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"ABSTRAKProsedur pengambilan darah vena dapat menimbulkan nyeri pada bayi berat lahir rendah. Penelitian ini bertujuan mengidentifikasi perbedaan tingkat nyeri selama pengambilan darah vena setelah dilakukan perawatan metode kanguru dan pemberian empeng. Desain penelitian adalah eksperimen acak terkontrol pada 21 bayi berat lahir rendah dengan teknik consecutive sampling. Penilaian respons nyeri menggunakan instrumen Premature Infant Pain Profile. Hasil analisis uji t independen menunjukkan bahwa terdapat perbedaan bermakna rerata respons nyeri pada kelompok perawatan metode Kanguru (rerata= 8,94) dan pemberian empeng (rerata= 5,08) (p= 0,005). Pemberian empeng pada bayi berat lahir rendah dapat dijadikan sebagai intervensi keperawatan dalam asuhan atraumatik saat prosedur invasif minor."

"[ABSTRAKPengambilan darah vena merupakan prosedur yang menimbulkan nyeri pada bayiberat lahir rendah. Penelitian ini bertujuan mengidentifikasi perbandingan antaraPerawatan Metode Kanguru dan pemberian empeng terhadap respon nyeri selamapengambilan darah vena. Desain penelitian adalah eksperimen acak terkontrolpada 21 bayi berat lahir rendah dengan teknik consecutive sampling. Penilaianrespon nyeri menggunakan instrumen Premature Infant Pain Profile. Analisis uji tindependen menunjukkan bahwa terdapat perbedaan bermakna rerata respon nyeripada kelompok Perawatan Metode Kanguru (rerata = 8,94) dan pemberianempeng (rerata = 5,08) dengan p value = 0,005. Pemberian empeng dapatdijadikan sebagai intervensi keperawatan dalam asuhan atraumatik saat prosedurinvasif minor.

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ABSTRACTVenous blood collection is the procedures which cause pain on low birth weightinfants. This study aimed to identify the comparison between Kangaroo MotherCare and pacifier for pain response during venous blood collection. The researchdesign was randomized controlled trial on 21 low birth weight infants withconsecutive sampling. Pain response was assessed by Premature Infant PainProfile instrument. Independent t-test analysis showed that there were significantdifferences in mean pain response between Kangaroo Mother Care group (mean= 8.94) and pacifier group (mean = 5.08) with p value = 0.005. Pacifier can beused as a nursing intervention in atraumatic care with minor painful procedures, Venous blood collection is the procedures which cause pain on low birth weightinfants. This study aimed to identify the comparison between Kangaroo MotherCare and pacifier for pain response during venous blood collection. The researchdesign was randomized controlled trial on 21 low birth weight infants withconsecutive sampling. Pain response was assessed by Premature Infant PainProfile instrument. Independent t-test analysis showed that there were significantdifferences in mean pain response between Kangaroo Mother Care group (mean= 8.94) and pacifier group (mean = 5.08) with p value = 0.005. Pacifier can beused as a nursing intervention in atraumatic care with minor painful procedures]"

"Intoleransi pemberian minum enteral merupakan masalah yang sering terjadi pada bayi berat lahir rendah. Tujuan dari studi kasus ini adalah melakukan analisis optimalisasi pemenuhan kebutuhan nutrisi enteral pada bayi berat lahir rendah melalui pengaturan posisi dengan pendekatan Teori Konservasi Levine. Lima kasus terpilih menunjukkan terjadi masalah keperawatan ketidakseimbangan nutrisi kurang dari kebutuhan tubuh. Pendekatan Teori Konservasi Levine dilakukan dengan menggunakan prinsip konservasi energi, konservasi integritas struktural, konservasi integritas personal, dan konservasi integritas sosial. Hasil penerapan intervensi pengaturan posisi dengan pendekatan Teori Konservasi Levine dapat menurunkan kejadian desaturasi, distensi abdomen, dan frekuensi muntah. Perawat dapat menjadikan intervensi tersebut sebagai standar prosedur operasional pada bayi berat lahir rendah yang mengalami intoleransi pemberian minum enteral.

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Enteral feeding intolerance is a problem that often occurs in low birth weight infants. The objective of this case study was to analyze the optimization of the fulfillment of enteral nutrition in low birth weight infants through positioning with Levine`s Conservation Theory. Five cases were selected due to nursing problems in nutrition which is less than body requirements. Levine`s Conservation Theory was used by applying the principle of energy conservation, structural integrity conservation, personal integrity conservation, and social integrity conservation. The results showed that implementation of positioning with Levine`s Conservation Theory can reduce the incidence of desaturation, abdominal distension, and frequency of vomiting. Nurses can make the intervention as a standard operating procedure in low birth weight infants who experience enteral feeding intolerance."

"Latar belakang: Keterampilan minum oral merupakan proses yang kompleks dalam perawatan bayi prematur di ruang perawatan intensif neonatus. Peningkatan keterampilan minum oral melibatkan peran serta ibu melalui pembentukan dyadic interaction untuk mengoptimalkan nutrisi bayi prematur Tujuan: Penelitian bertujuan menganalisis pengaruh Model Intervensi Keperawatan Berfokus Nutrisi terhadap keterampilan minum oral, grafik pertumbuhan bayi prematur, dyadic interaction, dan pengetahuan ibu. Metode: Penelitian mixed methods dengan pendekatan sekuensial eksploratori. Tahap I merupakan studi deskriptif kualitatif eksploratif pada 12 perawat neonatus. Tahap II adalah penyusunan model melalui analisis dan sintesis hasil penelitian tahap I dengan melibatkan tiga pakar. Tahap III adalah validasi model melalui penelitian kuasi eksperimen. Hasil: Teridentifikasi tujuh tema pada penelitian tahap I, yang selanjutnya dijadikan dasar menyusun tiga konsep model pada penelitian tahap II. Tiga konsep model tersebut meliputi: (1) Menciptakan lingkungan terapeutik untuk stimulasi keterampilan minum oral; (2) Membentuk interaksi ibu dengan bayi prematur untuk mengoptimalkan pemberian nutrisi; dan (3) Melibatkan peran serta ibu dan keluarga dalam persiapan perawatan bayi prematur dengan ketidakmampuan minum oral di rumah. Perangkat model yang dihasilkan adalah modul, buku kerja, dan selebaran. Analisis GLM Repeated Measure menunjukkan perbedaan keterampilan minum oral (p value < 0,001), berat badan (p value 0,64), panjang badan (p value 0,72), lingkar kepala (p value 0,28), dyadic interaction (p value < 0,001), pengetahuan ibu (p value < 0,001). Simpulan: Model Intervensi Keperawatan Berfokus Nutrisi efektif meningkatkan keterampilan minum oral, dyadic interaction, pengetahuan ibu, namun belum bermakna terhadap grafik pertumbuhan. Saran: Model Intervensi Keperawatan Berfokus Nutrisi dapat diimplementasikan di ruang perawatan intensif neonatus.

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Background: Oral feeding skills are a complex process in the care of premature infants in the neonatal intensive care unit. Improving oral feeding skills involves maternal participation through the formation of dyadic interaction to optimize optimize premature infant nutrition. Objective: The study aimed to analyse the impact of the Nutrition-Focused Nursing Intervention Model on oral feeding skills, growth charts of premature infants, dyadic interaction, and maternal knowledge. Method: This mixed-methods study used a sequential exploratory approach. Stage I was an exploratory descriptive qualitative study involving 12 neonatal nurses. Stage II involved developing a model through analysis and synthesis of the results from Stage I, with input from three experts. Stage III was a model validation through quasi-experimental research. Result: Seven themes were identified in Stage I, which became the basis for developing three model concepts in Stage II. The three model concepts included: (1) Creating a therapeutic environment for stimulating oral feeding skills; (2) Forming interactions between mothers and premature infants to optimize the nutrition; and (3) Involving mothers and families in preparing for the care of premature infants with oral feeding disabilities at home. The resulting model tools included a module, workbook, and leaflet. GLM Repeated Measures analysis showed differences in oral feeding skills (p-value < 0.001), body weight (p-value 0.64), body length (p-value 0.72), head circumference (p-value 0.28), dyadic interaction (p-value < 0.001), and maternal knowledge (p-value < 0.001). Conclusion: The Nutrition-Focused Nursing Intervention Model effectively improved oral feeding skills, dyadic interaction, and maternal knowledge, but did not significantly affect growth charts. Suggestion: The Nutrition-Focused Nursing Intervention Model can be implemented in neonatal intensive care units."