PENCEGAHAN PRESSURE ULCER DI NEONATAL INTENSIVE CARE UNIT (NICU): SEBUAH NARRATIVE REVIEW

Authors

  • Sri Hendrawati Universitas Padjadjaran
  • Septa Permana STIkep PPNI Jawa Barat

DOI:

https://doi.org/10.55681/sentri.v3i7.3230

Keywords:

Neonatal Intensive Care Unit, Neonatus, Pencegahan, Pressure Ulcer.

Abstract

Neonatus dengan penyakit akut dan imobilisasi berisiko untuk mengalami pressure ulcer. Insidensi kejadian pressure ulcer pada critically ill infants dan children berkisar antara 18% sampai 27%. Pressure ulcer tidak hanya menyebabkan ketidaknyamanan dan rasa sakit pada neonatus, tetapi juga dapat memperpanjang masa perawatan di rumah sakit, meningkatkan biaya perawatan kesehatan, dan berpotensi menyebabkan komplikasi serius. Sehingga diperlukan upaya pencegahan pressure ulcer pada neonatus yang mengalami perawatan di Neonatal Intensive Care Unit (NICU). Studi literatur ini bertujuan untuk memberikan tinjauan komprehensif mengenai strategi pencegahan pressure ulcer pada neonatus di NICU. Metode studi literatur yang digunakan pada penelitian ini adalah narrative review. Artikel dikumpulkan dari EBSCOhost, Scopus, ScienceDirect, dan Google Scholar. Kata kunci yang digunakan yaitu “pressure injuries” OR “pressure ulcer “ OR “pressure sores” OR “bedsores” OR “bed sores” OR “decubitus” AND “prevention” OR “intervention” OR “treatment” OR “program” AND “neonatal intensive care unit” OR “NICU”. Kriteria inklusi yang ditetapkan pada pencarian literatur yaitu artikel membahas tentang pencegahan pressure ulcer pada neonatus yang mengalami perawatan di Neonatal Intensive Care Unit, tahun terbit artikel 10 tahun terakhir (2015-2024), artikel yang digunakan bahasa Inggris, dan tersedia dalam artikel full-text. Setelah didapatkannya artikel yang relevan, maka tahap selanjutnya adalah menganalisis temuan dari artikel yang ditemukan. Hasil penelusuran artikel mendapatkan sebanyak 989 artikel tetapi hanya lima artikel yang memenuhi kriteria yang kemudian dianalisis. Berdasarkan artikel yang didapatkan terdapat beberapa strategi yang dapat dilakukan untuk pencegahan pressure ulcer di NICU diantaranya conduct a pressure ulcer admission assessment for all patients, reassessing risk for patients, inspect skin daily, manage moisture: keep the patient dry and moisturize skin, optimize nutrition and hydration, minimize pressure, perawatan metode kanguru (kangaroo care), dan pendekatan multidisiplin. Perkembangan pressure ulcer masih menjadi masalah klinis yang penting pada neonatus yang mengalami sakit kritis. Intervensi keperawatan memainkan peran penting dalam pencegahan pressure ulcer.

Downloads

Download data is not yet available.

References

Abkenar, M. J., Mojen, L. K., Shakeri, F., & Varzeshnejad, M. (2020). Skin injuries and its related factors in the neonatal intensive care unit. Iranian Journal of Neonatology, 11(4), 93–98. https://doi.org/10.22038/ijn.2020.45342.1756

August, D. L., Edmonds, L., Brown, D. K., Murphy, M., & Kandasamy, Y. (2014). Pressure injuries to the skin in a neonatal unit: Fact or fiction. Journal of Neonatal Nursing, 20(03), 129–137. https://doi.org/https://doi.org/10.1016/j.jnn.2013.08.006

August, D. L., New, K., Ray, R. A., & Kandasamy, Y. (2018). Frequency, location and risk factors of neonatal skin injuries from mechanical forces of pressure, friction, shear and stripping: A systematic literature review. Journal of Neonatal Nursing, 24(4), 173–180. https://doi.org/10.1016/j.jnn.2017.08.003

Bargos-Munárriz, M., Bermúdez-Pérez, M., Martínez-Alonso, A. M., García-Molina, P., & Orts-Cortés, M. I. (2020). Prevention of pressure injuries in critically ill children: A preliminary evaluation: Prevention of pediatric pressure injury. Journal of Tissue Viability, 29(4), 310–318. https://doi.org/10.1016/j.jtv.2020.08.005

Behr, J. H., Wardell, D., Rozmus, C. L., & Casarez, R. L. (2020). Prevention strategies for neonatal skin injury in the NICU. Neonatal Network, 39(06), 321–329.

Broom, M., Dunk, A. M., & E Mohamed, A. L. (2019). Predicting Neonatal Skin Injury: The First Step to Reducing Skin Injuries in Neonates. Health Services Insights, 12. https://doi.org/10.1177/1178632919845630

El-hadary, S., & Hassan, E. (2023). Effect of Skin Injury Preventive Strategy on Neonatal Skin Condition at Neonatal Intensive Care Unit. Assiut Scientific Nursing Journal, 11(34), 78–88. https://doi.org/10.21608/asnj.2023.185498.1482

Ferrari, R. (2015). Writing narrative style literature reviews. Medical Writing, 24(4), 230–235. https://doi.org/10.1179/2047480615z.000000000329

García-Molina, P., Balaguer-López, E., García-Fernández, F. P., Ferrera-Fernández, M. de los Á., Blasco, J. M., & Verdú, J. (2018). Pressure ulcer’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units. International Wound Journal, 15(4), 571–579. https://doi.org/10.1111/iwj.12900

Krzyzewski, J. J., Rogers, K. K., Ritchey, A. M., Farmer, C. R., Harman, A. S., & Machry, J. S. (2022). Reducing Device-Related Pressure Injuries Associated With Noninvasive Ventilation in the Neonatal Intensive Care Unit. Respiratory Care, 67(1), 24–33. https://doi.org/10.4187/respcare.08850

Mallick, A. N., Bhandari, M., Basumatary, B., Gupta, S., Arora, K., & Sahani, A. (2023). Risk factors for developing pressure ulcer in neonates and novel ideas for developing neonatal antipressure ulcer solutions. Journal of Clinical Neonatology, 12(1), 27. https://doi.org/10.4103/jcn.jcn_84_22

Mallick, A. N., Kumar, M., Basumatary, B., Arora, K., & Sahani, A. K. (2023). Design and Testing of Pressure ulcer Preventive Bed for Neonates in Neonatal Intensive Care Units. IEEE Transactions on Medical Robotics and Bionics, 5(2), 421–428. https://doi.org/10.1109/TMRB.2023.3265635

Marufu, T., Setchell, B., Cutler, E., Dring, E., Wesley, T., Banks, A., Chatten, Mary, Dye, E. C., Boardman, R., A, L. R., & C, J. C. M. a. (2021). Pressure injury and risk in the inpatient paediatric and neonatal populations: A single centre point-prevalence study. Journal of Tissue Viability, 30(02), 231–236. https://doi.org/https://doi.org/10.1016/j.jtv.2021.02.004

Molina, P. G., Lopez, A. A., Maria, S., Rodriguez, G., Paya, C. B., Carmen, M., Dolz, R., & Lopez, E. B. (2017). Neonatal pressure ulcer : prevention and treatment. 29–39. https://doi.org/10.2147/RRN.S98755

Nasr ELdin Mosbeh, A., Abd Elfattah, E., & Arafat Mahrous Seif Elnasr, M. (2022). Nurses’ Knowledge and Practice Regarding Skin Care in Neonatal Intensive Care Unit an Assessment Study. Egyptian Journal of Health Care, 13(3), 1136–1145. https://doi.org/10.21608/ejhc.2022.257833

Nicolosi, B., Curcio, F., Gheorghe, M. A., Ranieri, P., & Parente, E. (2024). Risk assessment of pressure injuries in newborns. Appropriateness of Glamorgan and NSRAS scales: a scoping review. Infermieristica Journal, 3(1), 45–60. https://doi.org/10.36253/if-2403

Shi, Z., & Li, X. (2024). Predictive validity and reliability of two pressure injury risk assessment scales at a neonatal intensive care unit. International Wound Journal, 21(2), 1–8. https://doi.org/10.1111/iwj.14430

Vazquez, M., & Bell, T. (2024). Implementing the Braden QD scale in the neonatal intensive care unit population. Journal of Neonatal Nursing, 30(2), 176–180. https://doi.org/10.1016/j.jnn.2023.11.007

Wager, E., & Wiffen, P. J. (2011). Ethical issues in preparing and publishing systematic reviews. Journal of Evidence Based Medicine, 4(2), 130–134. https://doi.org/https://doi.org/10.1111/j.1756 5391.2011.01122.x

Downloads

Published

2024-07-28

How to Cite

Hendrawati, S., & Permana, S. (2024). PENCEGAHAN PRESSURE ULCER DI NEONATAL INTENSIVE CARE UNIT (NICU): SEBUAH NARRATIVE REVIEW. SENTRI: Jurnal Riset Ilmiah, 3(7), 3648–3660. https://doi.org/10.55681/sentri.v3i7.3230