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The Effectiveness of Gentle Human Touch in Stabilizing Vital Signs of Preterm Infants with Respiratory Distress Syndrome Sri Wahyuni; Fatma Zulaikha; Ni Wayan Wiwin Asthiningsih; Nur Fithriyanti Imamah
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 3 (2026): Agustus 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i3.441

Abstract

Respiratory Distress Syndrome (RDS) is a major respiratory disorder in premature infants that frequently causes unstable vital signs and increases neonatal morbidity and mortality. Therefore, safe non-pharmacological interventions are needed to support physiological stability during intensive care. This study aimed to analyze the implementation of Gentle Human Touch (GHT) in stabilizing the vital signs of premature infants with RDS in the Neonatal Intensive Care Unit (NICU). A case study design was employed involving one premature infant diagnosed with very low birth weight and RDS. Data were collected through clinical observation, measurement of vital signs, and the Premature Infant Pain Profile-Revised (PIPP-R) before and after a 10-minute GHT intervention administered once daily for three consecutive days (December 30, 2025–January 1, 2026). Data were analyzed descriptively. The findings demonstrated decreased respiratory and heart rates, increased oxygen saturation, normal body temperature, reduced chest retractions, and improved infant calmness without increased pain. In conclusion, GHT is an effective, safe, and easily applicable non-pharmacological nursing intervention for improving the physiological stability of premature infants with RDS. Further studies involving larger sample sizes are recommended.
Effectiveness of combined chest physiotherapy, nebulization, and therapeutic positioning in improving respiratory status among children with pneumonia: A literature review Devi Clarisa Amanda; Imellia Harmoni Syahputri; Jihan Aqilah; Nurjanah Nurjanah; Ni Wayan Wiwin Asthiningsih
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i4.3815

Abstract

Background: Pneumonia remains one of the leading causes of morbidity and mortality among children worldwide, particularly in developing countries. Airway obstruction caused by retained secretions frequently impairs respiratory function, indicating the need for effective evidence-based supportive interventions in addition to pharmacological treatment. Purpose: To evaluate the effectiveness of combined chest physiotherapy, nebulization, and therapeutic positioning in improving the respiratory status of children with pneumonia. Methods: A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Relevant articles were identified through Google Scholar, PubMed, and Portal Garuda using predefined keywords and Boolean operators. Studies published between 2021 and 2025 that investigated chest physiotherapy, nebulization, positioning, or their combination in pediatric patients with pneumonia were screened according to predetermined inclusion and exclusion criteria. Eleven eligible studies were included and synthesized using narrative analysis. Results: The reviewed studies consistently demonstrated that combining chest physiotherapy, nebulization, and therapeutic positioning improved respiratory outcomes in children with pneumonia. The interventions increased oxygen saturation, reduced respiratory rate and respiratory distress, enhanced airway clearance through secretion mobilization, and improved patient comfort. Compared with single interventions, combination therapy produced more comprehensive improvements in respiratory function by simultaneously optimizing pulmonary ventilation, airway clearance, and oxygenation. Conclusion: The combination of chest physiotherapy, nebulization, and therapeutic positioning is an effective evidence-based supportive intervention for improving respiratory status in children with pneumonia. Integrating these interventions into pediatric nursing care may optimize respiratory recovery and complement pharmacological management to achieve better clinical outcomes.
Co-Authors aditya aditya Agus Friyayi Agus Sugiarno Aisyah Astuti Alamsyah, Fachmi Alia Wardani Andi Lis Arming Gandini Anisa Duwi Putri Asrianti, Ulfa Dwi Candra Patniawati Candra Patniawati Chairunnisa, Aldilla Asri Chatarina Umbul Wahyuni Devi Ariyana Devi Clarisa Amanda Dwi Rahmah Fitrniani Egy Febiyanti Eka Indah Lestari Enok Sureskiarti Erika Syavira Fathir Bayu Pratama Fathul Khair Fitria, A’isyah Riski Gita Anisa Maulida Hasanah, Rahmatin Herlina, Nunung ida bagus nuraini Ikalia Ulandari Imam Hakam Imellia Harmoni Syahputri Jihan Aqilah Laila Alfida Yahya Latipah, Asslia Johar Liwu, Desilia Sidong Luluk Muflikhatul Maulidiyah Lusmiati, Lusmiati Lutfia Novi Rahmawati M. Alfarizi Palewo Mahmoud Ahmad Al-Khasawneh Malwani, Selma Aqila Masriati Nabila Milkhatun Milkhatun, Milkhatun Mira Wati Moh Afandi Muhammad Amir Nasruddin Muhammad Bachtiar Muhammad Wahyu Ramdani Namira Abiyah Juliyanti Nia Fauziah Nur Fithriyanti Imamah Nur Khaylila Ramadhanti Nurjanah Nurjanah Nurjannah, Misbah Nurkhalisah Nursela, Nursela Pipit Fitriani Pratiwi, Rani Eka Putri, Nahda Tiramika Rahman suhada Resta Revalda Ningsih Reza Pitaloka Richa Cahya Setyowati Richa Cahya Setyowati Ridho , Muhammad Risma Akmalia Risma Amalia Safitri Rizal, Alfi Ari Fakhrur Rizkia Cantika Rakhmawati Rona Mika Rurun Kamila Rusmawati Rusmawati, Rusmawati Rusni Masnina Sanita Putri Ardiyani Sendy Glaudia Dede Tule Septiawan, Taufik Shabrina Safitri Siti Khoiroh Muflihatin Sitti Rahmah Sri Wahyuni Sutriani, Merinda Sutrisno, Sutrisno Tiara Tirta, Insani Tiara Tri Wijayanti Umi Kalsum Utami, Fathia Wianida Wahyuni, Emmy Putri Wati, Putri Sintya Yudhi Fajar Saputra Zulaikha, Fatma