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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

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.

Toleransi Minum Enteral Bayi Prematur Menggunakan Spuit 20 Ml dan Spuit 50 Ml Elfira Awalia Rahmawati; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Silampari Vol 3 No 2 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to determine the comparison of enteral drinking by using syringes of 20 ml and 50 ml of drinking tolerance in preterm infants. The method used is a randomized controlled trial with a crossover design. The results of this study illustrate that there is a significant difference in the duration of the drinking intervention intervention group using 20 ml syringes and 50 syringes on the first and second day (p value respectively 0.036; 0.033), there is no significant difference in the intervention group giving drinking using 20 ml syringe and 50 ml syringe on the third day (p value 0.984). There were no significant differences in gastric residue on the first, second and third day in the two intervention groups. The incidence of vomiting on the first, second and third day there was no significant difference in the intervention group of drinking using a 20 ml syringe and 50 ml syringe (p value each was 1,000). Conclusion, Provision of enteral drinking by using a 20 ml syringe and 50 ml syringe have the same drinking tolerance in premature babies. Keywords: Premature Babies, Enteral Drinking, Tolerance to Drink

Aplikasi Dukungan Menyusui Berbasis Media Sosial Interaktif untuk Meningkatkan Produksi, Frekuensi Perah, dan Asupan Air Susu Ibu bagi Bayi Prematur Regina Natalia; Yeni Rustina; Defi Efendi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14218

Premature births face a higher risk of perinatal morbidity and mortality. Proper nutritional support at the beginning of the critical period is one of the efforts to reduce this risk. Giving breast milk is one of the problems that often occurs during the treatment period, which is important to overcome. The purpose of this study was to provide an overview of the results of providing interactive social media-based breastfeeding support in order to increase breast milk production, milk frequency, and breast milk intake for premature infants. This study used a one-group pretest-posttest design, which involved four mothers of premature babies and seven premature babies. Descriptive analysis was conducted to see changes in breast milk production, frequency of expressing breast milk, and breast milk intake in the pre-intervention and post-intervention phases. The results of the study showed that social media-based breastfeeding support interventions can increase breast milk production, the frequency of expressing breast milk, and breast milk intake for infants. Intervention integration needs to be done when providing nursing care to premature babies.Keywords: mother's milk; premature baby; breastfeeding support; dairy frequency; social media ABSTRAK Kelahiran prematur menghadapi konsekuensi risiko morbiditas dan mortalitas perinatal yang lebih tinggi. Dukungan nutrisi yang tepat di masa awal periode kritis menjadi salah satu upaya untuk menurunkan risiko tersebut. Pemberian air susu ibu menjadi salah satu masalah yang sering terjadi selama masa perawatan, yang penting untuk diatasi. Tujuan studi ini adalah memberikan gambaran hasil pemberian dukungan menyusui berbasis media sosial interaktif dalam rangka meningkatkan produksi air susu ibu, frekuensi perah, dan asupan air susu ibu bagi bayi prematur. Studi ini menggunakan desain one-group pretest-posttest, yang mibatkan empat ibu bayi prematur dan tujuh bayi prematur. Analisis deskriptif dilakukan untuk melihat perubahan produksi air susu ibu, frekuensi memerah air susu ibu, dan asupan air susu ibu pada fase sebelum intervensi dan setelah intervensi. Hasil studi menunjukkan bahwa intervensi dukungan menyusui berbasis media sosial dapat meningkatkan produksi air susu ibu, frekuensi memerah air susu ibu, dan asupan air susu ibu bagi bayi. Integrasi intervensi perlu dilakukan saat memberikan asuhan keperawatan kepada bayi prematur.Kata kunci: air susu ibu; bayi prematur; dukungan menyusui; frekuensi perah; media sosial

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)

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

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

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

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.

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): April
Publisher : Universitas STRADA Indonesia

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

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.

Determinant Factor of Childhood Basic Immunization Compliance during the COVID-19 Pandemic in Jambi City, Jambi Province, Indonesia Carolina, Anita Rezeki; Efendi, Defi; Maria Dyah Kurniasari
Journal Of Nursing Practice Vol. 5 No. 1 (2021): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.154

Background: The coverage of immunization among children in Jambi City decreased during COVID-19 pandemic.Purpose: This study aims to identify the factors that might be associated with basic vaccination compliance among mothers in Jambi, Indonesia.Methods: This study uses a case control design in 5 Jambi City Regions in March-May 2021. The sample in this study is mothers who have children in age 9-24 months. The sampling that is used in this study is cluster sampling with total sample of 506 mothers. The data analysis used in this study is descriptive statistical analysis of univariate, bivariate using chi square test.Results: The results of data analysis showed that the variables related to compliance were perceptions of receiving immunization, attitudes, knowledge, husband's support with p value < 0.01, and distance traveled with p value < 0.05.Conclusion: Effort to improve compliance in the pediatric immunization Pandemic are needed to strengthen mother’s perception, knowledge, attitudes during COVID-19. Analysis with predictive models is highly recommended to determine the odd-ratios and adjusted odd-ratios between factors related to the complying for basic vaccination.

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): October
Publisher : Universitas STRADA Indonesia

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

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

ANAK DENGAN COVID-19 DALAM TINJAUAN KEPERAWATAN Efendi, Defi; Utami, Ayuni Rizka; Asmarini, Titik Ambar; Prawira, Yogi; Lestari, Pande Lilik; Sari, Dian; Mais, Pricilia; Babakal, Abram; Triana, Komang Yogi
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i1.568

Tingkat kematian (case fatality rate) COVID-19 pada anak di Indonesia merupakan salah satu yang tertinggi didunia. Berbagai upaya dilakukan untuk menurunkan tingkat Â kematian ini, salah satunya meningkatkan kualitas asuhan keperawatan.Telaah literatur ini bertujuan untuk memberikan rekomendasi mengenai perawatan pasien anak dengan COVID-19 di rumah sakit, mulai dari Â Â pencegahan dan pengendalian infeksi, perawatan anak dengan distres napas berat, pemantauan kondisi klinis, perawatan anak dengan hipertermia, masalah nyeri akut, keseimbangan cairan, dukungan psikologis anak dengan COVID 19, aplikasi family-centered care, edukasi keluarga dan persiapan pulang. Meskipun asuhan keperawatan mempunyai cakupan yang sangat luas, hendaknya perawat terus beradaptasi dalam memberikan asuhan yang sesuai dengan usia perkembangan, karakteristik masalah yang muncul, serta ketersediaan sumber daya pendukung.

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