Sumarti Endah Purnamaningsih Maria Margaretha
Karya Husada Health Polytechnic, Yogyakarta

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APPLICATION OF PLAY THERAPY USING BUSY BOOKS TO REDUCE ANXIETY IN PRESCHOOL CHILDREN DUE TO HOSPITALIZATION IN THE WEST ASTER WARD OF SARDJITO HOSPITAL Aliefia Rahmawati; Sumarti Endah Purnamaningsih Maria Margaretha
Jurnal Kesehatan Karya Husada Vol 14 No 1, Maret (2026): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

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Abstract

Background: Hospitalization in preschoolers causes anxiety in children, if left unchecked, can worsen the child's health condition. One of the therapies that can be done to reduce anxiety is to play therapy with a busy book. Objective: to find out an overview of the application of play therapy with busy book media in reducing anxiety in preschool-age children due to hospitalization in the West Aster Ward of Sardjito Hospital. Methods: Using a descriptive case study of one child who met the inclusion criteria. The intervention was carried out for three days with a total of three times of therapy, and anxiety level measurement using the Face Image Scale (FIS). Results: the application of play therapy with busy book media which was carried out for three days with a total of three therapies was obtained before and after therapy with an initial score of 5 (severe anxiety) with the child's facial expression showing the corners of the lips were very bent under the chin until crying, and after the therapy was carried out play therapy busy book To be a score of 2 (not anxious) with the child's waah expression showing the corner of the lips slightly raised upwards towards the eyes. Conclusion: Play therapy with Busy Book media has been shown to be effective in reducing anxiety levels in preschoolers aged 3-6 years due to hospitalization.
APPLICATION OF CHEMOTHERAPY MONITORING IN CHILDREN WITH CANCER IN THE ASOKA BARAT WARD OF DR. SARDJITO GENERAL HOSPITAL Alvina Nur Khaylila; Sumarti Endah Purnamaningsih Maria Margaretha
Jurnal Kesehatan Karya Husada Vol 14 No 1, Maret (2026): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v14i1, Maret.800

Abstract

Background: Childhood cancer is an abnormal and uncontrolled growth of cells that attacks growth and development in children. Chemotherapy is one of the cancer treatments that causes side effects, such as nausea, vomiting, and fatigue. Monitoring at the chemotherapy stage (pre, intra, and post) is carried out to ensure safety and comfort during therapy. Objective: To find out the results of chemotherapy monitoring in children with cancer in the West Asoka Room of Dr. Sardjito Hospital. Methods: using a descriptive case study method of four children undergoing chemotherapy with the drug Etoposid. Monitoring was carried out in three stages, namely pre, intra, and post chemotherapy. Data was collected through observation, interviews, and documentation studies using monitoring sheets set by the hospital. Results: Of the four respondents who underwent Etoposid chemotherapy, three children (75%) experienced nausea, while one child (25%) experienced no side effects. Side effects such as shock, allergies, or seizures were not found. Conclusion: From the monitoring results, three out of four children experienced nausea. Monitoring provides benefits in maintaining safety during chemotherapy.
APPLICATION OF FINGER GRIP RELAXATION TECHNIQUES TO REDUCE PAIN IN POSTOPERATIVE PATIENTS IN ALAMANDA 2 ROOM, SLEMAN GENERAL HOSPITAL (RSUD SLEMAN) Rafa Zahra Fauziyyah; Sumarti Endah Purnamaningsih Maria Margaretha
Jurnal Kesehatan Karya Husada Vol 14 No 1, Maret (2026): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

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Abstract

Background: Postoperative pain is a common problem that can affect patient comfort, healing, and psychological well-being. Effective pain management should not rely solely on pharmacological therapy but also incorporate non-pharmacological techniques such as finger hold relaxation, which has been proven to reduce pain intensity. Objective: This study aims to describe the application of the finger hold relaxation technique in reducing postoperative pain in patients at Alamanda 2 Ward, Sleman Regional General Hospital. Methods: A descriptive case study design was used involving one postoperative appendectomy patient who reported a pain score of 5 according to the Numeric Rating Scale (NRS). The intervention was performed for 15 minutes, twice daily, over three consecutive days. Pain was measured before and after each session. Results: The results showed a gradual reduction in pain from 5 (moderate pain) to 2 (mild pain), accompanied by stable vital signs throughout the intervention period. Conclusion: The finger hold relaxation technique is effective, simple, and safe in reducing postoperative pain and can be considered a holistic, non-pharmacological approach to support patient recovery.
IMPLEMENTATION OF GUIDED IMAGINATION THERAPY TO REDUCE ANXIETY IN PRE-OPERATIVE PATIENTS IN THE WEST PADMANABA WARD OF DR. SARDJITO GENERAL HOSPITAL, YOGYAKARTA Tuty Aprilia Handayani; Sumarti Endah Purnamaningsih Maria Margaretha
Jurnal Kesehatan Karya Husada Vol 14 No 1, Maret (2026): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v14i1, Maret.802

Abstract

Background: Surgery is a medical procedure performed by dissecting or opening a body part. Patients undergoing surgery often experience nursing problems such as anxiety. Preoperative patient anxiety requires nursing intervention. One of the non-pharmacological therapies is guided imagery which aims to reduce anxiety before surgery. Based on 2023 data, services in the operating room of Dr. Sardjito General Hospital reached 131.4% or 24,461 surgical procedures, showing a significant increase compared to the previous year. Objective: Describe the implementation of guided imagery therapy in reducing the anxiety scale in preoperative patients in the West Padmanaba ward of Dr. Sardjito General Hospital Yogyakarta. Method: Descriptive case study on one patient with preoperative anxiety. Guided imagery therapy was carried out for 10-15 minutes, three times until the patient was about to undergo surgery. Data were obtained through measuring the anxiety scale with the Hamilton Anxiety Rating Scale (HARS) questionnaire before and after implementation. Results: After three sessions of therapy, the patient's anxiety scale decreased from 25 to 15. Conclusion: It was found that guided imagery therapy was able to reduce the anxiety scale in preoperative patients. Suggestion: Guided imagery therapy can be used as a non-pharmacological alternative to reduce anxiety in preoperative patients.