PENGARUH GENTLE HUMAN TOUCH DAN PIJAT BAYI PREMATUR TERHADAP STABILITAS HEMODINAMIK SELAMA PROSES WEANING OKSIGEN PADA BAYI BERAT LAHIR RENDAH

Citra Ayu Mulyono, Sri Wahyuni, Tutik Rahayu

Abstract


Bayi berat lahir rendah (BBLR) sering mengalami gangguan respirasi sehingga memerlukan terapi oksigen yang lama dan berisiko menimbulkan komplikasi, seperti bronchopulmonary dysplasia dan retinopati prematuritas. Gentle Human Touch (GHT) dan pijat bayi prematur merupakan intervensi nonfarmakologis yang berpotensi mendukung stabilitas hemodinamik selama proses weaning oksigen. Penelitian ini bertujuan menganalisis pengaruh NeoGentleTouch, kombinasi GHT dan pijat bayi prematur, terhadap stabilitas hemodinamik BBLR selama weaning oksigen. Penelitian kuantitatif menggunakan desain pre-eksperimen one-group pretest-posttest pada 34 bayi BBLR di ruang NICU RSUP Dr. Kariadi Semarang dengan teknik total sampling. Intervensi diberikan 15 menit per sesi, satu kali sehari selama tujuh hari. Parameter heart rate (HR), respiratory rate (RR), dan saturasi oksigen (SpO₂) diukur sebelum dan sesudah intervensi. Analisis menggunakan Paired Sample t-test. Hasil menunjukkan HR menurun dari 146,9±10,04 menjadi 142,8±8,84 kali/menit (p<0,001), RR dari 46,8±8,50 menjadi 42,76±5,89 kali/menit (p<0,001), dan SpO₂ meningkat dari 94,65±2,24% menjadi 95,76±1,76% (p=0,002). Sebanyak 64,7% bayi berhasil lepas oksigen ≤4 hari. NeoGentleTouch berpengaruh signifikan terhadap stabilitas hemodinamik BBLR selama weaning oksigen.

Kata Kunci: Gentle Human Touch; Pijat Bayi Prematur; Stabilitas Hemodinamik; Weaning oksigen; Bayi Berat Lahir Rendah


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