ONG BOLSTER NEST EFFECTIVELY NORMALIZE HEART RATE, INCREASE OXYGEN SATURATION AND BODY WEIGHT IN LOW-BIRTH-WEIGHT INFANTS IN THE NICU OF PIRNGADI GENERAL HOSPITAL IN MEDAN

Abstract

Low Birth Weight (LBW) suffers from various health problems due to organ maturity as indicated by abnormal heart rate and low oxygen saturation. Babies have difficulty in adapting extra uterine environment, so they need special care. The Neonatal Intensive Care Unit (NICU) is the best place for treatment, but the characteristics of this place have the potential to cause physiological stress due to bright lighting, high sound intensity and the baby's position. A comfortable environment can be created through the Newborn Individualized Developmental Care and Assessment Program method, one of which is the use of long bolster nest. The frequency of heartbeats beats per minute, the value of oxygen saturation and the baby's weight are indications of the effectiveness of using a long bolster nest.

The purpose of this study was to determine the effectiveness of using a long bolster nest to normalize heart rate, increase oxygen saturation and body weight in LBW infants in the NICU of Pirngadi General Hospital in Medan.

Quasi-experimental research method with two groups before and after design. Respondents were LBW in the NICU of Pirngadi General Hospital in Medan, samples of 56 respondents, 28 respondents each group. Sampling by consecutive sampling.

The results of the intervention group study from day 0 to day 5 showed the average oxygen saturation levels and body weight increased regularly and the average heart rate beats per minute became normal regularly. In the control group, the values of oxygen saturation, heart rate and body weight experienced fluctuating phases, namely up and down or unstable. In conclusion, long bolster nest are effective in supporting the physiological adaptation of LBW.