Asuhan Keperawatan pada Bayi Ny. S dengan BBLR di Ruang Salman Al-Farizi RSUD Al-Ihsan

Silvia, Salma and Ariyanti, Metia and Kusmiati, Sri (2023) Asuhan Keperawatan pada Bayi Ny. S dengan BBLR di Ruang Salman Al-Farizi RSUD Al-Ihsan. Asuhan Keperawatan pada Bayi Ny. S dengan BBLR di Ruang Salman Al-Farizi RSUD Al-Ihsan. pp. 1-131.

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Abstract

ABSTRACT This case study is motivated by the incidence of babies with LBW which one of the main factors in perinatal and neonatal mortality. Long-term complications in LBW babies include growth and development that is not suitable for their age, vision, and hearing problems. This case study aims to describe nursing care in Ny. S with LBW in the Salman Al-Farizi room of Al-Ihsan Hospital. The case study method used is a descriptive case study. The case study’s results showed that the baby’s weight was 1565, the sucking reflex was weak, the temperature was 36,8⁰C, and the incubator temperature was 33⁰C. Found 5 nursing diagnoses, including nutritional deficits and risk of hypothermia. To overcome the problem, interventions were carried out, including monitoring body weight, providing nutrition, monitoring temperature, and caring for the kangaroo method. After carrying out the implementation of nursing for 4x24 hours in accordance with the plans that have been prepared. It was found that the baby’s weight increased to 1660 grams, the sucking reflex increased, and the baby’s temperature was stable in the range (36,5⁰-37,5⁰C) with an incubator temperature of 33⁰C, then increased to 37,8⁰C after PMK was carried out on the mother for 2 hours. Among the 5 nursing diagnoses that emerged, 3 diagnoses were resolved, so the intervention was continued by it nurse on duty. It is hoped that parents can maintain the health of the baby at home by keeping the baby warm, preparing good nutrition for the baby, and keeping the environment clean to prevent infection. Keywords: LBW, nutritional deficit, risk of hypothermia ABSTRAK Studi kasus ini dilatarbelakangi oleh kejadian bayi dengan BBLR yang menjadi salah satu factor utama dalam kematian perinatal dan neonatal. Komplikasi jangka Panjang pada bayi BBLR antara lain pertumbuhan dan perkembangan yang tidak sesuai dengan usianya, gangguan penglihatan, dan pendengaran. Studi kasus ini bertujuan untuk mengetahui gambaran asuhan keperawatan bayi Ny. S dengan BBLR di Ruang Salman Al-Farizi RSUD Al-Ihsan. Metode studi kasus yang digunakan adalah studi kasus deskriptif. Hasil studi kasus pada pengkajian menunjukkan BB bayi 1565, refleks sucking lemah, suhu 36,8⁰C, suhu inkubator 33⁰C. ditemukan 5 diagnosis keperawatan, diantaranya defisit nutrisi dan risiko hipotermia. Untuk mengatasi masalah dilakukan intervensi, diantaranya memonitor BB, ,pemberian nutrisi, memonitor suhu, dan perawatan metode kangguru. Setelah dilaksanakan implementasi keperawatan selama 4x24 jam sesuai dengan perencanaan yang telah disusun. Didapatkan hasil BB bayi meningkat menjadi 1660 gram, refleks sucking meningkat, suhu bayi stabil dalam rentang (36,5⁰-37,5⁰C) dengan suhu inkubator 33⁰C, kemudian meningkat menjadi 37,8⁰C setelah dilakukan PMK ke ibu selama 2 jam. Di antara 5 diagnosis keperawatan yang muncul, sebanyak 3 diagnosis teratasi dan intervensi dihentikan serta 2 diagnosis belum teratasi, sehingga intervensi dilanjutkan oleh perawat yang berdinas. Diharapkan orang tua dapat menjaga kesehatan bayi di rumah dengan menjaga kehangatan bayi, menyiapkan nutrisi baik untuk bayi, serta menjaga lingkungan tetap bersih untuk mencegah terjadinya infeksi. Kata kunci: BBLR, defisit nutrisi, risiko hipotermia

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