NURSING CARE FOR NEWBORNS WITH HYPERBILIRUBINEMIA AND NEONATAL JAUNDICE PROBLEMS IN THE LAVALETTE HOSPITAL

ASUHAN KEPERAWATAN PADA BAYI BARU LAHIR DENGAN HIPERBILIRUBINEMIA DAN MASALAH IKTERUS NEONATORUM DI RUMAH SAKIT LAVALETTE

Abstract

Introduction: Hyperbilirubinemia is a common clinical problem in newborns, characterised by elevated bilirubin levels which lead to jaundice in neonates. If left untreated, this condition can lead to serious complications such as kernicterus and bilirubin encephalopathy. Methods: This study aims to analyse the nursing care provided to neonates with hyperbilirubinemia and jaundice, using a descriptive case study design at Lavalette Hospital. Participants were two neonates aged six and 17 days, both diagnosed with hyperbilirubinemia. Data were obtained through interviews with parents and nurses, direct observation of nursing actions and analysis of medical records. Data validation was performed using source triangulation. Results: The results of the three-day study showed a decrease in jaundice symptoms after two phototherapy sessions, as indicated by a reduction in the scores for yellow skin, yellow sclera and yellow mucous membranes. Conclusion: Phototherapy was effective in addressing the nursing issue of neonatal jaundice. The success of therapy was also supported by collaboration between medical personnel and family participation. Follow-up care focuses on increasing body weight and providing nutrition to prevent the recurrence of neonatal jaundice.