of Non NutritiveSucking (NNS) and sucrose. This research was designed as the quasi experimentalpost test only control group research involving 20 participants in the control andintervention group. The data were analyzed using independent t-test. The researchfound the lowest pain response scale was 0 and the highest was 2, with the median0.5, in the intervention group. Whereas, in the control group, the lowest andhighest pain scales were 5 and 7, respectively, with median 0.5. This researchsuggests this combination of NNS and sucrose to reduce the pain response inneonates after intravenous catheter insertion."

"Kontribusi pelayanan keperawatan terhadap mutu pelayanan kesehatan tergantung dari manajemen keperawatan, dan salah satu ukuran keberhasilan pelayanan keperawatan, adalah seberapa besar produktifitas perawat dalam memberikan asuhan keperawatan yang baik kepada klien dan keluarganya. Untuk mencapai pertumbuhan produktivitas kerja yang optimal diperlukan beberapa faktor pendukung antara lain adalah adanya iklim kerja yang harmonis, etos kerja yang baik dan disiplin kerja yang tinggi. Penelitian ini bertujuan untuk melihat hubungan antara iklim kerja, etos kerja, dan disiplin kerja dengan produktivitas kerja para perawat pelaksana non militer di RSAL dr. Ramelan Surabaya. Desain penelitian menggunakan deskriptif korelatif, yang bertujuan untuk menganalisis hubungan antara variabel iklim kerja, etos kerja dan disiplin kerja dengan produktivitas kerja perawat non militer di RSAL dr. Ramelan Surabaya. Jumlah sampel 170 orang dari 302 populasi yang diambil dengan sistematis random sampling. Untuk mengetahui hubungan antara variabel independen dengan variabel dependen digunakan analisis data dengan uji univariat, bivariat dan multivariat. Dengan tingkat kepercayaan α=0,05, didapatkan hasil yang berhubungan signifikan dengan produktivitas kerja adalah iklim kerja (p=0,032), dimensi psikologis (p=0,00), dimensi sosial (p=0,012), etos kerja (p=0,035), disiplin kerja (0,038), kepatuhan terhadap waktu kerja (p=0,014), kepatuhan terhadap tata tertib (p=0,000), kepatuhan terhadap standart (p=0,024) dan kepatuhan terhadap atasan (p=0,014). Analisis multivariat menunjukan bahwa umur (p=0,000) merupakan variabel yang paling berhubungan dengan produktivitas kerja. Rekomendasi untuk kepala dan manajemen keperawatan RSAL dr. Ramelan Surabaya, perlu dikembangkan lebih lanjut standart kinerja dan standart asuhan keperawatan, standart disiplin kerja, pengembangan team sharing dan pemberlakuan sistem penghargaan yang adil bagi yang berprestasi dan hukuman bagi yang melanggar. Dengan dilaksanakan program ini, pada gilirannya diharapkan dapat meningkatkan produktivitas kerja, sebagai tujuan akhir dari persoalan manajemen, termasuk didalamnya manajemen keperawatan.

---

Contribution of nursing service to the quality of health service depended upon nursing management, and one of the indicator of excellence in nursing is how much the productivity of the staff nurse in providing a good care to client and family. To achieve the optimal productivity growth needs some supporting factor includes conducive work, climate work, good work ethos and high discipline. This research aims at identifying the relationship between work climate, ethos, and discipline with work productivity of non military nurses at RSAL dr. Ramelan Surabaya".

The design of this research was a descriptive correlation. The number of sample was 170 of 302 total population, obtained through a systematic random sampling technique. The univariate, bivariate and multivariate analysis were utilized to identify the correlation between the independent and dependent variables.

Using the level of significance (α=0,05), the bivariate analysis identified a relationship between work productivity and work climate (p=0,032), psychological (p=0,00), and social dimensions (p=0,012), ethos (p=0,035), discipline (p=0,028), compliance to the schedule (p=0,014), local policy (p=0,00), standard (p=0,024) and direct superior (p=0,014).The multivariate analysis showed that age (0,000) represents most related to work productivity.

Recommendation is directed to the director and nursing manager at dr. Ramelan Surabaya Hospital, that performance of nursing care, work discipline standards and team building development, fair reward system for high work performance and penalty for low work performance need to be developed further. In turn, all components mentioned above will improve work productivity as a final goal of management especially nursing management. "

"Kemampuan menghisap bayi prematur dapat ditingkatkan dengan pemberian stimulasi non nutritive sucking (NNS) dengan menggunakan empeng. Penelitian ini bertujuan untuk membuktikan pengaruh stimulasi NNS menggunakan empeng terhadap lama penggunaan sonde dalam pemberian minum bayi prematur. Desain penelitian menggunakan kuasi eksperimen dengan post test only with control group design denan sampel 20 responden untuk 2 kelompok yang dipilih secara purposive sampling di salah satu rumah sakit daerah di Tangerang. Pengumpulan data menggunakan kuesioner dan instrumen lembar observasi indikator pelepasan sonde dan dianalisis dengan independent t test. Hasil penelitian menunjukkan tidak ada pengaruh stimulasi NNS dengan menggunakan empeng terhadap lama penggunaan sonde dalam pemberian minum bayi prematur (p=0,379, α=0,05), namun, masa penggunaan sonde lebih pendek. Peneliti merekomendasikan agar stimulasi NNS dengan menggunakan empeng tetap dijadikan prosedur alternatif untuk meningkatkan refleks menghisap pada bayi prematur.

---

An adequate sucking can be improved a premature infant's sucking reflex with non nutritive sucking stimulation (NNS) with pacifier. The purpose of this research was to identify the influence of NNS stimulation with pacifier towards the duration of gastric tube usage during premature infant feeding.

The design of this research was quasi experimental with post test only control group design with 20 respondents for two groups, then were chosen by purposive sampling in one of Tangerang District Hospital. The data were collected using a questionnaire and an observation form. Data were analized using independent t test.

The result of this research showed that there was no influence of NNS with pacifier towards the duration of gastric tube usage (p=0,379; α=0,05), however the duration of gastric tube usage was shortened. This research recommends that non nutritive sucking stimulation with pacifier is an alternative procedures to improve a premature infant's sucking reflex."

"Bayi prematur sulit untuk mencapai kemampuan minum akibat imaturitas sistem pencernaannya. Kondisi ini menyebabkan perawatan yang lebih lama di rumah sakit. Penelitian ini bertujuan untuk mengetahui efektivitas gabungan stimulasi oromotor dan pemberian nonnutritive sucking terhadap kecepatan minum bayi mencapai fullfeed, peningkatan volume minum, peningkatan berat badan, dan kesiapan minum bayi prematur. Rancangan penelitian ini adalah randomized control trial dengan desain paralel yang melibatkan jumlah sampel sebanyak 52 bayi prematur. Responden yang mendapatkan stimulasi oromotor dan pemberian nonnutritive sucking sebanyak 26 bayi prematur (kelompok intevensi) dan yang mendapatkan perawatan rutin RS sebanyak 26 bayi prematur (kelompok kontrol). Hasil penelitian mengidentifikasi rerata kecepatan minum bayi mencapai fullfeed pada kelompok intervensi dan kontrol (10,04, 9,73, p<0,001), Peningkatan berat badan yang signifikan pada kelompok intervensi dan kontrol (2,392,2,204,p< 0,001), dan terdapat rerata peningkatan volume minum pada kelompok intervensi dan kontrol (33,65, 29,9, p<0,001). Intervensi stimulasi oromotor dan pemberian nonnutritive sucking dapat menjadi alterrnatif tindakan perawat untuk mengatasi masalah kesulitan minum pada bayi prematur.

---

Premature babies find it difficult to achieve the ability to drink due to the immaturity of their digestive system. This condition leads to a longer stay in the hospital. This study aims to determine the combined effectiveness of oromotor stimulation and non-nutritive sucking on the speed of feeding babies to reach full feed, increasing drinking volume, increasing body weight and readiness to drink premature babies. The design of this study was a randomized control trial with a parallel design involving a sample of 52 premature infants. Respondents who received oromotor stimulation and nonnutritive sucking were 26 premature babies (intervention group) and 26 premature babies who received routine hospital care (control group). The results of the study identified that there was an increase in the speed of infant feeding reaching full feed in the intervention and control groups (10.04, 9.73, p<0.001), weight gain in the intervention and control groups (2,392.2,204, p<0.001), there was an increase in volume drinking in the intervention and control groups (33.65, 29.9, p<0.001). and an increase in drinking readiness after the intervention in the intervention and control groups showed an increase (10.04% ,9.73%). Oromotor stimulation and the provision of nonnutritive sucking can be an alternative action for nurses to overcome the problem of drinking difficulties in premature infants."

"Penelitian quasy experimental dengan pendekatan non equivalen control group design pre-pos test, bertujuan untuk mengidentifikasi pengaruh HBO terhadap perfusi perifer luka gangren pada penderita Diabetes mellitus di RSAL Dr. Ramelan Surabaya. Hasil penelitian pada 40 responden yang diambil secara consecutive sampling, menunjukan ada perbedaan yang signifikan antara perfusi perifer sesudah diberikan HBO pada kelompok intervensi dan kontrol (p=0,001), ada perbedaan yang signifikan antara perfusi perifer pada kelompok intervensi sebelum dan sesudah diberikan HBO (p=0,005). Disimpulkan Hiperbarik oksigen berpengaruh terhadap perfusi luka gangren pada penderita diabetes mellitus yang dinilai dari akral, CRT dan saturasi oksigen.

---

This quasy experimental research with non equivalen control group design prepos test approach, purpose to identify HBO influence against peripheral perfusion of gangrene Diabetes mellitus patients in Dr. Ramelan Hospital, Surabaya. Resultof research on 40 respondents which taken by consecutive sampling, shown there is a significant differences on peripheral perfusion after given HBO group intervence and control (p=0,001). a significant differences on peripheral perfusion before and after given HBO group intervence and control (p=0,005). Concluded by Hyperbaric oxygen have an effect on peripheral perfusion of gangrene on diabetic mellitus patients from finger tips, CRT and oxygen saturation."

"[ABSTRAKNyeri memicu munculnya stres yang berpotensi menimbulkan gangguan perkembangan dan pertumbuhan pada neonatus. Penusukan tumit berpotensi menimbulkan nyeri. Penelitian ini bertujuan untuk melihat efektivitas sukrosa dan pembedongan terhadap respon nyeri neonatus. Penelitian ini menggunakan rancangan uji klinik acak terkontrol dengan cross-over design. Sampel yang digunakan berjumlah 24 neonatus. Pada saat penusukan tumit, rerata respon nyeri lebih tinggi pada kelompok sukrosa yaitu 2,67. Satu menit setelah penusukan tumit rerata respon nyeri pada kedua kelompok sama yaitu 1,96. Dua menit dan 3 menit setelah penusukan rerata respon nyeri lebih tinggi pada kelompok pembedongan. Hasil bivariat menunjukkan tidak terdapat perbedaan rata-rata respon nyeri neonatus saat penusukan tumit (p=0,925) dan setelah penusukan tumit (satu menit (p=0,915), dua menit (p=0,942), dan tiga menit setelah penusukan tumit (p=0,132)) pada kedua kelompok. Penelitian ini menunjukkan tidak terdapat hubungan antara jenis kelamin terhadap respon nyeri neonatus (p=0,398). Pembedongan dapat digunakan untuk mengurangi respon nyeri pada bayi saat penusukan sekaligus mendukung pemberian ASI eksklusif.

---

ABSTRACTPain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme., Pain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme.]"

"Bayi Prematur lahir disertai berbagai masalah kesehatan. Masalah yang sering terjadi adalah distress pernapasan dan lemahnya refleks hisap dan menelan yang mengakibatkan masalah pemberian nutrisi. Stimulasi NNS dan latihan oral motorik dapat membantu bayi prematur untuk meningkatkan kemampuan menghisap dan menelan. Penelitian ini menggunakan rancangan uji klinik acak terkontrol dengan menggunakan pendekatan pre dan post test control group. Sampel dalam penelitian ini berjumlah 26 bayi prematur yang dirawat di tiga RSUD di sekitar Kota Sukabumi. Sampel terbagi menjadi dua kelompok intervensi, masing-masing 13 responden untuk setiap kelompok. Hasil penelitian ini menunjukkan terdapat perbedaan bermakna rerata skor kesiapan minum sebelum dan setelah intervensi stimulasi NNS dan latihan oral motorik pada bayi prematur dengan pemasangan alat bantu napas NCPAP p0,05. Stimulai NNS dan latihan oral motorik dapat meningkatkan kesiapan minum pada bayi prematur dengan pemasangan alat bantu napas NCPAP yang ditandai dengan peningkatan skor kesiapan minum melalui oral, sehingga perlu diimplementasikan dalam pemberian asuhan keperawatan pada bayi prematur. Rekomendasi untuk penelitian selanjutnya adalah membandingkan stimulasi NNS, latihan oral motorik, dan gabungan dari kedua intervensi tersebut.

---

Premature baby is born with various health problems. The most common problems are respiratory distress and poor suction and swallowing reflexes that lead to nutritional problems. NNS stimulation and oral motor stimulation can help premature babies to improve their ability to suck and swallow. This study used a randomized controlled clinical trial design using pre and post test control group approaches. The sample in this study amounted to 26 premature infants treated in three hospitals around the city of Sukabumi, 13 respondents for each intervention group.

The results of this study indicate that there is a significant difference mean of oral feeding readiness score before and after NNS stimulation and oral motor stimulation intervention in premature infant with NCPAP p 0.05 . Stimulation of NNS and oral motor may improve oral feeding readiness in premature infants with NCPAP characterized by increasing oral feeding readiness scores, so it needs to be implemented in nursing care in premature infants. The recommendation for further research is to compare NNS stimulation and oral motor exercise with a combination of both interventions."