Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba

Nopi Nur Khasanah, Yeni Rustina


Premature infants had been experience of pain in neonatal ward that occur each day during treatment. Nurse need to do an intervention for reduce the scale of pain on premature infants. Pain management have to do at birth because of the repeated painful procedures in early life can affect the development of central nerve system permanently. The objective of this study was to describe the application of Kolcaba Comfort’s theory through facilitated tucking accompanied with ‘being with-talking to’ techniques in premature’s infant at high risk infant care. The method that used was case study by applying the four contexts of comfort’s experience associated with the three types of comfort based on Kolcaba Comfort’s theory in providing nursing care on five premature infants who have some painful procedures. The nursing intervention through facilitated tucking accompanied by ‘being with-talking to’ based on the principles of Kolcaba Comfort’s theory gave a positive result against premature infants’s comfort level. Four from five premature infants are in the level of transcendence which is a type of supreme comfort after the ease and relief. Kolcaba Comfort’s theory can be applied within the scope of neonatal care due in accordance with the developmental care of the infants and could reduce the scale of pain.


premature’s infant; facilitated tucking; being with-talking to; comfort’s theory

Full Text:



Aita M, Goulet C, Oberlander TF, Snider L, Johnston C. A randomized controlled trial of eye shields and earmuffs to reduce pain response of preterm infants. J Neonatal Nurs [Internet]. 2015 Jun;21(3):93–103. Available from:

Gomella TL, Cunningham MD, Eyal FG. Neonatology: Management, proceures, on-call problems, diseases, and drugs. 7th ed. New York: Mc Graw Hill Education; 2013.

Hatfield LA, Meyer MA, Messing TM. A systematic review of the effects of repeated painful procedures in infants: Is there a potential to mitigate future pain responsivity? J Nurs Educ Pract [Internet]. 2013 Jan 24;3(8). Available from:

Kolcaba K, DiMarco MA. Comfort Theory and its application to pediatric nursing. Pediatr Nurs [Internet]. 31(3):187–94. Available from:

Alligood MR, Tomey AM. Nursing theorist and their work. St. Louis Missouri: Mosby Elsevier; 2010.

Hockenberry MJ, Wilson D. Wong’s essentials of pediatric nursing. 8th ed. St. Louis Missouri: Mosby Elsvier; 2009.

Ball J, Bindler R, Cowen K. Child health nursing, partnering withchildren & families. 2nd ed. New Jersey: Pearson Education inc.; 2010.

Carbajal R, Rousset A, Danan C. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300(1):60–70.

Gibbins S, Stevens B, McGrath PJ, Yamada J, Beyene J, Breau L, et al. Comparison of pain responses in infants of different gestational ages. Neonatology [Internet]. 2008;93(1):10–8. Available from:

Rustina Y. Bayi prematur: Perspektif keperawatan. Jakarta: Sagung Seto; 2015.

Badr LK. Pain in Premature Infants: What Is Conclusive Evidence and What Is Not. Newborn Infant Nurs Rev [Internet]. 2013 Jun;13(2):82–6. Available from:

Ranger M, Grunau RE. Early repetitive pain in preterm infants in relation to the developing brain. Pain Manag [Internet]. 2014 Jan;4(1):57–67. Available from:

Khasanah NN, Rustina Y, Syahreni E. Improving interaction between mother and premature infant through educational video and identification practice of premature infant’s cues. International Nursing Confrence. 2015.

Zwimpfer L, Elder D. Talking to and being with babies : the nurse – infant relationship as a pain management tool. 2012;15(3).

Jeong IS, Park SM, Lee JM, Choi YJ, Lee J. Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2014 Dec;8(4):261–6. Available from:

Williamson K. Comfort theory: A guided for practice of neonatal nursing. J Chem Inf Model. 2013;53(9):1689–99.

Vandenberg K, Browne J V, Ph D, Perez L, Ph D, Newstetter A. Getting to know your baby. Oakland: Mills Collage, Department of Education; 2003.

Cignacco EL, Sellam G, Stoffel L, Gerull R, Nelle M, Anand KJS, et al. Oral Sucrose and “Facilitated Tucking” for Repeated Pain Relief in Preterms: A Randomized Controlled Trial. Pediatrics [Internet]. 2012 Feb 1;129(2):299–308. Available from:

Liaw J-J, Yang L, Katherine Wang K-W, Chen C-M, Chang Y-C, Yin T. Non-nutritive sucking and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomised controlled crossover trial. Int J Nurs Stud [Internet]. 2012 Mar;49(3):300–9. Available from:

Lopez O, Subramanian P, Rahmat N, Theam LC, Chinna K, Rosli R. The effect of facilitated tucking on procedural pain control among premature babies. J Clin Nurs [Internet]. 2015 Jan;24(1-2):183–91. Available from:

Kucukoglu S, Kurt S, Aytekin A. The effect of the facilitated tucking position in reducing vaccination-induced pain in newborns. Ital J Pediatr [Internet]. 2015 Dec 21;41(1):61. Available from:

Zwimpfer L, Elder D. Talking to and being with babies: The nurse-infant relationship as a pain management tool. Neonatal, Paediatr Child Heal Nurs [Internet]. 2012 [cited 2017 Sep 12];15(3):10–4. Available from:;dn=245007495088948;res=IELHEA



  • There are currently no refbacks.

Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:


Lisensi Creative Commons

  View My Stats