Abstract
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.
Kata kunci: bayi prematur, developmental care, respons nyeri akut
Abstract
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 .
Keywords: premature babies , developmental care, acute pain response
References
- Anand, K.J. (2007a). Pain assesment in preterm neonates. Pediatrics, 119 (3), 605–607.
- Anand, K.J. (2007b). Pharmacological approaches to the management of pain in neonatal intensive care units. Journal of Perinatology, 27 (1), S4–S11.
- Badr, L.K., Abdallah, B., Hawari, M., Sidani, S., Kassar, M., Nakad, P., et al. (2010). Determinans of premature infant pain responsses to heelsticks. Pediatric Nursing, 36 (3), 129– 136.
- Bredemeyer, S., Reid, S., Polverino, J., & Wocadlo, C. (2008). Implementation and evaluation of an individualized developmental care program in a neonatal intensive care unit. Journal Compilation, 13 (4), 281–291.
- Buonocore, G., & Bellieni, C.V. (2008). Neonatal pain: Suffering, pain, and risk of brain damage in the fetus and newborn. Italia: Springer-Verlag.
- Goubet, N., Cliffton, R.K., & Shah, B. (2001). Learning about pain in preterm newborns. Journal of Develpmental & Behavioural Pediatrics, 22 (6), 421–424.
- Guinburg, R., Peres, A., Almeida, B., Balda, C.X., Berenguel, C., & Toneloto, J., et al. (2000). Differences in pain expression between male and female newborn infants. Pain, 85 (1–2), 127–133.
- Hockenberry, M.J., & Wilson, D. (2009). Wong’s essentials of pediatric nursing (8th Ed.). St. Louis: Elsevier.
- Horner, S. (2010). Developmental care. Article of Neonatal Intensive Care, Chicago Children’s Memorial Hospital. Diperoleh dari http://www.developmental.aspx.htm.
- Johnson, C.C., & Stevens, B. J. (1996). Experience in a neonatal intensive care unit affects pain responsse. Pediatrics, 98 (5), 925–930.
- Kosim, M.S. (2010). Tatalaksana lingkungan neonatus di NICU. Semarang: FK Undip.
- Merenstein, G.B., & Gardner, S.L. (2002). Handbook of neonatal intensive care (5th Ed.). St.Louis: Mosby Elseiver.
- Peters, J.W., Koot, H.M., de Boer, J.B., Passchier, J., Mesquita, J.M., de Jong, F.H., et al. (2003). Major surgery within the first 3 month of life subsequent biobehavioural pain responses to immunization at later age: A case comparison study. Journal Pediatrics, 111 (1), 129–135.
- Peters, K.L. (1999). Infant handling in the NICU: does developmental care make difference? An evaluative review of the literature. Journal of Perinatal Neonatal Nursing, 13 (3), 3–109.
- Shizun, J., & Westrup, B. (2004). Early developmental care for preterm neonates: A call for more research. Child Fetal Neonatal, 89, F384–F389.
- Shizun, J., Ansquer, H., Browne, J., Tordiman, S., & Morin, J.F. (2002). Develepmental care decrease physiologic and behavioural pain expression in preterm neonates. The Journal of Pain, 3 (6), 446-450.
- Westas, H., Inghammar, M., Issakson, K., Rosen I., & Stjernqvist, K. (2001). Short-term effects of incubator covers on quiet sleep in stable premature infants. Acta Pediatrica, 90 (9), 1004–1008.
- Williams, A.L., Khattab, A.Z., Garzac, C.N., & Laskycd, R.E. (2009). The behavioural pain responsses to heelstick in preterm neonates studied longitudinally: Description, development, determinans and componens. Journal of Early Human Development, 85 (6), 369–374.
- World Health Organization. (2010). World health statistics2010. France: WHO Library Cataloguing-in-Publication Data.