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Abstrak :
Bayi prematur lahir dengan berbagai permasalahan kesehatan dan membutuhkan perawatan khusus yang dapat menyebabkan kecemasan dan stres orang tua. Kualitas asuhan keperawatan yang bermutu dengan menerapkan asuhan perkembangan dapat dinilai dengan kepuasan orang tua. Penelitian ini bertujuan mengetahui hubungan penerapan asuhan perkembangan yang dipersepsikan oleh perawat dengan kepuasan orang tua bayi prematur di ruang neonatus. Penelitian kuantitatif dengan desain cross sectional ini menggunakan sampel berjumlah 52 perawat dan 52 orang tua bayi prematur. Tehnik pengambilan sampel yang digunakan adalah consecutive sampling Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan pearson. Hasil analisis menunjukkan terdapat hubungan yang bermaksna antara penerapan asuhan perkembangan dengan kepuasan orang tua bayi prematur (p value <0,001, p<0,05). Penerapan asuhan perkembangan yang baik dapat meningkatkan kualitas perawatan terhadap bayi dan juga meningkatkan kepuasan orang tua. Asuhan perkembangan perlu diterapkan di ruang neonatus sebagai upaya meningkatkan asuhan keperawatan pada bayi dan kepuasan orang tua. ......Premature infants born with several of health problems and needs special care can cause anxiety and stress of parents. A qualified nursing care by implementing developmental care can be assessed through parent satisfaction of premature infants. This study aims to recognize the relationship of developmental care application perceived by nurse with parental satisfaction of premature infants in neonatus care unit. This quantitative study used cross sectional design. The sample included 52 neonatus nurses and 52 parents of premature infants used consecutive sampling method. Data were collected using a questioners and analyzed using Pearson. The analysis results show that there is significant relationship between developmental care applications with parent satisfaction of premature infants (p value=<0,001, p<0,05). The application of developmental care in premature infants may improve the quality of care and increase parens satisfaction. Developmental care need to be implemented as an effort to improve nursing care of infants and parents satisfaction.

Abstrak :
Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Developmental care merupakan salah satu strategi untuk mengurangi respon nyeri akibat prosedur invasif. Penelitian ini bertujuan untuk mengetahui pengaruh developmental care terhadap respons nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi yang dipilih dengan teknik sampling accidental sampling. Pada penelitian ini didapatkan hasil ada perbedaan selisih skor respons nyeri akut antara kelompok yang diberikan developmental care dan kelompok kontrol (p= 0,000; α= 0,05), developmental care menurunkan skor nyeri sebesar 2,05 poin. Developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur. Penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur pada dari aspek kognitif, bahasa, dan motorik perlu dilakukan.

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Pain is a stimulus that can damage the developing brains of premature babies. Developmental care is one strategy in reduce pain caused by invasive procedure. The objective of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedure. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention groups, technical sampling used accidental sampling. This study founded that there was a significant difference in change score of acute pain response between on intervention and control groups (p= 0.000; α= 0.05), developmental care decreased 2,05 point of pain scores). Developmental care was recommended to be applied in nursing care for premature babies. Further research on effect developmental care on development of premature babies influence cognitive, languanges, and motor skills aspects need to be designed.

Abstrak :
Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Tujuan penelitian mengetahui pengaruh developmental care terhadap respon nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian ini menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi. Hasil penelitian ada perbedaan yang signifikan dari respon nyeri akut sebelum dan sesudah dilakukan developmental care (p value=0,000). Rekomendasi penelitian developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur dan diharapkan ada penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur di kemudian hari baik dari aspek kognitif, bahasa maupun motorik. ......Pain is a stimulus that can damage the developing brains of premature babies. The objectives of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedures. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention group. This study found that there was a significant difference on acute pain responses before and after developmental care been implemented (p value=0,000). Recommendation from this research are developmental care needs to be applied in nursing care for premature babies and it also important to investigate the long term influence of developmental care on development of premature babies either from the aspect of cognitive, languange and motor skills.

Abstrak :
Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Tujuan penelitian mengetahui pengaruh developmental care terhadap respon nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian ini menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi. Hasil penelitian ada perbedaan yang signifikan dari respon nyeri akut sebelum dan sesudah dilakukan developmental care (p value=0,000). Rekomendasi penelitian developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur dan diharapkan ada penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur di kemudian hari baik dari aspek kognitif, bahasa maupun motorik. ......Pain is a stimulus that can damage the developing brains of premature babies. The objectives of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedures. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention group. This study found that there was a significant difference on acute pain responses before and after developmental care been implemented (p value=0,000). Recommendation from this research are developmental care needs to be applied in nursing care for premature babies and it also important to investigate the long term influence of developmental care on development of premature babies either from the aspect of cognitive, languange and motor skills.

Abstrak :
Tujuan penelitian ini untuk mengetahui pengaruh developmental care terhadap fungsi fisiologis (saturasi oksigen dan denyut nadi) dan perilaku tidur-terjaga bayi berat lahir rendah (BBLR). Rancangan penelitian ini adalah quasi experimental dengan self-controlled study design. Sampel penelitian sebanyak 15 BBLR yang dirawat di ruang perinatologi RSUP Fatmawati Jakarta dan dipilih dengan teknik purposive sampling. Data dianalisis dengan paired t test dan wilcoxon test. Hasil analisis menunjukkan terdapat pengaruh yang signifikan dari pemberian developmental care terhadap perilaku tidur-terjaga yaitu peningkatan tidur tenang (p=0,002) dan penurunan tidur aktif (p=0,003) serta penurunan denyut nadi (p=0,020), namun tidak signifikan terhadap peningkatan saturasi oksigen (p=0,234). Developmental care dapat memfasilitasi pencapaian fase istirahat yang lebih baik (yang ditandai dengan keteraturan fungsi fisiologis dan pencapaian perilaku tidur tenang), sehingga perlu diimplemetasikan dalam perawatan BBLR di ruang rawat perinatologi. ......The purpose of this study was to identify the impact of developmental care on physiological function (oxygen saturation and heart rate) and sleep-awake behavior of low birth weight (LBW) infants. This study used quasi experimental with selfcontrolled study design. The samples size were 15 LBW infants in neonatal unit in RSUP Fatmawati Jakarta and whom were choosen by purposive sampling technique. Collected data were analyzed by using paired t test and wilcoxon test. There were significant differences of developmental care on increasing quiet sleep (p=0.002), decreasing active sleep (p=0.003) and decreasing heart rate (0.020), but there was no significant difference on increasing oxygen saturation (p=0.234). This study recommend that developmental care can be implemented in caring for LBW infants in neonatal unit.

Abstrak :
[ABSTRAK
Bayi-bayi yang lahir dengan berat badan rendah (BBLR) memiliki risiko untuk mengalami hambatan pada tumbuh kembangnya. Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi developmental care terhadap pengetahuan, motivasi dan kepuasan perawat dalam merawat BBLR. Desain penelitian ini menggunakan eksperimen kuasi dengan pre dan post test tanpa kelompok kontrol, dengan 20 responden perawat anak di Rumah Sakit Husada Jakarta. Hasilnya menunjukkan ada peningkatan yang signifikan pada tingkat pengetahuan dan motivasi perawat (p value = 0,001); sedangkan pada tingkat kepuasan perawat tidak menunjukkan hasil yang bermakna (p value = 0,083). Edukasi developmental care efektif dalam meningkatkan pengetahuan dan motivasi perawat dalam merawat bayi berat lahir rendah. Peneliti merekomendasikan penelitian selanjutnya untuk menggunakan sampel yang lebih banyak dan menggunakan desain penelitian lainnya seperti eksperimen kuasi pre dan post test dengan kelompok kontrol.

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ABSTRACT
Babies are born with low birth weight (LBW) are at risk for experiencing barriers to growth. This study aimed to identify the influence of education. Developmental care of the knowledge, motivation and satisfaction of nurses in the care of LBW. This design used a quasi-experimental study with pre and post test without a control group, with 20 respondents carers in Husada Hospital Jakarta. The results showed significant increase in the level of knowledge and motivation of nurses (p value = 0.001); whereas the level of satisfaction of nurses did not show significant results (p value = 0,083). Educational developmental care is effective in improving the knowledge and motivation of nurses in caring for low birth weight infants. The researchers recommend further research to use more samples, so they can use other designs such as a quasi-experimental study with pre and post test and control group.;Babies are born with low birth weight (LBW) are at risk for experiencing barriers to growth. This study aimed to identify the influence of education. Developmental care of the knowledge, motivation and satisfaction of nurses in the care of LBW. This design used a quasi-experimental study with pre and post test without a control group, with 20 respondents carers in Husada Hospital Jakarta. The results showed significant increase in the level of knowledge and motivation of nurses (p value = 0.001); whereas the level of satisfaction of nurses did not show significant results (p value = 0,083). Educational developmental care is effective in improving the knowledge and motivation of nurses in caring for low birth weight infants. The researchers recommend further research to use more samples, so they can use other designs such as a quasi-experimental study with pre and post test and control group.;Babies are born with low birth weight (LBW) are at risk for experiencing barriers to growth. This study aimed to identify the influence of education. Developmental care of the knowledge, motivation and satisfaction of nurses in the care of LBW. This design used a quasi-experimental study with pre and post test without a control group, with 20 respondents carers in Husada Hospital Jakarta. The results showed significant increase in the level of knowledge and motivation of nurses (p value = 0.001); whereas the level of satisfaction of nurses did not show significant results (p value = 0,083). Educational developmental care is effective in improving the knowledge and motivation of nurses in caring for low birth weight infants. The researchers recommend further research to use more samples, so they can use other designs such as a quasi-experimental study with pre and post test and control group., Babies are born with low birth weight (LBW) are at risk for experiencing barriers to growth. This study aimed to identify the influence of education. Developmental care of the knowledge, motivation and satisfaction of nurses in the care of LBW. This design used a quasi-experimental study with pre and post test without a control group, with 20 respondents carers in Husada Hospital Jakarta. The results showed significant increase in the level of knowledge and motivation of nurses (p value = 0.001); whereas the level of satisfaction of nurses did not show significant results (p value = 0,083). Educational developmental care is effective in improving the knowledge and motivation of nurses in caring for low birth weight infants. The researchers recommend further research to use more samples, so they can use other designs such as a quasi-experimental study with pre and post test and control group.]

Abstrak :
Bayi berat lahir rendah yang dirawat di ruang Perinatologi memiliki masalah utama terganggunya status tidur terjaga diikuti oleh ketidakstabilan fungsi fisiologis saturasi oksigen dan frekuensi nadi. Penelitian ini bertujuan untuk melihat pengaruh penggunaan nesting dengan fiksasi terhadap fungsi fisiologis dan status tidur tejaga pada bayi berat lahir rendah. Penelitian ini menggunakan rancangan uji klinik acak terkontrol tipe cross over. Sampel penelitian ini berjumlah 19 bayi dengan berat lahir rendah yang dirawat di ruang Perinatologi RSUP Fatmawati Jakarta. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan bermakna penggunaan nesting dengan fiksasi terhadap rerata saturasi oksigen dengan posisi prone dan quarterprone p0,05 . Pemberian nesting dengan fiksasi dengan posisi prone status tidur tenang mendominasi sebesar 96,8 p=0,0001 diikuti dengan posisi quarterprone 95,7 p=0,0001 . Penggunaan nesting dengan fiksasi dapat memfasilitasi tidur tenang dan kestabilan fungsi fisiologis pada BBLR. Rekomendasi dari penelitian selanjutnya adalah perbandingan nesting fiksasi dengan nesting yang terbuat dari bahan tradisional terhadap status tidur terjaga. ...... Low birth weight infant who treated in the Perinatology has a major problem of sleep awake status disturbance followed by instability on the physiological function of oxygen saturation and pulse frequency. This study aims to investigate the effect of applying nest with a fixation on physiological function and sleep awake status on low birth weight infant. This study uses a randomized controlled trial with cross over design. The sample of this study was 19 low birth weight infant in Perinatology Fatmawati Hospital. The result of this studies indicates that there is a significant relationship between applying of nesting with fixation on oxygen saturation rate with prone and quarterprone position p 0,05. At the time of nesting fixation with prone position, the majority of sleep awake status is quiet sleep 96.8 p 0.0001 followed by the quarterprone position of 95.7 p 0.0001. The use of nesting with fixation may facilitate quiet sleep and the stability of physiological functions in LBW. The recommendation for further research is comparing a nesting fixation with another type of nesting with a fixation on sleep awake status.

Abstrak :
Neonates Intensive Care Units (NICU) merupakan tempat penting untuk bayi prematur yang sekaligus merupakan tempat berbahaya akibat karakteristik NICU. NICU dapat meningkatkan risiko gangguanperkembangan bayi. Gangguan ini dapat dicegah melalui penerapan asuhan perkembangan. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) merupakan metode asuhan perkembangan yang dianggap sebagai salah satu pendekatan terbaik dalam pemberian asuhan perkembangan dengan pertimbangan NIDCAP mampu memberikan pelayanan secara individual berdasarkan isyarat bayi dengan pendekatan perawatan berfokus keluarga. Pengukuran efektifitas NIDCAP didasarkan pada respon neurobehavioral bayi prematur saat berada di NICU. NIDCAP terbukti dapat memperbaiki pola tidur bayi, dan respons fisiologis bayi seperti saturasi oksigen, pernafasan, dan nadi. Hasil studi literatur menunjukkan bahwa asuhan perkembangan dengan menggunakan metode NIDCAP tidak berpengaruh terhadap hasil perkembangan bayi prematur jangka panjang. Studi dan pengkajian yang mendalam diperlukan untuk menemukan asuhan perkembangan dengan menggunakan metode yang lebih efektif dan efisien.

A Review: Newborn Individualized Developmental Care and Assessment Program (NIDCAP) to Development of Long-Term Results Premature Infants. Neonatal Intensive Care Unit (NICU) is both vital spot for preterm infant and also dangerous spot which caused by NICU?s characteristics. NICU increases the risk of infant developmental disturbance. Infant developmental disturbance can be prevented by implementing Developmental care in NICU setting. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is method who beingregarded as one of the best approach for delivering developmental care with those consideration NIDCAP is able to give an individual service base on the infant cues trough family-centered care approach. The measurement of NIDCAP effectiveness is shown by the infant?s neurobehavioral response in the NICU. NIDCAP can repair the baby?s sleep-awake pattern, and her physiological response such as oxygen saturation, respiration rater, and hearth rate. This study show that the implementation of developmental care using the NIDCAP method doesn?t affect to the long-term outcome for the preterm infants. The further research is needed to find out the other developmental care method which is more effective and efficient.