The Application of Nesting Therapy on Thermoregulation Changes in Premature Infants in the NICU

Marlia Afifah; Erida Fadila

doi:10.56359/igj.v4i2A.700

Authors

Marlia Afifah Institut Teknologi dan Kesehatan Mahardika, Cirebon
Erida Fadila Institut Teknologi dan Kesehatan Mahardika, Cirebon

DOI:

https://doi.org/10.56359/igj.v4i2A.700

Keywords:

Nesting Therapy, Premature, Thermoregulation, Hypothermia

Abstract

Background & Objective: A preterm infant is defined as a baby born before 37 weeks of gestation (Kemenkes, RI, 2024). The World Health Organization (WHO), 2023 , categorizes preterm births based on gestational age: ≤28 weeks is extremely preterm, ≤32 weeks is very preterm, and 37 weeks is moderately preterm. According to (Kemenkes, RI, 2024), the WHO estimates that 13.4 million babies were born prematurely in 2020. Indonesia ranks fifth highest in the world for premature births, with approximately 657,700 cases. One of the issues faced by premature infants is metabolic disorders, where premature infants are at risk of experiencing a decrease in body temperature due to low body fat reserves and incomplete brain maturation in regulating the infant's body temperature (Rufaindah et al., 2022). The objective is to analyze the effect of nesting therapy on changes in thermoregulation in premature infants in the NICU of Kardinah General Hospital, Tegal City.

Method: descriptive study using case study results with a nursing care process approach. Instruments: pediatric nursing care format, digital thermometer.

Result: The application of nesting therapy for three days on premature infants with hypothermia resulted in changes in body temperature within the normal range for premature infants.

Conclusion: Nesting therapy is effective in increasing body temperature in premature infants, as their minimal movement contributes to energy conservation. This study is expected to enhance the application of developmental care, particularly in premature infants.

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References

Amaliya, S., Kartika, A. W., & Azizah, N. (2023). Asuhan Keperawatan Bayi Risiko Tinggi. UB Press.

Efendi, D., Sari, D., Riyantini, Y., Novardian, N., Anggur, D., & Lestari, P. (2019). PEMBERIAN POSISI (POSITIONING) DAN NESTING PADA BAYI PREMATUR: EVALUASI IMPLEMENTASI PERAWATAN DI NEONATAL INTENSIVE CARE UNIT (NICU). Jurnal Keperawatan Indonesia, 22(3), 169–181. https://doi.org/10.7454/jki.v22i3.619

Ekaputri, M., Susanto, G., & Paryono. (2024). Proses Keperawatan: Konsep,Implementasi, Evaluasi. Tahta Media Group.

Ginting, C. N., Sari, M. P., Ginting, M., Tobing, M. L., Sigalingging, M., & Suri, M. (2023). Efektivitas Penggunaan Nesting dan Posisi Prone terhadap Suhu Tubuh, Saturasi Oksigen dan Frekuensi Nadi Bayi Prematur dan BBLR di RSU Dr.Pringadi Medan. Malahayati Nursing Journal, 5(7), 2259–2266. https://doi.org/10.33024/mnj.v5i7.9037

Ismail, Basri, M., & Rahmatia, S. (2024). BUKU AJAR FALSAFAH DAN TEORI KEPERAWATAN. Nasmedia.

Julianti, E., Mardiyah, A., & Zulkifli. (2024). Implementasi Developmental Care di Ruang NICU. Sonpedia Publishing Indonesia.

Kahraman, A., Başbakkal, Z., Yalaz, M., & Sözmen, E. Y. (2018). The effect of nesting positions on pain, stress and comfort during heel lance in premature infants. Pediatrics & Neonatology, 59(4), 352–359. https://doi.org/10.1016/j.pedneo.2017.11.010

Kemenkes, RI. (2022). Developmental Care di Unit Neonatal. https://sardjito.co.id/2022/08/31/developmental-care-di-unit-neonatal/

Kemenkes, RI. (2024). Merawat Bayi Prematur. https://sehatnegeriku.kemkes.go.id/baca/blog/20240124/5344836/merawat-bayi-prematur/

Morrison, S. F., & Nakamura, K. (2019). Central Mechanisms for Thermoregulation. Annual Review of Physiology, 81(1), 285–308. https://doi.org/10.1146/annurev-physiol-020518-114546

Nova Eka Ramadhani & Maryatun Maryatun. (2024). Penerapan Terapi Nesting Terhadap Perubahan Fisiologis Pada Bayi Berat Lahir Rendah di RSUD Wonogiri. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan., 2(4), 133–144. https://doi.org/10.61132/protein.v2i4.707

Osilla, E. V., Marsidi, J. L., & Sharma, S. (2023). Physiology, Temperature Regulation. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK507838/

Prawesti, A., Emaliyawati, E., Mirwanti, R., & Nuraeni, A. (2019). The Effectiveness of Prone and Supine Nesting Positions on Changes of Oxygen Saturation and Weight in Premature Babies. Jurnal Ners, 14(2), 137–143. https://doi.org/10.20473/jn.v14i2.7755

Predani, N. L. P. D., Bikin Suryawan, I. W., & Suryaningsih, P. S. (2024). Analisis Faktor-Faktor yang Memengaruhi Kematian Neonatus: Studi Retrospektif di Rumah Sakit Wangaya Denpasar. Sari Pediatri, 25(5), 322. https://doi.org/10.14238/sp25.5.2024.322-7

Purbasari, D. (2025). Studi Korelasi antara Suhu Inkubator dan Intensitas Cahaya dengan Klasifikasi Suhu Tubuh pada Bayi Prematur. Jurnal Kesehatan Amanah, 9(1), 145–160. https://doi.org/10.57214/jka.v9i1.831

Ramadhan, M. G., Karima, U. Q., Yuliana, T., & Herbawani, C. K. (2023). Faktor-Faktor Terjadinya Kematian Neonatal di Indonesia: Analisis Data SDKI 2017. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan, Volume 3.

Rufaindah, E., Muzayyana, & Mariyam. (2022). Tatalaksana Bayi Baru Lahir. CV Media Sains Indonesia.

Saprudin, N., & Sari, I. K. (2018). Pengaruh Penggunaan Nesting Terhadap Perubahan Suhu Tubuh Saturasi Oksigen Dan Frekuensi Nadi Pada Bayi Berat Badan Lahir Rendah di Kota Cirebon. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 9(2), 16–26. https://doi.org/10.34305/jikbh.v9i2.63

Sukmawati, A. S., Isrofah, & Suryati. (2023). BUKU AJAR PEMENUHAN KEBUTUHAN DASAR MANUSIA. Sonpedia Publishing Indonesia.

Suryani, S. I., Shifa, N. A., & Yuliza, E. (2023). Efektivitas Terapi Sentuhan dan Penggunaan Nesting terhadap Suhu Tubuh Bayi Berat Badan Lahir Rendah: The Effectiveness of Touch Therapy and the Use of Nesting on the Body Temperature of Low Birth Weight Infants. Open Access Jakarta Journal of Health Sciences, 2(3), 623–630. https://doi.org/10.53801/oajjhs.v2i3.121

Tansey, E. A., & Johnson, C. D. (2015). Recent advances in thermoregulation. Advances in Physiology Education, 39(3), 139–148. https://doi.org/10.1152/advan.00126.2014

Todurkar, N. (2022). Neonatal thermoregulation. Canadian Premature Baby Foundation. https://www.cpbf-fbpc.org/post/neonatal-thermoregulation

UNDP. (2021). Goal 3: Good health and wellbeing. https://www.undp.org/content/undp/e

World Health Organization. (2023). Preterm Birth. https://www.who.int/news-room/fact-sheets/detail/preterm-birth