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Penerapan Terapi Bermain Jenga terhadap Tingkat Kecemasan Anak Prasekolah yang Menjalani Hospitalisasi: Studi Kasus Heni Eliyani; Veroneka Yosefpa Windahandayani; Sri Indaryati
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.359

Abstract

Hospitalization in preschool children (3–6 years old) often causes psychological crises in the form of anxiety due to separation, pain, and loss of control that can hinder the nursing care process. Jenga play therapy is an effective non-pharmacological nursing intervention as a distraction technique to divert children's attention from fear of the hospital environment. This study aims to analyze the implementation of nursing care in preschool children with a nursing diagnosis of anxiety through Jenga play therapy intervention during hospitalization at Bhayangkara M. Hasan Hospital, Palembang. A descriptive case study design was conducted on three children with a nursing process approach that includes assessment and evaluation. Measurement of anxiety levels was carried out using the Spence Children's Anxiety Scale (SCAS) Preschool instrument. The intervention was given in one session per day for 20 minutes for three consecutive days in June 2026. The results of the implementation showed a decrease in anxiety scores by an average of 6 points. In addition, positive behavioral changes were seen where the child appeared more cooperative, calm, and confident and smiled more on the third day. In conclusion, Jenga play therapy has been proven to be effective in reducing anxiety and can be integrated as an evidence-based intervention in the application of atraumatic care to help the child's psychosocial adaptation process during hospitalization.
Penerapan Terapi Autogenik terhadap Penurunan Kadar Glukosa Darah pada Penderita Diabetes Melitus Tipe II di Kota Palembang Anisa Fitriani; Sri Indaryati; Sanny Frisca
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.360

Abstract

Background: The increase in the prevalence of diabetes mellitus is closely related to lifestyle changes such as an unhealthy diet high in sugar, fat, and salt, lack of physical activity, obesity, sedentary behavior due to excessive use of gadgets, and prolonged stress. These factors are the main triggers for insulin resistance and increased blood glucose. Stress in diabetic patients can lead to increased blood glucose or hyperglycemia. Stress among people with diabetes can be caused by many factors. Uncontrolled chronic hyperglycemia accompanied by a long duration of DM increases the risk of complications. As a nonpharmacological hyperglycemia management effort, autogenic relaxation is often referred to as Self-Hypnosis which is a self-directed technique to lower stress through the integration of visual imagination and body awareness. Objective: Apply Autogenic Therapy to Reduce Blood Glucose Levels in Patients with Type II Diabetes Mellitus in Palembang City. Methods: Case study, conducted 2 times a day within 3 days on 3 respondents. Results: All sessions showed average values decreased in the range of 1 to 9 mg/dl, meaning that GDS post was always lower than pre. The largest difference occurred at R3 day 3 afternoon sessions 51 mg/dl, R2 day 2 morning 18 mg/dl, R1 day 3 morning 17 mg/dl. Conclusions: There was a decrease in GDS in all respondents after being given the autogenic relaxation technique after 3 days of application.
HUBUNGAN SELF-CARE DENGAN RISIKO STROKE PADA KLIEN HIPERTENSI Sri Indaryati; Veroneka Yosefpa Windahandayani; Novita Elisabeth Daeli
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.8367

Abstract

Latar Belakang: Prevalensi hipertensi meningkat berbanding lurus dengan ancaman komplikasi stroke. Risiko ini memburuk jika perilaku perawatan mandiri (self-care) pasien dalam mengendalikan tekanan darah tidak optimal. Rendahnya perilaku self-care diduga kuat berkaitan erat dengan tingginya kejadian stroke mendadak. Tujuan: Mengetahui hubungan antara self-care dengan risiko stroke pada pasien hipertensi. Metode: Penelitian kuantitatif korelasional ini melibatkan 53 responden di Wilayah Kerja Puskesmas Sukarami Palembang yang dipilih menggunakan teknik purposive sampling. Pengumpulan data menggunakan instrumen Hypertension Self-Care Activity Level Effects (H-SCALE) dan Stroke Risk Scorecard dari National Stroke Association (NSA). Uji signifikansi menggunakan analisis Kendall’s Tau-B. Hasil: Responden yang memiliki tingkat self-care baik (54,9%), tingkat risiko stroke didominasi oleh kategori tinggi (75,5%). Hasil uji bivariat menunjukkan nilai p-value = 0,009 dengan koefisien korelasi sebesar -0,334. Kesimpulan: Terdapat hubungan signifikan dengan arah negatif antara perilaku self-care dan risiko stroke. Semakin optimal pasien menerapkan self-care, semakin rendah risiko serangan stroke. Edukasi kesehatan dan pendampingan keperawatan yang berkelanjutan di layanan primer sangat direkomendasikan untuk manajemen hipertensi yang komprehensif untuk mengurangi Risiko stroke.