The Effectiveness of Oxygen Theraphy on Downes Score of Neonatal Asphyxia Patients in Perinatology Room
DOI:
https://doi.org/10.33746/fhj.v8i01.137Keywords:
Asphyxia, Downes Score, Oxygen TheraphyAbstract
Asphyxia is a high risk for newborns since it causes death or serious illness. Newborns with asphyxia are treated with oxygen therapy to avoid respiratory distress. The degree of respiratory distress is analyzed by using Downes score. This research aimed to find out the effectiveness of oxygen therapy on Downes score of neonatal asphyxia patients in perinatology room. It was a descriptive quantitative research with analytical observation and prospective approach. 25 patients as sample were taken by accidental sampling technique. The research instrument used was the Downes score observation sheet. The data were collected from moderate to severe asphyxia infants by assessing the Downes score before and after oxygen therapy and analyzed by Wilcoxon test. The results showed largery type of asphyxia occurred was the moderate one (88%) and the respondents got nasal oxygen therapy (64%). The mean score and the standard deviation of the pre-oxygen therapy Downe Score was 3.20±2.041 and the post-therapy was 1.04±1.881. The data analysis by Wilcoxon test showed the Z-score was -4.173 and the significance level was 0.000 (p<0.05). To conclude, there is a Downes score decrease of asphyxia newborns who get oxygen therapy.
Downloads
References
Anggraini, A., Sumadiono, S., & Wandita, S. (2016). Faktor Risiko Kematian Neonatus dengan Penyakit Membran Hialin. Sari Pediatri. https://doi.org/10.14238/sp15.2.2013.75-80
Anggriawan, A. (2016). Tinjauan Klinis Hypoxic-Ischemic Encephalopathy. Cdk-243.
Brahmaiah, P., & Reddy, K. R. (2017). Etiological Study of Respiratory Distress in Newborn. International Journal of Contemporary Medical Research, 4(10), 2202-2206. https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_1736_v2.pdf
Buch, P. M., Makwana, A. M., & Chudasama, R. K. (2013). Usefulness of Downe Score as clinical assessment tool and Bubble CPAP as primary respiratory support in neonatal respiratory distress syndrome. Journal of Pediatric Sciences. https://doi.org/10.17334/jps.55282
Harada, E., Kinoshita, M., Iwata, S., Saikusa, M., Tsuda, K., Shindou, R., Sahashi, T., Kato, S., Yamada, Y., Saitoh, S., & Iwata, O. (2019). Visual function scale for identification of infants with low respiratory compliance. Pediatrics and Neonatology. https://doi.org/10.1016/j.pedneo.2019.02.006
Hedstrom, A. B., Gove, N. E., Mayock, D. E., & Batra, M. (2018). Performance of the Silverman Andersen Respiratory Severity Score in predicting PCO2 and respiratory support in newborns: A prospective cohort study. Journal of Perinatology. https://doi.org/10.1038/s41372-018-0049-3
Indriani, N., Rustina, Y., & Agustini, N. (2015). Perkembangan Bayi Usia 6–12 Bulan dengan Riwayat Asfiksia Perinatal. Jurnal Keperawatan Indonesia. https://doi.org/10.7454/jki.v18i2.414
John, B. M., Venkateshwar, V., & Dagar, V. (2015). Predictors of outcome in neonates with respiratory distress. Journal of Nepal Paediatric Society. https://doi.org/10.3126/jnps.v35i1.11868
Kosim, M. S. (2016). Gawat Darurat Neonatus pada Persalinan Preterm. Sari Pediatri. https://doi.org/10.14238/sp7.4.2006.225-31
Marfuah, M., Barlianto, W., & Susmarini, D. (2013). FAKTOR Risiko Kegawatan Nafas Pada Neonatus Di Rsd. Dr. Haryoto Kabupaten Lumajang Tahun 2013. Jurnal Ilmu Keperawatan.
Mirtha, L., Soegiharto, B., Endyarni, B., Harmoniati, E., Soesanti, F., Gunardi, H., Soetomenggolo, H., Kaswandani, N., & Susanti, N. (2016). Kiat membuat anak sehat, tinggi, dan cerdas. Gaya Hidup Aktif Sebagai Modal Optimalisasi Kesehatan, Tumbuh Kembang, Dan Kecerdasan Anak, 27–28.
Mochtar, R. (2013). Sinopsis Obstetri: Obstetri Fisiologi. In EGC.
Nilasari, N., Kharisma, B., & Puti, A. (2019). Analisis Faktor Penyebab Kejadian Asfiksia pada Bayi Baru Lahir. Jurnal Ners Dan Kebidanan.
Pattar, M., & Das, L. (2018). A Comparative Study Of Surfactant Versus Nonsurfactant Therapy Among Preterm With Respiratory Distress Syndrome. Indian Journal of Child Health. https://doi.org/10.32677/ijch.2018.v05.i07.005
Prawirohardjo, S. (2016). Ilmu Kebidanan Sarwono Prawirohardjo. Edisi Ke-4. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.
Profil Kesehatan Indonesia. (2016). Profil Kesehatan RI 2015. In Profil Kesehatan Indonesia Tahun 2015.
Razaz, N., Cnattingius, S., & Joseph, K. S. (2019). Association between Apgar scores of 7 to 9 and neonatal mortality and morbidity: Population based cohort study of term infants in Sweden. The BMJ. https://doi.org/10.1136/bmj.l1656
Sashidhar, A., Suman Rao, PN. & Jose, J. (2016). Downes Score vs Silverman Anderson Score for Assessment of Respiratory Distress in Preterm Newborns. Pediatric Oncall. https://doi.
. P., Vento, M., Visser, G. H. A., & Halliday, H. L. (2017). European Consensus Guidelines on the Management of Respiratory Distress Syndrome org/10.7199/ped.oncall.2016.30
Sweet, D. G., Carnielli, V., Greisen, G., Hallman, M., Ozek, E., Plavka, R., Saugstad, O. D., Simeoni, U., Speer, C - 2016 Update. Neonatology. https://doi.org/10.1159/000448985
Sweet, D. G., Carnielli, V., Greisen, G., Hallman, M., Ozek, E., Te Pas, A., Plavka, R., Roehr, C. C., Saugstad, O. D., Simeoni, U., Speer, C. P., Vento, M., Visser, G. H. A., & Halliday, H. L. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2019 Update. In Neonatology. https://doi.org/10.1159/000499361
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal the right of first publication. This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original author and source are properly cited.