Studi Kasus: Pemberian Posisi Pronasi dalam Menjaga Stabilitas Saturasi Oksigen, Frekuensi Nadi, Pernafasan Dan Suhu pada Bayi Gawat Nafas
DOI:
https://doi.org/10.35960/vm.v16i1.824Keywords:
Studi Kasus, Respiratory Distress Syndrome, Posisi PronasiAbstract
Respiratory Distress Syndrome (RDS) is the term used for respiratory dysfunction in neonates. This disorder is a disease associated with delayed development of lung maturity or a lack of surfactant in the lungs. One of the problems that must be overcome is an ineffective breathing pattern. Interventions in ineffective breathing patterns, one of which is the provision of a pronation position to maintain hemodynamic status. Giving the pronation position is considered effective to improve the hemodynamic status of the patient, because the pronation position can increase pulmonary ventilation and can reduce lung pressure by intra-abdominal organs so that it can improve the patient's oxygenation. The method used was a case study using 3 respondents who were treated in the NICU room of Arifin Achmad Hospital, Riau Province, which aimed to see differences in the hemodynamic status of patients before and after being given a pronation position. The criteria for these observational patients are patients with respiratory distress who have symptoms of ineffective breathing patterns (down score 5-7) and use a breathing apparatus. This nursing care is carried out directly on Infants I, Infants II and III with the age of 0-6 days. The intervention was given for 2-10 days, the results of the development of the patient's condition were good, there was an increase in oxygen saturation, pulse and temperature in the baby. Based on the results of the application of nursing care in infants with respiratory disorders, the pronation position has been proven to improve and maintain hemodynamic stability, so it is advisable for pediatric nurses to be able to practice pronation positioning in the management of RDS patients with ineffective breath patterns
References
Apriliawati, A., Rosalina., (2016). The effect of prone position to oxygen aturations’level and respiratory rate among infants who being installed mechanical ventilation in nicu koja hospital. IMC 2016 Proceedings, 1 (1).
Anggraeni, L. D., Indiyah, E. S., & Daryati, S. (2019). Pengaruh posisi pronasi pada bayi prematur terhadap perubahan hemodinamik. Journal of Holistic Nursing Science, 6(2), 52-57
Dargaville, P.A., Kamlin, C.O.F., De Paoli, A. G., Carlin, J. B., Orsini, F., Soll, R. F., & Davis, P.G. (2014). The OPTIMIST-A trial: evaluation of minimally invasive surfactant therapy in preterm infants 25-28 weeks gestation. BMC pediatric, 14 (1), 1-13.
Dirkes, S., Dickinson, S., Havey, R., & O’Brien, D. (2012). Prone positioning: is it safe and effective?. Critical Care Nursing, 35, 64-75.
Feptriyanto. (2018). Analisis faktor risiko terjadinya respiratory distress syndrome pada neonatus di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Bachelor Thesis, Universitas Muhammadiyah Purwokerto
Idemmiaty. 2011. Efektifitas Posisi Pronasi Terhadapt Saturasi Oksigen, Frekwnsi Nadi Dan Frekwensi Nafas Pada Bayi Yang Menggunakan Ventilator Di Ruangan NICU. Padang: Universitas Andalas
Meta F A, Afnani T, J. (2016). Tingkat kejadian. Jurnal Sain Veteriner, 34 (1)(2), 125–131.
World Health Organization (WHO). (2012). Levels & Trends In Child Mortality.
UCSF Center For Exellence In Primary Care. (2014). The Building Book Of Primary Care: Health Coaching In Primary Care- Intervention Protocol.
Kusumaningrum, A. (2009). Faktor yang mempengaruhi nilai SpO2 pasca pronasi pada bayi yang memakai ventilator. Jurnal Kedoteran dan Kesehatan, 42(02),2887-2892.
Lestari, P., Susmarini, D., & Awaludin, S. (2018). The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome. Jurnal Keperawatan Soedirman, 13(1), 38-43.
Salvo, V., Lista, G., Lupo, E., Ricotti, A., Zimmermann, L. J., Gavilanes, A. W., … & Gazzolo, D. (2015). Noninvasive ventilation strategies for early treatment of RDS in preterm infants: an RCT. Pediatric, 135(3), 444-45.
Suek, O, (2012). Pengaruh posisi pronasi terhadap status hemodinamik anak yang menggunakan ventilasi mekanik di ruang Pediatric Intensive Care Unit (PICU) RSAB Harapan Kita Jakarta. Jurnal Info Kesehatan, 11 (1), 355-364.
Supriatin, T., & Nurhayani, Y. (2021). Pengaruh Prone positioning Terhadap Respiratory Rate dan Saturasi Oksigen Pada Bayi Gawat Napas (Respiratory Distress Syndrome) di Ruang NICU RSUD Gunung Jati Cirebon. Malahayati Nursing Journal, 3(4), 500-506.
Downloads
Published
How to Cite
Issue
Section
License
Submitted paper will be firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.
Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used