EFFECT OF NESTING AND PRONATION ON HEMODYNAMICS IN INFANTS WITH RESPIRATORY DISTRESS SYNDROME
Eni Rahmawati*- Dian Ramawati

Nursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman

Abstract

Background: Respiratory Distress Syndrome (RDS) is a condition in which fetal lung development is unable to synthesize lung surfactant until near the end of pregnancy. Babies with RDS are vulnerable to infection due to low immune system, weak respiratory muscles, and incomplete lung development. There is a need for nursing management for babies with RDS so that they can adapt to extrauterine conditions and improve physiological responses, as well as preventing further complications with developmental care. One form of developmental care is providing a nesting position and a pronation position which has been proven to stabilize the baby^s vital signs.
Objective: This study aims to determine differences in oxygen saturation, respiration rate, temperature and heart rate in babies with RDS who are given nesting and pronation.
Method: Quasi-experimental research design with a two-group pretest-posttest design. The total sample was 46 respondents divided into two groups. Data collection was carried out in 2 places, namely at Margono Hospital as a nesting group and at Goeteng Hospital as a pronation group using consecutive sampling techniques. Oxygen saturation, respiration rate, temperature, and heart rate were measured both before and after intervention for 30 minutes one day. The analytical test used is the unpaired t test.
Results: The results of statistical tests on oxygen saturation and temperature have a value of (p<0.05) which means there is a difference between the pronation position and the nesting position in babies with RDS. Meanwhile, the statistical test results for respiration rate and heart rate have a value of (p>0.05), which means there is no difference between the pronation position and the nesting position in babies with RDS.
Conclusion: Pronation is more effective in increasing baby oxygen saturation compared to nesting in babies with RDS. Meanwhile, in terms of temperature, the nesting position is more effective than the pronation position in babies with RDS. Therefore, pronation and nesting have different benefits for the stability of vital signs which can be used as nursing interventions in babies with RDS.

Keywords: Respiratory Distress, nesting, pronation, hemodynamics, infant

Topic: Nursing care