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The Effect of Feeding Process Stimulation on Oral Preparedness Readiness in Premature Infants Dessirya, Endah; Herlina, Herlina; Wahyuni, Wahyuni; Pusparini, Iin; Mustaqimah, Mustaqimah; Hayati, Dewi
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1097

Abstract

BACKGROUND: Most preterm infants do not have proper sucking, swallowing, and breathing coordination which caused  delay in oral feeding readiness. OBJECTIVE: The objective of this study was to analyze the influence of feeding stimulation on the readiness of premature infant’s oral feeding. METHOD: This study was a true experimental study that involved 44 preterm infants born between 32-34 weeks of gestational age, devided in two groups. Twenty two infants in the intervention group received positioning (mid-line control symmetric) and oral feeding stimulation, while the control group received only positioning intervention. Oral stimulation was given 8 times a day for 7 days, before starting the oral feeding program. Oral feeding readiness was measured by using a modified early feeding scale (EFS) instrument on the first and the seventh days. Data analysis using t-test dependent, independent t-test, and Mc Nemar test. RESULT: The results showed that there was a significant effect of the intervention on EFS score (p <0.001) and also on preterm infant’s oral feeding readiness (p = 0.002). The results also showed that there was an effect of intervention on the length of stay (p=0.001). CONCLUSION: Early oral feeding stimulation improves the infant’s oral feeding readiness and shortens the infant’s length of stay. Researchers recommend stimulation of the feeding process as an independent nursing intervention in caring for premature infants. 
The Role of Nurses in Improving the Quality of Life of Neonates Through Pain Management: A Literature Review Dessirya, Endah; Widhiastuti, Erma
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): 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.v6iS4.3910

Abstract

Pain in neonates is a problem that must be taken seriously. In addition to causing physiological disturbances, pain in neonates can have long-term consequences including behavioural changes, hypersensitivity to pain and neurodevelopmental disorders. Nurses have an important role in improving the quality of life of neonates through pain management. This study aims to provide alternatives in the prevention of pain in neonates non-pharmacologically and is expected to apply pain instruments (as a basis for pain assessment) and improve collaboration, education and supervision in the prevention of pain in neonates. The method used in this study was literature review. Searching academic articles through Online Database searches through ClinicalKey for Nursing, Proquest, Science Direct and Pubmed from 2020-2024 with the Prisma approach, then filtering with PICO (Population, Intervention, Comparative, Outcome) obtained 10 suitable articles. Based on several studies, the role of nurses in improving the quality of life of neonates is effective pain management through pain assessment, non-pharmacological interventions (skin to skin contact, breastfeeding, maternal voice, facilitated tucking positioning, massage, olfactive stimulation, sucrose administration, nesting positioning and Yakson touch therapy). In addition, education, supervision and a comprehensive approach and collaboration between teams are needed. Pain management in neonates is important in neonate care, it is recommended that there is a bundle of pain management in neonates which contains a structured plan, and integrated guidelines to prevent and manage pain in neonates.
The Relationship Between Caring Pediatric Nurses and The Level of Satisfaction of Parents of Patients at Inpatient Ward PKIA Sari, Dina Novenda; Dessirya, Endah; Mustaqimah, Mustaqimah; Rusana, Rusana; Rezeki, Dewi; Yusliana, Erlin Fitria
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3946

Abstract

Patient satisfaction is a reflection of the quality of health services. Caring behavior toward patients is the essence of nursing, and it can positively contribute to patient satisfaction in receiving nursing services. Caring for patients in the pediatric ward is very important so they can feel more comfortable during their treatment. This study aims to determine the relationship between caring pediatric nurses and the level of parental satisfaction and to determine the characteristics that most influence the satisfaction of parents of patients at RSUPN Dr. Cipto Mangunkusumo Jakarta. This descriptive correlation study uses a cross-sectional approach involving 113 parents of patients in the pediatric inpatient ward at Dr. Cipto Mangunkusumo Hospital, Jakarta. The instruments used were the CBI-24 (Caring Behavior Inventory-24) questionnaire and the PSNCQQ (Pediatric Short-Form Neurological Care Quality Questionnaire). The results of the univariate analysis show a high caring rate of 58.41% and a low caring rate of 41.59%. The description of patient satisfaction shows 58.41% satisfied and 41.59% dissatisfied. The results of the bivariate analysis using the chi-square test obtained a p-value of <0.001 (OR 95% CI (0.165; 0.072-0.377)), which indicates a significant relationship between caring nurses perceived by patients and the satisfaction of the pediatric patient's parents. These results recommend evaluating the performance of nurses’ communication, formal and informal education, and motivating caring behavior to create a higher quality and patient-centered health service environment.
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.