scholarly journals Gambaran Penerapan Terapi Bermain Mewarnai Gambar Terhadap Tingkat Kecemasan Anak Usia Prasekolah Akibat Hospitalisasi

2021 ◽  
Vol 1 ◽  
pp. 642-647
Author(s):  
Fanilia Sabela ◽  
Siti Rofiqoh

AbstractHozpitalization is a process that requires children to be hospitalized to receive therapy during the healing process. The children often experience various problem during hospitalization. One of them is anxiety that may be reduced through play therapy. This study aims to describe the implementation of play therapy by coloring pictures in reducing anxiety. This case study involved two preschool-aged children who experienced anxiety due to hospitalization. Anxiety level was measured by using Faces Anxiety Scale (FAS). Two patients were asked to play coloring pictures during hospitalization. Anxiety level was measured before and after the intervention. The results show that before the intervention the anxiety score in first patient was 3 while second patient was 2. After the intervention the anxiety score in both cases was 1. This case study indicate that play therapy can resolve anxiety among children undergoing hospitalization. This study suggests for nurses to implement play therapy by coloring pictures as an alternative way to reduce anxiety levels in preschool children due to hospitalization.Keywords: Hospitalization; anxiety; preschool; play therapy coloring picture AbstrakHospitalisasi adalah suatu proses yang mengharuskan anak dirawat di rumah sakit untuk mendapat terapi sampai proses penyembuhan. Masalah yang sering dialami oleh anak saat menjalani hospitalisasi adalah kecemasan. Salah satu cara untuk menurunkan kecemasan yaitu melalui terapi bermain. Penelitian ini bertujuan untuk menggambarkan penerapan terapi bermain mewarnai gambar dalam menurunkan tingkat kecemasan pada anak prasekolah akibat hospitalisasi. Desain penelitian berupa studi kasus pada 2 anak usia prasekolah yang mengalami kecemasan akibat hospitalisasi. Alat ukur kecemasan menggunakan Faces Anxiety Scale (FAS). Fokus intervensi berupa penerapan terapi bermain mewarnai gambar. Cara mengevaluasi dengan membandingkan skor kecemasan FAS sebelum dan sesudah intervensi. Hasil menunjukkan sebelum intervensi skor kecemasan pada kasus satu yaitu 3 sedangkan pada kasus dua yaitu 2. Setelah intervensi skor kecemasan pada kedua kasus yaitu 1. Hasil studi kasus ini menunjukan masalah kecemasan pada dua kasus teratasi. Kesimpulan terapi bermain mewarnai gambar terbukti dapat menurunkan kecemasan pada anak hospitalisasi. Saran bagi perawat diharapkan dapat menerapkan terapi bermain mewarnai gambar sebagai salah satu cara alternatif dalam meurunkan tingkat kecemasan pada anak prasekolah akibat hospitalisasi.Kata kunci: Hospitalisasi; kecemasan; terapi bermain; prasekolah

2021 ◽  
Vol 1 ◽  
pp. 648-652
Author(s):  
Sukna Nurul Afifah Tagayo ◽  
Siti Rofiqoh

AbstractHospitalization requirez patient tostay in the hospital to undergo various treatments until their condition is stable. Children who experienced hospitalization often interpreted as a punishment. As a result, children may feel anxious and afraid. This study aims to describe the implementation of puzzles as play therapy in reducing anxiety in hospitalized preschool-aged children. This case study involved two patient of prescool age children who had anxiety due to hospitalization. During hospitalization, children were invited to play puzzle for three days. The Preschool Anxiety Scale (PAS) was used to measure anxiety levels. The result of this case study shoved a decrease of anxiety scores in both cases. The PAS score before play therapy in the first patient was 39 points, while the second patient was 30 points. After playing puzzle, the PAS scale scores in both patient were 3 points. The conclusion of this study is play therapy using puzzle may reduce anxiety level in preschool age children who experiencing hospitalization. Therefore, nurses and families are suggested to implement puzzle as lternative play therapy for children who are hospitalized. Keywords : Hospitalization, Anxiety, Puzzle Playing Therapy AbstrakHospitalisasi adalah suatu keadaan yang mengharuskan anak tinggal di rumah sakit untuk menjalani perawatan sampai kondisinya stabil dan dapat kembali kerumah. Hospitalisasi seringkali diartikan anak sebagai hukuman sehingga ank akan merasa cemas dan takut. Penelitian ini bertujuan untuk menggambarkan penerapan terapi bermain puzzle dalam menurunkan kecemasan pada anak usia prasekolah yang mengalami hospitalisasi. Desain penelitian yang digunakan adalah rancangan studi kasus dengan subjek dua pasien anak usia prasekolah yang memiliki masalah kecemasan akibat hospitalisasi. Studi kasus dilakukan minimal tiga hari dengan fokus intervensi melakukan terapi bermain puzzle, alat ukur kecemasan yang digunakan yaitu Preschool Anxiety Scale (PAS). Hasil dari studi kasus ini menunjukkan adanya penurunan skor pada kedua kasus. Skor PAS sebelum terapi bermain pada kasus 1 yaitu 39 sedangkan pada kasus 2 yaitu 30, setelah dilakukan terapi bermain puzzle skor skala PAS pada kasus 1 dan kasus 2 memiliki kesamaan yaitu 3. Kesimpulan penerapan terapi bermain puzzle dapat menurunkan skor kecemasan pada anak usia prasekolah yang mengalami hospitalisasi. Saran bagi perawat dan keluarga yaitu untuk menerapkan terapi bermain puzzle pada anak sebagai salah satu alternatif untuk menurunkan kecemasan pada anak usia prasekolah yang mengalami hospitalisasi.Kata kunci : Hospitalisasi, Kecemasan, Terapi Bermain puzzle


2016 ◽  
Vol 40 (1) ◽  
pp. 81-87 ◽  
Author(s):  
AK Shanmugaavel ◽  
Sharath Asokan ◽  
John J Baby ◽  
Geetha Priya ◽  
J Gnana Devi

Objectives: The objective of the study was to assess the behavioral effects and the changes in the anxiety level of children after intranasal and sublingual midazolam sedation using Venham's clinical anxiety scale and salivary cortisol level. Study Design: Twenty children aged 3 to 7 years were randomly assigned to Group A (n=10) intranasal or Group B (n=10) sublingual midazolam (0.2mg/kg) sedation. The anxiety levels at various time periods were assessed using Venham clinical anxiety scale and corresponding changes in salivary cortisol levels were assessed before and after the drug administration. The anxiety levels were assessed independently by two pediatric dentists from recorded videos. Wilcoxon signed rank test and Mann Whitney U test were used for statistical analysis using SPSS version 19.0.Results: There was a significant decrease in anxiety level from baseline to 20 minutes after drug administration in group A (p=0.004) and group B (p=0.003). There was no significant change in salivary cortisol levels before and after the drug administration in group A (p=0.07) and group B (p=0.38). Conclusions: Both intranasal and sublingual administration of midazolam was equally effective in reducing the child's anxiety. However, there was no significant difference in the salivary cortisol levels in both groups.


Author(s):  
Indra Yulianti

Hospitalization is a new experience that can make the child be afraid, it can take effect for his physical and psychology because of a new environment and the officer. Afraid feels and uncertain feeling is a danger warning that can make the children take an action for the threat. As a result the child is not cooperative. Then the nurse can give the child distraction therapy with playing therapy. Playing therapy is to change the children problematic are playing with a situation. This research is to prove the influence of therapy playing cut and stick paper on an anxiety in preschool children hospitalization in Blambangan Room, RSUD Prof. Dr. Soekandar. The population is all of the preschool children, with design pre-experiment with one group pretest-posttest approach. The Sample 15 children are taken with consecutive sampling. 15 child is given playing therapy playing cut and stick paper. Collection of data taking with Spence Children’s Anxiety Scale. Then data is processed and tested by modus analysis.  The anxiety score of the child before is given playing therapy is 9 (60%) normal anxiety, 5 (33,3%) slight anxiety, 1 (6,7%) medium anxiety. The anxiety score of the child after given playing therapy is 15 (100%) decreased anxiety. There was a change from before and after therapy to play cutting and sticking paper. Decreased anxiety from this stressors is delivered on the hypothalamus that will stimulate the adrenal glands to perform vasodilatation of blood vessels so that blood pressure decreases.


2020 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Sri Mujiyanti Mungalim ◽  
Ris Ris Rismawati

Preschoolers are early childhood where the child has not stepped on the school year unfolds aged 3-6 years. Like adults, children can also be stricken with an illness and require hospitalization for the diagnosis and treatment of disease.So that these conditions become a factor stressors in children can cause anxiety. Overcoming anxiety levels in children, nurses in providing interventions should consider the needs of children in accordance growth.One of the activities to reduce children's anxiety is playing lego. The purpose of this study was to determine the effect of therapeutic activity against anxiety level playing lego preschool children (3-6 years) due to hospitalization. The research design used in this study is a quasi-experimental design studies with a one-shot approach of case study.Respondents in this research were 22 children, where data collectionby distributing questionnaires anxiety levels to be completed by the parent / guardian respondents. Data retrieval performed twice, ie before therapy and after playing lego play therapy. Processing data using a computer program. The average level of anxiety before is 111.86 and after63.50, the results of analysis using parametric statistical tests Paired t-test results P value = 0.000 meaning <α (0.05) it can be concluded that there is a significant effect between the level of anxiety before and after play therapy. Recommended to apply play therapy to reduce anxiety levels of preschool children who are being Hospital treated nursery in Banten Hospital.Keywords: Therapeutic Activities; Lego;Anxiety; Hospitalization


2018 ◽  
Vol 10 (2) ◽  
pp. 179-184
Author(s):  
Renty Fetriani

Anxiety is the impact of hospitalization experienced by pre-school children who can disrupt the child's development and healing process. This study aims to determine the influence of play therapy tells the story of anxiety levels of preschoolers who undergo hospitalization. Experimental pre experimental method using a pretest-postest one group design. Sampling technique is accidental sampling with sample of 30 respondents. Paired Test with significance level 95% (α <0,05). The results showed that the level of anxiety level before the play therapy tells story 28.00 and after the play therapy tells story 21.77, p value = 0.001 (<0.05) means there is a difference in children before and after doing play storytelling therapy is 6.33. The conclusion that the play storytelling therapy should be an alternative to decreasing the level of anxiety in children who underwent hospitalization In Dr. Rsud. M.Yunus Bengkulu. It is hoped that other researchers will be able to examine other factors that affect children's anxiety, such as anxiety due to separation, loss, injury, and pain. The research can be done by multiplying the sample being studied and using the comparison group, and the way of random sampling to obtain maximum results


Author(s):  
Indra Yulianti

Hospitalization is a new experience that can make the child be afraid, it can take effect for his physical and psychology because of a new environment and the officer. Afraid feels and uncertain feeling is a danger warning that can make the children take an action for the threat. As a result the child is not cooperative. Then the nurse can give the child distraction therapy with playing therapy. Playing therapy is to change the children problematic are playing with a situation. This research is to prove the influence of therapy playing cut and stick paper on an anxiety in preschool children hospitalization in Blambangan Room, RSUD Prof. Dr. Soekandar. The population is all of the preschool children, with design pre-experiment with one group pretest-posttest approach. The Sample 15 children are taken with consecutive sampling. 15 child is given playing therapy playing cut and stick paper. Collection of data taking with Spence Children’s Anxiety Scale. Then data is processed and tested by modus analysis.  The anxiety score of the child before is given playing therapy is 9 (60%) normal anxiety, 5 (33,3%) slight anxiety, 1 (6,7%) medium anxiety. The anxiety score of the child after given playing therapy is 15 (100%) decreased anxiety. There was a change from before and after therapy to play cutting and sticking paper. Decreased anxiety from this stressors is delivered on the hypothalamus that will stimulate the adrenal glands to perform vasodilatation of blood vessels so that blood pressure decreases.


Author(s):  
Vinnycius de Oliveira ◽  
Ricardo Viana ◽  
Naiane Morais ◽  
Gustavo Costa ◽  
Marilia Andrade ◽  
...  

This study compared the exergame beach volleyball’s acute effects on state anxiety level in single vs. multiplayer mode in adult men. Sixty adult men (age: 21.98 [4.58] years, body mass: 75.40 [15.70] kg, height: 1.77 [0.09] m, and body mass index: 24.19 [5.44] kg/m2; data are expressed as median [interquartile range]) were assigned to play exergame of beach volleyball in single- or multiplayer mode for approximately 30 min using the Xbox 360 Kinect®. The state anxiety level was evaluated before and after the intervention. There was no significant difference in the state anxiety levels after an exergame session between the single and multiplayer modes (p-value = 0.407, effect size (rB) = −0.12, defined as small). Furthermore, there was no significant difference in the state anxiety levels before and after an exergame session in single-player mode (p-value = 0.516, effect size (d) = 0.14, defined as trivial) and multiplayer mode (p-value = 0.053, rB = 0.43, defined as medium). In conclusion, state anxiety level after exergame beach volleyball did not differ between the single and multiplayer modes in adult men.


Author(s):  
Forough Parnianjooy ◽  
Arash Gholestaneh ◽  
Yamin Haghani

Introduction: Many patients experience anxiety when they visit a dentist and anxiety causes an increase in the patient's blood pressure, as well as an injection of epinephrine, is also effective in increasing the blood pressure of the patients. The aim of this study was to investigate changes in blood pressure following injection of lower jaw blocking with lidocaine containing 1: 80000 epinephrine and its association with anxiety level in patients Materials and Methods: In this cross sectional study, 129 patients referred to the dental school of Islamic Azad University of Khorasgan were selected and their blood pressure was measured before injection of anesthetic drug and ten minutes later. The anxiety level of the patients was determined using a dental anxiety inventory and the relationship between the level of anxiety and blood pressure in the patients before and after injection was measured. Data were analyzed by T-paired statistical test, regression and Pearson test. Results: There is a positive correlation between the patient's systolic and diastolic blood pressure before the injection and the anxiety score is significant (p value < 0.001). There was also a significant association between the degree of correlation between mean pressure and anxiety score (p value < 0.001). There was a positive and significant correlation between injection pressure and anxiety scores. (p value < 0.001). Conclusion: Lidocaine injection containing epinephrine 1: 80,000 in patients undergoing mandibular block is associated with a significant increase in patients' systolic blood pressure. There was also a significant relationship between patients 'levels of anxiety and blood pressure, which had a greater effect on patients' blood pressure than epinephrine injections.


Author(s):  
Hanum Nindialoka

Prisoners when facing the period of parole are certain to experience anxiety problems because of the negative stigma and social responses.The purpose of this case study is to reduce the prisoners’s anxiety symptoms by using Group Reality Therapy. The assessment method uses semi-structured interviews, observation, and the TMAS (Talyor Manifest Anxiety Scale) scale. The subjects were four inmates, male aged 22-23 years. The results of the assessment showed that the anxiety problems experienced by the subjects were at a moderate level of anxiety. Analysis by comparing before and after psychological intervention. The results of psychological intervention using Group Reality Therapy showed a decrease in anxiety symptoms.


2020 ◽  
Vol 1 (1) ◽  
pp. 14-26
Author(s):  
Ilmiyana Hikmah

Abstract : The purpose of this study was to develop a training package expressive writing as catharsis media introverted high school student anxiety. The research model used adapts from Borg and Gall. The product has been through expert test of BK, media, language and test of product user candidate and operational test. Data were collected using an anxiety scale questionnaire, introverted questionnaires, interviews and documentation studies. Data analysis techniques use descriptive statistics. The distribution of anxiety scale questionnaires and introverted scale is done in SMA 1 Pasuruan, distributed to 70 students in grade 10. From the division of questionnaires proved some students have high levels of anxiety and tend to introvert. Results of the assessment expert testing and test prospective users stating the product has met the eligibility criteria, accuracy, usefulness, the attractiveness and convenience. The results of product operational tests show that there are differences in anxiety levels of students before and after being treated using expressive writing training packages. For the introverted scale there are differences in introverted levels of students before and after being treated. Keywords : Training Packages, Expressive Writing, Catharsis, Anxiety, Introverts.


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