Terapi Bermain Congklak Dapat Menurunkan Kecemasan Anak Selama Hospitalisasi

Anak yang dirawat dirumah sakit sebagain besar mengalami kecemasan. Salah satu cara menurunkan kecemasan adalah dengan bermain. Congklak merupakan permainan tradisional yang menyenangkan bagi anak, dapat meningkatkan kemampuan motorik halus dan menurunkan kecemasan anak. Tujuan penelitian untuk mengetahui pengaruh terapi bermain congklak terhadap kecemasan anak selama hospitalisasi. Penelitian dilakukan di RS PKU Muhammadiyah Gombong menggunakan desain quasi eksperiment dengan pendekatan one group pre-test-post-test. Sampel berjumlah 34 anak yang diambil dengan purposive sampling. Tingkat kecemasan diukur menggunakan instrumen Facial Image Scale (FIS) sebelum dan setelah terapi bermain. Analisis data menggunakan uji paired t-test. Hasil penelitian menunjukan kecemasan anak menurun dari sedang menjadi ringan setelah dilakukan terapi bermain congklak. Ada pengaruh terapi bermain congklak terhadap kecemasan anak selama hospitalisasi. Penelitian selanjutnya diharapkan menerapkan beberapa metode bermain yang berbeda guna mengetahui metode permainan yang paling efektif menurunkan tingkat kecemasan anak pra sekolah selama hospitalisasi.

The Efficacy of Little Lovely Dentist, Dental Song, and Tell-Show-Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

Introduction. Dental anxiety is a common occurrence in patients undergoing dental treatments, especially in children. The success in paedriatric dental treatments and patient comfort depends on controlling the level of patient’s anxiety in clinical settings. This study is aimed at evaluating the efficacy of different techniques applied for the reduction of dental anxiety in paediatric patients. Material and Methods. One hundred and sixty participants were divided into 4 groups; each group having 40 patients as follows: group I: mobile application “little lovely dentist,” group II: YouTube® “dental video songs,” group III “tell-show-do,” and group IV “control.” Dental prophylaxis treatments were provided to all the participants. Initial anxiety levels were noted during the patient’s education phase by measuring heart rate with pulse oximeter and distress level with facial image scale, at the same time in each group, respectively. The postoperative anxiety was noted later with the same methods, after the application of anxiety reduction techniques. The data obtained were entered in the statistical package for the social sciences software, version 25. One-way ANOVA and paired t -test for matched groups were used to compare mean values of the 4 groups, in this study to determine their effectiveness. A p value of ≤0.05 was considered as statistically significant. Results. The mean age of patients in group 1 was 6.8 ± 2.1 years, group 2: 8.15 ± 2.27 years, group 3: 7.5 ± 2.3 years, and group 4: 7.27 ± 1.68 years. The intragroup comparisons of heart rate and facial image scores have shown a significant difference in before and after dental treatment procedures. Marked reduction in heart rate and facial image scale scores were found in patients belonging to group 1 (mobile applications) and group 2 (dental video songs). An increase in heart rate and facial image scale scores was seen in group 3 (tell-show-do) and the control group. Conclusion. The paediatric dental anxiety is a common finding in dental clinics. Behavior modification techniques like smartphone applications, “little lovely dentist,” and “dental songs” can alleviate dental anxiety experienced by paediatric patients. The “tell-show-do” technique although most commonly used did not prove to be beneficial in the reduction of the anxiety levels.

Effect of Music Intervention on Anxiety in Patients Undergoing Periodontal Surgery: A Pilot Study

Objective: The effect of music listening on blood pressure (BP), heart rate (HR) and anxiety level (AL) was investigated for thirty patients undergoing periodontal surgery. Methods: A total of sixty patients referred for periodontal surgery were randomized into two equal groups as i) without music (control), and ii) with music (test). Before and after the procedure, BP and HR were recorded. All patients responded to AL assessment using facial image scale (FIS) before and after surgery. After listening to music before and during the procedure BP, HR and AL were assessed for the test group. Results: Systolic BP (SBP) in both groups increased but showed no statistically significant difference between the two groups (p>0.05). Diastolic BP (DBP) increased after treatment with no statistically significant difference (p>0.05) between test (4.70 mmHg) and control (6.20 mmHg) groups. HR decreased after the procedure in both test and control groups (8.40 vs. 9.03 beats per minute) with no statistically significant difference between the two groups (p>0.05).AL after the procedure decreased in both groups but with no statistically significant difference (p>0.05). Conclusion: Only HR and AL decreased after music intervention.However, no differences in BP, HR and AL were found between groups with and without music. This clinical trial was registered with TCTR (Thai Clinical Trials Registry) code TCTR20190411004.

Comparación de tres escalas de ansiedad: RMS pictorial scale (RMS-PS); Venham picture test (VPT) y Facial image scale (FIS)

Introducción: La evaluación de la ansiedad dental en pacientes pediátricos es tan importante como la realización del tratamiento. El conocerla, ayudará al especialista a considerar distintas opciones de manejo específicas para cada niño, lo que permitirá aumentar la confianza del paciente y sus padres.Objetivos: Comparar la ansiedad dental usando 3 escalas de medición: RMS Pictorial Scale (RMS-PS), Venham Picture Test (VPT) y Facial Image Scale (FIS) en niños de 4–10 años durante su primera cita dental en el centro odontológico de la Universidad Científica del Sur.Material y métodos: Un total de 50 niños entre 4-10 años de edad en su primera cita dental fueron seleccionados al azar. El nivel de ansiedad se midió utilizando los tres tipos de escalas. Se utilizó la prueba de Chi-cuadrado para determinar la asociación de las variables; y la prueba de Kappa para obtener la concordancia entre las 3 escalas.Resultados: Al evaluar el nivel de concordancia, se encontró una concordancia débil entre FIS y RMS-PS (K= 0,366); y pobre entre FIS y VPT (K= 0,227); y VPT y RMS-PS (K= 0,291). No se encontró asociación estadísticamente significativa entre las 3 escalas asociadas a género y edad; y tampoco en cuanto a la preferencia según género (p>0.05). Sin embargo, según edad si hubo asociación estadísticamente significativa (p<0.05).

Anxiety level differentiation in 6-12 years old children before and after loss dental care using topical anasthesy at Dental Hospital Hasanuddin University

Anxiety is a psychological and physiological condition which signed by emotion, cognitive, and someone’s behavioral component. Anxiety behavior has long been recognized as the most difficult aspect in the management of patients and may frustrate a dental treatment that will be carried out, especially in children ages 6-12 years. Fear of treatment tooth extraction and local anesthesia is the main reason for kids disliking dental care. This type of research is observational analytic with nonprobability sampling technique, because this study used a population of pediatric patients who visited the location of the research that has been determined. Total sample of this research are 30 people who fulfill the criteria. The sample consist of 16 boys and 14 girls with age range of 6 to 12 years old. The level of anxiety before and after tooth extraction assessed using Facial Image Scale (FIS). Facial Image Scale (FIS) has five criteria which describe the level of anxiety in children, very happy by point 1, happy by point 2, normal by point 3, unhappy by point 4, and very unhappy by point 5. The results of the analysis of differences in anxiety with FIS measurement tools show there are differences in the level of anxiety in children before and after tooth loss based on the location of the jaw, the type of anesthesia applied topically, gender, and overall. Overall, there is a difference in children before and after tooth loss and the difference is significant