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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.
The Effect of Giving Educational Animated Videos and Booklets on Parents’ Knowledge About Stimulation of Language with Preschool Children Nurjanah, Desi Tribuana; Indarwati, Ferika; Rahmah, Rahmah; Suminar, Istinengtiyas Tirta
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.13354

Abstract

Language development is an important aspect of the golden period of child development, yet limited parental knowledge and inadequate stimulation may hinder optimal progress. This study aims to assess the effectiveness of education using animated videos and booklets in improving parents’ knowledge of language development stimulation in preschool-aged children. The study employed a quasi-experimental design with pre-test and post-test. The sample consisted of 120 parents divided into an intervention group (n=60) and a control group (n=60). The intervention group received a 10-minute animated video and a booklet, while the control group received a leaflet. All materials were delivered once via WhatsApp and studied independently with unrestricted access for review. The instrument used was a 15-item questionnaire that had been tested for validity and reliability. Data were analyzed using paired t-tests and independent t-tests. The results showed a significant increase in knowledge in both groups, with a greater improvement in the intervention group (7.63 to 12.10) compared to the control group (7.52 to 8.90). Independent t-test analysis indicated a significant difference between groups (p = 0.001). The study concludes that animated videos and booklets are more effective than leaflets in enhancing parental knowledge. These findings support the utilization of accessible digital media as a sustainable strategy in educational programs at posyandu, early childhood education centers, and parenting trainings.
Manajemen Nutrisi pada Bayi BBLSR dengan Pemberian Fortifikasi ASI, Susu formula, dan ASI Sayyida Nafisa; Ferika Indarwati; Layli Anisah
An Idea Health Journal Vol 5 No 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i02.486

Abstract

A very low birth weight infant (VLBW) with a birth weight of <1500 grams has extremely low nutrient reserves, such as calcium, phosphate, iron, zinc, and vitamins, with little to no subcutaneous fat and glycogen stores. The management of VLBW infants focuses on providing nutrition through fortification, formula milk, or breast milk if lactation is sufficient. This study aims to examine the impact of weight management in VLBW infants through the administration of fortification, formula milk, and breast milk.This research employs a case study method by administering fortified breast milk, formula milk, and breast milk over ten days to a VLBW infant treated in the PICU-NICU of Temanggung Regional Hospital. The results show that after receiving fortified breast milk, the infant’s weight increased by 70 grams. When given formula milk, there was no weight gain, while breast milk administration resulted in a weight gain of 75 grams. These findings indicate that breast milk provides the most significant weight gain without causing weight loss, although the increase occurs gradually.It is recommended that parents of VLBW infants optimize weight gain by providing exclusive breastfeeding, either directly or indirectly, if the infant has difficulty nursing.
Penerapan Breastfeeding Dan Baby Massage Terhadap Penurunan Kadar Bilirubin Pada Neonatus Dengan Hiperbilirubinemia Sania Nurrahmi; Ferika Indarwati; Sri Sustieni
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.749

Abstract

Hiperbilirubinemia merupakan kondisi peningkatan kadar bilirubin pada neonatus yang memerlukan penatalaksanaan untuk mencegah komplikasi. Penelitian ini menggunakan desain studi kasus komparatif dengan pendekatan deskriptif pada dua neonatus dengan hiperbilirubinemia di RSUD Tidar Magelang. Kedua subjek mendapatkan terapi standar berupa fototerapi dan breastfeeding, sedangkan satu subjek mendapat tambahan intervensi baby massage selama tiga hari. Kadar bilirubin diukur sebelum dan sesudah intervensi. Kedua subjek mengalami penurunan kadar bilirubin. Pada subjek dengan kombinasi breastfeeding dan baby massage, kadar bilirubin total menurun dari 27,79 mg/dL menjadi 3,78 mg/dL, sedangkan pada subjek dengan breastfeeding saja menurun dari 23,64 mg/dL menjadi 7,28 mg/dL. Penerapan breastfeeding dan baby massage menunjukkan penurunan kadar bilirubin yang lebih besar dibandingkan breastfeeding saja
Pengaruh Terapi Musik Lullaby Terhadap Saturasi Oksigen Bayi BBLR Di Nicu Rsud Tidar Magelang Jenda Zidanto Gani; Ferika Indarwati; Winarni Winarni
Jurnal Anoa Keperawatan Mandala Waluya Vol. 5 No. 2 (2026): Jurnal Anoa Keperawatan Mandala Waluya (JAKMW)
Publisher : Program Studi Ilmu Keperawatan dan Profesi Ners. Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jakmw.v5i2.1559

Abstract

Bayi dengan berat badan lahir rendah (BBLR) memiliki sistem organ yang belum matang sehingga rentan mengalami gangguan pernapasan dan penurunan saturasi oksigen. Salah satu intervensi nonfarmakologis yang dapat membantu meningkatkan kestabilan fisiologis bayi BBLR adalah terapi musik lullaby. Penelitian ini bertujuan mengetahui pengaruh terapi musik lullaby terhadap saturasi oksigen pada bayi BBLR di ruang NICU RSUD Tidar Kota Magelang. Tujuan: Mengetahui pengaruh terapi musik lullaby terhadap peningkatan dan kestabilan saturasi oksigen pada bayi dengan berat badan lahir rendah (BBLR) di ruang NICU RSUD Tidar Kota Magelang. Metode: Penelitian menggunakan desain case report dengan berjumlah satu partisipan bayi BBLR. Intervensi dilakukan dengan pemberian terapi musik lullaby selama 30 menit setiap hari selama 5 hari berturut-turut. Pengukuran saturasi oksigen dilakukan sebelum dan sesudah intervensi menggunakan oksimetri. Hasil: Terapi musik lullaby selama 5 hari menunjukkan peningkatan saturasi oksigen pada bayi BBLR, dari 80% menjadi 93% pada hari pertama dan mencapai 100% pada hari kelima. Kesimpulan: Pemberian terapi musik lullaby selama 5 hari dapat meningkatkan saturasi oksigen pada bayi BBLR, sehingga terapi ini dapat menjadi intervensi nonfarmakologis untuk membantu kestabilan fisiologis bayi di ruang NICU.
Pengaruh Pemberian Kangaroo Mother Care (KMC) pada Bayi dengan Durasi yang Berbeda terhadap Peningkatan Berat Badan dan Kestabilan Tanda Tanda Vital Berat Bayi Lahir Rendah Nia Febrika Nur Hasanah; Ferika Indarwati; Sri Sustieni
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.1860

Abstract

ABSTRAK Berat Bayi Lahir Rendah (BBLR) merupakan masalah kesehatan neonatal yang berisiko meningkatkan morbiditas dan mortalitas bayi. Bayi BBLR memiliki keterbatasan dalam mempertahankan suhu tubuh dan stabilitas fisiologis sehingga memerlukan perawatan yang tepat, salah satunya Kangaroo Mother Care (KMC) melalui kontak kulit ke kulit antara ibu dan bayi. Penelitian ini bertujuan mengetahui pengaruh pemberian KMC dengan frekuensi berbeda terhadap peningkatan berat badan dan kestabilan tanda-tanda vital pada bayi BBLR. Metode yang digunakan adalah studi kasus pada dua neonatus BBLR di Ruang Cempaka RSUD Tidar Magelang pada 29–31 Oktober 2025. Bayi pertama mendapatkan KMC dua kali sehari selama tiga hari, sedangkan bayi kedua satu kali sehari dengan durasi dua jam setiap sesi. Pengukuran meliputi berat badan, suhu tubuh, frekuensi nadi, kadar gula darah sewaktu, dan saturasi oksigen sebelum dan sesudah intervensi. Hasil menunjukkan bahwa KMC dua kali sehari memberikan peningkatan berat badan yang lebih konsisten dengan tanda-tanda vital tetap stabil dalam rentang normal. Pemberian Kangaroo Mother Care (KMC) dengan frekuensi yang lebih optimal dapat memberikan frekuensi lebih optimal dapat meningkatkan berat badan serta menjaga kestabilan fisiologis bayi BBLR
The Effect of Online Health Education Using Animated Videos and Booklets on Parents' Knowledge of Motor Development Stimulation in Preschool Children Khusnul BudiAstuti; Ferika Indarwati; Rahmah Rahmah; Istinengtyas Tirta Suminar
Khatulistiwa Nursing Journal Vol. 8 No. 1 (2026): January 2026
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v8i1.393

Abstract

Background: Parental stimulation plays an important role in supporting the motor development of preschool children, but many parents still lack understanding of age-appropriate stimulation. Objective: This study aimed to determine the effectiveness of animated videos combined with digital booklets in improving parental knowledge about motor development stimulation in preschool children. Method: A quasi-experimental pretest-posttest control group design was used, involving 120 parents selected through purposive sampling, with 60 parents assigned to the intervention group and 60 parents assigned to the control group. Results: Knowledge was measured using a structured questionnaire and analyzed using paired and independent t-tests (p<0.05). The findings indicate that the use of animated videos combined with booklets has a significant impact on improving parental understanding. Conclusion: This study shows that multimodal educational media can improve understanding more effectively than conventional print media. These findings highlight the importance of educational approaches that are accessible, engaging, and user-friendly for parents, with implications for health education programs in early childhood settings.  
Perspektif Perawat Tentang Manejemen Terpadu Balita Sakit di Puskesmas Wilayah Kabupaten Bantul Yogyakarta Indarwati, Ferika
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i2.647

Abstract

Integrated Management of Childhood Illness (IMCI) is an integrated approach to the treatment of sick children in primary helath care services which include promotive, preventive and curative programs. The role of nurses in providing nursing care must be in accordance with the system of the health care centers. The purpose of this study was to determine Nurses Perspective on Integrated Management of Childhood Illness (IMCI) in Primary Health Care Centres, Bantul, Yogyakarta. The method used in this research is descriptive qualitative. The sampling was recruited by purposive sampling, 6 respondents was involved in this research. Data analysis was done by thematic analysis. The results of this study found that 5 out of 6 respondents can explain IMCI defi nition, objectives and actions of nurses that had been taken in IMCI. Respondents said that the biggest obstacle in implementing IMCI at health centers is the time, facilities and infrastructures. Sources like fi nancial support and the support of the leadership is very important to support the implementation of IMCI in health centers. Based on this research can be concluded that the implementation of IMCI in PHC requires the commitment of all parties, not only nurses but also doctors, health center leaders and other health workers. Advice can be given to Primary Health Care Centres associated with IMCI is conducting training for nurses, repair facilities and infrastructure so that implementation of IMCI in health centers could have better.Keywords: Nurse, Knowledge Level, IMCI, Health Center