Larutan Glukosa Oral Sebagai Analgesik pada Pengambilan Darah Tumit Bayi Baru Lahir: Uji Klinis Acak Tersamar Ganda
Sari
Latar belakang. Penanganan nyeri pada bayi baru lahir masih belum menjadi perhatian. Larutan manis dapat
digunakan untuk mengurangi nyeri. Premature infant pain profile (PIPP) merupakan salah satu skala nyeri
yang telah divalidasi.
Tujuan Penelitian. Mengetahui efek pemberian 0,5 mL larutan glukosa 30% per oral 2 menit sebelum
tindakan terhadap skala PIPP saat pengambilan darah tumit bayi baru lahir.
Metode. Penelitian ini merupakan uji klinis acak tersamar ganda pada bayi baru lahir bugar yang perlu
pengambilan sampel darah melalui tumit di RSCM. Skala PIPP dilakukan oleh dua penilai secara tersamar
berdasarkan rekaman video.
Hasil. Tujuh puluh tiga bayi terbagi dalam kelompok intervensi (n=37) dan kontrol (n=35). Rerata nilai skala
PIPP kelompok intervensi lebih rendah dibanding kelompok kontrol oleh kedua penilai, yaitu berturut-turut (4,5
± 3,1) dan (6,3 ± 4) dibanding (6 ± 3,1) dan (8,4 ± 4,5) (p < 0,05). Koefisien Kappa antar dua penilai ialah 0,726.
Kesimpulan. Pemberian 0,5 mL larutan glukosa 30% per oral 2 menit sebelum pengambilan darah melalui
tumit bayi baru lahir dapat mengurangi nyeri.Â
Kata Kunci
Teks Lengkap:
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