Purpose: Several studies have shown that oral sucrose reduces pain in newborns. However, sucrose has no efficacy in eliminating pain and long-term effects remain unclear. Breast milk may be useful as an alternative, safe sweet solution. Sensorial saturation (SS) is a multisensory analgesic non-pharmacological treatment, which includes touch and sounds as distractors. This study aimed to compare the analgesic effects of SS with sucrose (SSS), SS with breast milk (SSB), and oral sucrose alone (S24%) in neonates undergoing venipuncture. Design and methods: This was a randomized controlled trial conducted on 108 neonates who underwent venipuncture at neonatology wards. All babies were randomly assigned to one of three groups: two intervention groups and one control group. Pain response was assessed using the premature infant pain profilerevised (PIPP-R). Data analysis was conducted using the Kruskal-Wallis test and Mann-Whitney U test. Results: SSB and SSS were more effective than S24% (p = 0.001). No difference was observed between SSB and SSS (p = 0.669). Conclusion:Multisensory stimulation is more effective in reducing pain than unimodal (oral sucrose) analgesia. Breast milk can be used as a sensory gustatory stimulus in multisensory stimulation to reduce pain intensity in neonates, and demonstrates a similar analgesic effect to sucrose. Practice implications: The study findings suggest that neonatal nurses could use SSB for management of pain. This intervention could serve as an effective, inexpensive, and safe non-pharmacological analgesic. Additional testing of this intervention is warranted to support its use as an evidence-based pain reduction approach.
Cultural factors have gradually become important considerations in health services, including in pain management for adult and pediatric patients. However, research on culturally based pain management in neonates remains limited. This mini review aims to provide an overview of procedural pain management in neonates based on cultural approaches from various countries. The review found that there are several analyses of pain management procedures for neonates developed from cultural practices, namely, acupuncture, foot massage and reflexology, Yakson touch therapy, and aromatherapy. The acupuncture method (invasive and non-invasive) is more widely studied using randomized controlled trials (RCTs) than the other methods because the techniques applied can be standardized and measured. There are indications of the positive impact of all the methods examined in this review, but the results of studies have not been consistent because of the diversity of outcome measurement methods used and because of the difficulty of creating standardized procedures to measure pain management methods that are based on cultural practices.
AbstrakSistem perawatan bayi di NICU memberikan dampak negatif bagi bayi dan orang tua. Upaya yang dapat dikembangkan untuk meminimalkan dampak tersebut yaitu dengan mengaplikasikan family centered care (FCC). Langkah pertama upaya tersebut adalah mengidentifikasi kebutuhan orang tua. Dalam penelitian sebelumnya, kebutuhan orang tua sangat bervariasi. Penelitian bertujuan mengidentifikasi kebutuhan FCC dalam perawatan bayi sakit kritis di NICU. Metode penelitian menggunakan mixed method dengan strategi eksplanatoris sekuensial. Penelitian kuantitatif dilakukan terhadap 45 responden dan menggunakan kuesioner NICU Family Need Inventory. Analisis data dilakukan dengan mean. Penelitian kualitatif dilakukan terhadap 7 partisipan dengan menggunakan pedoman wawancara. Analisis data menerapkan teknik content analysis. Penelitian dilaksanakan di NICU Rumah Sakit Pemerintah Wilayah Bandung Raya. Orang tua memiliki urutan prioritas kebutuhan terhadap kepastian (M = 3,90), informasi (M = 3,82), kedekatan (M = 3,76), dukungan (M = 3,49), dan kenyamanan (M = 3,37). Pada penelitian kualitatif didapatkan, orang tua lebih membutuhkan kepastian terkait jaminan bayinya mendapatkan perawatan terbaik; kebutuhan terhadap informasi jujur, jelas, dan rutin mengenai kondisi, perkembangan, dan tindakan yang dilakukan terhadap bayi; dan kebutuhan terhadap kedekatan untuk selalu dekat dan melakukan kontak dengan bayi. Kebutuhan orang tua lebih berfokus pada kesejahteraan bayi. Dalam melakukan asuhan keperawatan, selain meningkatkan pelayanan terhadap bayi, perawat harus memerhatikan kebutuhan orang tua terkait jaminan kepastian bayinya mendapatkan perawatan terbaik, penyampaian informasi dengan komunikasi terbuka, dan menjalin kontak dengan bayi. Dengan mengidentifikasi kebutuhan orang tua, dapat menuntun perawat mengintegrasikan kebutuhan orang tua kedalam FCC sehingga orang tua dapat memenuhi kebutuhannya, mendapatkan kepuasan, dan meningkatkan kualitas hidup bayi.Kata kunci: Bayi sakit kritis, kebutuhan orang tua, perawatan berpusat pada keluarga. Study of Family Centered Care Needs in Critically Ill Infants Care in the Neonatal Intensive Care Unit AbstractInfants hospitalization in the NICU adversely affect for infants and parents. Efforts can be developed to minimize this impact is by applying family centered care (FCC). The first step is identify needs of parents. In previous study examined the differences needs of parents. This study aimed to identify the FCC needs in critically ill infants care in the NICU. The research method was mixed method design with sequential explanatory strategy. The samples in quantitative research were 45 respondents and using questionnaires NICU Family Need Inventory. Data analysis was done by mean. Qualitative research using 7 participants and using interview guidelines. Data analysis used analysis content technique. This research has been carried out in the NICU Government Hospital of Bandung Raya. The quantitative result indicated that parents with critically ill infants in the NICU need assurance mos...
PurposePain assessment is a key component of good pain management in hospitalized infants. This study aimed to translate and adapt a version of pain measurement in infants, the Premature Infant Pain Profile Revised (PIPP-R) into Indonesian.MethodThe adaptation process of the measuring instrument used a modified Brislin method which included forward translation, back translation 1, group discussion 1, back translation 2, group discussion 2, and pilot testing on neonatal nurses: feasibility test, inter-rater reliability using intraclass correlation (ICC), and internal consistency using Cronbach's α coefficient.ResultsThe PIPP-R version in English has been translated into Indonesian. In general, nurses assessed this measuring instrument as feasible. The inter-rater reliability showed a high agreement (ICC = 0.968, P = 0.001) and this measuring instrument had good internal consistency (Cronbach's α = 0.856).ConclusionThe Indonesian version of PIPP-R is easy to use and shows good psychometric properties. The use of this measuring instrument will help nurses and researchers obtain accurate infant pain intensity measurement values.
AbstrakAdiksi bermain game online merupakan aktivitas bermain yang dilakukan secara berlebihan dan cenderung mengganggu kehidupan sehari-hari. Kecamatan Jatinangor, Sumedang memiliki angka adiksi bermain game online yang tinggi pada sebagian besar anak usia sekolah yang bermain di warung internet penyedia game online. Tujuan penelitian ini adalah untuk mengetahui gambaran faktor-faktor yang melatarbelakangi perilaku adiksi bermain game online pada anak usia sekolah. Penelitian ini dirancang dengan menggunakan metode deskriptif kuantitatif. Pengambilan sampel menggunakan teknik konsekutif dengan 52 responden. Pengumpulan data menggunakan kuesioner dengan 51 butir pertanyaan. Analisis data menggunakan distribusi frekuensi. Hasil penelitian menunjukkan faktor motivasi melatarbelakangi perilaku adiksi pada 56%, sedangkan faktor atraksi penghargaan sebanyak 60%. Oleh karena itu, diperlukan penanganan baik dalam mengatasi maupun mencegah adiksi bermain game online oleh keluarga, sekolah, dan tenaga kesehatan terkait.Kata kunci: Adiksi, anak, game online, usia sekolah. Factors Underlying Online Game Addiction's Behaviour in School Age Children AbstractOnline games addiction is an activity to excess playing online games tend to give a negative influence to daily life. District Jatinangor, Sumedang has a high rates in addiction of online games among school-age children. The purpose of this study was to identify the determinant factors that influence the behavior addiction toward the game onlie among children in the school age. This study design used descriptive method. The sample are 52 respondent. It's were taken by consecutive sampling. The data collection used a questionnaire of 51 questions. The data was analysed by distributive frequencies. The results showed that 56% and 60% addiction behavior influenced by motivational factor and attraction factors. Based on this finding, it is recommended to treated and prevent games addiction behavior in children based on collaboration between family, school and health provider.
Masyarakat yang memiliki kesulitan dalam mengakses pelayanan kesehatan merupakan kelompok yang berisiko untuk memiliki masalah dalam hal pertumbuhan dan perkembangan anak. Untuk mengevaluasi tingkat pertumbuhan dan perkembangan perlu diidentifikasi kemungkinan adanya potensi masalah dalam aspek tumbuh kembang tersebut. Masyarakat perlu dipersiapkan pula untuk dapat secara mandiri melakukan pemantauan dan stimulasi pertumbuhan perkembangan anak untuk diterapkan dalam pola pengasuhan anak sehari-hari. Tujuan kegiatan pengabdian pada masyarakt (PPM) ini adalah untuk mempersiapkan masyarakat agar dapat melakukan pemantauan dan menstimulasi tumbuh kembang anak melalui kegiatan pemeriksaan atau skrining tumbuh kembang balita dan Pendidikan kesehatan pada kader kesehatan dan para ibu yang memiliki balita tentang stimulasi tumbuh kembang balitan di desa Cintaratu Kec. Parigi Kab. Pangandaran. Metode kegiatan berupa layanan skrining pertumbuhan menggunakan Z score dan skrining perkembangan menggunakan format KPSP berupa aplikasi android, serta Pendidikan kesehatan tentang konsep pertumbuhan dan perkembangan anak pada ibu yang memiliki anak balita. Hasil kegiatan menunjukkan bahwa sebagian besar balita menunjukkan tingkat pertumbuhan yang normal (95%), tingkat perkembangan yang sesuai (77,5%), dan pengetahuan ibu tentang konsep pertumbuhan dan perkembangan menunjukkan hasil yang baik. Hasil skrining tumbuh kembang anak ini tetap perlu diwaspadai pada masa-masa selanjutnya karena perubahan lingkungan baik fisik maupun mental akan selalu terjadi, oleh karena itu pemantauan tumbuh kembang perlu dilakukan secara berkala. Kader yang telah mendapatkan Pendidikan kesehatan dapat berperan untuk mengoptimalkan posyandu untuk menjaga keberlanjutan program pemantauan dan perkembangan balita di desa Cintaratu.Kata kunci: Balita, skrining, tumbuh kembang.
ContextThe term pain in neonates is emerged in recent decades. However, studies on pain in neonates are still limited and have various indicators. In addition, the term pain still often overlaps with stress in various studies and clinical circumstances. The concepts of pain and stress in the neonates need to be clarified to be better understood and then applied to improve neonates’ quality of life. Therefore, the current study aimed at clarifying the concept of pain in neonates.Evidence AcquisitionThe current study employed the concept analysis approach developed by Walker and Avant. The authors reviewed articles from JSTOR, ScienceDirect, Proquest, Sage, Cochrane, and Springer databases from 1980 to 2016 using keywords pain, stress, neonatal, neonates, and quality of life.ResultsPain had attributes such as tissue damage, physiological changes, metabolic changes, and behavioral changes. Stress had attributes such as physiological changes, metabolic changes, and behavioral changes.ConclusionsAttributes of pain and stress have similarities and differences. The main difference is the stimulus that induces a response. Pain has an attribute of tissue damage, whereas stress is not always due to tissue damage. The attributes of physical, metabolic, and behavioral changes between pain and stress are similar.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.