Pemberian terapi irigasi NaCl 0,9% pada neonatus hematochezia susp invaginasi dengan gangguan perfusi jaringan gastrointestinal
Keywords:
hematochezia susp invaginasi, gangguan perfusi jaringan gastrointestinal, neonatus, terapi irigasiAbstract
Latar Belakang: Gangguan perfusi jaringan gastrointestinal merupakan diagnosis keperawatan yang sering ditemukan pada neonatus dengan hematochezia susp invaginasi akibat penurunan aliran darah ke saluran cerna. Kondisi ini berisiko menyebabkan iskemia mukosa, perdarahan berulang, hingga komplikasi serius bila tidak ditangani secara tepat. Salah satu intervensi keperawatan suportif yang digunakan adalah irigasi NaCl 0,9% untuk membantu membersihkan lumen usus dan mendukung pemantauan perbaikan perfusi jaringan. Tujuan: Mengetahui penerapan dan hasil intervensi irigasi NaCl 0,9% dalam asuhan keperawatan pada neonatus dengan gangguan perfusi jaringan gastrointestinal akibat hematochezia susp invaginasi. Metode: Desain studi kasus dengan pendekatan asuhan keperawatan berdasarkan pedoman SDKI, SLKI, dan SIKI. Subjek penelitian adalah satu neonatus perempuan usia 22 hari yang dirawat di NICU RS PKU Muhammadiyah Yogyakarta. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi selama 3×24 jam. Hasil: Diagnosa keperawatan utama adalah gangguan perfusi jaringan gastrointestinal berhubungan dengan penurunan aliran darah ke saluran cerna. Setelah dilakukan intervensi keperawatan termasuk irigasi NaCl 0,9%, diperoleh perbaikan kondisi klinis berupa tidak ditemukannya kembali BAB berdarah, penurunan distensi abdomen, bising usus dalam batas normal, dan tanda vital stabil. Kesimpulan: Penerapan irigasi NaCl 0,9% sebagai bagian dari asuhan keperawatan pada neonatus dengan gangguan perfusi jaringan gastrointestinal menunjukkan hasil positif dalam mendukung perbaikan kondisi gastrointestinal dan pencegahan komplikasi lanjutan.
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References
American Academy of Pediatrics Committee on Fetus and Newborn. (2022). Term newborn with abdominal distention and bilious emesis. NeoReviews, 23(7), e497–e506. https://publications.aap.org/neoreviews/article/23/7/e497/188383/Term-Newborn-with-Abdominal-Distention-and-Bilious
Attoun, M. A., Albalawi, S. M. D., Ayoub, A. A., et al. (2023). The management of intussusception: A systematic review. Cureus, 15(11), e49481. https://pmc.ncbi.nlm.nih.gov/articles/PMC10752083/
Beres, A., & Hassan, A. (2025). Intussusception. In Pediatric Surgery NaT. American Pediatric Surgical Association.
http://www.pedsurglibrary.com/apsa/view/Pediatric-SurgeryNaT/829041/all/Intussusception Bulechek, G. M., Butcher, H. K., Dochterman, J. M., & Wagner, C. M. (2022). Nursing interventions
classification (NIC) (8th ed.). Elsevier.
Cleveland Clinic. (2023). Intussusception: Symptoms, causes, diagnosis, and treatment.
Daneman, A., & Navarro, O. (2021). Intussusception part 1: A review of diagnostic approaches.
Pediatric Radiology, 51(3), 375–386. https://doi.org/10.1007/s00247-020-04880-4
Guo, H., Lei, H., Luo, J., et al. (2025). Clinical manifestation and treatment of intussusception in children aged 3 months and under: A single centre analysis of 38 cases. BMC Pediatrics, 25,
https://doi.org/10.1186/s12887-025-05410-4
Guo, H., Zhang, J., Wang, Y., Li, X., & Chen, L. (2025). Clinical manifestations, diagnosis, and treatment of intussusception in infants and young children. BMC Pediatrics, 25, 1–10. https://doi.org/10.1186/s12887-025-05410-4
Guo, X., Zhang, Y., Li, H., & Sun, S. (2025). Clinical outcomes of warm saline enema in pediatric intussusception: A retrospective study. Acta Gastro-Enterologica Belgica, 88(2), 123–130. https://pubmed.ncbi.nlm.nih.gov/40504576/
Hinkle, J. L., & Cheever, K. H. (2022). Brunner & Suddarth’s textbook of medical-surgical nursing
(15th ed.). Wolters Kluwer.
Ignatavicius, D. D., & Workman, M. L. (2021). Medical-surgical nursing: Concepts for interprofessional collaborative care (10th ed.). Elsevier.
Kotb, M., Abdelatty, M., Rashwan, H., et al. (2021). Intussusception in preterm neonates: A systematic review of a rare condition. BMC Pediatrics, 21, Article 587. https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-021-03065-5
Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (2020). Medical-surgical nursing: Assessment and management of clinical problems (11th ed.). Elsevier.
Li, Y., Zhou, Q., Liu, C., et al. (2023). Epidemiology, clinical characteristics, and treatment of children with acute intussusception: A case series. BMC Pediatrics, 23, 143. https://doi.org/10.1186/s12887-023-03961-y
Mayo Clinic. (2022). Intussusception: Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/intussusception
McCance, K. L., & Huether, S. E. (2021). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier.
MSD Manual Professional Version. (2025). Intussusception — Pediatrics. https://www.msdmanuals.com/professional/pediatrics/gastrointestinal-disorders-in-neonates-and-infants/intussusception
Persatuan Perawat Nasional Indonesia. (2022). Standar diagnosis keperawatan Indonesia (SDKI). DPP PPNI.
Persatuan Perawat Nasional Indonesia. (2022). Standar intervensi keperawatan Indonesia (SIKI). DPP PPNI.
Persatuan Perawat Nasional Indonesia. (2022). Standar intervensi keperawatan Indonesia (SIKI). DPP PPNI.
Piccirillo, M., Pucinischi, V., Mennini, M., Strisciuglio, C., Iannicelli, E., Giallorenzi, M. A., … & Di Nardo, G. (2024). Gastrointestinal bleeding in children: Diagnostic approach. Italian Journal of Pediatrics, 50, 13. https://doi.org/10.1186/s13052-024-01592-2
PPNI. (2022). Standar diagnosis keperawatan Indonesia (SDKI). Persatuan Perawat Nasional Indonesia.
StatPearls Publishing. (2024). Child intussusception. https://www.ncbi.nlm.nih.gov/books/NBK431078/
StatPearls Publishing. (2024). Intussusception. In StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK430785/
Tsao, L. C., Lin, J., Lin, K. H., et al. (2023). Saline irrigation versus gauze wiping and suction only for peritoneal decontamination during laparoscopic repair for perforated peptic ulcer disease. Scientific Reports, 13, 1170. https://doi.org/10.1038/s41598-023-27471-0
Wibisono, T., Sutikno, B., Ahadiah, T. H., Utomo, B., & Kenconowungu, C. D. (2023). Comparison of the efficacy of hot saline irrigation and tranexamic acid on Boezaart score, intraoperative blood loss, and duration of surgery in functional endoscopic sinus surgery: A systematic review and meta-analysis. Bali Medical Journal, 12(2), 1414–1420. https://doi.org/10.15562/bmj.v12i2.4362
