Pengaruh 4SS (Swaddling, Side, Shushing, Swinging) terhadap Heart Rate Neonatus Paska pengambilan Darah Vena di Ruang Edelweis RSUD Ngudi Waluyo Wlingi

Husna Rahmawati, Erni Setiyorini
Abstract views : 798 | PDF views : 556


Neonates experience changes in all the systems one of the most dramatic changes is the cardiovascular system. Neonates born in hospitals Wlingi all venous blood should be taken where the effect of this action is definitely cause discomfort which can affect the heart rate of neonates. Techniques that can improve the comfort of one of them with techniques 4Ss (swaddling, side, shush- ing, swinging) The purpose of this study was to determine the effect on heart rate 4Ss post neonatal venous blood sampling.This research design using posttest only control group. The research was conducted at room Edelweiss Ngudi Waluyo Hospital Wlingi for 1 month (5-29 November 2014). Subjects were neonates who meet the inclusion criteria. The total sample of 34 neonates in the two groups of 17 treatment group and 17 control group. Sampling using accidental sampling technique. The collection of data through observation in the treatment group and the control group. Data were analyzed by T-test.The results showed heart rate is lower in the treatment group compare the con- trol group. The results of the statistical test showed P-valiu = 0.001 which means that there is an influence on heart rate 4Ss post neonatal venous blood sampling.It is hoped with this study 4Ss technique can be applied by health workers and parents to provide comfort in neonates.


Neonates, heart rate, 4Ss, venous blood sampling.

Full Text:



Anand K. 2000. Pain, plasticity, and premature birth: A prescription for permanent suffering? Na- ture Medicine; 6:97173.

Anand K, and Hickey P. Pain and its effects in the hu- man neonate and fetus. New England Journal of Medicine 1987; 317:132129.

Anand K, and Scalzo F. 2000.Can adverse neonatal experiences alter brain development and sub- sequent behavior? Biology of the Neonate;77:6982

Babycentre. 2012. Seven Reasons Baby Cry and how to soothe Them. Dibuka tanggal 14 April 2013. Dari http://www.babycentr seven-reasons-babies-cry-and-how-to-soothe- them-

Bartocci, M, Bergqvist, LL, Lagercrantz, H, Anand, KJ. 2006. Pain activates cortical areas in the preterm newborn brain; 122:109.

Boyse, Keyla. 2007. Pain and Your Infant: Medical Procedures, Circumcision and Teething. dibuka tanggal 20 Nopember 2013.

Dera Alfiyanti. 2010. Pendekatan baru dalam monitor- ing bayi baru lahir di Neonatal Intensive Care Unit (NICU) dengan menggunakan wearable sensors:sebuah strategi non-invasif untuk meminimalkan efek traumatik pada bayi.

Gupta, S. 2012. The 5Ss: Easing Baby Pain After Vac- cine Shots. Dibuka tanggal 14 April 2013. Dari

Harrington, J.W., Logan,S.,Harwell,C., Gardner, J., Swingle, J., McGuire, E and Santos, R. 2012. Effective Analgesia Using Physical Interventions for Infant Immunizations. American Academy of Pediatrics. content/early/2012/04/11/peds.2011-1607. ab- stract

Harvey, K. 2002. Bayi Paling Bahagia Sedunia. Jakarta: Gramedia.

Lissauer, T & Fanaroff, A.A. 2011. Neonatology at Glance, 2nd Edition.Wiley-Blackwell,USA.

McCarroll, E & Faris, M. 2014. Crying Babies: Answering the call of infant cries. dibuka tanggal 10 Oktober 2014.

Merkel, S. and others, A. 1997. Behavior pain assess- ment scale . Pediatric Nurse 23(3), p. 293-297.

Slater, R, Cantarella, A, Gallella, S, et al. 2006. Corti- cal pain responses in human infants. J Neurosci;26:3662. Bates, C. 2012. Swaddle, Side, Shush, Swing And Suck: How the 5Ss Really Do Stop Yo ur Ne wbo rn From Cry in g. Da r i h tt p: // How-5-Ss-stop-newborn-crying.html, Dibuka tanggal 18 April 2013.

Nelson, Behrman, Kliegmana Arvin.1999. Ilmu Kese- hatan Anak, Edisi 15, Jakarta: EGC, halaman 1568.

Wong, D.L, Hockenberry M, Wilson,D, Winkelstein, M.L, & Schwartz, P. 2003. Buku Ajar Kepera- watan Pediatrik Wong, Ed 6, Vol I.Alih Bahasa Agus Sutarna. Jakarta: EGC.

DOI: 10.26699/jnk.v4i1.ART.p085-092


  • There are currently no refbacks.

Copyright (c) 2017 Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) p-ISSN: 2355-052X. e-ISSN: 2548-3811 is published by STIKes Patria Husada Blitar.

Indexed On :