Perawatan Metode Kanguru (PMK) dapat mempercepat proses penyapihan penggunaan High Flow Nasal (HFN) pada bayi prematur
Abstract
Pendahuluan: Alat bantu napas seperti heated humidified high flown asal (HHHFN) merupakan alat bantu napas yang sering digunakan pada bayi prematur. Tujuan penelitian ini adalah untuk mengidentifikasi penerapan perawatan metode kanguru (PMK) pada bayi prematur yang terpasang HHHFN dan dampaknya terhadap lama pemakaian HHHFN. Metode: Quasy experiment pre-post design dilakukan pada 44 bayi yang terbagi menjadi 22 bayi untuk kelompok intervensi dan 22 bayi untuk kelompok kontrol. Kriteria inklusi meliputi usia gestasi >28-36 minggu, berat badan bayi antara >1000-2500 gram, dan terpasang alat bantu napas HHHFN. Hasil: Terdapat perbedaan bermakna antara kelompok intervensi dan kelompok kontrol terhadap perlakuan PMK dan lama pemakaian HHHFN dengan nilai p= 0,001; ɑ< 0,05. Simpulan: Hasil penelitian mengidentifikasi bahwa penerapan PMK pada bayi prematur yang terpasang alat bantu napas HHHFN dapat mempercepat proses weaning jika dibandingkan dengan bayi yang tidak dilakukan PMK (p<0,001). Oleh karena itu, perawat yang bertugas di ruang perawatan neonatus perlu menerapkan PMK pada neonatus yang terpasang HHHFN agar bayi dapat menurunkan lama pemakaian HHHFN dan menurunkan lama rawat di rumah sakit.
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Bieleninik, Å., & Gold, C. (2014). Early intervention for premature infants in neonatal intensive care unit. Acta Neuropsychologica, 12(2), 185–203. https://doi.org/10.5604/17307503.1111845
Kalhor, M., SamieeRad, F., Garshasbi, M., Abadi, Z., Sefollah, S. (2016). Evaluating the effect of mother - baby skin-to-skin care on neonatal outcomes in preterm infants. J Shahid Sadoughi Univ Med Science, 24(5), 375–386.
Nimbalkar, S., Tandon, R., & Chaudhary, N. (2012). 1809 Reduced Duration of CPAP in Preterm Babies Receiving Kangaroo Care within an Hour of Birth - Randomized Trial. Archives of Disease in Childhood, 97(Suppl 2), A512–A512. https://doi.org/10.1136/archdischild-2012-302724.1809
Noripour, S., Molaei, A., Bandari, R., Emadi, A., Far, S. M. F., & Forozeshfard, M. (2017). Comparison of the results of simultaneous surfactant administration and nasal continuous positive airway pressure (INSURE) and Non-administration of surfactant for the treatment of infants with respiratory distress syndrome. Journal of Comprehensive Pediatrics, 8(1). https://doi.org/10.5812/compreped.37462
Purushotham, S., & Nagesh, N. (2016). Feasibility and efficacy of early KMC in very low birth weight babies receiving noninvasive respiratory care in NICU: is it the way forward in resource limited setting? International Journal of Contemporary Pediatrics, 3(4), 1156–1159. https://doi.org/10.18203/2349-3291.ijcp20163103
Roberts, C. T., Owen, L. S., Manley, B. J., Frøisland, D. H., Donath, S. M., Dalziel, K. M., Pritchard, M. A., Cartwright, D. W., Collins, C. L., Malhotra, A., & Davis, P. G. (2016). Nasal High-Flow Therapy for Primary Respiratory Support in Preterm Infants. New England Journal of Medicine, 375(12), 1142–1151. https://doi.org/10.1056/nejmoa1603694
Seidman, G., Unnikrishnan, S., Kenny, E., Myslinski, S., Cairns-Smith, S., Mulligan, B., & Engmann, C. (2015). Barriers and enablers of Kangaroo mother care practice: A systematic review. PLoS ONE, 10(5), 1–20. https://doi.org/10.1371/journal.pone.0125643
Shapiro-Mendoza, C., Kotelchuck, M., Barfield, W., Davin, C. A., Diop, H., Silver, M., & Manning, S. E. (2013). Enrollment in early intervention programs among infants born late preterm, early term, and term. Pediatrics, 132(1). https://doi.org/10.1542/peds.2012-3121
Zeitlin, J., Manktelow, B. N., Piedvache, A., Cuttini, M., Boyle, E., Van Heijst, A., Gadzinowski, J., Van Reempts, P., Huusom, L., Weber, T., Schmidt, S., Barros, H., Dillalo, D., Toome, L., Norman, M., Blondel, B., Bonet, M., Draper, E. S., & Maier, R. F. (2016). Use of evidence based practices to improve survival without severe morbidity for very preterm infants: Results from the EPICE population based cohort. BMJ (Online), 354, 1–10. https://doi.org/10.1136/bmj.i2976
DOI: http://dx.doi.org/10.30659/nurscope.7.1.1-5
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