Penurunan Respon Nyeri Akut pada Bayi Prematur yang Dilakukan Prosedur Invasif Melalui Developmental Care

Lia Herliana (Jurusan Keperawatan Poltekkes Kemenkes Tasikmalaya, Jawa Barat 46115, Indonesia Program Studi Magister Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia)
Dessie Wanda (Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia)
Sutanto Priyo Hastono (Fakultas Kesehatan Masyarakat Universitas Indonesia, Depok 16424, Indonesia)

Jurnal Keperawatan Indonesia
Vol 14 No 3 (2011): November

AbstrakNyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Developmental care merupakan salahsatu strategi untuk mengurangi respon nyeri akibat prosedur invasif. Penelitian ini bertujuan untuk mengetahui pengaruhdevelopmental care terhadap respons nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian menggunakanrancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi yang dipilih denganteknik sampling accidental sampling. Pada penelitian ini didapatkan hasil ada perbedaan selisih skor respons nyeri akutantara kelompok yang diberikan developmental care dan kelompok kontrol (p= 0,000; α= 0,05), developmental caremenurunkan skor nyeri sebesar 2,05 poin. Developmental care perlu diterapkan dalam memberikan asuhan keperawatan padabayi prematur. Penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur pada dariaspek kognitif, bahasa, dan motorik perlu dilakukan.Kata kunci: bayi prematur, developmental care, respons nyeri akutAbstractPain is a stimulus that can damage the developing brains of premature babies. Developmental care is one strategyin reduce pain caused by invasive procedure. The objective of this research was to determine the effects of developmentalcare on acute pain response in premature babies who had been performed invasive procedure. This study used quasiexperimentresearch design non equivalen control group, before and after design, involving 42 sample consisted of 21premature babies in both control and intervention groups, technical sampling used accidental sampling. This studyfounded that there was a significant difference in change score of acute pain response between on intervention andcontrol groups (p= 0.000; α= 0.05), developmental care decreased 2,05 point of pain scores). Developmental care wasrecommended to be applied in nursing care for premature babies. Further research on effect developmental care ondevelopment of premature babies influence cognitive, languanges, and motor skills aspects need to be designed .Keywords: premature babies , developmental care, acute pain response