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All Journal Journal Of Nursing Practice Jurnal Keperawatan Priority Indonesian Journal of Innovation Studies DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN
Efendi, Defi
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Computer Science & IT Dentistry Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health

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Preterm Infants’ Weight Gain and Nutrition: Retrospective Study in a Top Indonesian Referral Hospital Irianti, Dewi; Rustina, Yeni; Efendi, Defi
Journal Of Nursing Practice Vol. 4 No. 2 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i2.125

Abstract

Background: Impairment of nutritional fulfillment is one of the problems that is often encountered in premature infants. Purpose: This study aims to determine the effect of the type of nutrition on the weight increase of premature babies.Methods: A retrospective study was conducted through a medical record review in a top national referral hospital, Indonesia. Total of 75 preterm infants divided into groups of 15 infants by nutrition type (100% BM, 75% BM, 50% BM, 25% BM, and 0% BM). Weight gain was assessed for 12 days through the patients’ medical records. Weighing observation was devided into four times: birth weight in day-1, day-4, day-8, and day-12. Subjects were recruited using consecutive sampling with the following criteria: preterm infants with chronological age > 7 days and weight > 1000 grams. Meanwhile, the exclusion criteria were preterm infants treated in the neonatal intensive care unit (NICU), preterm infants with medical diagnosis of hydrocephalus, sepsis, and congenital anomalies, conjoined twin babies. The general linear model-repeated measure was used to quantify the contrast of increases in infants’ body weight among groups for days 1-4; 4-8; and 8-12. Results: There were no significant differences between the five types of nutrients in terms of increase in the infants’ body weight in day 1-4 (p > 0,68); day 4-8 (p > 0,65); day 8-12 (p > 0,12). Conclusion: Although it not likely to accelerate the infant’s weight, mother’s own milk is still the first recommendation due to its immunity components, nutritional elements, and safety.
A Comparison of Pain Scale on Neonates in a Top Refferal Hospital in Indonesia Septiana, Nenty; Rustina, Yeni; Efendi, Defi
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.163

Abstract

Background: Pain assessment scale in neonates is the cornerstones of pain management so that the impact of pain can be prevented to maximize neonatal growth and development.Purpose: This study aimed to identify the most appropriate pain assessment scale used for neonates in Indonesia.Methods: A cross sectional study design was used in 30 neonates hospitalized using Neonatal Infant Pain Scale (NIPS), Neonatal infant Acute Pain Assessment Scale (NIAPAS) and Pain Assessment Tool (PAT). Pain assessment was performed by nurses (n=30) and expert nurses (n=5) participated in the validation of scales. Statistical analysis using validity (content, construct and concurrent validity) and reliability (inter-rater reliability and internal consistency) test.Results: NIPS instrument have excellent validity, reliability, and feasibility value compared with NIAPAS and PAT.Conclusion: NIPS was shown a valid, reliable, and practical scale for assessing pain in neonates. It allows nurses to identifying pain and help to provide of appropriate pain management
The Effectiveness of Incubator Humidity Education on Nurse's Knowledge, Attitude, and Skills in Perinatology Room Ompusunggu, Fransiska; Rustina, Yeni; Efendi, Defi
Jurnal Keperawatan Priority Vol. 7 No. 2 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i2.5027

Abstract

Newborns, especially premature infants, are at high risk of ineffective thermoregulation due to their less complex skin structure. Impaired thermoregulation experienced by premature infants can lead to hypothermia. Premature infants who experience hypothermia can cause complications that have the potential to cause disability and death. One of the efforts to prevent hypothermia is to place premature infants in an incubator that gives moisture so that moisture regulation is needed to help regulate the baby's temperature, especially in premature infants who experience ineffective thermoregulation. Humidity regulation is required for the incubator to prevent fluid loss through evaporation. This study aims to determine the effectiveness of providing incubator humidity education on nurses' knowledge, attitudes, and skills in the Perinatology room. The research design used a pre-experimental group without control with an accidental sampling technique; namely, there was a pre-test before and a post-test after treatment. Thus, the treatment results can be more accurate because they can be compared with the situation before treatment. This study involved 37 respondents in the perinatology room in one of the state hospitals using pre-and post-test questionnaires conducted from April to May 2022. The results showed that there were significant differences before and after education on knowledge (p=0.001), attitudes (p=0.001), and skills (p=0.001). The results of this study can used as a reference in developing standard procedures for incubator humidity to prevent ineffective thermoregulation in premature infants through cognitive improvement of nurses about incubators.
Family Centered Care Intervention Effectively Reduces Parental Anxiety in Perinatology Ward Utario, Yossy; Rustina, Yeni; Efendi, Defi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 9 No 1 (2021): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.202 KB)

Abstract

Separation due to hospitalization and the condition of infant diseases can cause stress and anxiety in parents.Parental anxiety can affect the parent-infant relationship and cause developmental problems in infant. FamilyCentered Care (FCC) is an effort to reduce parental anxiety when infants undergo treatment. This study aimedto identify the effect of FCC intervention on parents' anxiety in the perinatology ward. This study used aquasiexperimental design with one group pretest posttest design. A total of 29 parents were recruited byconsecutive sampling technique, with following inclusion criteria: parentsof infants who were undergoingtreatment in the perinatology ward, infants who were not immediately intubated when admitted to theperinatology ward, willing to become respondents, able to read and write; Meanwhile, the exclusion criteriawere parents who did not follow the intervention process until the end of the intervention, and infants who wereintubated during the intervention process. The intervention was carried out by providing FCC education andinvolving families for 3 days of baby care. Parental anxiety measurements were carried out before and after theintervention using the Parental Stressor Scale-NICU (PSS-NICU) questionnaire. The data analysis usedWilcoxon test. The results of this study showed that there was a significant difference in the mean anxiety ofparents before and after the FCC intervention (p = 0.001). FCC intervention is effective in reducing parentalanxiety. It is recommended that this intervention can be applied to the parents from the beginning of thetreatment in perinatology ward.
The Supported Diagonal Flexion Kangaroo Position Supports Physiological Stability in Premature Infants Through a Randomized Controlled Trial Sugiarti, Sugiarti; Sunarsih, Sunarsih; Rustina, Yeni; Efendi, Defi
Indonesian Journal of Innovation Studies Vol. 26 No. 4 (2025): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i4.1394

Abstract

Background: Physiological parameters are vital indicators of neonatal health, particularly in premature and low birth weight (LBW) infants. Specific Background: Kangaroo Mother Care (KMC) enhances neonatal outcomes, yet optimal positioning—such as the recently introduced Supported Diagonal Flexion (SDF) position—requires further validation. Knowledge Gap: Limited evidence exists on whether SDF positioning offers physiological advantages over the conventional upright kangaroo position. Aims: This study aimed to determine the effect of SDF positioning on physiological stability in premature and LBW infants during KMC. Method: A randomized crossover trial was conducted involving 31 mother-infant dyads. Each infant experienced both SDF and upright kangaroo positions in two sessions, with at least one hour per session. Physiological parameters—body temperature, heart rate, and oxygen saturation—were measured at baseline and post-intervention, analyzed using General Linear Model Repeated Measures and Mann-Whitney tests. Results: No statistically significant differences were observed across parameters: temperature (p=0.370), heart rate (p=0.956), and oxygen saturation (p=0.373). Novelty: This is among the first trials comparing SDF and upright KMC positions in a crossover design. Implications: Although physiological differences were not significant, SDF positioning demonstrated safety and maintained stability, supporting its use as an alternative in KMC practices for premature and LBW infants. Highlights: Highlights the safety and stability of SDF positioning in KMC. Uses a robust crossover design for internal control. Supports clinical application despite non-significant differences. Keywords: Kangaroo Mother Care, Supported Diagonal Flexion, Premature Infants, Physiological Stability, Randomized Crossover Trial
Co-Authors Dian Sari fransiska ompusunggu Imania, Annisa Irianti, Dewi Septiana, Nenty Sugiarti Sugiarti Sunarsih Sunarsih Tamayanti, Ratri Utario, Yossy Yeni Rustina