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Journal : NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN

EFEKTIFITAS EARLY CPAP TERHADAP PERBAIKAN DOWN SCORE BAYI PREMATUR USIA GESTASI 32 MINGGU YANG LAHIR DI RSUD DENGAN LAHIR RUJUKAN DI RUANG NEONATUS RSUD DR.HARYOTO LUMAJANG Rizqi Naimatul Fitriana; Alwin Widhiyanto; Nafolion Nur Rahmat
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1208

Abstract

Prematur babies are one of the causes of infant mortality, especially in the first month of life. The incidence of prematurity in pregnancy is caused by multifactors, namely maternal factors, fetal factors, and other factors. The purpose of this study was to determine the effectiveness of Early CPAP on Down Score Improvement for Prematur Babies at 32 Weeks Gestational Age in the Neonate Room who were born at RSUD with referral births at RSUD Dr. HaryotoLumajang. In this study, a pre-experimental research design was used with a one group pretest posttest design approach. The study population was 32 weeks' gestational prematur infants who were born in RSUD with referral births in the neonatal room at RSUD Dr. HaryotoLumajang as many as 22 samples. The sampling technique used purposive sampling. Data collection used Observation Sheets and patient medical record data, for data analysis using the T-Test. This research was conducted from March 12 2023 to April 12 2023. The results showed that those who received CPAP treatment earlier had a better mean score of 4.36 compared to those who received CPAP late, which was 6.18. Early administration of CPAP is effective in improving the Down Score of prematur babies born at 32 weeks' gestation at RSUD dr. Haryoto Lumajang with a value of p = 0.00 <0.05. From this research it is suggested that health services become a source of information for health agencies and recommendations for policy makers to take strategic steps to deal with prematur babies.
HUBUNGAN STATUS FISIK AMERICAN SOCIETY OF ANESTHESIOLOGIST DENGAN DERAJAT SHIVERING PADA PASIEN PASCA SPINAL ANESTESI DI RSUD GRATI KABUPATEN PASURUAN Eko Imam Prasetyo; Nafolion Nur Rahmat; Iin Aini Isnawati
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1243

Abstract

One of the most frequent issues with spinal anesthesia is shivering, which is a repeated and involuntary muscular activity. One of the elements thought to contribute to the development of post-anesthesia shivering is Physical Status ASA. The aim of this study was to compare the Physical Status ASA (American Society of Anesthesiologists) score with the shivering scale in patients who had undergone post-spinal anesthesia at Grati Hospital in Pasuruan. This kind of study uses cross-sectional correlational methodology. Between August 1 and August 31, 2022, this study was done in Grati Hospital - Pasuruan Regency. 51 patients who had had post-spinal anesthesia were included in the study. 46 respondents who matched the inclusion and exclusion criteria were randomly selected at Grati Hospital - Pasuruan Regency. The research instrument used a medical record and an observation sheet. The statistical test used in this study was Somers'D with α = 0.05. The results of this study indicate that 24 respondents (52.17%) experienced shivering with the highest incidence on a scale of 2 (moderate Shivering) as many as 11 respondents (23.91%). Analysis Somers'D obtained a significance value of ρ value = 0,009 < α = 0,05. These results indicate that there is a significant Correlation between Physical Status ASA and shivering scale in post-spinal anesthesia patients at Grati Hospital, Pasuruan Regency. It is hoped that efforts to reduce Physical Status ASA can reduce the shivering scale in post-spinal anesthesia patients and this study can be a reference for improving the quality of services at Grati Hospital, Pasuruan