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The Effect of Emollient Oils in Preterm Infants: A Systematic Review and Meta-Analysis Wahyuni, Rita; Hayati, Happy; Huda, Mega Hasanul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6179

Abstract

Premature infants have distinct physiological differences in their skin compared to full-term infants, characterized by thinner skin and subcutaneous tissue due to an underdeveloped stratum corneum. Several non-pharmacological therapies are implemented to improve the skin integrity of premature infants. However, the effectiveness of these therapies needs to be explored further to establish their role in enhancing skin care and overall health outcomes in this vulnerable population. Objective to identify the effectiveness of non-pharmacological interventions on the skin condition and health outcomes of preterm infants, and to determine which intervention is most effective in improving skin condition and health outcomes. In this meta-analysis, randomized controlled trials (RCTs) of emollient oil administration interventions were systematically searched across four databases including Pubmed, Science Direct, Oxford Academic, and Cochrane. The studies that met the eligibility criteria were independently assessed for methodological quality, and data extraction was performed by two investigators. A total of 8 trials were identified, encompassing 3637 participants. To analyze the data, a random-effects model was employed, along with subgroup analysis and meta-regression analysis to explore the effects of different intervention components. Coconut oil and sunflower seed oil were evaluated for their effects on skin condition using the NSCS. The results indicated that sunflower seed oil was significantly more effective in reducing the NSCS score, with a p-value of 0.001 (95% CI = 1.426 to -0.364). Liquid Vaseline in the control group also showed significant results, with a p-value of 0.001 (95% CI = -1.426 to -0.364). In terms of weight gain and the incidence of hypothermia, there were no significant differences between the two oils and the control group. Administration of the oils once a day for a longer duration proved to be more effective in improving the infants' skin condition. Evidence suggests that the use of coconut oil and sunflower seed oil is effective in increasing body weight and reducing the incidence of hypothermia and sepsis. Furthermore, sunflower seed oil appears to be more effective than coconut oil in improving skin condition. Based on these findings, it is recommended that policymakers and healthcare professionals consider incorporating coconut oil or sunflower seed oil emollients into the routine care of premature infants.
Effectiveness Infant Massage Provided by Mother on Weight Gain Among Premature Infants: A Systematic Review Hasanah, Kusnul; Dessirya, Endah; Rustina, Yeni; Adawiyah, Robiyatul; Huda, Mega Hasanul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6213

Abstract

Premature birth poses significant health challenges with implications of low birth weight in infants. Infant massage intervention by mothers shows potential in enhancing weight gain in premature infants and improving their neurological and emotional development. This study aims to evaluate the effectiveness of such interventions in promoting holistic growth in premature infants.Objective: This article aims to investigate the effectiveness of infant massage intervention involving mothers in enhancing weight gain in premature infants.Methods: This study employed a systematic review method. A search in the PubMed, Science Direct, Sage Journals, Scopus, Taylor & Francis, Proquest, Clinical Key to retrieve randomized controlled trial of premature infants receiving massage therapy by mother impact of weight gain on infant premature. The registration number was CRD42024622719.Results: Of 883 record article retrieved, 5 RCTs with 406 participans were included. Literature studies indicate that infant massage involving mothers has beneficial effects on premature infants, such as calorie intake, head circumference, body length, nerve development, length of stay (LOS), and sepsis incidence in premature infants. Massage therapy by the baby's mother also did not have any side effects or cause complaints, and no secondary effects were found.Conclusion: Infant massage by mothers is an effective intervention in enhancing weight gain in premature infants. Involving parents in the care of premature infants through interventions like this can provide significant benefits for the well-being and development of premature infants.
Diagnostic Accuracy of Delirium Assessment Tools Among Critically Ill Infant : A Systematic Review Rahmadhani, Dewi Astika; Ningsih, Risna; Setiawati, Atik; Chodidjah, Siti; Agustini, Nur; Huda, Mega Hasanul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6214

Abstract

Delirium is an acute change in neurologic function that can potentially lead to longterm impacts on children’s cognitive development and the quality of life. Infants under 12 months are particularly vulnerable because their cognitive and language abilities are not fully developed. Therefore, healthcare professionals need to enhance their knowledge of delirium symptoms, child development stages, and how to identify it in this age group to better detection and management. This study aims to evaluate the diagnostic accuracy of delirium assessment tools, namely the Cornell Assessment of Pediatric Delirium (CAPD), the Preschool Confusion Assessment Method for the ICU (psCAM-ICU), and the Sophia Observation Withdrawal Symptoms Pediatric Delirium (SOSPD), in detecting delirium in critically ill infants. This systematic review follows the PRISMA 2020 guidelines and includes a literature search in PubMed, Scopus, ProQuest, ScienceDirect, and Taylor & Francis from 2013 to 2023. Inclusion criteria consist of observational studies involving infants aged 0-11 months in ICU settings that utilized CAPD, psCAM-ICU, or SOSPD for delirium detection. The quality of the studies was assessed using the JBI Critical Appraisal Checklist for Studies Reporting Diagnostic Test Accuracy. Result : The analysis indicates that the SOSPD tool has a sensitivity ranging from 76.9% to 96.8% and specificity between 92% and 96.4%. The CAPD shows sensitivity from 87% to 94.1% and specificity from 88% to 98%. The psCAM exhibits sensitivity from 75% to 95% and specificity from 81% to 91%. The results demonstrate variability in accuracy depending on the age group and clinical condition of the children. Based on the research findings, psCAM is recommended as the most effective tool for detecting delirium in the infant population due to its ease of use and high accuracy. Early detection of delirium is crucial for enhancing clinical management and improving outcomes in critically ill infants.
Analysis of Stunting Incidents Based on Mother's Knowledge Marita, Zadam; Okinarum, Giyawati Yulilania; Huda, Mega Hasanul; Dwihestie, Luluk Khusnul
International Journal of Nursing Information Vol. 2 No. 2 (2023)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v2i2.54

Abstract

Every parent does not want stunting cases to occur in their children. Stunting in children can be caused by direct and indirect factors. One direct cause is a lack of nutritious food intake. The role of parents, especially mothers, as indirect causes plays a vital role in fulfilling children's nutrition. This research aims to analyze the relationship between a mother's knowledge and the incidence of stunting. The research method uses an analytical survey with a cross-sectional approach. The sampling technique used purposive sampling, totaling 68 respondents, with the criteria being mothers who had toddlers aged 1-2 years. Research location in the city of Bekasi, Indonesia. The research instrument used a questionnaire and measurements of body length compared with age. Data analysis with bivariate and univariate statistics. The research results show that the majority of mothers have good knowledge, and the majority do not experience stunting. Statistical tests using Chi-Square show that there is a significant relationship between mothers' knowledge about nutrition and the incidence of stunting in mothers of toddlers 1-2 years old. The contribution of this research is evidence that mother's knowledge is essential for children's growth. One alternative strategy to overcome the increase in stunting cases is to strengthen the understanding of mothers.
Faktor risiko kejadian unplanned extubation pada pasien anak di pediatric intensive care unit: Sebuah tinjauan sistematis Sihotang, Jojor; Huda, Mega Hasanul; Nurhaeni, Nani; Wanda, Dessie; Nugroho, Alfin
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1939

Abstract

Background: Introduction: Unplanned extubation (UE) is a common adverse event in the Pediatric Intensive Care Unit (PICU) and can lead to clinical deterioration, increased morbidity, and decreased quality of care. Despite various preventative measures, UE remains a challenge in pediatric intensive care. Purpose: To synthesize current evidence on risk factors associated with unplanned extubation in pediatric patients to support the development of effective, evidence-based prevention strategies. Method: A systematic literature search was conducted in Scopus, ProQuest, and PubMed databases for observational studies published in the past 15 years following PRISMA guidelines. The methodological quality of included studies was assessed using the Newcastle–Ottawa Scale (NOS). Narrative synthesis was used to summarize and integrate the study findings. Results: Eleven observational studies met the inclusion criteria, with eight studies demonstrating a low risk of bias. The most consistent risk factors associated with UE were inadequate sedation and patient agitation. Other important risk factors include suboptimal endotracheal tube (ETT) fixation, high nurse-to-patient ratios, night shift care, and limited nursing experience. The relationship between patient age and UE risk has shown varying results across studies. Conclusion: The incidence of unplanned extubation in pediatric patients in the PICU is multifactorial and influenced by patient factors, clinical conditions, the care environment, and equipment and procedures. Modifiable factors, such as sedation management, standardization of ETT fixation, and optimization of nursing resources, are the most potential targets for intervention. UE significantly impacts the quality of care, particularly the quality of nursing care, due to variations in the preventive interventions implemented. Therefore, implementing a best-practice-based prevention bundle is crucial to reducing UE rates in the PICU.   Keywords: Pediatric Intensive Care Unit; Pediatric Patients; Risk Factors; Unplanned Extubation.   Pendahuluan: Unplanned extubation (UE) merupakan kejadian tidak diinginkan yang sering terjadi di Pediatric Intensive Care Unit (PICU) dan dapat menyebabkan penurunan kondisi klinis pasien, peningkatan morbiditas, serta penurunan mutu pelayanan. Meskipun berbagai upaya pencegahan telah dilakukan, kejadian UE masih menjadi tantangan dalam perawatan intensif anak.Tujuan: Untuk mensintesis bukti terkini mengenai faktor-faktor risiko yang berhubungan dengan kejadian unplanned extubation pada pasien anak guna mendukung pengembangan strategi pencegahan yang efektif dan berbasis bukti.Metode: Pencarian literatur sistematis dilakukan pada basis data Scopus, ProQuest, dan PubMed terhadap studi observasional yang dipublikasikan dalam 15 tahun terakhir dengan mengikuti pedoman PRISMA. Kualitas metodologis studi yang diinklusi dinilai menggunakan Newcastle–Ottawa Scale (NOS). Sintesis naratif digunakan untuk merangkum dan mengintegrasikan temuan penelitian.Hasil: Sebanyak 11 studi observasional memenuhi kriteria inklusi, dengan 8 studi menunjukkan risiko bias yang rendah. Faktor risiko yang paling konsisten terkait dengan kejadian UE adalah sedasi yang tidak adekuat dan agitasi pasien. Faktor risiko penting lainnya meliputi fiksasi endotracheal tube (ETT) yang tidak optimal, rasio perawat–pasien yang tinggi, perawatan pada shift malam, serta pengalaman perawat yang terbatas. Hubungan antara usia pasien dan risiko UE menunjukkan hasil yang bervariasi antar penelitian.Simpulan: Kejadian unplanned extubation pada pasien anak di PICU bersifat multifaktorial dan dipengaruhi oleh faktor pasien, kondisi klinis, lingkungan perawatan, serta aspek alat dan prosedur. Faktor-faktor yang dapat dimodifikasi, seperti manajemen sedasi, standarisasi fiksasi ETT, dan optimalisasi sumber daya keperawatan, merupakan target intervensi yang paling potensial. Kejadian UE berdampak signifikan terhadap mutu pelayanan, khususnya mutu asuhan keperawatan, akibat variasi intervensi pencegahan yang diterapkan. Oleh karena itu, implementasi bundle pencegahan berbasis praktik terbaik sangat penting untuk menurunkan angka kejadian UE di PICU.   Kata Kunci: Faktor Risiko; Pasien Anak; Pediatric Intensive Care Unit; Unplanned Extubation.
Feeding cues: a concept analysis Irianti, Dewi; Wanda, Dessie; Waluyanti, Fajar Tri; Huda, Mega Hasanul
Pediomaternal Nursing Journal Vol. 12 No. 1 (2026): VOLUME 12 NO 1 MARCH 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v12i1.68524

Abstract

Introduction: Premature infants often experience delays in developing oral feeding skills essential for their growth. This may be due to immature motor development and physiological instability. Inconsistent definitions of feeding cues can also affect the quality of care provided. Therefore, a concept analysis of feeding cues in premature infants is necessary to clarify definition and improve the accuracy of care to meet their needs. This study aimed to clarify the concept of feeding cues in premature infants.Methods: The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: PubMed, ProQuest, ScienceDirect, Scopus, and Google Scholar for 2000 and later.Results: The literature search obtained 20 articles on feeding cues from various disciplines. Eight attributes were developed from the concept analysis, including (1) behavioral and physiological signs, (2) readiness to feed, (3) transition and awareness ability, (4) hand and mouth movements, (5) effective sucking and swallowing, (6) self-regulation, (7) behavioural changes, and (8) facial expression. Antecedents to feeding cues include infant physiology, infant’s level of consciousness changes, infant motor and reflex development, respiratory stability and health status, and availability of feeding resources. Consequences include timely and appropriate feeding according to infant’s needs, infant’s self-regulation, infant’s comfort and stability, development of a positive caregiver-infant relationship, and balance of energy intake and growths.Conclusion: The concept analysis provides eight comprehensive attributes and their antecedents and consequences, emphasising the importance of understanding feeding cues in premature infants. This understanding can guide nursing care, enhance early feeding interventions, and support the growth and development of premature infants to enhance the quality of nursing care in this group.Keywords: concept analysis; feeding cues; premature infants
Determinant factors of psychological well-being and parental resilience in parents of children with cancer: A systematic review Nurrohmah, Azizah; Chodidjah, Siti; Lestari, Ayu Widya; Huda, Mega Hasanul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1798

Abstract

Background: Childhood cancer remains a major global health concern, significantly impacting parents psychological well-being. A child’s cancer diagnosis often triggers emotional distress, anxiety, and long-term uncertainty for the family. Purpose: To identify the determinant factors of psychological well-being and parental resilience among parents of children with cancer. Method: Observational studies evaluating psychological well-being and resilience in parents of children with cancer were systematically searched in the databases PubMed, ScienceDirect, EBSCOhost, Sage Journals, and Scopus. Data were extracted independently by two reviewers. We included seven studies involving a total of 892 parents from various countries who have children with cancer. Results: Protective factors that were found to significantly enhance resilience and psychological well-being include spiritual well-being, social support, self-efficacy, and coping strategies. Conversely, psychological factors such as trauma, depression, anxiety, and general health status were significantly negatively correlated with both psychological well-being and resilience (p < 0.05). Conclusion: The reviewed studies consistently demonstrate that parental resilience and well-being are strongly influenced by spiritual well-being, social support, self-efficacy, and coping strategies. Negative psychological variables such as depression, anxiety, and trauma significantly contribute to the decline in psychological well-being and resilience.
Faktor-Faktor Yang Mempengaruhi Saturasi Oksigen dan Lama Hari Rawat Pada Pasien PPOK yang Mendapatkan Posisi Semifowler di RS Hermina Ciputat: Faktor-Faktor Yang Mempengaruhi Saturasi Oksigen dan Lama Hari Rawat Pada Pasien PPOK yang Mendapatkan Posisi Semifowler di RS Hermina Ciputat Desy Rasmiyani; Khodijah Alkaff; Surwaningsih; Mega Hasanul Huda; Muhammad Fauzi Rahman; Yuhendri Putra; Intan Asri Nurani
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.380

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease which has a chronic obstruction in airway that can interefere normal respiration led to death. Patients with COPD usually show symptoms such as dyspnea that are most frustrating in patients with COPD that can trigger the appearance of tightness and decreased saturation. The semi-fowler position is a position that can be chosen by patients who have difficulty breathing and in COPD patients is expected to optimize lung development so that oxygen saturation becomes increased. Given the many factors that contribute to oxygen saturation in patients, it is important to control the factors that affect oxygen saturation in patients who get a semi-fowler position. In addition, given the high prevalence of COPD, it is important for hospitals to identify factors that affect the length of day of treatment of patients with COPD. Identification of these factors can help health workers to plan treatment programs to plan the length of the day of treatment of patients who enter the hospital. The study aimed to identify factors that influence oxygen saturation and the length of days of treatment in COPD patients who get semi-fowler positions at Hermina Ciputat Hospital. Data collection was carried out from January 2020 to October 2021 using the cross-sectional method, namely by taking data at once at the same time through medical record data on 84 inpatients. The analysis test used in this study is the T-test and subsequently multivariate analysis is carried out using linear regression tests. Based on the analysis test, the factors that affect oxygen saturation are gender, smoking history, and initial saturation value. While the factors that affect the length of treatment are the history of smokers and the history of comorbid. Respondents who had a history of smoking would experience a decrease in oxygen saturation by 0.3888. Preventive interventions through smoking-related health education need to be done to reduce the severity in patients with COPD who are hospitalized.
Prevalence of Motor Impairments in Children with Acute Lymphoblastic Leukemia during Chemotherapy: A Systematic Review Muslimah, Desti Elza; Huda, Mega Hasanul; Allenidekania, Allenidekania; Lestari, Ayu Widya
Nursing Information Journal Vol. 5 No. 2 (2026): In Progress Issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Motor impairments are a frequent and disabling consequence of vincristine‑based chemotherapy in children with acute lymphoblastic leukemia (ALL). These deficits can compromise daily functioning and long‑term quality of life. This systematic review aimed to synthesize evidence on the prevalence and characteristics of motor impairments among pediatric ALL patients undergoing chemotherapy.  A comprehensive search was conducted across PubMed, ScienceDirect, Scopus, ClinicalKey, and ClinicalKey Nursing, supplemented by citation tracking. Observational studies published up to May 2025 were screened using the PEOS framework. Ten eligible studies involving 580 children were included. Outcomes assessed encompassed fine motor precision, manual dexterity, coordination, balance, agility, and strength. Motor impairments were consistently reported across all studies, with prevalence varying by treatment phase and country. During induction, prevalence ranged from 48% (USA) to 62.5% (Netherlands). In consolidation, rates reached 75.5% (Colombia). The highest prevalence was observed in the maintenance phase, with Turkey reporting 83.9% overall impairment and specific deficits in fine motor integration (70.6%), strength (74.4%), and upper‑limb coordination (61.1%). Finland showed the lowest overall prevalence (31.8%). Motor impairments are common and persistent in children with ALL receiving vincristine‑based chemotherapy, particularly during the maintenance phase. These findings underscore the need for standardized monitoring protocols, early detection, and timely rehabilitation strategies to mitigate long‑term functional decline and optimize quality of life in pediatric oncology care.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfanira Setiawan Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Yuni Nursasi Atun Roudatul Ma’rifah Ayuni Rizka Utami Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Chodidjah, Siti Defi Efendi Dessirya, Endah Desy Rasmiyani Dewi Hayati, Dewi Elisa Islami Putri Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Gita Sari Aryani Gustika Arnils Happy Hayati Hasanah, Kusnul Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Intan Asri Nurani Irianti, Dewi Islamia, Ina Jojor Sihotang Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Lestari, Ayu Widya Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Zakuan Agung Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Muslimah, Desti Elza Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Ningsih, Risna Novia Pratiwi, Novia Nugroho, Alfin Nur Agustini Nurani, Intan Asri Nurrohmah, Azizah Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmadhani, Dewi Astika Rahmasari, Syifa Widya Ramadhani, Dewi Astika Raudha Ilmi Farid Riswal Hanafi Siregar Roselyn Chipojola SANTOSO SANTOSO Setiawati, Atik Shahylannanda Tito Yuwono Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wahyuni, Rita Wanda , Dessie Wati, Alfah Ratna Widhiastuti, Erma Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra