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All Journal Indonesian Journal of Global Health research ASSYIFA: Jurnal Ilmu Kesehatan
Maya Amalia
Universitas 'Aisyiyah Bandung
Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH PERAWATAN NESTING DAN POSISI PRONASI TERHADAP PENURUNAN SKOR DOWNES PADA BAYI PREMATUR DENGAN DISTRES NAPAS DI RUANG PERINATOLOGI Mena Okta Yosvita; Eli Lusiani; Maya Amalia
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v4i2.235

Abstract

Preterm infants are at high risk of respiratory distress due to surfactant deficiency, and conventional supportive management involving mechanical ventilation and high-concentration oxygen therapy may impose additional physiological stress. Developmental care through a combination of nesting and prone positioning has been proposed as a non-pharmacological intervention to stabilize physiological function in preterm infants, yet evidence regarding its effectiveness in reducing Downes scores within the Indonesian clinical setting remains limited. This study aimed to determine the effect of nesting care and prone positioning on the reduction of Downes scores in preterm infants with respiratory distress in the Perinatology Ward of RSUD Al Ihsan. A quasi-experimental design with a non-equivalent control group approach was employed, involving 20 preterm infants (10 in the intervention group and 10 in the control group) selected through purposive sampling according to inclusion and exclusion criteria. The intervention group received nesting and prone positioning for two hours, while the control group received no intervention. Downes scores were measured before and after the observation period using a standardized observation sheet and analyzed using the Wilcoxon test. The results showed that all respondents (100%) in the intervention group experienced a reduction in Downes score, with a mean rank of 5.50 compared to 4.50 in the control group, yielding a p-value of 0.014 (α=0.05), leading to rejection of H0. This study concludes that nesting care combined with prone positioning significantly affects the reduction of Downes scores in preterm infants with respiratory distress and may be considered as a standard developmental care component in perinatology units.
Overview of the Effectiveness of Light Emitting Diode (LED) and Compact Fuorescent Lamp (CFL) Phototherapy on Neonatory Jaundice Bilirubin Levels Tia Setiawati; Maya Amalia; Sipa Dwi Astuti
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.3497

Abstract

Neonatal jaundice is the condition of a newborn with high levels of bilirubin, which can cause various negative impacts on the baby, such as neurological abnormalities, mental retardation and seizures. The main treatment that can be done is by administering light phototherapy. Preliminary studies in the city of Bandung, there are still hospitals in Bandung that use phototherapy with the Compact Flourescent Lamp (CFL) type of lamp and there are also hospitals that use phototherapy with the Light Emitting Diode (LED) type. Objective: The aim of this research is to identify the effectiveness of LED and CFL phototherapy in reducing bilirubin levels in babies with neonatal jaundice in Bandung City. Method: This research method is a quasi-experiment with a retrospective approach. The sample for this study was 72 babies who were given phototherapy from January to July 2023. The data collection technique used data recorded at hospitals in Bandung City. Data was collected with checklist sheets and data analysis using the independent sample t test. The research locations were Bandung Kiwari Hospital and Bandung Muhamadiyah Hospital. Results: The results of the independent t-test showed a significant difference in total serum bilirubin values in the two groups before and after phototherapy (sig coefficient = 0.000 < 0.05). The group of neonates with CFL had a bilirubin value of 9.3989 which was higher compared to the group of neonates with LED phototherapy, namely 6.4189. LED phototherapy is more effective in reducing bilirubin compared to CFL phototherapy. Conclusions: Hospital policies to add LED phototherapy facilities can be considered, because they are more effective in reducing bilirubin levels.
Co-Authors Eli Lusiani Mena Okta Yosvita Sipa Dwi Astuti Tia Setiawati