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"Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Tujuan penelitian mengetahui pengaruh developmental care terhadap respon nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian ini menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi. Hasil penelitian ada perbedaan yang signifikan dari respon nyeri akut sebelum dan sesudah dilakukan developmental care (p value=0,000). Rekomendasi penelitian developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur dan diharapkan ada penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur di kemudian hari baik dari aspek kognitif, bahasa maupun motorik.

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Pain is a stimulus that can damage the developing brains of premature babies. The objectives of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedures. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention group.

This study found that there was a significant difference on acute pain responses before and after developmental care been implemented (p value=0,000). Recommendation from this research are developmental care needs to be applied in nursing care for premature babies and it also important to investigate the long term influence of developmental care on development of premature babies either from the aspect of cognitive, languange and motor skills."

"Penanganan kasus hernia melalui pembedahan insisi kulit abdomen akan menyebabkan nyeri paska operasi. Manajemen nyeri dengan terapi analgetik tetap menimbulkan nyeri kembali 6 jam paska analgetik. Penelitian ini bertujuan untuk mengetahui pengaruh terapi bacaan Al-quran (TBA) terhadap respon nyeri post operasi hernia. Desain penelitian ini adalah Quasi experiment pre and post test non equivalent control group dengan jumlah 20 responden. Hasil penelitian ada perbedaan skala nyeri (p=0,08 ; α=0,05) dan denyut nadi (p=0,01 ; α=0,05) sebelum dan sesudah TBA. Sementara pada kelompok tidak TBA didapatkan hasil tidak ada perbedaan skala nyeri dan denyut nadi sebelum dan sesudah terapi; terdapat perbedaan skala nyeri setelah TBA pada kedua kelompok (p=0,05 ; α=0,05); tidak ada perbedaan denyut nadi setelah terapi pada kedua kelompok; tidak ada hubungan faktor usia dan pengalaman mengatasi nyeri post operasi dengan nyeri dan denyut nadi. Maka disarankan bagi rumah sakit menggunakan terapi bacaan Al-quran sebagai terapi komplementer menurunkan nyeri.

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Surgical treatment for hernia require abdominal skin incisition which leads to post operative pain. To overcome pain, analgesic is commonly used, however its effect only, for six hours. Thus providing analgesic combine with complementary therapy of Quran listening (TBA) would be more effective. This research aimed to identify TBA effect on post hernia surgery pain. This research used quasi experiment method with pre and post test non-equivalent control group, from 20 respondents. The result showed that there were significant differences in pain level (p=0,08 ; α=0,05) and pulse (p=0,01 ; α=0,05) before and after TBA therapy; there were difference pain level between treatment and control groups (p=0,0 5 ;α=0,05); and there were no difference in pain level and pulse in control group. There was no correlation between age and previous experience with pain level and pulse. Therefore, it is recommended using TBA as a complementary therapy for reducing pain level after hernia surgery."

"ABSTRAKNyeri merupakan masalah umum pasca operasi CABG. Salah satu Metodenonfarmakologi yang digunakan untuk mengurangi nyeri pasca operasi CABGialah terapi murattal Al-Qur?an. Penelitian ini bertujuan mengidentifikasipengaruh terapi murattal Al-Qur?an terhadap respon fisiologis nyeri (skor nyeri,frekuensi nadi dan napas pasien pasca operasi CABG. Penelitian True Experimentdengan pendekatan pretest posttest control group design, dan sampel dipilihsecara probability sampling, dengan metode Block Random Sampling dan OpenTrial (uji samar terbuka) dengan jumlah sampel 30 orang pasien (konrol danintervensi) pasca operasi CABG (n1=n2=15). Hasil penelitian ini menunjukkanbahwa terdapat pengaruh yang signifikan dari terapi murattal Al-Qur?anterhadap respon nyeri fisiologi setelah terapi antara kelompok kontrol dankelompok intervensi (skor nyeri (p <0,001), frekuensi nadi (p <0,001) danfrekuensi napas (p <0,001). Terapi murattal Al-Qur?an memberikan pengaruhterhadap respon fisiologis nyeri, sehingga dapat direkomendasikan sebagaistandar operasional prosedur dalam manajemen nyeri pasien di ruangperawatan jantung.

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ABSTRACTPain is one of a common problem after CABG surgery. One ofnonpharmacological therapy which can be applied to relieve pain after CABGsurgery is murattal Qur?an therapy. This study aims was to identify the effect ofmurattal Qur'an to the physiological response of pain (pain score, heart rate, andrespiratory rate) of patients after CABG surgery. This study used TrueExperimental design with pretest and posttest control group. Probability samplingwith allocation Block Random Sampling and Open trial were used involving 30patients after CABG surgery include intervention and control group (n1=n2=15).The result indicate a significant influence of murattal Qur?an therapy onphysiological pain response after treatment between the control group and theintervention group (pain score (p <0.001), heart rate (p <0.001) and respiratoryrate (p <0.001). The murattal Qur'an therapy gives an effect on physiologicalresponse of pain in patients post CABG surgery. It?s recommended for thehospital management team to make a policy in using murattal Qur?an therapy asa standard operational procedure on pain relieve for patient in cardiac careroom."

"Latar Belakang. Pemantauan respon keadaan nosiseptif dengan objektif melalui metode non-klinis masih dalam keadaan pengujian dan pengembangan, tanpa metode yang terdokumentasi dan terbukti baik untuk penggunaan sehari-hari secara klinis. Pemantauan terhadap nosiseptif hingga saat ini lebih banyak berdasarkan status hemodinamik pasien yang dinilai dari laju nadi dan tekanan darah. qNOX telah membuktikan korelasi dengan tanda-tanda klinis dari nosiseptif dan/atau antinosiseptif yang tidak memadai, seperti gerakan selama insersi LMA, laringoskopi dan intubasi trakea Oleh karena itu, peneliti ingin mengetahui kesesuaian nilai qNOX dengan perubahan hemodinamik sebagai prediktor respon nyeri pada prosedur intubasi trakea.Metode. Penelitian merupakan penelitian reliabilitas dan diagnostik yang menilai kesesuaian nilai qNOX dengan perubahan hemodinamik sebagai prediktor respon nyeri pada prosedur intubasi trakea, dan menilai validitas qNOX sebagai prediktor respon nyeri. 54 subjek dilakukan pendataan nilai qNOX sebelum dilakukan intubasi, dan dua kali pendataan hemodinamik yaitu sebelum anestesia dan dalam satu menit pasca-intubasi. Data hemodinamik kemudian ditentukan selisihnya dan dikategorikan menjadi reaktif dan nonreaktif. Data qNOX yang didapatkan dikategorikan menjadi responsif dan nonresponsif. Hasil. Uji Kappa menunjukkan kesesuaian qNOX dengan perubahan hemodinamik adalah bermakna dengan nilai Kappa 0,715. qNOX menunjukkan sensitivitas sebesar 100% dan spesifisitas sebesar 86%.Simpulan. Terdapat kesesuaian yang kuat antara nilai qNOX dengan perubahan hemodinamik sebagai prediktor respon nyeri pada prosedur intubasi trakea. qNOX dan perubahan hemodinamik merupakan prediktor respon nyeri yang reliabel dalam prediksi respon nyeri pada prosedur intubasi trakea. qNOX memiliki sensitifitas dan spesifisitas yang tinggi sebagai prediktor respon nyeri pada prosedur intubasitrakea.

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Background. Objectively monitoring the response of nociceptive states through non-clinical methods is still in testing and development, without well-documented and proven methods for clinical daily use. Nociceptive monitoring to date has largely been based on the patient's hemodynamic status as measured by heart rate and blood pressure. qNOX has been shown to correlate with nociceptive and / or inadequate antinociceptive clinical signs, such as movements during LMA insertion, laryngoscopy and tracheal intubation. Therefore, researchers want to find out the suitability of qNOX values with hemodynamic changes as predictors of

pain response in tracheal intubation procedures.

Method. The study is a reliability and diagnostic study that assesses the suitability of qNOX values with hemodynamic changes as predictors of pain response intracheal intubation procedures, and assesses the validity of qNOX as a predictor of pain response. 54 subjects were collected qNOX values before intubation, and hemodynamic data collection twice before anesthesia and within one minute postintubation. Hemodynamic data is then determined by the difference and categorized as reactive and nonreactive. The qNOX data obtained is categorized as responsive and non-responsive. Results. Kappa test shows that the suitability of qNOX with hemodynamic changes is significant with a Kappa value of 0.715. qNOX shows a sensitivity of 100% and a specificity of 86%. Conclusion. There is a strong compatibility between qNOX values and

hemodynamic changes as predictors of pain response in tracheal intubation procedures. qNOX and hemodynamic changes are reliable predictors of pain response in the prediction of pain response in tracheal intubation procedures. qNOX has a high sensitivity and specificity as a predictor of pain response in tracheal intubation procedures."

"Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Tujuan penelitian mengetahui pengaruh developmental care terhadap respon nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian ini menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi. Hasil penelitian ada perbedaan yang signifikan dari respon nyeri akut sebelum dan sesudah dilakukan developmental care (p value=0,000). Rekomendasi penelitian developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur dan diharapkan ada penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur di kemudian hari baik dari aspek kognitif, bahasa maupun motorik.

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Pain is a stimulus that can damage the developing brains of premature babies. The objectives of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedures. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention group.

This study found that there was a significant difference on acute pain responses before and after developmental care been implemented (p value=0,000). Recommendation from this research are developmental care needs to be applied in nursing care for premature babies and it also important to investigate the long term influence of developmental care on development of premature babies either from the aspect of cognitive, languange and motor skills."

"[ABSTRAKNyeri memicu munculnya stres yang berpotensi menimbulkan gangguan perkembangan dan pertumbuhan pada neonatus. Penusukan tumit berpotensi menimbulkan nyeri. Penelitian ini bertujuan untuk melihat efektivitas sukrosa dan pembedongan terhadap respon nyeri neonatus. Penelitian ini menggunakan rancangan uji klinik acak terkontrol dengan cross-over design. Sampel yang digunakan berjumlah 24 neonatus. Pada saat penusukan tumit, rerata respon nyeri lebih tinggi pada kelompok sukrosa yaitu 2,67. Satu menit setelah penusukan tumit rerata respon nyeri pada kedua kelompok sama yaitu 1,96. Dua menit dan 3 menit setelah penusukan rerata respon nyeri lebih tinggi pada kelompok pembedongan. Hasil bivariat menunjukkan tidak terdapat perbedaan rata-rata respon nyeri neonatus saat penusukan tumit (p=0,925) dan setelah penusukan tumit (satu menit (p=0,915), dua menit (p=0,942), dan tiga menit setelah penusukan tumit (p=0,132)) pada kedua kelompok. Penelitian ini menunjukkan tidak terdapat hubungan antara jenis kelamin terhadap respon nyeri neonatus (p=0,398). Pembedongan dapat digunakan untuk mengurangi respon nyeri pada bayi saat penusukan sekaligus mendukung pemberian ASI eksklusif.

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ABSTRACTPain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme., Pain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme.]"