CORRELATION OF NUTRITION WITH CHANGES IN BILIRUBIN LEVELS IN HYPERBILIRUBINEMIA NEONATES AT WALED HOSPITAL, CIREBON REGENCY

The incidence of neonatal jaundice or hyperbilirubinemia in developing countries is around 50% in
normal newborns, while about 80% in premature babies (premature). One of the management for
hyperbilirubinemia neonates is nutrition. The purpose of this study was to identify the relationship
between nutritional provision and changes in bilirubin levels in hyperbilirubinemia neonates at Waled
Hospital, Cirebon Regency.
This type of research is quantitative research with an analytic correlation design using a case
control approach. The population and sample of this study were neonates with
hyperbilirubinemia in the Neonatal Care Room at Waled Hospital, Cirebon Regency. Samples
were taken using accidental sampling for one month, namely on 01-30 June 2023 as many as 34
respondents. Respondents were observed for 3 (three) consecutive days. The instrument used
was an observation sheet, namely a medical record documentation study sheet. Data analysis
used the Spearman Correlation test.
The results of this study showed that most (67.6%) of the nutrition for hyperbilirubinemia
neonates was given appropriate nutrition, and the majority (64.7%) of the bilirubin levels in
hyperbilirubinemia neonates after 3 (three) days of monitoring nutrition decreased. The results
of the Spearman Rank Correlation Test obtained a p-value of 0.001 <0.05 where it was said
that there was a relationship between nutrition and changes in bilirubin levels. A positive r
(Correlation Coefficient) value was obtained by having a moderate category of 0.542 so that the
relationship between the two variables was in the same direction, thus it could be interpreted
that the provision of appropriate nutrition can reduce bilirubin levels.
Bilirubin levels in hyperbilirubinemia neonates undergo changes, namely a decrease in
bilirubin levels, based on appropriate nutrition. It is expected that nurses can improve nursing
care for hyperbilirubinemia neonates in an effort to optimize growth and development from the
beginning of life.