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The Effect Of Finger Puppet On Pain Intensity During Infusation In Preschool Children Sukmandari, Ni Made Ari; Pradnyani, Ida Ayu Putu Dewi; Sukriyanti, Putu Ari
jitek Vol 12 No 1 (2024): September 2024
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v12i1.1431

Abstract

The main stressor for children when undergoing treatment is fear of pain. Untreated pain experiences lead to physiological and psychological consequences in children over a long period of time. The purpose of this study was to determine the effect of finger puppets on pain intensity during infusion installation in pre-school children in the cilinaya room of RSD Mangusada. This study used quasi-experimental with non-equivalent with control group design post-test only, the intervention group was given finger puppets during infusion installation and the control group accompanied by parents with a sample number of 15 respondents each. The sampling technique is accidental sampling with inclusion and exclusion criteria. Data collection instruments in the form of finget puppet therapy SOPs and FLACC observation sheets were analyzed univariately and bivariately with independent sample tests. The average pain was 3.20 in the intervention group and 7.67 in the control group and the independent sample test found a p value of 0.000 which means that there is an effect of finger puppet administration on pain intensity during infusion in pre-school children. Finger puppets are effectively applied in the pediatric care room of RSD Mangusada to reduce the intensity of pain during infusion installation.
Relationship Between Mother’s Age, Birth Weight and Prematurity With The Incidence of Asphyxia at RSD Mangusada-Bali Sukmandari, Ni Made Ari; Mey Ani, Ni Luh Putu; Sukriyanti, Putu Ari
Jurnal Kesehatan Terpadu (Integrated Health Journal) Vol 16 No 1 (2025): Jurnal Kesehatan Terpadu (Integrated Health Journal)
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkt.v16i1.605

Abstract

Asphyxia neonatorum is a condition where a baby cannot breathe spontaneously and regularly immediately after birth. One of the causes of asphyxia is the mother's age, prematurity and the baby's birth weight. The aim of this study was to determine the relationship between maternal age, birth weight, prematurity with the incidence of asphyxia. This research is a correlational study with an analytical description design and uses a cross sectional approach. Respondents in this study were 36 respondents who were selected by accidental sampling with inclusion and exclusion criteria. This research instrument used an observation sheet which had previously been tested and the research data was analyzed univariately and bivariately with the Spearman rank test (α = 0.05). The average age of the mother is 31.86 years, the birth weight of the baby is 2,462 grams and the gestational age is 35 weeks with an average APGAR score of 4. The Spearman rank test showed that there was a relationship between maternal age (p value 0.002), birth weight (p value 0.03) and prematurity (0.04) with the incidence of asphyxia at RSD Mangusada. Pregnant women are expected to carry out periodic antenatal care checks and avoid factors inhibiting fetal development during pregnancy.
The Effectiveness of Warm Compresses and Tepid Sponge Baths on Body Temprature in Toddlers Who Have a Fever on the First Day Sukmandari, Ni Made Ari; Triana, Komang Yogi; Sukriyanti, Putu Ari
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.300

Abstract

Toddlers are susceptible to fever because their immune systems are immature. Non-pharmacological managements, such as warm compresses and tepid sponge baths, are commonly used to reduce fever. This study aimed to determine the effectiveness of warm compresses and tepid sponge baths in lowering body temperature in toddlers on the first day of fever. A quasi-experimental pretest-posttest non-equivalent control group design was used, involving 30 toddlers at TK II Udayana Denpasar Hospital. Respondents were selected through purposive sampling and divided into two groups: tepid sponge (n=15) and warm compress (n=15). Subjects belonging to the intervention group were administered tepid sponge baths, and subjects in the control group were applied warm compresses. Each group was given 20 minutes of treatment using lukewarm water with a temperature no higher than 43°C. Body temperature was measured using a calibrated digital thermometer before and after the intervention. The data were analyzed using paired t-tests for within-group differences and independent t-tests for between-group comparisons. Both interventions significantly reduced body temperature in toddlers with fever on the first day (p=0.001). The average temperature decrease in the tepid sponge group was 1.14°C (p value 0,001), slightly higher than the temperature drop in the warm compress group, which is 0.99°C (p value 0,001). Statistical analysis showed a significant difference in effectiveness between the two interventions (p value 0.001), with tepid sponge being more efficacious. Tepid sponge baths are more effective than warm compresses in reducing fever in toddlers on the first day. Nurses are encouraged to apply tepid sponge therapy as an alternative to pharmacological interventions to minimize the side effects of antipyretic drugs.