Implementation care nursing child: Hyperbilirubinemia
DOI:
https://doi.org/10.35335/midwifery.v14i1.2331Keywords:
Hyperbilirubinemia, Jaundice, Neonates, Nursingcare, PhototherapyAbstract
Hyperbilirubinemia is a condition characterized by elevated bilirubin levels in newborns that clinically appear as jaundice. This study aimed to describe the implementation of nursing care in newborns diagnosed with hyperbilirubinemia in a hospital setting. A descriptive case study approach was used involving three newborns with hyperbilirubinemia treated at Gunung Maria General Hospital, Tomohon, in March 2024. Data were obtained through comprehensive nursing care processes including assessment, nursing diagnosis, planning, implementation, and evaluation. The findings indicated that the infants experienced neonatal jaundice accompanied by hyperthermia, risk of impaired skin integrity, risk of infection, and parental anxiety. Nursing interventions were carried out through phototherapy management, breastfeeding education, hyperthermia management, infection prevention, and maintenance of skin integrity. After four days of nursing care, bilirubin levels decreased and the identified nursing problems showed improvement. The implementation of nursing care, particularly phototherapy combined with supportive interventions, contributed to the improvement of the infants’ condition and reduction of bilirubin levels.
Downloads
References
Nur et al. 2021. “Gambaran Hiperbilirubinemiaemia Pada Bayi Baru Lahir Cukup Bulan Dan Bayi Baru Lahir Kurang Bulan Di RSU. Haji Medan Tahun 2014-2015.” Skripsi: 1–29. http://repository.umsu.ac.id/bitstream/handle/123456789/17376/ARAMITA DAMAYATI.pdf?sequence=1&isAllowed=y.
Pratiwi, Eka Adithia et al. 2024. “Gambaran Faktor Penyebab Kejadian Ikterus Pada Bayi Di Ruang NICU.” Jurnal Ilmu Kesehatan 3(1): 1–10.
Primasdika, Rieke, Titi Mursiti, Riza Amalia, and Sri Setiasih. 2023. “Analisis Faktor Hiperbilirubinemia Pada Bayi Di RSUD Dr. Gunawan Mangunkusumo.” Midwfery Care 4(4). https://ejournal.poltekkes-smg.ac.id/ojs/index.php/micajo/index.
PURNAMIATI, NI PUTU. 2020. “Analisis Kadar Bilirubin Serum Bayi Yang Mengalami Ikterus Neonatus.” International Journal of Applied Chemistry Research 1(2): 26.
Rohimah, Ima et al. 2023. “Penerapan Pemberian Fototerapi Dapat Menurunkan Derajat Ikterik Pada Neonatus Dengan Hiperbilirubinemia Di Ruang Perinatologi RSUD Dr. Soekardjo Kota Tasikmalaya.” Journal Of Nursing Practice And Science 2(2): 219–24.
Sari, nova dita. 2022. “Bayi Yang Mengalami Hiperbilirubinemia Dengan Ikterik Neonatus Di Ruang Neonatus RSUD Dr. Soegiri Lamongan.” Toleransi Masyarakat beda Agama 30(28): 5053156.
Stella, Anak, and Maris Medan. 2021. “1,2,3).” 8(April): 31–38.
Supliyani, Elin. 2023. “Ikterus Fisiologis Dan Pemberian Asi : Laporan Kasus Asuhan Neonatal.” Jurnal Kesehatan Siliwangi 3(3): 736–43.
Vezka. 2022. “ASUHAN KEPERAWATAN PEMENUHAN KEBUTUHAN RASA AMAN PADA BAYI BARU LAHIR NORMAL DI RS HARAPAN DAN DOA KOTA BENGKULU.” karya tulis ilmiah (8.5.2017): 2003–5.
Mendiri, P. dkk. (2021). Buku Asuhan Keperawatan Pada Anak Sakit Dan Bayi Resiko Tinggi (Vol. 1).
nur et al. (2021). Gambaran Hiperbilirubinemia Pada Bayi Baru Lahir Cukup Bulan Dan Bayi Baru Lahir Kurang Bulan Di RSU. Haji Medan Tahun 2014-2015. Skripsi, 1–29. http://repository.umsu.ac.id/bitstream/handle/123456789/17376/ARAMITA DAMAYATI.pdf?sequence=1&isAllowed=y
Pratiwi, E. A., Romadonika, Hidayati, F., Ayudhya, N. K., & Dkk. (2024). Gambaran Faktor Penyebab Kejadian Ikterus Pada Bayi Di Ruang NICU. Jurnal Ilmu Kesehatan, 3(1), 1–10.
Primasdika, R., Mursiti, T., Amalia, R., & Setiasih, S. (2023). Analisis Faktor Hiperbilirubinemia pada Bayi Di RSUD dr. Gunawan Mangunkusumo. Midwfery Care, 4(4). https://ejournal.poltekkes-smg.ac.id/ojs/index.php/micajo/index
Sari, nova dita. (2022). Bayi yang mengalami hiperbilirubin dengan ikterik neonatus di ruang neonatus RSUD Dr. Soegiri Lamongan. Toleransi Masyarakat Beda Agama, 30(28), 5053156.
Tim Pokja SDKI PPNI (2017) Standar Diagnosa Keperawatan Indonesia. Jakarta : DPP PPNI
Tim Pokja SLKI PPNI (2018) Standar Luaran Keperawatan Indonesia. Jakarta : DPP PPNI
Tim Pokja SIKI PPNI (2018) Standar Intervensi Keperawatan Indonesia. Jakarta : DPP PPNI
Yanti and Nurrohmah. (2023). Gambaran tingkat pengetahuan ibu hamil tentang perawatan saat kehamilan di wilayah kerja Puskesmas Semin II Kabupaten Gunungkidul. Jurnal Ilmiah Keperawatan Dan Kesehatan Alkautsar (JIKKA), 2(1), 21–28.
