Agustina, Ninik Dwi (2019) Perbedaan Non Nutritive Sucking Dan Facilitated Tucking Terhadap Nyeri Neonatus Kurang Bulan Dengan Prosedur Pengambilan Darah Vena Perifer. Tugas Akhir, Program Studi Ilmu Keperawatan. Sarjana thesis, Universitas Brawijaya.
Abstract
Neonatus kurang bulan yang mendapat perawatan di unit perawatan intensif atau NICU, seringkali mendapatkan tindakan invasif yang bermacam-macam yang dapat menimbulkan nyeri. Dampak nyeri bagi neonatus kurang bulan dapat menimbulkan respons fisiologis, perilaku dan biokimiawi. Hal ini dapat menyebabkan ketidaknyamanan bahkan dapat meningkatkan resiko morbiditas serta mortalitas. Penelitian ini bertujuan untuk mengetahui perbedaan efektifitas Non Nutritive Sucking dan Facilitated Tucking terhadap nyeri neonatus kurang bulan yang dilakukan pengambilan darah vena perifer. Penelitian yang dilakukan di Ruang Neonatologi RSUD Dr. Saiful Anwar ini menggunakan Desain Penelitian pra eksperimen dengan pendekatan uji klinis pada 18 sampel yang diambil menggunakan metode crossover. Sampel yang digunakan adalah neonatus kurang bulan dengan usia gestasi 32-36 minggu. Pengumpulan data menggunakan lembar observasi dari skala NIPS modifikasi. Penilaian skala nyeri responden dilakukan oleh 2 numerator yang sudah dilakukan uji interrater sebelumnya. Hasil penelitian menunjukkan bahwa pada Non Nutritive Sucking didapatkan nilai median 2 yang artinya menunjukkan nyeri ringan sedangkan pada Facilitated Tucking didapatkan nilai median 4.5 yang artinya menunjukkan nyeri sedang. Berdasarkan analisis statistik untuk melihat perbedaan antara kedua perlakuan menunjukkan bahwa tidak ada perbedaan yang signifikan secara statistik antara Non Nutritive Sucking dan Facilitated Tucking terhadap nyeri neonatus kurang bulan saat prosedur pengambilan darah vena perifer dimana uji analisisnya menggunakan uji statistik Wilcoxon dengan nilai signifikansi p=0,190 ( > 0,05). Kesimpulan dari penelitian ini meskipun tidak ada perbedaan yang bermakna secara statistik pada kedua metode non farmakologis tersebut, namun apabila melihat dari nilai median dan gambaran nyeri pada masing-masing responden, didapatkan bahwa ternyata ada beda antara kedua metode tersebut dimana Non Nutritive Sucking mampu menurunkan nyeri akibat tindakan invasif sampai nyeri ringan, dan Facilitated Tucking menurunkan nyeri sampai nyeri sedang. Untuk itu Non Nutritive Sucking lebih direkomendasikan untuk digunakan sebagai intervensi
English Abstract
Preterm neonates who receive treatment in the intensive care unit or NICU, often get various invasive treatment that can cause pain. The impact of pain on preterm neonates can cause physiological, behavioral and biochemical responses. This can cause discomfort and can even increase the risk of morbidity and mortality. This study aims to determine the differences in the effectiveness of Non-Nutritive Sucking and Facilitated Tucking to reduce pain in preterm neonates that is performed by peripheral venous blood sampling. Research conducted at the Neonatology Room Dr. Saiful Anwar Hospital, that used a pre-experimental research design with a clinical trial approach on 18 samples taken using the Cross-over method. The sample used was preterm neonates with a gestational age of 32-36 weeks. Data collection uses an observation sheet from the modified NIPS scale. Assessment of the respondent’s pain scale was carried out by two numerators who had previously conduct interrater testing. The results showed that the Non Nutritive Sucking obtained a median value indicating a value of 2 which means that it showed mild pain while in Facilitated Tucking the median value obtained showed a value of 4.5 which means it showed moderate pain. Based on statistical analysis to see the difference between the two treatments shows that there is no statistically significant difference between Non Nutritive Sucking and Facilitated Tucking of neonatal pain with peripheral venous blood sampling procedures where the analysis test uses Wilcoxon statistical test with a significance value of p = 0.190 ( > 0.05). The conclusion from this study even there is no statistically significant difference in the Non Nutritive Sucking and Facilitated Tucking methods, but if look at the median value and pain describe in each resspondent its found that there is a difference betwen Non Nutritive Sucking and Facilitated Tucking where Non Nutritive Sucking is able to reduce pain due to invasife to mild pain while Facilitated Tucking only decreases to moderate pain. For that result so Non Nutritive Sucking is recommended to be used as a non farmacological management to reduce preterm neonatal pain due to invasive prosedures.
Other obstract
-
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2019/437/052001439 |
| Uncontrolled Keywords: | Neonatus Kurang Bulan, Non Nutitive Sucking, Facilitated Tucking, Nyeri. Preterm Neonatal, Non Nutritive Sucking, Facilitated Tucking, Pain. |
| Subjects: | 600 Technology (Applied sciences) > 612 Human Physiology > 612.1 Circulatory system > 612.11 Blood |
| Divisions: | Fakultas Kedokteran > Ilmu Keperawatan |
| Depositing User: | Budi Wahyono Wahyono |
| Date Deposited: | 10 Aug 2020 07:01 |
| Last Modified: | 25 Oct 2021 07:47 |
| URI: | http://repository.ub.ac.id/id/eprint/180300 |
Preview |
Text
Ninik Dwi Agustina.pdf Download (2MB) | Preview |
Actions (login required)
 |
View Item |