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"ABSTRAKBBLR merupakan kasus terbesar yang membutuhkan perawatan intensif. Prosedur menyakitkan sering dilakukan selama bayi dirawat adalah pengambilan darah. Penelitian bertujuan menganalisis perbedaan efektivitas dua metode pembedongan terhadap respon nyeri BBLR. Desain penelitian randomized control trial dengan paralel design pada 42 BBLR. Intervensi yang dilakukan adalah dua cara pembedongan saat bayi dilakukan pengambilan darah vena. Rerata skor nyeri kelompok pembedongan posisi fleksi ekstremitas lebih rendah dibandingkan pembedongan tradisional mumi, walaupun tidak ada perbedaan signifikan skor nyeri pada kedua kelompok intervensi yaitu saat penusukan p=0,529 , menit 2 p=0,162 , menit 4 p=0,342 , menit 6 p=0,721 , menit 8 p=0,778 . Usia gestasi berkorelasi dengan skor nyeri p=0,023 . Metode pembedongan posisi fleksi ekstremitas dan tradisional mumi merupakan intervensi yang dapat digunakan untuk meminimalkan nyeri pada bayi saat pengambilan darah vena.

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ABSTRACTLow birth weight LBW infants is the biggest cases requiring intensive care. Painful procedures are often performed during hospitalization. The study aims to analyze differences in the effectiveness of two methods of baby swaddle to the pain score of LBW infant. The study design was randomized control trial with parallel design involving 42 LBW infant devided into two groups . Two ways of swaddling were applied during the baby on going veins blood collection. The mean pain score for swaddle groups in flexed extremity lower than mummies traditional swaddling during venous blood collection procedures however there was no significant difference in pain scores in the intervention groups when pricking p 0.529 , min 2 p 0.162 , min 4 p 0.342 , min 6 p 0.721 , min 8 p 0.778 . Gestational age correlated with pain scores. Swaddling method of extremity flexion and mummy traditional is an intervention that can be used to minimize pain in babies as venous blood draw. "

"[ABSTRAKNyeri memicu munculnya stres yang berpotensi menimbulkan gangguan perkembangan dan pertumbuhan pada neonatus. Penusukan tumit berpotensi menimbulkan nyeri. Penelitian ini bertujuan untuk melihat efektivitas sukrosa dan pembedongan terhadap respon nyeri neonatus. Penelitian ini menggunakan rancangan uji klinik acak terkontrol dengan cross-over design. Sampel yang digunakan berjumlah 24 neonatus. Pada saat penusukan tumit, rerata respon nyeri lebih tinggi pada kelompok sukrosa yaitu 2,67. Satu menit setelah penusukan tumit rerata respon nyeri pada kedua kelompok sama yaitu 1,96. Dua menit dan 3 menit setelah penusukan rerata respon nyeri lebih tinggi pada kelompok pembedongan. Hasil bivariat menunjukkan tidak terdapat perbedaan rata-rata respon nyeri neonatus saat penusukan tumit (p=0,925) dan setelah penusukan tumit (satu menit (p=0,915), dua menit (p=0,942), dan tiga menit setelah penusukan tumit (p=0,132)) pada kedua kelompok. Penelitian ini menunjukkan tidak terdapat hubungan antara jenis kelamin terhadap respon nyeri neonatus (p=0,398). Pembedongan dapat digunakan untuk mengurangi respon nyeri pada bayi saat penusukan sekaligus mendukung pemberian ASI eksklusif.

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ABSTRACTPain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme., Pain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme.]"

"ABSTRAKBayi prematur merupakan individu yang kerap mendapatkan prosedur invasif berupa penusukan. Nyeri yang berulang akibat prosedur invasif merupakan salah satu penyebab terganggunya perkembangan bayi prematur. Penelitian ini bertujuan untuk mengetahui pengaruh empeng dan pembedongan terhadap penurunan nyeri dan fungsi fisiologis paska tindakan invasif pada bayi prematur di Unit Perawatan Risiko Tinggi (PERISTI). Rancangan penelitian ini adalah randomized control trial dengan desain paralel. Jumlah sampel pada penelitian ini sebanyak 30 bayi prematur. Bayi prematur yang mendapatkan terapi empeng dan bedong sebanyak 15 bayi prematur (kelompok intervensi), dan bayi yang mendapat perawatan rutin sebanyak 15 bayi (kelompok kontrol). Penelitian ini mendapatkan hasil bahwa frekuensi nadi dan skor nyeri pada kelompok intervensi lebih stabil dibandingkan dengan kelompok kontrol (p= 0,013; 0,003 < 0,05), walaupun setelah diuji antar kelompok hasilnya kurang bermakna (skor nyeri p= 0,006; frekuensi nadi p= 0,45; saturasi oksigen p= 0,15). Penelitian ini merekomendasikan pemberian empeng dan bedong sebagai terapi alternatif untuk tatalaksana nyeri pada bayi prematur ketika mendapatkan prosedur infasif.

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ABSTRACT

Premature babies are individuals who often receive invasive procedures such as pricking. Recurrent pain due to an invasive procedure is one cause of impaired development of preterm infants. This study aims to determine the effect of pacifier and swaddlling to decrease pain and physiological function in premature infants undergoing minor invasive procedure at High Risk Care Unit (PERISTI). This study design is randomized control trial with parallel design. The number of samples in this study were 30 infants premetur. Premature infants who received a dummy therapy and swaddling as much as 15 premature infants (intervention group), and infants who received routine care as much as 15 infants (control group). This study shows the pulse frequency and pain scores in the intervention group is more stable compared to the control group (p = 0.013; 0.003 <0.05), though after the test results were less significant among the groups (p = 0.006 pain scores; pulse frequency p = 0.45; p = 0.15 oxygen saturation). The study recommends the provision of pacifiers and swaddling as an alternative therapy for the treatment of pain in premature babies when getting invasive procedures."