Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
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This Author published in this journals
All Journal Journal of Epidemiology and Public Health Journal for Quality in Public Health
Sarwoko
School of Health Estu Utomo Boyolali, Central Java, Indonesia
Health Professions Public Health

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Medical Play Intervention as an Atraumatic Care Approach for Hospitalized Preschool Children: A Systematic Literature Review Titik Anggraeni; Sarwoko; Herbasuki; Sri Sayekti Heni Sunaryanti
Journal for Quality in Public Health Vol. 9 No. 2 (2026): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v9i2.618

Abstract

Hospitalization in preschool children can cause anxiety, fear, psychological stress, and uncooperative behavior during hospital treatment. Medical play is one of the atraumatic care approaches used to reduce the negative impacts of hospitalization on children. This study aimed to analyze the effectiveness of medical play interventions as an atraumatic care approach for hospitalized preschool children. The research method used was a Systematic Literature Review following the PRISMA guidelines. Articles were searched through the PubMed, Scopus, and ScienceDirect databases using keywords related to medical play, atraumatic care, preschool children, and hospitalization. The articles included were primary studies published between 2020–2025 that met the inclusion and exclusion criteria. A total of 9 primary articles were analyzed in this study. The synthesis results showed that medical play interventions were effective in reducing anxiety, fear, hospitalization stress, and psychological trauma in preschool children. In addition, medical play also improved children’s cooperative behavior during medical and nursing procedures. The forms of intervention included therapeutic play, storytelling, pretend play, and the use of toy medical equipment. The study concludes that medical play is an effective non-pharmacological intervention in the implementation of atraumatic care for hospitalized children. These findings can serve as a basis for the development of evidence-based nursing in pediatric nursing services and support the optimal implementation of atraumatic care in pediatric wards.
The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis Titik Anggraeni; Sarwoko; Herbasuki; Sri Sayekti Heni Sunaryanti
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.10

Abstract

Background: The rising global prevalence of type 2 diabetes (T2D) has prompted investigations into environmental risk factors beyond traditional lifestyle causes. Air pollution, particularly fine particulate matter (PM₂.₅) has emerged as a potential contributor to diabetes. This systematic review synthesizes evidence from large scale cohort studies to evaluate the association between long term air pollution exposure and T2D risk. Subjects and Method: We analyzed prospective cohort studies (2020–2025) assessing air pollution and incident T2D, sourced from PubMed, Web of Science and EMBASE using the search terms: ("air pollution" OR "PM2.5") AND ("type 2 diabetes" OR "T2D") AND ("cohort" OR "longitudinal"). We using PECO framework (Populatio= adults population; Exposure=High Exposure of PM2.5; Comparison=Low Exposure of PM2.5; Outcomes=T2D). The independent variable was Exposure of PM2.5 and dependent variable was T2D. Primary studies included were cohort manuscript published in english with year of publication between 2020 until 2025, reported adjusted hazard ratios (aHR), and the subjects was adults without diabetes at baseline. Studies were evaluated using the CASP Scale, and data were analyzed using RevMan 13. Results: This study includes 9 papers, using Cohort study designs, from China, United Kingdom, South Korea and United States. PM₂.₅ exposure consistently increased T2D risk with stronger effects at lower exposure levels (aHR = 1.24; 95% Cl = 1.07 to 1.42; p=0.004). Conclusion: Long-term PM₂.₅ exposure significantly increases T2D risk and progression
Co-Authors Herbasuki Sri Sayekti Heni Sunaryanti Titik Anggraeni