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Pengaruh Holistic Comfort Care terhadap Parameter Fisiologis Pasien Neonatus dengan Asfiksia di Ruang NICU: Studi Kasus Arinandika, Kailifah Nurul; Indarwati, Ferika; Winarni, Winarni
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 1 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i1.928

Abstract

Asphyxia is one of the life-threatening emergency conditions for newborns (neonates). Neonates with asphyxia undergo treatment in the Neonatal Intensive Care Unit (NICU) to improve their condition. One of the therapeutic nursing interventions that can be given to neonates is Comfort care. Comfort care can be used as a specific and comprehensive (Holistic) intervention that includes neonates' physical and psychological aspects. The purpose of this study was to determine the effect of holistic comfort care (nesting position, light reduction, white noise, and bounding attachment) on improving physiological parameters and comfort of neonates with asphyxia in the NICU. The method in this study is a case report involving neonatal patients with asphyxia in the NICU. Monitoring was carried out before and after the intervention with instruments consisting of vital signs (heart rate, respiratory rate, SPO2) and the Comfort Neo Scale. The results of the study showed that the implementation of comfort care intervention for 5 days improves physiological parameters in particular pulse rate, breathing rate, oxygen saturation, and comfort in neonates with asphyxia. Based on these results, comfort care can be an alternative to nursing interventions that can improve the outcomes of babies with asphyxia who are treated in the NICU room.
Effect of Kangaroo Mother Care (KMC) and Touching Therapy Techniques on Weight Gain in LBW Infants Dewi, Nur Avni Atikah; Indarwati, Ferika; Sustieni, Sri
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 1 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i1.802

Abstract

Low Birth Weight (LBW) infants are at higher risk for developmental delays, stunting, and increased morbidity. Non-pharmacological interventions such as Kangaroo Mother Care (KMC) and Touching Therapy have been shown to improve the physical growth and emotional well-being of LBW infants. This case study aims to evaluate the effect of Kangaroo Mother Care (KMC) combined with Touching Therapy on weight gain in an infant with Very Low Birth Weight (VLBW). A single-case report was conducted on a neonate diagnosed with severe asphyxia and VLBW (birth weight 1130 grams) at RSUD Tidar Magelang. The intervention consisted of KMC and Touching Therapy sessions performed for 2 hours daily over six consecutive days. Body weight was measured before and after each intervention to assess daily changes. The infant's weight increased steadily from 1266 grams on day one to 1397 grams on day six, resulting in a total weight gain of 131 grams. This suggests that the combination of KMC and Touching Therapy may support short-term weight gain in VLBW infants. The findings demonstrate a notable improvement in body weight following six days of combined KMC and Touching Therapy. These interventions may be recommended to parents and caregivers both in clinical and home settings to promote healthy growth in LBW infants.
Pengaruh Pemberian Posisi Pronasi Terhadap Peningkatan Saturasi Oksigen Pada Neonatus Dengan Distress Respirasi di Ruang NICU RDUD Temanggung Rahayu, Idum Laela; Indarwati, Ferika; Anisah, Layli
JURNAL MEDIKA USADA Vol. 8 No. 1 (2025): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v8i1.389

Abstract

Abstract Background: respiratory distress is a condition in which a baby experiences a lack of surfactant in the alveoli, leading to breathing difficulities, decreased oxygen saturation due to the immaturity of organ systems caused by insufficient gestasional age. The non-pharmacological technique that can be used to improve oxygen saturation is the prone position. Research method: This research method used in this intervention is a case report with an intervention approach. This research was conducted in the NICU unit of Temanggung Regional Hospital, the research carried out on 26-30 December 2024. The research participants were neonate patient with diagnosis distress respiration. Oxygen saturation was measured before and after the prone position was applied. Result: After being given prone position intervention within 2 hours for five days, there was an increase in oxygen saturation, on the first day from 89% to 90% and on the fifth day there was an increase from 99% to 100%. Conclusion: intervention of prone position is an effective on improving oxygen saturation in neonates with respiratory distress syndrome and it is quite easy to do because it does not require special skills and can be done at any time.