Phototherapy Implementation for Neonatal Jaundice: A Case Study
DOI:
https://doi.org/10.26418/jpn.v10i1.94692Keywords:
hyperbilirubinemia, neonatal jaundice, phototherapy, NICU, case studyAbstract
Background: Hyperbilirubinemia is a major cause of neonatal jaundice and can result in serious neurological complications if not managed appropriately. Phototherapy is one of the effective interventions for reducing bilirubin levels in newborns. Objective: To evaluate the clinical effectiveness of phototherapy implementation in reducing bilirubin levels and jaundice severity in newborns with neonatal jaundice in the NICU setting. Methods: This was a descriptive case study of two infants with neonatal jaundice in the NICU ward of Siti Hajar Islamic Hospital Mataram in November 2023. Data were collected through direct observation, clinical documentation, and physical examination using standard guidelines for jaundice degrees according to Kramer. Results: After phototherapy for 3 days, there was a decrease in bilirubin levels in both patients. Patient 1 showed a reduction in jaundice degree from level V to III, and patient 2 from level IV to II, with an average decrease in bilirubin levels of 3.7 mg/dL. Conclusion: Phototherapy proved effective in reducing bilirubin levels in infants with neonatal jaundice. This intervention can be optimally implemented in NICU units as part of evidence-based neonatal nursing care.References
Abata, Q. A. 2016. Merawat Bayi Baru Lahir Bagi Para Orang Tua. jogjakarta.
American Academy of Pediatrics. (2022). Clinical practice guideline: Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics, 150(3), e2022058859. https://doi.org/10.1542/peds.2022-058859
Anggraini, H. 2014. Faktor-faktor yang berhubungan dengan kejadian ikterus neonatal. Jurnal Kebidanan STIKes Aisya : Bandar Lampung.
Atikah,M,V & Jaya,P. (2015). Buku Ajar Kebidanan Pada Neonatus, Bayi, dan Balita. Jakarta. CV.Trans Info Media.
Atikah, V dan Pongki Jaya. 2016. Asuhan kebidanan pada Neonatus, Bayi, Balita dan Anak Pra Sekolah. Jakarta : Trans Info Media.
Auliasari, NA. (2019) Faktor Risiko Kejadian Ikterus Neonatorum di RSUD DR. Soetomo. Skripsi. Universitas Airlangga.
Depkes, RI. 2017. Survey Demografi Dan Kesehatan Indonsia 2017(Dukumen Pada Internet Indonesia).
Hidayat, A, A. 2013. Metode Penelitian Keperawatan dan Teknik Analisis Data. Jakarta : Salemba Medika
Hockenberry, M, J, and Wilson, (2014). Wong’s Nursing Care of Infants and Cjildren. SL Louis: Mosby Elsevler
Hindryawati, Wiwin, 2011. Media Sehat (PPNI). Edisi 35., Arfmedia. Semarang.
Indanah, Sri Karyati, and Yusminah. 2019. “Efektifitas Pemberian ASI Terhadap Penurunan Kadar Bilirubin.†(Proceeding of the 10th University Research Colloquium 2019:Bidang MIPA dan Kesehatan):565–71.
Kementrian Kesehatan Republik Indonesia. 2015. Profil Kesehatan Indonesia. Kementrian Kesehatan Republik Indonesia.
Kemenkes RI. 2019. Profil Kesehatan Indonesia Tahun 2019. http://www.kemenkesri.go.id/profil_kesehatan_indonesia_2019.pdf. diakses tanggal 14 Juli 2020.
Marret, S., Cousin, L., Alberge, C., & Brossard, Y. (2021). Neonatal phototherapy outcomes and nursing practice: A multicenter observational study. BMC Pediatrics, 21(1), 545. https://doi.org/10.1186/s12887-021-03011-7
Marmi K, R,. 2015. Asuhan Neonatus, Bayi, Balita, dan Anak Prasekolah. Yogyakarta: Pustaka Pelajar.
Mulyati, S., & Nurlina, S. (2016). Asuhan Keperawatan Perinatal. Jakarta: EGC.
Ngastiyah, 2015, Perawatan Anak Sakit, Penerbit Buku Kedokteran EGC, Jakarta.
Olfah, Yustiana, Ghofur, A. (2016) Dokumentasi Keperawatan. Jakarta Selatan.
PPNI. 2017 a.Standart Diagnosis Keperawatan Indonesia : Definisi Dan Indikator Diagnostik. edisi 1. Jakarta: DPP PPNI.
PPNI. 2017 b. Standart Diagnosis Keperawatan Indonesia : Definisi Dan Indikator Diagnostik. Edisi 1. Jakarta: DPP PPNI.
PPNI. 2018 a. Standart Intervensi Keperawatan Indonesia : Deinisi Dan Tindakan Keperawatan. 1st ed. jakarta: DPP PPNI.
PPNI. 2018b. Standart Luaran Keperawatan Indonesia : Definisi Dan Kriteria Hasil Keperawatan. 1st ed. Jakarta: DPP PPNI.
Prawirohardjo, Sarwono. Ilmu Kebidanan. Edisi Empat. Jakarta : Yayasan Bina Pustaka Sarwono Prawirohardjo ; 2011. h. 140-5; 158; 177-9; 183-5; 213; 282-7.
Puspita, Ndaru. 2018 a. “Pengaruh Berat Badan Lahir Rendah Terhadap Kejadian Ikterus Neonatorum Di Sidoarjo.†Jurnal Berkala Epidemiologi 6(December 2018):174–81.
Puspita, Ndaru. 2018 b. “The Effect of Low Birthweight on the Incidence of Neonatal Jaundice in Sidoarjo.†Jurnal Berkala Epidemiologi 6(2):174.
Puspitosari, Ratih Dewi, Sumarno, and Budi Susatia. 2013. “Pengaruh Paparan Sinar Matahari Pagi Terhadap Penurunan Tanda Ikterus Pada Ikterus Neonatorum Fisiologis.†Jurnal Kedokteranrawijaya XXII(12):131–40.
Ridha N. 2014. Buku Ajar Keperawatan Pada Anak. Jakarta: Pustaka Pelajar.
Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018.
Scanlon, V. C., & Sanders, T. (2015). Essentials of Anatomy and Physiology (5th ed.). Philadelphia: F.A. Davis Company.
Sembiring, Junina Br. 2019. Asuhan Neonatus Bayi, Balita, Anak Pra Sekolah. yogyakarta: CV Budi Utama.
Sgro, M., Campbell, D., Shah, V., & Narvey, M. (2020). Neonatal jaundice: Clinical outcomes of phototherapy and new insights on bilirubin neurotoxicity. Journal of Perinatology, 40(2), 229–235. https://doi.org/10.1038/s41372-019-0505-z
Tri Wahyuningsih, dkk, 2020. Penerapan Fototerapi Terhadap Hiperbilirubin Pada Bayi Ny.D Dengan Berat Badan Lahir Rendah (BBLR). Jurnal Keperawatan Karya Bhakti, Vol. 4 No. 1.
WHO, (World Health Organization). 2015. Pretern Brith. www.who.int/reproductivehealth
Wong, Donna L. 2013. Buku Ajar Keperawatan Pediatrik Volume I.Alih bahasa Agus Sutarna dkk. Jakarta : EGC
