“Empeng” Efektif Menurunkan Nyeri Bayi saat Pengambilan Darah Vena

Dyah Dwi Astuti, Yeni Rustina, Fajar Tri Waluyanti

Abstract


Prosedur pengambilan darah vena dapat menimbulkan nyeri pada bayi berat lahir rendah. Penelitian ini bertujuan mengidentifikasi perbedaan tingkat nyeri selama pengambilan darah vena setelah dilakukan perawatan metode kanguru dan pemberian empeng. Desain penelitian adalah eksperimen acak terkontrol pada 21 bayi berat lahir rendah dengan teknik consecutive sampling. Penilaian respons nyeri menggunakan instrumen Premature Infant Pain Profile. Hasil analisis uji t independen menunjukkan bahwa terdapat perbedaan bermakna rerata respons nyeri pada kelompok perawatan metode Kanguru (rerata= 8,94) dan pemberian empeng (rerata= 5,08) (p= 0,005). Pemberian empeng pada bayi berat lahir rendah dapat dijadikan sebagai intervensi keperawatan dalam asuhan atraumatik saat prosedur invasif minor.


 

Abstract

"Pacifier" effective to reduce pain in babies undergoing venous blood sampling. Venous blood sampling is a procedure which causes pain on low birth weight infants. This study aimed to identify the comparison of pain response between the infants that received Kangaroo Mother Care and the other group who used pacifier for during venous blood sample collection. The research design was randomized controlled trial on 21 low birth weight infants with consecutive sampling. Pain response was assessed by Premature Infant Pain Profile instrument. Independent t-test analysis showed that there were significant differences in mean pain response between Kangaroo Mother Care group (mean = 8,94) and pacifier group (mean= 5,08) (p= 0,005). Pacifier could be used as a nursing intervention in a traumatic care with minor painful procedure in low birth weight infants.

                                                                                     

Keywords: low birth weight infants, Kangaroo Mother Care, pacifier, pain response, venous blood collection


Keywords


bayi berat lahir rendah; Perawatan Metode Kanguru; pemberian empeng; pengambilan darah vena; respons nyeri

Full Text:

PDF (Indonesian)

References


Asadi-Noghabi, F., Tavassoli-Farahi, M., Yousefi, H., & Sadeghi, T. (2014). Neonate pain management: What do nurses really know? Global Journal of Health Science, 6 (5), 284–293. doi: 10.5539/gjhs.v6n5p284

Badr, L.K., Abdallah, B., Hawari, M., Saadieh, S., Kassar, M., Nakad, P., & Breidi, J. (2010). Determinants of premature infant pain responsses to heel sticks. Pediatric Nursing, 36 (3), 129–136. Diperoleh dari https://www.ncbi.nlm.nih.gov/pubmed/20687304

Beheshtipoor, N., Memarizadeh, A., Hashemi, F., Porarian, S., & Rambod, M. (2014). The effect of kangaroo care on pain and physiological parameters in preterm infants on heel-stick procedure: A randomized controlled crossover study. Galen Medical Journal, 2 (4), 157–68. Diperoleh dari http://www.gmj.ir/index.php/gmj/article/download/80/pdf_13

Castral, T.C., Warnock, F.F., Ribeiro, L.M., Vasconcelos, M.G.L., Leite, A.M., & Scochi, C.G.S. (2012). Maternal factors regulating preterm infants’ responsses to pain and stress while in maternal kangaroo care. Latino-Am. Enfermagem, 20 (3), 435–43.

Cignacco, E., Hamers, J.P.H., Stoffeel, L., Lingen, R.A.V., Schutz, N., Muller, R., ..., Nelle, M. (2008). Routine procedure in NICU: Factors influencing pain assessment and ranking by pain intensity. Swiss Med WKLY, 138 (33–34), 484–491.

Cong, X., McGrath, J.M., Cusson, R.M., & Zhang, D. (2013). Pain assessment and measurement in neonates. Advances in Neonatal Care, 13 (6), 379–395. doi: 10.1097/ANC.0b013e3182a41452

Goubet, N., Clifton, R.K., & Shah, B. (2001). Learning about pain in preterm newborns. Journal of Developmental & Behavior Pediatrics, 22 (6), 421–424.

Guinsburg, R., Araujo, de P.A.C., Almeida, B.A.M.F., Balda, de C.X.R., Berenguel, C.R., Tonelotto, J., ..., Konelman, B.I. (2000). Differences in pain expression between male and female newborn infants. Pain, 85, 127–133.

Herliana, L., Wanda, D., & Hastono, S.P. (2011). Pengaruh developmental care terhadap respons nyeri akut pada bayi prematur yang dilakukan prosedur invasif di RSU Tasikmalaya dan RSU Ciamis. Jurnal Keperawatan Indonesia, 14 (3), 199–2011.

Johnston, C., Campbell-Yeo, M., Fernandes, A., Inglis, D., Streiner, D., & Zee, R. (2014). Skin to skin care procedural pain in neonates: Review. The Cochrane Library, 1, 1–82. doi: 10.1002/14651858.cd008435.pub2.

Johnston, C.C., Campbell-Yeo, M., & Fernandes, A. (2008). Kangaroo mother care for procedural pain in preterm neonates. Neurology and Psychiatry, 80–82. Diperoleh dari http://repositorio.esenfc.pt/private/index.php?process=download&id=4866&code=805270903

Johnston, C.C., Fernandes, A.M., & Campbell-Yeo, M. (2011). Pain in neonates is disfferent. PAIN, 152 (8), S65–S73.

Lawn, J.E., Davidge, R., Paul, V.K., Xylander, S.V., Johnson, J.G., Costello, A., ..., Molyneux, L. (2013). Born too soon: Care for the preterm baby. Reproductive Health, 10 (Suppl 1), 1–19. doi: 10.1186/1742-4755-10-S1-S5

Liaw, J.J., Yang, L., Wang, K.W.K., Chen, C.M., Chang, Y.C., & Yin, T. (2012). Non-nutritive sucking and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomised controlled crossover trial. International Journal of Nursing Studies, 49 (8), 300–309. doi: http://dx.doi.org/10.1016/j.ijnurstu.2011.09.017

Mirzarahimi, M., Mehrnoush, N., Shahizadeh, S., Samadi, N., & Amani, F. (2013). Effect of non-nutritive sucking and leg massage on physiological and behavioral indicators of pain following heel blood sampling in term neonates. International Journal of Nursing Studies, 2 (2), 74–79. Diperoleh dari http://www.sciencepubco.com/index.php/IJANS/article/view/578/762

Mosayebi, Z., Javidpour, M., Rahmati, M., Hagani, H., & Movahedian, A.H. (2014). The effect of kangaroo mother care on pain from heel lance in preterm newborn admitted to neonatal intensive care unit: A crossover randomized clinical trial. J Compr Ped, 5 (4), 1–6. doi: 10.17795/compreped-22214

Nanavati, R., Balan, R., & Kabra, N.S. (2013). Effect of kangaroo mother care vs expressed breast milk administration on pain associated with removal of adhesive tape in very low birth weight neonates: A randomized controlled trial. Indian Pediatrics, 50 (15), 1011–1015. Diperoleh dari http://indianpediatrics.net/nov2013/nov-1011-1015.htm

Naughton, K.A. (2013). The combined use of sucrose and nonnutritive sucking for procedural pain in both term and preterm neonates. Advances in Neonatal Care, 13 (1), 9–19. doi: 10.1097/ANC.0b013e31827ed9d3.

Triani, E., & Lubis, M. (2006). Penggunaan analgesia non farmakologis saat tindakan invasif minor pada neonatus. Sari Pediatri, 8 (2), 107–111.


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License. View My Stats