PENERAPAN DEVELOPMENTAL CARE DAN STIMULASI OROMOTORIK DI NICU: SUATU STUDI KASUS
Abstract
Tahapan neonatus merupakan tahap penting dalam kehidupan karena risiko kematian yang tinggi. Salah satu penyebab kematian bayi adalah kelahiran prematur. Kelahiran prematur di Indonesia memiliki laju yang cukup tinggi. Kelahiran prematur berisiko menyebabkan Resipiratory distress syndrome (RDS). Sebagian besar bayi prematur yang mengalami RDS juga memiliki patent ductus arteriosus (PDA). Kelahiran prematur juga rentan terhadap kejadian infeksi. Tujuan studi kasus adalah Mengetahui penerapan stimulasi oromotorik dan developmental care pada bayi prematur di NICU Rumah Sakit di Banda Aceh. Penulisan ini menggunakan metode deskriptif dengan pendekatan melalui asuhan keperawatan pada Bayi Ny. I. Masalah keperawatan pada kasus ini adalah pola napas tidak efektif, risiko aspirasi, risiko perdarahan, penurunan curah jantung, defisiti nutrisi, risiko syok, risiko gangguan tumbuh kembang dan risiko ganggaun perlekatan. Intervensi yang diberikan berdasarkan standar intervensi keperawatan Indonesia (SIKI), meliputi tindakan observasi, teurapertik dan kolaborasi serta penerapan intervensi bedasarkan evidence based sepeti stimulasi oromotorik dan developmental care. Evaluasi menunjukan bahwa masalah pola napas belum teratasi, aspirasi tidak terjadi, perdarahan tidak terjadi, penurunan curah jantung teratasi sebagian dengan penutupan PDA, defisiti nutrisi teratasi sebagian dengan peningkatan albumin, dan adanya reflek hisap, syok tidak terjadi, dan intervensi dilanjutkan oleh perawat ruangan untuk mengatasi dan pencegahan maasalah.
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Altimier L, Phillips R. (2016). The neonatal integrative developmental care model: advanced clinical applications of the seven Core measures for Neuroprotective family-centered developmental care. Newborn Infant Nurs Rev.16(4):230–44.
Burke, S. (2018). Systematic review of developmental care interventions in the neonatal intensive care unit since 2006. Journal of Child Health Care, 22(2), 269–286. https://doi.org/10.1177/13674935177 53085
Bonner, K., Mainous, R.O. (2008). The nursing care of the infant receiving bubble cpap therapy. Advances in Neonatal Care. 8(2)
Dimiati, H., Fasli, R. (2018). The role of acetaminophen in patent ductus arteriosus closure. pISSN: 0126-3773 / eISSN: 2620-4762 Indonesian J Cardiol 39:128-138 doi: 10.30701/ijc.v39i3.823
Gabis, L.V., Hacham-Pilosof, K., Yosef, O.B., Rabinovitz, G., Leshem, G., ShilonHadass, A., …, Bart, O. (2015). The influence of a multisensory intervention for preterm infants provided by parents, on developmental abilities and on parental stress levels. Journal of Child Neurology, 30(7), 896–903. https://doi.org/10.1177/0883073814549242
Gennattasio A, Perri E, Baranek D, Rohan A. (2015). Oral feeding readiness assessment in infants. Wolters kluwer health. 40(2):104
Greene Z, O'Donnell CP, Walshe M. (2016). Oral stimulation for promoting oral feeding in preterm infants. Cochrane Database Syst Rev. 9(9).
Grzesiak, M., Gaj, Z., Kocilowski, R., Suliburska, J., Ozukowski, P., Horzelski, W., Kaisenberg, C.V., Banach, M. (2018). Oxidative stress in women treated with atosiban for impending preterm birth’, oxidative medicine and cellular longevity. Hindawi, 1–8.
Johnston KM, Gooch K, Korol E, Vo P, Eyawo O, Bradt P. (2014). The economic burden of prematurity in Canada. BMC Pediatr. 14(1):93
Kapeu,A.S., Seale, A.C., Wall, S.,Nyange, C., Qazi, S. A .,…. Lawn, J. E. (2015). Treatment of neonatal infections: a multi-country analysis of health system bottlenecks and potential solutions. BMC Pregnancy Childbirth; 15(2) doi: 10.1186/1471-2393-15-S2-S6
Kowalak, J.P., Welsh, W., Mayer, B. (2017). Buku ajar patoisiologi. EGC: Jakarta
Kim, L.K. (2016). Patent Ductus Arteriosus (PDA). Medscape Reference.
Knoll, B.S.L., Daramas, T., and Drake, V. (2019). Randomized controlled trial of a prefeeding oral motor therapy and its effect on feeding improvement in a thai nicu.
Luca, D.D. (2021). Respiratory distress syndrome in preterm neonatus in the era of precision medicine: A modern critical care-based approach. Pediatrics & Neonatology .62(1), S3-S9.
Moody, C., Callahan, T.J., Aldrich, H., Gance Cleveland, B., & Sables-Baus, S. (2017). Early initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) reduces length of stay: a quality improvement project. Journal of Pediatric Nursing, 32, 59–63. https://doi.org/10.1016/j.pedn.2016.11 .001
Pineda, R., Bender,J., Hall, B., Shabosky,L., Annecca, A., and Smith, J. (2018). Parent participation in the neonatal intensive care unit: predictors and relationships to neurobehavior and developmental outcomes. Early Hum Dev. 117: 32–38
Pourarian, S., Cheriki, S., Sharma, D., Bijanzadeh, F., dan Farahbakhsh, N. (2016). Prevalence and risk faktors associated with the patency of ductus arteriosus in prematur neonatus: A prospective observational study from Iran. The journal of maternal-fetal & neonatal medicine, 7058 1–15.(https://doi.org/10.1080/14767058.2016.1219991)
Ree.,M.N.C (2017). Thrombocytopenia in neonatal sepsis: Incidence, severity and risk faktors. PLoS One. 2017; 12(10): e0185581.
Rios, D.R., Bhattacharya, S., Levy, P.T., Mc Namara, P,J. (2018). Circulatory Insufficiency and Hypotension Related to the Ductus Arteriosus in Neonatus. Front Pediatr https://doi.org/10.3389/fped.2018.00062
Rudolph, A. M. (2015). Buku Ajar Pediatri Rudolph (Volume1). Jakarta: EGC
Samsal., S., Shetty., A.P., Saha., B.(2020). Effect of prefeeding oromotor stimulation on preterm infants: a systematic review. International of health sciences and research. 10(12): 93-104
Supriatin., T., & Nurhayani., Y. (2021). Pengaruh prone positioning terhadap respiratory rate dan saturasi oksigen pada bayi gawat napas (respiratory distress syndrome) di ruang nicu rsud gunung jati Cirebon. Malahayati nursing journal.3(4): 500-506
Tesini, B. L. (2020). Overview of Infections in Newborns. Merck manual consumer version. Di akses dari Overview of Infections in Newborns - Children's Health Issues -Merck Manuals Consumer Version
Tim Pokja SDKI DPP PPNI, (2016), Standar Diagnosis Keperawatan Indonesia (SDKI), Edisi 1, Jakarta, Persatuan Perawat Indonesia
Thabet., A.M., Sayed., Z.A. (2021). Effectiveness of the premature infant oral motor intervention on feeding performance, duration of hospital stay, and weight of preterm neonates in neonatal intensive care unit. Dimensions of critical care nursing. 40(4).
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