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IMPLEMENTASI PELAYANAN RAMAH ANAK MELALUI TEKNIK DISTRAKSI AUDIOVISUAL BAGI TENAGA KESEHATAN DI FASILITAS PELAYANAN KESEHATAN Desty Lismayanti; Yanti Rosmiyanti; Sumitro Sumitro; Sarini Sarini; Okti Rahayu Asih; Difa Nur Fadillah
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

Child-friendly healthcare services are essential to ensuring that children receive safe, comfortable, and psychologically supportive care during medical procedures. One of the most common causes of anxiety among preschool children is invasive procedures, particularly injections, which often result in fear, pain, and uncooperative behavior. Audiovisual distraction is a non-pharmacological intervention that has been shown to effectively reduce procedural anxiety and improve children's cooperation during clinical care. This community service program aimed to enhance the knowledge and practical skills of healthcare professionals in implementing audiovisual distraction techniques as part of child-friendly healthcare services in healthcare facilities. The program adopted a Participatory Learning and Action (PLA) approach involving 30 healthcare professionals, including nurses and midwives, through educational sessions, demonstrations, simulations, hands-on practice, and mentoring. Program evaluation was conducted using pretest–posttest assessments and observation checklists to measure participants' knowledge and competency in applying audiovisual distraction during pediatric procedures. The results demonstrated a significant improvement in participants' understanding of child-friendly care principles and their ability to integrate audiovisual distraction techniques into routine clinical practice. Healthcare professionals became more competent in selecting age-appropriate audiovisual media, establishing therapeutic communication with children and their caregivers, and creating a more supportive and less stressful clinical environment. Furthermore, the implementation of this program contributed to strengthening child-centered care practices by promoting positive healthcare experiences and reducing procedural anxiety among pediatric patients. This community empowerment initiative indicates that audiovisual distraction training is a practical, cost-effective, and sustainable strategy for improving the quality of pediatric healthcare services. Integrating this intervention into standard operating procedures is expected to enhance service quality, increase patient and family satisfaction, and support the development of child-friendly healthcare facilities
PEMBERDAYAAN CAREGIVER MELALUI PELATIHAN TERAPI MUSIK KLASIK UNTUK MENDUKUNG REHABILITASI ORANG DENGAN GANGGUAN JIWA BERBASIS KOMUNITAS Okti Rahayu Asih; Desty Lismayanti; Yanti Rosmiyanti; Sumitro Sumitro; Sarini Sarini; Gia Fadillah Lutfi
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

People with Mental Disorders (PMDs), particularly individuals with schizophrenia, require continuous rehabilitation to improve their functional abilities, social interactions, and overall quality of life. In community-based mental health services, caregivers play a crucial role in providing daily support and ensuring continuity of care at home. However, many caregivers have limited knowledge and practical skills regarding non-pharmacological interventions that can enhance the rehabilitation process. Classical music therapy is a simple, safe, and cost-effective complementary intervention that has been reported to promote relaxation, reduce anxiety, improve emotional stability, and enhance social functioning among individuals with mental disorders. This community service program aimed to strengthen caregivers' knowledge and practical skills in implementing classical music therapy as part of community-based rehabilitation for people with mental disorders. The program employed a Participatory Learning and Action (PLA) approach involving 30 caregivers through health education, demonstrations, hands-on practice, simulations, and continuous mentoring. Program effectiveness was evaluated using pretest–posttest assessments and observational checklists to measure participants' knowledge and competency in conducting classical music therapy sessions at home. The results demonstrated a significant improvement in caregivers' understanding of the principles of music therapy, appropriate music selection, therapy duration, and effective patient assistance during therapy sessions. Furthermore, caregivers reported increased confidence in managing patients' emotional responses, establishing positive communication, and encouraging greater participation in daily rehabilitation activities. The implementation of classical music therapy also strengthened caregivers' involvement in the recovery process and promoted a more supportive home environment for individuals with mental disorders. This community empowerment program indicates that classical music therapy training is a practical, sustainable, and low-cost strategy for enhancing caregivers' capacity and supporting community-based mental health rehabilitation. Integrating this intervention into community mental health programs is expected to improve the quality of life of people with mental disorders, strengthen family participation, and promote comprehensive and person-centered mental healthcare services.
IMPLEMENTASI EVIDENCE-BASED NURSING MELALUI PELATIHAN TERAPI NONFARMAKOLOGIS UNTUK MENINGKATKAN MUTU PELAYANAN KEPERAWATAN DI FASILITAS KESEHATAN Sarini Sarini; Desty Lismayanti; Yanti Rosmiyanti; Sumitro Sumitro; Okti Rahayu Asih; Difa Nur Fadillah
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

Evidence-Based Nursing (EBN) has become an essential approach in modern nursing practice by integrating the best available scientific evidence, clinical expertise, and patient preferences to improve the quality and safety of healthcare services. Despite the growing body of evidence supporting non-pharmacological interventions, their implementation in routine nursing practice remains limited due to insufficient knowledge, inadequate clinical skills, and the lack of standardized training among healthcare professionals. This community service program aimed to enhance nurses' knowledge and competencies in implementing evidence-based non-pharmacological therapies to improve the quality of nursing care in healthcare facilities. The program adopted a Participatory Learning and Action (PLA) approach involving 30 nurses through educational sessions, evidence-based practice workshops, clinical demonstrations, simulation exercises, hands-on training, and continuous mentoring. Participants received training on various evidence-supported non-pharmacological interventions, including relaxation techniques, breathing exercises, music therapy, guided imagery, distraction techniques, and therapeutic communication for pain, anxiety, and stress management. Program effectiveness was evaluated using pretest–posttest assessments and structured observation checklists to measure participants' knowledge and clinical competencies. The results demonstrated a significant improvement in nurses' understanding of Evidence-Based Nursing principles, their ability to critically appraise scientific evidence, and their practical skills in applying non-pharmacological interventions during patient care. Furthermore, participants reported increased confidence in integrating evidence-based complementary therapies into routine nursing practice, resulting in more patient-centered, safe, and holistic care. The program also strengthened participants' commitment to continuous professional development and promoted the adoption of evidence-based clinical decision-making within healthcare facilities. This community empowerment initiative demonstrates that training in evidence-based non-pharmacological therapies is an effective, sustainable, and practical strategy for improving nursing competencies and enhancing the quality of healthcare services. Integrating these interventions into clinical guidelines and continuing nursing education programs is expected to foster a stronger evidence-based nursing culture, improve patient outcomes, and support excellence in healthcare delivery.
PENERAPAN KOMBINASI INHALASI PEPPERMINT OIL DAN FISIOTERAPI DADA UNTUK MENINGKATKAN BERSIHAN JALAN NAFAS PADA ANAK BALITA DENGAN ISPA DI RUMAH SAKIT DEWI SRI KARAWANG (STUDI KASUS) Desty Lismayanti; Yanti Rosmiyanti; Sumitro Sumitro; Sarini Sarini; Okti Rahayu Asih; Aditia Rahmat Hidayat
Journal of Innovation Research and Knowledge Vol. 5 No. 1: Juni 2025
Publisher : Bajang Institute

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Abstract

Acute Respiratory Infection (ARI) is one of the most common health problems among toddlers and may lead to ineffective airway clearance due to the accumulation of respiratory secretions, which is characterized by coughing, shortness of breath, increased respiratory rate, and adventitious breath sounds. This study aimed to describe the implementation of a combination of peppermint oil inhalation and chest physiotherapy in improving airway clearance among toddlers with Acute Respiratory Infection at Dewi Sri Hospital Karawang. This study employed a case study method involving two toddler patients who experienced ineffective airway clearance. The intervention was administered for three consecutive days, and observations were conducted on respiratory rate, dyspnea, and adventitious breath sounds. The results showed an improvement in airway clearance in both subjects. In the first subject, the respiratory rate decreased from 42 breaths per minute to 35 breaths per minute, while in the second subject it decreased from 45 breaths per minute to 39 breaths per minute. In addition, dyspnea was reduced, secretion clearance became more effective, and adventitious breath sounds in the form of rhonchi decreased. Based on these findings, it can be concluded that the combination of peppermint oil inhalation and chest physiotherapy is effective in improving airway clearance among toddlers with Acute Respiratory Infection. This intervention may serve as an alternative non-pharmacological nursing intervention to help reduce secretion accumulation and improve respiratory function in toddlers
PENERAPAN TEKNIK DISTRAKSI AUDIOVISUAL (FILM KARTUN ANIMASI) UNTUK MENURUNKAN KECEMASAN ANAK USIA PRA SEKOLAH SAAT PROSEDUR PEMBERIAN OBAT MELALUI INJEKSI Sarini Sarini; Desty Lismayanti; Yanti Rosmiyanti; Sumitro Sumitro; Okti Rahayu Asih; Difa Nur Fadillah
Journal of Innovation Research and Knowledge Vol. 5 No. 1: Juni 2025
Publisher : Bajang Institute

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Abstract

Hospitalization is a crisis situation for children, when they are sick and must receive care in the hospital; the child tries to adapt to a new environment, unfamiliar people, and separation (Handayani & Daulima, 2020). Being separated from parents often triggers emotional responses in the form of anxiety, which can cause trauma during treatment, both in the long term and in the short term (Padila et al, 2020). When children face too much stress during hospitalization, this can worsen their development. The aim of this study is to determine the effect of audiovisual distraction techniques on the anxiety level of preschool children before and after the drug administration procedure by injection. Thus, this is a non-pharmacological intervention that can reduce anxiety and divert attention by carrying out distraction techniques. Data collection was carried out using a descriptive design method with a case study approach on two respondents. Data were collected through interviews, observation, and physical examination.This study’s results indicate an effect on reducing anxiety in preschool-aged children during the procedure of administering medication via injection using an audiovisual distraction technique (animated card film) (Novitasari,et al, 2021).