ASUHAN KEPERAWATAN ANAK PADA BAYI Ny C DENGAN PEMBERIAN MINYAK VCO UNTUK MENGATASI KERUSAKAN INTEGRITAS KULIT PADA BAYI HIPERBILIRUBIN DI RUANG PERINA RUMAH SAKIT HJ BUNDA HALIMAH KOTA BATAM TAHUN 2025

ABSTRACTHyperbilirubinemia is defined as an increase in total serumbilirubin (TSB) ≥ 5 mg/dl (86 μmol/L). This condition can occur ininfants with various gestational ages, and in those born at 35weeks of gestation, the prevalence reaches approximately 60%.Infants with hyperbilirubinemia generally require managementwith phototherapy, a light-based treatment that converts water-insoluble bilirubin into a soluble form, making it easier to beexcreted through urine and feces. Although effective, prolongedexposure to phototherapy may lead to side effects such as dryskin, cracking, and even irritation due to increased fluidevaporation on the skin surface. To minimize these risks, VirginCoconut Oil (VCO) can be applied as a natural alternative for skincare. This study employed a case study method with directobservation of a pediatric patient in the NICU of Hj. BundaHalimah Hospital, Batam City. Data collection was carried outthrough family interviews, clinical observation, anddocumentation analysis. The assessment revealed several nursingdiagnoses, including: Neonatal jaundice related to increasedbilirubin levels. Ineffective breastfeeding. Risk of impaired skinintegrity associated with pigmentation. Following theintervention, bilirubin levels decreased to near-normal values,the skin and sclera returned to normal coloration, the infant wasable to breastfeed actively, and the skin remained moist withoutany signs of irritation. Conclusion: Routine skin care using VCOproved effective in maintaining skin moisture and preventingirritation in infants undergoing phototherapy.Keywords: Phototherapy, Virgin Coconut Oil (VCO),Hyperbilirubinemia