Asuhan Keperawatan pada By. A Dengan Sepsis Neonatorum Post Kolostomi di Ruang NICU Rumah Sakit Banda Aceh
Keywords:
Nursing Care, Neonatal Sepsis Post-ColostomyAbstract
Neonatal sepsis is a significant cause of morbidity and mortality in neonates, particularly in low- and middle-income countries. According to the Global Burden of Disease (GBD), neonatal sepsis accounts for approximately 24% of newborn deaths. Neonatal sepsis is generally caused by bacterial infections, including pneumonia, sepsis, and meningitis. The purpose of this case study is to analyze nursing care for Baby A with Neonatal Sepsis Post-Colostomy in the NICU of Banda Aceh Hospital. In Baby A's case, several nursing problems were identified, such as impaired breathing patterns, risk of septic shock, neonatal jaundice, ineffective peripheral perfusion, nutritional deficit, constipation, impaired skin integrity, and risk of fluid imbalance. During the treatment, the nursing care provided included airway management, constipation management, infection prevention, shock management, stoma care, blood transfusion, neonatal phototherapy, parenteral feeding, and fluid monitoring. After four days of care, five issues were partially resolved, indicating the need for further intervention and monitoring of Baby A in the inpatient ward. The results of this scientific paper are expected to serve as a foundation for developing nursing care management and assist nurses in enhancing and expanding their knowledge, particularly in pediatric nursing care related to neonatal sepsis post-colostomy
References
Acarregui, M. J. (2022). Fluid management: NICU Handbook. Stead Family Children’s Hospital.
Bokova, E., Prasade, N., Rosen, J. M., Lim, I. I. P., Levitt, M. A., & Rentea, R. M. (2023). State of the Art Bowel Management for Pediatric Colorectal Problems: Spinal Anomalies. Children, 10(9), 1–13. https://doi.org/10.3390/children10091558
Bradnock, Walker, & Reeves. (2023). Bowel irrigation guidance : neonates.
Cole, J., Hughey, S., M., A., G., P., Fluke, L., &, & Booth, G. J. (2021). Machine Learning to Predict Fascial Dehiscence after Exploratory Laparotomy Surgery. Journal of Surgical Research, 268, 514–520.
Elamoudy, H. G., Mohammad, S. Y., Abdellatif, G. A., & Dessowky, S. M. (2021). Effect of Positioning on Oxygenation and Hemodynamics among Patients on Mechanical Ventilation. Evidence-Based Nursing Research, 4(1), 7. https://doi.org/10.47104/ebnrojs3.v4i1.233
Hapsari, A. T. (2023). Diagnosis and Management of Atresia Ani in Newborn Infants: Literature Review. Mandala Of Health, 16(2), 156. https://doi.org/10.20884/1.mandala.2023.16.2.9643
Karyatin, B. A. (2020). Pengaruh Pemberian Fototerapi Terhadap Penurunan Kadar Bilrubin Total Pada Bayi. J Kesehat Akad Keperawatan Sumber Waras. 1, 18–25.
Kemenkes. (2018). Pusat Data dan Informasi: Kelainan Bawaan. Kementerian Kesehatan RI, 1–6.
Kenner, C., & Boykova, M. V. (2021). Neonatal nursing care handbook: an evidence-based approach to conditions and procedures. Publishing Company.
Kereh, T., Wilar, R., & Tatura, S. N. N. (2019). Analisis Penggunaan Antibiotik pada Pasien Sepsis Neonatorum di Neonatal Intensive Care Unit RSUP Prof. Dr. R. D. Kandou Manado. E-CliniC, 8(1), 21–26. https://doi.org/10.35790/ecl.v8i1.27007
Khofifah, I. N., Rakhmawati, W., & Hendrawati, S. (2024). Terapi Bermain: Dongeng Dalam Menurunkan Nyeri Pada Pasien Anak Dengan Fistula Rektovestibular. SENTRI: Jurnal Riset Ilmiah, 3(2), 696–706. https://doi.org/10.55681/sentri.v3i2.2312
Kovalenko. (2020). Patient Care after Surgery: Suture Care and Wound Care Process. Infection & Chemotherapy, 3.
Murniati, A., Kurniati, F. D., & Kusumasari, R. V. (2024). Penerapan Fototerapi Untuk Mengatasi Ikterik Neonatus Pada Bayi. Jurnal Manajemen Asuhan Keperawatan, 8(2), 47–52. https://doi.org/10.33655/mak.v8i2.187
Muzalifah, A., & Mirwanti, R. (2023). Penatalaksanaan Gangguan Perfusi Jaringan Pada Pasien Dengan Syok Sepsis Di Icu : a Case Report. SENTRI: Jurnal Riset Ilmiah, 2(7), 2644–2655. https://doi.org/10.55681/sentri.v2i7.1127
Permata, A. Y. (2021). Konstipasi Fungsional Kronis Pada Anak. Jurnal Medika Hutama, 02(02)(02), 377–381.
PPNI, T. P. S. D. (2018). Standar Intervensi Keperawatan Inodesia Definisi dan Tindakan Keperawatan.
Waluyo, A., Barus Ohorella, U., Keperawatan Medikal Bedah Fakultas Ilmu Keperawatan Universitas Indonesia, D., M Djafar Harun, R. H., Utara, kolaka, Tenggara, S., & Keperawatan Medikal Bedah Prodi Keperawatan Masohi Poltekkes Kemenkes Maluku, D. (2020). the Beneficial Effects of Abdominal Massage on Constipation and Quality of Life: a Literatur Review. Indonesian Contemporary Nursing Journal, 4(2), 72–82.
WHO. (2024). Call for public consultation: Target product profile for tests of neonatal sepsis and possible serious bacterial infections in newborns and young infants.
Wiriansya, E. P., Devi Grania Amalia, Andi Husni Tanra, & Julia. (2022). Manajemen Terapi Cairan pada Sepsis. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 2(6), 393–407. https://doi.org/10.33096/fmj.v2i6.18
Yan, M. B., Zheng, M. B., Jin, Y. B., & Zhang, J. P. (2020). Quality of Life and Its Influencing Factors among Chinese Patients with Permanent Colostomy in the Early Postoperative Stage a Longitudinal Study. Cancer Nursing.
Yustisia, N., Aprilatutini, T., & Desfianty, H. (2020). Studi Kualitatif Prosedur Pemasangan Transfusi Darah pada Pasien Anemia. Jurnal Keperawatan Muhammadiyah Bengkulu, 8(1), 61–68.
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