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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Padjadjaran JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Kesehatan Jurnal Keperawatan Priority Jurnal Keperawatan Raflesia Indonesian Journal of Innovation Studies DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Kesehatan

Defi Efendi

Faculty Of Nursing Universitas Indonesia

Author-ID : 2209009

Computer Science & IT Dentistry Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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FACILITATED TUCKING EFFECTIVE TO PAIN RELIEF ON THE PRETERM INFANTS IN PERINATAL UNIT IN JAKARTA Eva Oktaviani; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 21 No 1 (2018): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.539

Most preterm infants often need to be hospitalized more than one week in intensive care, so they undergo numerous repeated painful procedures such as blood collection. The study aimed to identify the effect of facilitated tucking for pain respond that is physiological parameter and duration of crying in preterm infants during blood collection. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Fourty babies were divided into two groups; the intervention group (n= 20) who received facilitated tucking during blood collection and the control group (n= 20) without facilitated tucking, with consecutive sampling technique. Statistical analyses used were General Linear Model+post hoc, Mann-Whitney, and Independent T-Test. There were significant means the difference in the heart rate, oxygen saturation, and duration of crying infants between non-intervention and intervention group. Duration of crying infants in intervention is shorter than the control group. Facilitated tucking is effective in pain reduction and crying time during blood collection. This finding implies a part of developmental care and should be attention for promoting pain management infants.Â Keywords: developmental care, facilitated tucking, pain, preterm infantsEfektivitas Facilitated Tucking Terhadap Respon Nyeri Bayi Prematur Selama Pengambilan Darah di Unit Perinatal di Jakarta. Mayoritas bayi prematur akan mengalami perawatan yang lama di ruang intensif, sehingga terpapar sejumlah prosedur menyakitkan berulang yang menimbulkan respon nyeri salah satunya pengambilan darah. Tujuan dari penelitian ini untuk mengidentifikasi pengaruh penerapan facilitated tucking terhadap respon nyeri berupa parameter fisiologis dan lama menangis selama dilakukan pengambilan darah. Desain penelitian adalah quasi experimental dengan nonequivalent control group pretest-posttest design. Empat puluh bayi pada sampel penelitian dibagi menjadi dua kelompok; kelompok intervensi (n= 20) dengan facilitated tucking dan kelompok kontrol (n= 20) tanpa facilitated tucking, diambil secara consecutive sampling. Analisis menggunakan uji General Linear Model+post hoc, Mann-Whitney, dan Independent T-Test. Ada perbedaan signifikan rerata frekuensi nadi, saturasi oksigen, dan lama menangis antara kedua kelompok selama pengambilan darah. Lama menangis pada kelompok intervensi menjadi lebih singkat. Facilitated tucking efektif mengurangi nyeri dan lama menangis selama pengambilan darah. Facilitated tucking dapat diterapkan sebagai bagian dari asuhan perkembangan untuk mendukung program pengendalian nyeri pada neonatus.Â Kata kunci: asuhan perkembangan, bayi prematur, facilitated tucking, nyeri

The Effectiveness of Auditory Stimuli from Murottal Quran to Improve Comfort and Weight in Low Birth Weight Infants: Randomized Controlled Trial Desriati Devi; Yeni Rustina; Defi Efendi
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Introduction: Low birth weight (LBW) infants who have been hospitalized are exposed to various conditions that provoke discomfort, which could trigger a stress response and growth disorders. This study aimed to identify the effects of auditory stimuli from Murottal Quran when it comes to the comfort and weight of LBW infants.Methods: This study used a clinical randomized controlled trial design involving 52 low birth weight infants. The infants were randomly assigned to either the intervention group (n=26) or the control (n=26). The intervention of Murottal Quran was given using a speaker 4 times a day for 20 minutes every 3 hours. This intervention was conducted for three days.Results: The results of this study show that there is a significant difference in the comfort of low birth weight infants after Murottal Qur’an on the first, second, and third days between the intervention and control groups (p=0.014; <0.001; <0.001). There was no significant difference in the weight between the intervention and control groups in the first, second, and third days (p=0.481; 0.481; 0.464).Conclusion: The auditory stimuli of Murottal Quran can help to improve the comfort level of low birth weight infants during hospitalization. It can therefore be used as a supportive therapy to facilitate low birth weight infant and premature infant development.

Clinical Profile and Nursing Diagnosis of the Newborn in a Special Care Nursery (SCN) Unit Defi Efendi; Yeni Rustina; Dian Sari
Jurnal Ners Vol. 16 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v16i2.22626

Introduction: A good comprehension of the clinical profile and nursing diagnosis of newborn in Special Care Nursery (SCN) unit guides decision-making by nurses. In addition, it can become an initial basis for making plans for improving quality of care, management and nursing research. The purpose of this study was to identify clinical profile and nursing diagnosis of newborns in an SCN unit.Methods: It is a quantitative, cross-sectional, descriptive study in SCN (Level II and III) with a sample of 77 medical records of newborns less than 31 days old in a national referral hospital. Descriptive analysis was used to identify demographic characteristic, the medical diagnosis and nursing diagnosis of newborns at birth and hospitalization.Results: Newborns treated in SCN unit are dominated by preterm with low birth weight (74%). Respiratory system disorders (55.8%) and infections (35.1%) dominate newborn problems both at birth or coming. Most nursing diagnoses when the baby is born or coming are the risk of infection (90.9%) and ineffective breathing patterns (76.6%). As for the treatment, most diagnoses show the risk of infection and hypovolemia.Conclusion: A good clinical profile and nursing diagnosis of newborns can guide nurses to decision-making. Continuous update on nursing diagnosis determination, improvement of nurses’ knowledge about the signs of deterioration, and future research that prioritizes issues in neonates are required to optimize nurses’ role in SCN units.

Literature Review: Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) serta Potensi Pengembangan Selanjutnya Sugiarti Sugiarti; Yeni Rustina; Defi Efendi
Jurnal Kesehatan Vol 11, No 2 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i2.1500

The period of 1000 days of life plays an important role in determining the quality of children's growth and development. Accessibility of quality health services through the MCH handbook is an important strategy for improving maternal and child health. The purpose of this review is to present an overview of the use and usefulness of the possession of a specific MCH handbook on maternal, infant and child outcomes, as well as the potential for further research development. The method of systematic study and study search through the ProQuest, EBSCOhost, and Scopus databases, with the keywords maternal and child health handbook, home based record, mother, newborn, infant, and child, published from January 2008 to October 2018. Furthermore, filtering of articles and data abstraction. A total of 56 articles on the use of the MCH handbook that met the eligibility/inclusion criteria were screened, and 16 articles were selected for a systematic review. The variety of existing studies, has proven the benefits, functions, and effectiveness of the MCH handbook on the health of mothers, infants, and children. The categories of use and use of MCH handbook are integrated with home-based records, namely as an effective tool to facilitate improvement in health-seeking behavior; continuous care; health communication, information and education; as well as home based health records. In order to fill the gap, further research can be directed at evaluating especially premature babies/LBW as part of a population of newborns with high risk. The use of digital technology in improving the implementation of interventions and the accessibility of MCH handbook is also important to be developed.

Kesejahteraan Spiritual Keluarga Pasien Stroke dan Kaitannya dengan Depresi Muhamad Zulfatul A’la; Komarudin Komarudin; Defi Efendi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 3, No 3 (2015): November 2015
Publisher : Alma Ata University Press

Stroke is a one of major problem in palliative care. Spiritual and depression assessment of the family is an important element in the process of palliative care for stroke survivors. The purpose of this study was to know the description of the spiritual well-being among stroke family caregiver family and its relationship with depression. This study used cross-sectional design. Spiritual well-being scale (SWBS) was used to see the spiritual well-being of the family and the Center for Epidemiologycal Studies Depression Scale (CES-D) to measure depression and was filled in by 44 Stroke families. The results of the study reported that the spiritual well-being of stroke family caregiver was in the high category and depression in the medium category. There was a relationship between the spiritual well-being of the family and depression in stroke patients (p=0.000). This study suggest a comprehensive assessment of the spiritual well-being and depression in stroke family and the need for future research about family interventions to decrease depression and increase spiritual well-being.

Non-comorbid Respiratory Factor and Work of Breathing in Pediatric COVID-19 Patient: How is Their Synergistic Correlation with the Level of Care? Defi Efendi; Maria Dyah Kurniasari; Mega Hasanul Huda; Raudha Ilmi Farid; Yohanes Andy Rias; Yogi Prawira; Nina Dwi Putri; Ayuni Rizka Utami; Titik Ambar Asmarini; Pande Lilik Lestari; Pricilia Mais; Abram Babakal
Nurse Media Journal of Nursing Vol 12, No 3 (2022): (December 2022)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v12i3.45340

Background: Work of breathing (WOB) and non-comorbidities factors in the respiratory system are the two probable findings in pediatric COVID-19 patients. However, the association of those factors with level of care was not well reported.Purpose: This study aimed to identify the relation between potential predictors including comorbidity, low nutritional fulfillment, infectious disease, shock, cough, O2 saturation reduction, abnormal blood gas analysis and sore throat with the level of care among pediatric COVID-19 patients. We also analyzed the synergistic correlation of non-comorbidities factors in the respiratory system and work of breathing to predict level of care in pediatric COVID-19 patients.Methods: A cross-sectional study was conducted in the six referral hospitals from July to September 2020 in four provinces in Indonesia. An observation checklist was used to collect data from the medical records of pediatric patients with COVID-19, including medical diagnosis, demographic, and clinical manifestation. This study included 423 participants aged from 0 to 18. The multivariate logistic regression was performed to test the adjusted odds ratios (AORs) with the 95% confidence intervals (CIs) of the association between WOB, non-comorbid respiratory, and level of care. Moreover, dummy variables (2x2) were made to analyze synergistic correlation of non-comorbid respiratory disease and WOB. The AOR with the 95% CIs was applied in the association between the complication of non-comorbid respiratory diseases and high work of breathing with level of care among pediatric patients with COVID-19.Results: Results showed that age, presence of comorbidity, nutritional fulfillment, infectious disease, shock, work of breathing, O2 saturation reduction, abnormal blood gas analysis, sore throat, and convulsive meningeal consciousness were significantly associated with the level of care (p<0.05). Pediatric patients with non-comorbid respiratory and increased work of breathing had a 15.59 times higher risk of requiring PICU care level (p<0.01). Meanwhile, pediatric patients who experienced both non-comorbid respiratory and increased work of breathing had a 5.76 times risk of requiring an intermediate level of care (p<0.05), and 9.32 times higher risk of requiring a PICU level of care (p<.05).Conclusion: It was found that both non-comorbid respiratory and increased WOB had a significant relationship with the level of care for pediatric patients with COVID-19. Nurse should take into account those clinical findings to increase the awareness in monitoring clinical deterioration in pediatric COVID-19 patients.

Oral Care Prevents Late-Onset Sepsis in Risk Preterm Infants Fitri Wahyuni; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 23 No 1 (2020): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.551

The incidence of infections in preterm infants is still quite high. In this study, oral care with human breast milk was implemented in risk preterm infants as a precaution. The study was conducted using a quasi-experimental method with a non- equivalent control group and posttest only design in 40 risk preterm infants. The participants were divided into two groups of 20. The data were analyzed using independent t-test and a Wilcoxon test. The results show that this intervention has an effect on the incidence of late-onset sepsis in preterm infants. The effect is based on symptoms: body temperature instability (p= 0.021), C-reactive protein (p= 0.006), and leukocytes (p= 0.020) all indicated differences between the two groups. It is recommended that this practice be adopted as a routine therapy program in perinatology. Abstrak Perawatan Mulut Mencegah Sepsis Neonatorum Awitan Lambat pada Bayi Prematur Risiko Tinggi. Angka kejadian infeksi setelah lahir pada bayi prematur masih cukup tinggi. Pelaksanaan intervensi pemberian oral care menggunakan air susu ibu pada bayi prematur risiko tinggi telah dilakukan sebagai pencegahan. Penelitian dilakukan menggunakan metode kuasi eksperimen dengan desain post-test only, kelompok kontrol non ekuivalen, pada 40 bayi prematur risiko tinggi sebagai sampel. Responden dibagi menjadi dua kelompok, masing-masing kelompok 20 responden. Data dianalisis menggunakan uji t independen dan wilcoxon. Hasil Intervensi ini terbukti memiliki manfaat terhadap dalam menurunkan kejadian sepsis neonatorum awitan lambat pada bayi prematur berdasarkan tanda klinis seperti ketidakstabilan suhu tubuh (p= 0,021), hasil pemeriksaan C-Reaktif Protein (p= 0,006) dan leukosit (p= 0,020) yang menunjukkan adanya perbedaan yang bermakna antara kelompok kontrol dan kelompok intervensi. Intervensi ini diharapkan dapat dilanjutkan menjadi program terapi rutin yang akan dilakukan di ruang rawat perinatologi. Kata Kunci: ASI eksklusif, bayi prematur, oral care, sepsis, sepsis neonatorum awitan lambat

Pemberian Posisi untuk Mengatasi Masalah Pengosongan Lambung pada Bayi Prematur Natalia Devi Oktarina; Yeni Rustina; Defi Efendi
JURNAL KEPERAWATAN RAFLESIA Vol 2 No 2 (2020): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Gastric emptying in premature infants is slower than aterm infant aterm for 12 hours and some cases reach 22-36 hours. This slow emptying of the stomach causes to increase the volume of gastric residual and raising the risk for infants to experience gastroesophageal reflux, vomiting, aspiration and necrotizing etherocolitis. This study aims to analyze the effectiveness of positioning on gastric emptying show from gastric residual in premature infants in the Perinatology RSUPN Cipto Mangunkusumo. The research design used in this research is quasi experiment on 20 premature infants with consecutive sampling technique. The data analysis used Wilcoxon test for gastric residual. The study showed a difference in average abdominal distensionand gastric residual in right lateral position, left lateral positions and pronation is significant so that it can be concluded effective positioning to accelerate gastric emptying. Based on these results then the positioning can be recommended to be an alternative nursing care in overcoming the problem of gastric emptying in premature infants.

Program Perencanaan Pulang dapat Meningkatkan Pengetahuan dan Keterampilan Ibu yang Melahirkan Bayi Prematur Merawat Bayinya Erna Julianti; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 22 No 1 (2019): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i1.540

Bayi yang lahir prematur berisiko mengalami permasalahan kesehatan, sehingga membutuhkan perawatan yang intens dari sejak di rumah sakit sampai ketika bayi sudah boleh dipulangkan ke rumah. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh edukasi dalam perencanaan pulang terhadap pengetahuan dan keterampilan ibu merawat bayi prematur. Penelitian ini merupakan studi quasi experiment dengan rancangan pre and post-test without control design. Sampel penelitian ini adalah 35 ibu yang melahirkan bayi prematur dan bayinya di rawat di ruang Perinatologi sebuah rumah sakit di Jakarta. Sampel diambil secara consecutive sampling. Intervensi penelitian adalah pemberian edukasi menggunakan media pembelajaran booklet dan audiovisual yang berisi tentang ASI, teknik menyusui, perawatan metode kanguru, cara pencegahan infeksi, dan tanda bahaya pada bayi. Hasil penelitian menunjukkan bahwa setelah diberikan edukasi selama perencanaan pulang, pengetahuan ibu merawat bayi prematur rata-rata mengalami kenaikan skor sebesar 29,52, aspek keterampilan menyusui skornya naik sebesar 33,29 dan keterampilan perawatan metode kanguru terdapat kenaikan skor sebesar 30,25. Hasil analisis menunjukkan bahwa ada perbedaaan yang signifikan antara rata-rata skor pengetahuan ibu merawat bayi prematur, skor keterampilan menyusui, dan skor keterampilan perawatan metode kanguru (PMK) sebelum dan setelah diberikan edukasi selama perencanaan pulang (p> 0,001). Pelaksanaan program edukasi selama perencanaan pulang yang dilakukan selama tiga hari dapat meningkatkan pengetahuan dan keterampilan ibu merawat bayi prematur. Edukasi dalam perencanaan pulang sebaiknya rutin diterapkan di rumah sakit sebagai intervensi keperawatan mandiri agar makin meningkatkan kualitas pelayanan keperawatan. Abstract Discharge Planning Improving Knowledge and Skill Mother Who Birth Premature to Take Care Baby. Premature babies have a greater risk for health problems. Therefore, they need an intensive care since they are in the hospital until they go home. The purpose of this research was to find out the influence of education program for the knowledge and skills of the mothers on caring for their premature babies during discharge planning. This research was a quasi-experimental study with pre and post-test design without control groups. The sample of this research was 35 mothers who gave birth to premature babies and their babies receive care at a perinatology room in a hospital in Jakarta. The sample was taken using consecutive sampling. The intervention in this research was giving an education to the mothers of premature babies using booklet and audiovisual as the learning media containing information about breast milk, breastfeeding technique, kangaroo mother care, the method for infection prevention, and warning signs in babies. The research finding showed that after giving the education during the discharge planning, the knowledge of the mothers on caring for their babies, on average, had an increased score of 29.52, the score for the skills aspect increased by 33.29, and the score for kangaroo care mother skills increased by 30.25. The result of the analysis showed that there was a significant difference between the average score of the knowledge of the mothers on caring for premature babies, the score of breastfeeding skills, and the score for kangaroo care mother skills before and after the education program during the discharge planning (p> 0.001). The implementation of the education program during discharge planning that was done for three days could increase the knowledge and skills of the mothers on caring for their premature babies. The education during discharge planning should be conducted regularly at the hospital as an independent nursing intervention to improve the quality of nursing services. Keywords: premature baby care, discharge planning, kangaroo mother care

Pemberian Posisi (Positioning) dan Nesting pada Bayi Prematur: Evaluasi Implementasi Perawatan di Neonatal Intensive Care Unit (NICU) Defi Efendi; Dian Sari; Yanti Riyantini; Novardian Novardian; Dian Anggur; Pipit Lestari
Jurnal Keperawatan Indonesia Vol 22 No 3 (2019): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i3.619

Pemberian posisi yang salah dapat meningkatkan risiko morbiditas dan mortalitas. Artikel ini bertujuan untuk menggali pemberian posisi (positioning) dan nesting pada bayi prematur di NICU. Penelitian ini berupa studi literatur tahun 2007-2017, serta pengalaman penulis dalam aplikasi pemberian posisi dan nest di dua rumah sakit rujukan nasional dalam lima tahun terakhir. Hasil studi ini menunjukkan beberapa posisi yang dapat diberikan pada bayi prematur di antaranya adalah posisi supinasi, lateral kiri, lateral kanan, pronasi, dan quarter/semi pronasi. Posisi pronasi dan kuarter/semi pronasi direkomendasikan untuk bayi prematur dengan Respiratory Distress Syndrome (RDS). Posisi lateral kanan direkomendasikan untuk bayi prematur dengan Gastroesofageal reflux (GER). Posisi supinasi merupakan alternatif terakhir pemberian posisi pada bayi prematur dengan kontraindikasi posisi pronasi, kuarter/semi pronasi, dan lateral. Pembuatan nest dapat dimodifikasi dari potongan beberapa kain yang digulung. Perawat hendaknya meningkatkan pengetahuan dan keterampilan agar mampu memberikan variasi posisi sesuai kondisi dan indikasi bayi yang dirawat di NICU. Abstract Positioning and Nesting for the Preterm Infant: Evaluation for Nursing Care in Neonatal Intensive Care Unit (NICU). Incorrect positioning may increase the risk of morbidity and mortality. This article aims to explore positioning and nesting in a preterm infant in NICU. This study is a literature study in 2007-2017, as well as documentation of the application of positioning and nest at two national top referral hospitals in the last five years. The alternative position for preterm infants include supine, left lateral, right lateral, pronation, and quarter/semi-prone positions. The pronation and quarter/semi-prone are recommended for preterm infants with Respiratory Distress Syndrome (RDS). Right lateral positions are recommended for preterm infants with Gastroesophageal reflux (GER). The supination is the last alternative when the other positions are contraindicated. The nurses can modify nest from pieces of some rolled fabric. Nurses should increase their knowledge and skills in order to be able to provide a proper position according to the conditions and indications of the infant cared in NICU. Keywords: intensive care, nest, positioning, preterm infant

Co-Authors Abram Babakal Abram Babakal Abram Babakal Annisa Imania Asmarini, Titik Ambar Ayu Ferissa Simorangkir Ayuni Rizka Utami Ayuni Rizka Utami Carolina, Anita Rezeki Darsono Darsono Desriati Devi Dian Anggur Dian Sari Dian Sari Dian Sari Dian Sari Dian Sari Dian Sari Elfira Awalia Rahmawati Erna Julianti Erna Julianti Eva Oktaviani Fitri Wahyuni Fitri Wahyuni fransiska ompusunggu I Gusti Agung Ayu Suartini Iin Desmiani Duri Imania, Annisa Irianti, Dewi Julikah, Julikah Komang Yogi Triana Komarudin Komarudin Lestari, Pande Lilik Mais, Pricilia Mega Hasanul Huda Muhamad Zulfatul A’la Natalia Devi Oktarina Ni Luh Eka Setiasih Ni Luh Putu Agustini Nina Dwi Putri Nining Caswini Novardian Novardian Nyimas Sri Wahyuni Pande Lilik Lestari Pande Lilik Lestari Pipit Lestari Pricilia Mais Pricilia Mais Purba, Humbang R. Rr Maria Dyah Kurniasari Ratri Tamayanti Raudha Ilmi Farid Regina Natalia Reisy Tane Septiana, Nenty Sisyawati Putriningsih Sugiarti Sugiarti Sugiarti Sugiarti Sugiarti, Sugiarti Sunarsih Sunarsih Tamayanti, Ratri Titik Ambar Asmarini Titik Ambar Asmarini Utami, Ayuni Rizka Utario, Yossy Yanti Riyantini Yeni Rustina Yeni Rustina Yogi Prawira Yohanes Andy Rias

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