PENERAPAN POSISI FACILITATED TUCKING PADA BAYI PREMATUR SAAT PENGAMBILAN SAMPEL DARAH DI RUANG NICU RS X JAKARTA STIK SINT CAROLUS

Abstrak

Bayi prematur merupakan keadaan berisiko pada awal kehidupan dan memberikan ancaman pada kelangsungan hidup akibat dari maturasi sistem organ tubuh yang belum tercapai saat lahir, sehingga perlu mendapat perawatan  di Neonatus Intensive Care Unit (NICU) dan seringkali mendapatkan tindakan invasif yang menimbulkan nyeri. Salah satu tindakan untuk memberikan kenyamanan dan mengurangi efek samping nyeri akibat prosedur invasif adalah dengan pemberian posisi facilitated tucking. Intervensi tersebut dipilih karena lebih mudah dan praktis untuk dilakukan oleh tenaga kesehatan. Metode: Penelitian kualitatif deskriptif dengan desain studi kasus melalui pendekatan proses keperawatan. Populasi penelitian ini adalah bayi prematur yang dilakukan prosedur pengambilan darah dengan melibatkan 3 bayi. Pengumpulan data dengan metode observasi secara langsung terhadap respon nyeri bayi prematur tanpa dan dengan diberikan facilitated tucking saat pengambilan darah menggunakan instrumen pengkajian nyeri Neonatal Infant Pain Scale (NIPS). Hasil : ketiga bayi  berusia 2 hari gestasi 30 minggu dan usia 1 hari gestasi 33 minggu dengan berat badan lahir < 2000 gram. Hasil penelitian menunjukan bahwa bayi prematur mengalami penurunan skala nyeri saat dilakukan prosedur pengambilan sample darah. Simpulan : pemberian tindakan facilitated tucking dapat menurunkan skala nyeri pada bayi prematur saat tindakan pengambilan sample darah.

Because the body's organ systems have not fully matured at birth, premature babies are at risk for survival and require care in the Neonatal Intensive Care Unit (NICU), where they frequently undergo painful invasive procedures. One action to provide comfort and reduce the side effects of pain due to invasive procedures is to provide a facilitated tucking position. This intervention was chosen because it is easier and more practical for health workers. Method: descriptive qualitative research with a case study design using a nursing process approach. The population of this study were premature babies who underwent a blood collection procedure involving three babies. Data were collected using the direct observation method of the pain response of premature babies without and with facilitated tucking when taking blood using the Neonatal Infant Pain Scale (NIPS) pain assessment instrument. Results: The three babies were aged 2 days gestation (30 weeks) and 1 day gestation (33 weeks) with a birth weight of <2000 grams. The study's results showed that premature babies experienced a decrease in the pain scale during the blood sampling procedure. Conclusion: Facilitated tucking can reduce pain in premature babies when taking blood samples.