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"Bayi prematur lahir dengan berbagai permasalahan kesehatan dan membutuhkan perawatan khusus yang dapat menyebabkan kecemasan dan stres orang tua. Kualitas asuhan keperawatan yang bermutu dengan menerapkan asuhan perkembangan dapat dinilai dengan kepuasan orang tua. Penelitian ini bertujuan mengetahui hubungan penerapan asuhan perkembangan yang dipersepsikan oleh perawat dengan kepuasan orang tua bayi prematur di ruang neonatus. Penelitian kuantitatif dengan desain cross sectional ini menggunakan sampel berjumlah 52 perawat dan 52 orang tua bayi prematur. Tehnik pengambilan sampel yang digunakan adalah consecutive sampling Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan pearson. Hasil analisis menunjukkan terdapat hubungan yang bermaksna antara penerapan asuhan perkembangan dengan kepuasan orang tua bayi prematur (p value <0,001, p<0,05). Penerapan asuhan perkembangan yang baik dapat meningkatkan kualitas perawatan terhadap bayi dan juga meningkatkan kepuasan orang tua. Asuhan perkembangan perlu diterapkan di ruang neonatus sebagai upaya meningkatkan asuhan keperawatan pada bayi dan kepuasan orang tua.

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Premature infants born with several of health problems and needs special care can cause anxiety and stress of parents. A qualified nursing care by implementing developmental care can be assessed through parent satisfaction of premature infants. This study aims to recognize the relationship of developmental care application perceived by nurse with parental satisfaction of premature infants in neonatus care unit. This quantitative study used cross sectional design. The sample included 52 neonatus nurses and 52 parents of premature infants used consecutive sampling method. Data were collected using a questioners and analyzed using Pearson.

The analysis results show that there is significant relationship between developmental care applications with parent satisfaction of premature infants (p value=<0,001, p<0,05). The application of developmental care in premature infants may improve the quality of care and increase parens satisfaction. Developmental care need to be implemented as an effort to improve nursing care of infants and parents satisfaction."

"Kompleksitas perawatan bayi yang intensif menyebabkan ada perawatan rutin yang terlewatkan sehingga dapat memperpanjang lama perawatan, risiko rawat ulang, meningkatkan komplikasi bayi, dan menurunkan kepuasan orang tua. Penelitian cross-sectional ini bertujuan untuk mengidentifikasi hubungan antara pelaksanaan perawatan bayi prematur dengan kepuasan orang tua. Teknik consecutive sampling dilakukan untuk memilih 59 perawat dan 59 orang tua bayi prematur. Analisis menggunakan uji Pearson. Hasil penelitian menunjukkan bahwa rata-rata pelaksanaan perawatan bayi prematur sebesar 161,93 dan rata-rata kepuasan orang tua sebesar 280,07. Terdapat hubungan antara pelaksanaan perawatan bayi prematur dengan kepuasan orang tua (pvalue<0,001, r= 0,77). Bagi pelayanan keperawatan dapat menjadi evaluasi terhadap kinerja perawat untuk meningkatkan kualitas perawatan bayi prematur dan kepuasan orang tua meningkat.

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Complexity of intensive care of premature babies causes some routine nursing cares are overlooked which may lead to extension of length of stay, risk of rehospitalization, additional disease complications, and decrease of parents satisfaction. This cross-sectional study aimed to identify the relationship between the implementation of a premature babies care with parents satisfaction. Consecutive sampling technique was conducted to select 59 nurses and 59 parents of premature babies as research respondents. The data was analyzed with Pearson test. The results showed that the average of premature babies care score was 161.93 and the average of parents satisfaction score was 280.07. There was a significant relationship between the implementation of premature babies care with parents satisfaction (p value <0.001, r = 0.77). Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents satisfaction."

"Berada dalam lingkungan perawatan yang terang benderang, suara yang berisik, suhu yang dingin dan berbagai aktivitas memiliki dampak terhadap istirahat bayi. Tujuan penelitian adalah untuk mengidentifikasi pengaruh penggunaan penutup telinga earmuffs dan earplugs terhadap respon fisiologis dan perilaku bayi prematur. Penelitian ini menggunakan desain crossover pada 15 orang responden bayi prematur stabil yang dirawat dalam inkubator tertutup secara consecutive sampling. Observasi respon fisiologis dan perilaku menggunakan ABSS diamati 30 detik setiap 15 menit selama 2 jam pemasangan alat penutup telinga. Hasil repeated anova menyatakan bahwa rerata frekuensi nadi bayi prematur menunjukkan tidak ada perbedaan yang bermakna antara sebelum, selama, dan setelah pemasangan penutup telinga baik menggunakan earmuffs maupun menggunakan earplugs. Rerata saturasi oksigen menunjukkan perbedaan bermakna antara selama dengan setelah pemasangan earplugs. Rerata perilaku bayi menggunakan ABSS memiliki fase tidur dari rentang skor tidur tenang dan tidur gelisah dengan rerata tingkat kebisingan 56,31 dB. Penelitian ini merekomendasikan penggunaan earplugs pada bayi prematur lebih muda, penggunaan pelindung telinga mampu membantu dan mendukung bayi prematur dalam mempertahankan kondisi tidur terjaganya.

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Being in a brightly lit environment, loud noise, cold temperatures and activities have an impact on infant sleep. The aim of the study was to identify the effect of using earplugs on earmuffs and earplugs on the physiological and behavioral responses of premature infants. This is a crossover study design with 15 clinically stable preterm infants cared in closed incubator was conducted by using consecutive sampling technique. The preterm infants rsquo physiologic responses and Anderson Behavioral State Scoring System ABSS scores were assessed over 30 s every 15 minute during 2 h using earmuffs and earplugs. The results of repeated anova analysis revealed no significant differences of pulse frequency preterm infant before, during, and after using earmuffs or earplugs. Statistically significant difference means of oxygen saturation was note between during and after using earplugs. The means of ABSS scores was report preterm infants were more frequently observed in a quiet sleep in average of 56,31 dB noise level. This study recommends using earplugs for preterm baby appropriate chronological age. We suggest that noise reduction in preterm infants with earmuffs or earplugs is helpful by improving sleep efficiency and increasing time of quiet sleep. "

"Kelahiran bayi prematur dan perawatan di ruang rawat intensif neonatusmerupakan peristiwa yang menyebabkan sumber stres pada orang tua khususnyaibu. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalammengenai pengalaman ibu selama perawatan masa awal kehidupan bayi prematurdi ruang rawat intensif neonatus RSUP Dr. Soeradji Tirtonegoro Klaten. Desain penelitian kualitatif dengan pendekatan fenomenologi ini pada delapan partisipan. Analisis data menggunakan metode Colaizzi dan menghasilkan tujuh tema penelitian, yaitu: reaksi ibu, proses berduka, dampak perawatan bayi prematur, koping diri ibu, upaya ibu untuk meningkatkan hubungan kelekatan (bonding attachment), dukungan terhadap ibu, dan harapan selama perawatan bayi prematur.

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The birth and treatment of premature infants in the neonatal intensive care unit is the event that makes it the source of stress to parents especially the mother. This study aims to gain a deeper understanding of the experience of mother during the early life of premature infants in the neonatal intensive care unit of Dr. Soeradji

Tirtonegoro Central Hospital, Klaten. This qualitative research design with phenomenology approach took eight participants. The data analysis uses Colaizzi method and produced seven research themes, namely: the mothers? reaction, the grieving process, the impact of premature infant care, mother?s self ?coping efforts, the mothers? attempts to improve the close and attached relationship (bonding attachment), the support for the mother, and expectations for the care of premature infants.

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"Kelahiran bayi prematur dan perawatan di ruang rawat intensif neonatus merupakan peristiwa yang menyebabkan sumber stres pada orang tua khususnya ibu. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam mengenai pengalaman ibu selama perawatan masa awal kehidupan bayi prematur di ruang rawat intensif neonatus RSUP Dr. Soeradji Tirtonegoro Klaten. Desain penelitian kualitatif dengan pendekatan fenomenologi ini pada delapan partisipan. Analisis data menggunakan metode Colaizzi dan menghasilkan tujuh tema penelitian, yaitu: reaksi ibu, proses berduka, dampak perawatan bayi prematur, koping diri ibu, upaya ibu untuk meningkatkan hubungan kelekatan (bonding attachment), dukungan terhadap ibu, dan harapan selama perawatan bayi prematur.

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The birth and treatment of premature infants in the neonatal intensive care unit is the event that makes it the source of stress to parents especially the mother. This study aims to gain a deeper understanding of the experience of mother during the early life of premature infants in the neonatal intensive care unit of Dr. Soeradji Tirtonegoro Central Hospital, Klaten. This qualitative research design with phenomenology approach took eight participants. The data analysis uses Colaizzi method and produced seven research themes, namely: the mothers reaction, the grieving process, the impact of premature infant care, mother's self 'coping efforts, the mothers' attempts to improve the close and attached relationship (bonding attachment), the support for the mother, and expectations for the care of premature infants."

"ABSTRAKBayi prematur membutuhkan asuhan perkembangan yang adekuat, namun di beberapa rumah sakit pelaksanaan asuhan perkembangan belum optimal. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan penerapan asuhan perkembangan oleh perawat. Desain penelitian adalah cross sectional, jumlah sampel 82 perawat di ruang perawatan neonatus level I, II, III di RSAB Harapan Kita dan RSPAD Gatot Subroto. Instrumen yang digunakan adalah kuesioner. Data penelitian dianalisis multivariat dengan regresi linier ganda. Hasil analisis bivariat menunjukkan ada hubungan penerapan asuhan perkembangan dengan : usia nilai p=0,016 , lama bekerja nilai p=0,001 , riwayat pelatihan nilai p=0,011 , dan efikasi diri nilai p=0,017 . Hasil pemodelan multivariat : pelatihan NICU, lama bekerja, dan efikasi diri adalah faktor dominan yang berhubungan dengan penerapan asuhan perkembangan. Peneliti menyarankan pelayanan keperawatan dapat memfasilitasi penyediaan dana dan pelatihan untuk perawat di ruang neonatus.

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ABSTRACTPremature infants need adequate care development, but in some hospitals the implementation of developmental care is not optimal. This study aims to identify factors associated with the implementation of developmental care by nurses. The study design was cross sectional sample of 82 nurses in neonatal care level I, II, III in RSAB Harapan Kita and Gatot Subroto Army Hospital. The instrument used was a questionnaire. Data were analyzed with multiple linear regression multivariate. The results of the bivariate analysis showed no association with the development of care implementation age p value 0.016 , duration of work p value 0.001 , history of training p value 0.011 , and self efficacy p value 0.017 . Multivariate modeling results NICU training, long work, and self efficacy is a dominant factor associated with the implementation of developmental care. Researchers suggest nursing services can facilitate the provision of funds and training to nurses in neonates."

"Komunikasi merupakan komponen penting dalam kehidupan. Komunikasi dengan seseorang dapat membantu menyampaikan apa yang ada dalam pikirannya kepada orang lain baik untuk menyampaikan informasi maupun untuk mendapatkan informasi. Kecemasan yang terjadi pada keluarga klien biasanya disebabkan oleh kurangnya informasi yang disampaikan oleh perawat melalui komunikasi khususnya tentang kondisi dan proses perawatan klien di ruangan. Penelitian ini bertujuan untuk menganalisis hubungan komunikasi terapeutik perawat dengan tingkat kecemasan orang tua anak yang terpasang ventilator mekanik di ruang Pediatric Intensive Care Unit (PICU). Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross- sectional. Sampel penelitian berjumlah 81 responden dengan kriteria orang tua pasien anak yang terpasang ventilator mekanik lebih dari 24 jam di PICU RSUPN Dr. Cipto Mangunkusumo. Sampel didapatkan dengan dengan total sampling. Penelitian ini menggunakan kuesioner komunikasi terapeutik dengan nilai uji validitas dengan nilai r> 0,346-0,838 dan kuesioner tingkat kecemasan dengan skala Zung self-Rating Anxiety nilai uji validitas yaitu r> 0,444 dan uji reliabilitas dengan nilai Cronbach Alpha >0,887. Hasil penelitian dianalisis menggunakan uji chi-square menunjukkan terdapat hubungan yang bermakna antara tingkat komunikasi terapeutik dengan tingkat kecemasan orang tua anak yang terpasang ventilator mekanik dengan hasil p value 0,027 (P< 0,05). Rekomendasi berkaitan dengan penelitian ini ialah disusunnya intervensi lebih lanjut mengenai standar komunikasi terapeutik untuk mengurangi tingkat kecemasan orang tua.

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Communication is an important component in life. Communication with someone can help convey what is on their mind to other people, both to convey information and to obtain information. Anxiety that occurs in the client's family is usually caused by a lack of information conveyed by the nurse through communication, especially about the condition and process of caring for the client in the room. This study aims to analyze the relationship between nurses' therapeutic communication and the anxiety level of parents of children who are installed on mechanical ventilators in the Pediatric Intensive Care Unit (PICU). This research is a quantitative research with a cross-sectional research design. The research sample consisted of 81 respondents with the criteria being parents of pediatric patients who had been on a mechanical ventilator for more than 24 hours in the PICU at RSUPN Dr. Cipto Mangunkusumo. The sample was obtained using a total sampling. This study used a therapeutic communication questionnaire with a validity test value of r> 0.346-0.838 and an anxiety level questionnaire with the Zung Self-Rating Anxiety scale, a validity test value of r> 0.444 and a reliability test with a Cronbach Alpha value of >0.887. The results of the study were analyzed using the chi-square test, showing that there was a significant relationship between the level of therapeutic communication and the anxiety level of parents of children who were installed on mechanical ventilators with a p value of 0.027 (P < 0.05). Recommendations related to this research are the development of further interventions regarding therapeutic communication standards to reduce parents' anxiety levels."

"Kelahiran bayi prematur atau bayi yang lahir sebelum usia 37 minggu merupakan penyebab tertinggi yang mempengaruhi morbiditas dan mortalitas bayi dalam fase perinatal di dunia. Kelahiran bayi prematur disertai dengan kondisi Bayi Berat Lahir Rendah (BBLR) merupakan indikator kuat terjadinya gangguan makan pada bayi yang dikaitkan dengan refleks oral motor yang inadekuat dan koordinasi hisap-menelan-dan bernapas yang buruk. Gangguan pada proses makan bayi berisiko tinggi meningkatkan kejadian gagal tumbuh (failure to thrive), keterlambatan perkembangan, dan pemulangan bayi dengan menggunakan selang OGT. Premature Infant Oral Motor Intervention (PIOMI) merupakan salah satu stimulasi oro-motor yang dapat digunakan untuk meningkatkan refleks hisap dan menelan bayi dan meningkatkan kesiapan proses transisi makan bayi dari enteral ke oral. Karya ilmiah ini memuat gambaran mengenai pemberian asuhan keperawatan kepada bayi prematur dengan BBLR dan problem feeding berusia 36 minggu melalui penerapan PIOMI sebagai intervensi berbasis bukti. PIOMI dilakukan selama dua kali sehari dalam waktu sepuluh hari berturut-turut dengan durasi tindakan selama lima menit. Hasil evaluasi menunjukkan PIOMI efektif dalam meningkatkan refleks hisap bayi yang secara objektif pengukurannya dilakukan melalui penghitungan skor Premature Oral Feeding Readiness Asessment Scale (POFRAS) dan didapatkan peningkatan dari skor 15 menjadi 36. PIOMI pun mampu meningkatkan kesiapan makan bayi dari enteral ke oral setelah PIOMI dilakukan secara terus menerus selama sembilan hari.

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The birth of premature infants or infants born before 37 weeks of age is the leading cause of infant morbidity and mortality in the perinatal phase worldwide. Premature birth accompanied by low birth weight (LBW) is a strong indicator of infant feeding disorders associated with inadequate oral-motor reflexes and poor suction-swallowing-and-breathing coordination. Infant feeding disorders have a high risk of increasing the incidence of failure to thrive, developmental delay, and discharge with the use of Orogastric Tube (OGT). Premature Infant Oral Motor Intervention (PIOMI) is one of the oral motor stimulations that can be used to improve infant suction and swallowing reflexes and increase readiness for the transition of infant feeding from enteral to oral. This scientific work contains a description of the provision of nursing care to premature infants with LBW and feeding problems aged 36 weeks through the application of PIOMI as an evidence-based review intervention. PIOMI was performed twice a day for ten consecutive days with a duration of five minutes. The results of the evaluation showed that PIOMI was effective in improving infants' suction reflexes, objectively measured through the calculation of the Premature Oral Feeding Readiness Assessment Scale (POFRAS) score and an increase from a score of 15 to 36. PIOMI was also able to improve infants' feeding readiness from enteral to oral after nine days of continuous PIOMI treatment."

"Pencegahan cidera tekan merupakan hal yang penting pada pasien dalam periode kritis di ruang perawatan intensif, di mana mayoritas menderita penurunan kesadaran dan kelemahan otot yang dapat membuat pemenuhan kebutuhan dasar memerlukan penggunaan bantuan khusus dari perawat. Efikasi diri perawat sangat penting dalam mempengaruhi usaha yang dilakukan, kekuatan usaha, dan cara mengatasi tantangan untuk mencapai keberhasilan pencegahan cidera luka tekan. Penelitian ini bertujuan untuk mengukur dan mengetahui hubungan antara efikasi diri perawat dalam pencegahan cedera tekan di ruang intensive care unit RSUP Fatmawati. Penelitian ini bersifatcross-sectional dengan 124 responden yang berasal dari ruang rawat intensif di rumah sakit. Penelitian ini menggunakan General Self-Efficacy Scale dan Attitude against Pressure Ulcer Prevention (APuP). Hasil penelitian menunjukkan bahwa 66 responden atau (91.7%) memiliki efikasi diri yang tinggi dengan sikap pencegahan cidera tekan yang memuaskan, 6 responden atau (8.3%) memiliki efikasi diri yang tinggi dengan sikap pencegahan cidera tekan yang cukup memuaskan, dan terdapat hubungan yang signifikan antara efikasi diri perawat dengan pencegahan cidera tekan (p < 0,05). Pengkajian mengenai faktor yang mempengaruhi efikasi diri perawat dan hambatan dalam pelaksanaan intervensi keperawatan sangat penting dilakukan untuk mencegah terjadinya cidera tekan pada pasien di ruang intensif.

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Prevention of pressure injury is a noteworthy needs for critical patients in intensive care unit, who mostly decreased in consciousness and has muscle weakness which leads to require assistance from nurses. Self-efficacy is prominent in nurse’s effort, strength, and ability to overcome challenges in order to prevent pressure injury. This research aims to identify the correlation of  nurse’s self-efficacy and prevention of pressure injury in intensive care unit. With cross-sectional method, intensive care nurses (n=124) in RSUP Fatmawati hospital were recruited and successfully completed the General Self-Efficacy Scale and Attitude against Pressure Ulcer Prevention (APuP) questionnaire. The result showed that 91.7% (n=66) have high self efficacy with satisfying demeanor in pressure injury prevention, 8,3% of the respondents (n= 6) have high self efficacy with good enough demeanor in prevent pressure injury. There is significant correlation in self-efficacy prevention of pressure injury prevention (p < 0,05). Futher assessment and interventions about nurse’s self-efficacy and its hurdles is needed in order to enhance prevention of pressure injury of patients in intensive care unit. "

"[ABSTRAKAplikasi asuhan perkembangan oleh perawat penting untuk meminimalkan nyeri dan stres, namun belum semua perawat memahami tentang asuhan perkembangan. Penelitian ini mengidentifikasi pengaruh pemberian edukasi asuhan perkembangan melalui video dan buku saku. Rancangan penelitian menggunakan kuasi eksperimen pre-test post-test equivalent group melibatkan 34 perawat NICUyang terbagi dalam 2 kelompok (kontrol dan intervensi) yang dipilih menggunakan metode total sampling. Data dianalisis menggunakan software SPSS dengan uji dependent t-test. Hasil penelitian menunjukkan terdapat perbedaan pengetahuan dan keterampilan yang bermakna antara kelompok kontrol dan kelompok intervensi (p=0,000), serta tidak terdapat hubungan antara karakteristik perawat (usia, pendidikan, lama bekerja, riwayat pelatihan) dengan pengetahuan dan keterampilan (p>0,05). Edukasi tentang asuhan perkembangan penting bagi perawat agar aplikasi asuhan perkembangan dapat dioptimalkan.

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ABSTRACTApplication of developmental care by nurse was important for minimization pain and stress, but not yet all nurse comprehend about developmental care. This sudy to examine the impact of education method using video and booklet. This study used quasi experiment with pre-test post-test equivalent group design. Thirty four nurses NICU in two groups (controled and intervention) were selected used total sampling methode. Analysis used SPSS software with dependent t-test. The result shown there were different mean of knowledge and skill between controled group and intervention group (p=0,000), and also there were no relationship between nurse characteristics (age, education, work and training history) with the knowledge and skill (p>0,05). Education about developmental care was important for nurse so that application of developmental care can be best., Application of developmental care by nurse was important for minimization pain and stress, but not yet all nurse comprehend about developmental care. This sudy to examine the impact of education method using video and booklet. This study used quasi experiment with pre-test post-test equivalent group design. Thirty four nurses NICU in two groups (controled and intervention) were selected used total sampling methode. Analysis used SPSS software with dependent t-test. The result shown there were different mean of knowledge and skill between controled group and intervention group (p=0,000), and also there were no relationship between nurse characteristics (age, education, work and training history) with the knowledge and skill (p>0,05). Education about developmental care was important for nurse so that application of developmental care can be best.]"