Search Repository Universitas Baiturrahim

Respiratory Distress Syndrome (RDS) merupakan gangguan pernapasan pada neonatus yang terjadi akibat defisiensi surfaktan sehingga menyebabkan alveoli berada dalam kondisi kolaps. Bayi dengan RDS yang tidak mendapat penanganan, dapat mengalami perburukan kondisi dalam 48-72 jam. Kejadian RDS di ruang Perinatologi RSUD Sultan Thaha Saifuddin Kabupaten Tebo pada tahun 2025 sebanyak 123 kasus. Tujuan penelitian ini adalah untuk mendiskripsikan asuhan keperawatan pada neonatus dengan RDS di Ruangan NICU RSUD Sultan Thaha Saifuddin Kabupaten Tebo. Metode penelitian yang digunakan yaitu deskriptif dengan pendekatan studi kasus tunggal. Penelitian ini dilakukan pada tanggal 20-22 Januari 2026 dengan 1 orang bayi diagnosa Respiratory Distress Syndrome (RDS) di ruang NICU RSUD Sultan Thaha Saifuddin Kabupaten Tebo. Metode pengumpulan data meliputi wawancara, pengukuran langsung, observasi, pemeriksaan fisik, dan dokumentasi. Hasil pengkajian didapatkan Bayi Ny.L tampak sesak, tampak retraksi dinding dada, frekuensi pernapasan 68x/menit, nadi 140x/menit , suhu 36,7 C dan berat badan 1270 gram. Diagnosis keperawatan yang didapatkan yaitu gangguan pertukaran gas, risiko termoregulasi tidak efektif dan risiko infeksi. Intervensi yang dilakukan yaitu pemantauan respirasi, terapi oksigen, manajemen hipotermia dan pemantauan respirasi dan dukungan ventilasi, regulasi temperature dan manajemen lingkungan dan pencegahan infeksi. Setelah dilakukan implementasi selama 3 hari rawatan maka didapatkan hasil pertukaran gas meningkat, termoregulasi neonatus membaik dan tingkat infeksi menurun. Nesting adalah teknik asuhan keperawatan berbentuk tempat tidur nyaman yang memberikan batasan (boundary) bagi bayi, bertujuan menciptakan rasa aman, mengurangi stres, dan meningkatkan stabilitas hemodinamik (denyut jantung dan saturasi oksigen). Hasil menunjukkan bahwa kombinasi nesting dengan posisi prone (tengkurap) secara signifikan dapat meningkatkan fungsi pernapasan, menurunkan frekuensi napas ke angka normal, dan mengoptimalkan status oksigenasi pada bayi dengan Respiratory Distress Syndrome (RDS) di ruang NICU.

Respiratory Distress Syndrome (RDS) is a respiratory disorder in neonates that occurs due to surfactant deficiency, causing the alveoli to collapse. Infants with RDS who are not treated can experience worsening conditions within 48-72 hours. The incidence of RDS in the Perinatology Room of Sultan Thaha Saifuddin Hospital, Tebo Regency in 2025 was 123 cases. The purpose of this study was to describe nursing care for neonates with RDS in the NICU Room of Sultan Thaha Saifuddin Hospital, Tebo Regency. The research method used was descriptive with a single case study approach. This study was conducted on January 20-22, 2026 with 1 infant diagnosed with Respiratory Distress Syndrome (RDS) in the NICU Room of Sultan Thaha Saifuddin Hospital, Tebo Regency. Data collection methods included interviews, direct measurements, observation, physical examination, and documentation. The results of the assessment showed that Mrs. L's baby appeared short of breath, chest wall retraction, respiratory rate of 68x/minute, pulse rate of 140x/minute, temperature of 36.7 C and body weight of 1270 grams. The nursing diagnoses obtained were impaired gas exchange, risk of ineffective thermoregulation and risk of infection. Interventions carried out were respiratory monitoring, oxygen therapy, hypothermia management and respiratory monitoring and ventilation support, temperature regulation and environmental management and infection prevention. After implementation for 3 days of treatment, the results obtained were improved gas exchange, improved neonatal thermoregulation and decreased infection rates. Nesting is a nursing care technique in the form of a comfortable bed that provides boundaries for the baby, aims to create a sense of security, reduce stress, and improve hemodynamic stability (heart rate and oxygen saturation). The results showed that the combination of nesting with the prone position (prone) can significantly improve respiratory function, reduce respiratory frequency to normal numbers, and optimize oxygenation status in babies with Respiratory Distress Syndrome (RDS) in the NICU.