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All Journal ASSYIFA: Jurnal Ilmu Kesehatan Journal of Midwifery and Health Science of Sultan Agung
Eli Lusiani
Universitas 'Aisyiyah Bandung
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH PERAWATAN NESTING DAN POSISI PRONASI TERHADAP PENURUNAN SKOR DOWNES PADA BAYI PREMATUR DENGAN DISTRES NAPAS DI RUANG PERINATOLOGI Mena Okta Yosvita; Eli Lusiani; Maya Amalia
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v4i2.235

Abstract

Preterm infants are at high risk of respiratory distress due to surfactant deficiency, and conventional supportive management involving mechanical ventilation and high-concentration oxygen therapy may impose additional physiological stress. Developmental care through a combination of nesting and prone positioning has been proposed as a non-pharmacological intervention to stabilize physiological function in preterm infants, yet evidence regarding its effectiveness in reducing Downes scores within the Indonesian clinical setting remains limited. This study aimed to determine the effect of nesting care and prone positioning on the reduction of Downes scores in preterm infants with respiratory distress in the Perinatology Ward of RSUD Al Ihsan. A quasi-experimental design with a non-equivalent control group approach was employed, involving 20 preterm infants (10 in the intervention group and 10 in the control group) selected through purposive sampling according to inclusion and exclusion criteria. The intervention group received nesting and prone positioning for two hours, while the control group received no intervention. Downes scores were measured before and after the observation period using a standardized observation sheet and analyzed using the Wilcoxon test. The results showed that all respondents (100%) in the intervention group experienced a reduction in Downes score, with a mean rank of 5.50 compared to 4.50 in the control group, yielding a p-value of 0.014 (α=0.05), leading to rejection of H0. This study concludes that nesting care combined with prone positioning significantly affects the reduction of Downes scores in preterm infants with respiratory distress and may be considered as a standard developmental care component in perinatology units.
Effectiveness of Kangaroo Mother Care Integrated With Multimedia Parent Training on Parental Discharge Readiness in the NICU Eli Lusiani; Nike Arta Puspitasari; Rika Nuraeni
Journal of Midwifery and Health Science of Sultan Agung Vol. 5 No. 2 (2026): JMHSA
Publisher : Sultan Agung Islamic University of Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/jmhsa.v5i2.204

Abstract

Low-birth-weight (LBW) infants require continuous care after discharge from the Neonatal Intensive Care Unit (NICU), making parental discharge readiness essential. To evaluate whether Kangaroo Mother Care (KMC) integrated with multimedia parent training improves parental discharge readiness. A quantitative quasi-experimental, non-randomized pretest-posttest control-group design included 30 mother-infant dyads (15 per group) recruited consecutively. The intervention combined KMC education, video, demonstration, and guided practice; the control group received routine NICU education. Readiness was measured with a validated 25-item instrument (range 25-125; Cronbach's α = .914). Readiness improved in both groups, with a larger mean increase in the intervention group (26.33 ± 7.78 vs. 13.00 ± 8.53; p < .001). KMC knowledge increased in both groups, practical skills did not differ significantly (p = .451), and video acceptability was 91.2%. Multimedia-supported KMC parent training was associated with greater discharge-readiness improvement and may strengthen structured neonatal discharge planning, although causal interpretation is limited by the small non-randomized sample.
Co-Authors Maya Amalia Mena Okta Yosvita Nike Arta Puspitasari Rika Nuraeni