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All Journal Jurnal Keperawatan Indonesia Public Health of Indonesia Citra Delima Scientific journal of Citra Internasional Institute Jurnal 'Aisyiyah Medika Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Lentera Perawat International Journal of Scientific and Professional Citra Delima Scientific journal of Citra Internasional Institute Jurnal Inspirasi Kesehatan (JIKA) Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Kepada Masyarakat Citra Delima Journal of Nursing Science Research
Suraya, Citra
Program Studi Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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DEVELOPMENT OF THE CITRA NURSING MODULE (COMMUNICATION THROUGH INTERACTIVE THERAPEUTIC  AND REFLECTIVE STORYTELLING APPROACH) TO REDUCE ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/dwasha29

Abstract

Background: Hospitalization often triggers significant anxiety in preschool children due to unfamiliar environments, separation from parents, and invasive procedures. Interactive and therapeutic communication approaches are essential to support children’s emotional stability during care. Objective: This study aimed to develop and evaluate the CITRA Nursing Module (Communication through Interactive Therapeutic and Reflective Storytelling Approach) as an intervention to reduce hospitalization anxiety in preschool children. Methods: This research employed a Research and Development design using the ADDIE model. The module was developed through literature review, expert validation, and preliminary observations, then tested on 46 hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang between February and July 2025. Anxiety levels were measured before and after the intervention using a validated anxiety instrument for preschoolers. Paired statistical tests were used to determine intervention effectiveness. Results: The CITRA module was effective in reducing hospitalization anxiety. Post-intervention scores showed a significant decrease, indicating improved emotional comfort and coping abilities. Feedback from nurses and parents confirmed the module’s feasibility, practicality, and acceptability in clinical practice. Conclusion: The CITRA Nursing Module is an effective intervention for reducing hospitalization anxiety in preschool children. Its implementation has the potential to strengthen therapeutic communication and support child-centered hospitalization practices. Further research with a larger and more diverse population is recommended to enhance the generalizability of the findings.
DEVELOPMENT OF THE ARIS MODULE (ANXIETY AND DEPRESSION REDUCTION THROUGH ISLAMIC SPIRITUAL CARE) FOR CHRONIC ILLNESS NURSING PRACTICE Wisuda, Aris Citra; Suraya, Citra; Sansuwito, Tukimin bin; Deviliawati, Atma; Rosalina, Santi; Hz, Heriziana; Utama, Yofa Anggriani
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/y6z49f93

Abstract

Anxiety and depression are common psychological problems experienced by patients with chronic illnesses, potentially worsening their clinical condition and quality of life. Nursing interventions that integrate an Islamic spiritual approach are considered to have the potential to enhance psychological calmness when coping with long-term disease. This study aimed to develop and assess the effectiveness of the ARIS Module (Anxiety and Depression Reduction through Islamic Spiritual Care) as a nursing intervention guideline to address anxiety and depression among patients with chronic illnesses. The study employed a Research and Development (R&D) design using the ADDIE model, which includes needs analysis, design, content development, implementation in nursing practice, and evaluation. Effectiveness testing was conducted through a quasi-experimental pretest–posttest design involving 140 chronic illness patients who received care from January 2025 to July 2025 at Siti Khadijah Islamic Hospital Palembang. The Hamilton Anxiety Rating Scale (HARS) and the Beck Depression Inventory-II (BDI-II) were used as measurement instruments. The findings revealed that the implementation of the ARIS Module significantly reduced anxiety and depression levels (p < 0.05) compared to pre-intervention scores. Patients also reported improved spiritual comfort and emotional support from nurses. This module was considered feasible, practical, and relevant for use in nursing practice focused on holistic care. The study recommends broader implementation of the module across various nursing services and the development of training programs to enhance nurses’ competencies in spiritual care.
Co-Authors Adelia, Raden Ayu Dhiyaa agustina, novita Andika Sasmita Putra, Muhamad Ardi Dwi Saputra Arif Budiyono Aris Citra Wisuda, Aris Citra Wisuda Asrini, Putri Puji Atikasari Atikasari Bin Sansuwito, Tukimin Desvitasari, Helsy Deviliawati, Atma Dian Emiliasari Dioso, Regidor III Dwi Saputra, Ardi Emiliasari, Dian Erpina, Eli Ersita, Ersita Fermata Sari Hamdan, Ichsan Nur Hasana, Pitri Helsy Desvitasari Heriziana Hz Husin Husin, Husin Hz, Heriziana Isrizal KK, Indra Frana Jaya Kurniasari, Indri Manisha, Manisha Martilopa, Iis Masniati Arafah Miming Oxyandi Muhamad Andika Sasmita Saputra Nainggolan, Sutrisari Sabrina Nuriza Agustina Oxyandi, MIming Oxyandi, Miming Oxyandi Patimah Patimah Pratiwi, Penti Meka Putry, Mayang Novyanti Rachmawaty, Lusy Raden Surahmat Regidor III Dioso Regidor III Poblete Dioso Rifka Zalila Rosalina, Santi Rusmarita Sansuwito, Tukimin bin Saputra, Muhamad Andika Sasmita Sari, Indah Tirta Sasmita Saputra, Muhamad Andika Sidik, Abu Bakar Sujariah, Fitri Suzanna, Suzanna Tukimin Tukimin bin Sansuwito Utama, Yofa Anggriani Wijaksana, M. Agung Wisuda, Aris Citra Wisuda, Aris Citra Wisuda