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All Journal Nurse Media Journal of Nursing MEDISAINS Nursing News : Jurnal Ilmiah Keperawatan Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI Proceedings of the International Conference on Applied Science and Health Jurnal E-Komtek Pediomaternal Nursing Journal Indonesian Journal of Global Health research BERNAS: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Keperawatan Altruistik Jurnal Menara Medika Advance Sustainable Science, Engineering and Technology (ASSET) An Idea Health Journal Nursing Information Journal Berita Kedokteran Masyarakat An Idea Nursing Journal Jurnal Keperawatan dan Kebidanan Nasional Jurnal Kesehatan dr. Soebandi International Journal of Nursing Information Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Ilmiah Keperawatan Altruistik Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Indonesian Journal of Global Health Research
Mega Hasanul Huda
Department Of Pediatric Nursing, Faculty Of Nursing, Universitas Indonesia, Depok, Indonesia
Religion Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Energy Environmental Science Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Sensory Stimulation Improves Neurobehavioral Development in Preterm Infants Rahmatika Alimuddin; Allendekania Allendekania; Reni Yustina; Mega Hasanul Huda
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170407

Abstract

Prematurity disrupts critical intrauterine sensory experiences and increases the risk of long‑term neurobehavioral developmental impairments in infants, particularly those receiving care in the Neonatal Intensive Care Unit (NICU). Sensory stimulation interventions offer a non‑pharmacological approach to support central nervous system maturation in preterm infants. This systematic review aimed to evaluate the effects of sensory stimulation on neurobehavioral development in preterm infants. Literature searches were conducted using the Population–Intervention–Comparison–Outcome (PICO) framework across PubMed, ProQuest, and ScienceDirect, focusing on randomized controlled trials published between 2015 and 2025. The review followed the Preferred Reporting Items for Systematic Reviews and Meta‑Analyses (PRISMA) guidelines, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Seven studies met the inclusion criteria. All reported significant improvements in neurobehavioral outcomes measured using the Neonatal Neurobehavioral Examination Scale (NNES), Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS), Munich Neuromotor Development Examination (MNNE), Neonatal Behavioral Assessment Scale (NBAS), Dubowitz Neurological Examination, Alberta Infant Behavioral Scale (ABSS), and Infant Behavior Questionnaire‑Revised (IBQ‑R). Additional benefits included improved suck coordination, increased weight gain, enhanced physiological stability, and reduced length of hospital stay. In conclusion, sensory stimulation, particularly multisensory approaches effectively enhances neurobehavioral development in preterm infants and is recommended for integration into NICU care and early family‑centered intervention programs.Keywords: preterm infants; Neonatal Intensive Care Unit; neurobehavioral development; sensory stimulation
Pemberdayaan Keluarga untuk Meningkatkan Pengasuhan Balita Stunting melalui Pendekatan Ketahanan Keluarga Dwi Cahya Rahmadiyah; Hafizs Nasirun; Mega Hasanul Huda; Avliya Quratul Marjan; M. Abdul Hamid Zubair1; Azwar Azwar; Dina Setya Rahmah Kelrey; Ganar Rajni Fathariq
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 3 (2026)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v7i3.19361

Abstract

Stunting masih menjadi masalah gizi pada balita di Indonesia. Survei tahun 2024 di Kelurahan Abadijaya, Kecamatan Sukmajaya, Kota Depok menunjukkan 82% balita mengalami stunting dan 18% sangat pendek. Program TAHAN (Tumbuh Anak Hebat Aman Nutrisi) dikembangkan untuk meningkatkan ketahanan keluarga melalui edukasi, pelatihan, dan pendampingan kader Posyandu selama Oktober–Desember 2025. Intervensi meliputi komunikasi kesehatan, gizi dan stunting, praktik pemberian makan aktif-responsif, ketahanan keluarga, serta kunjungan rumah. Evaluasi menggunakan desain pretest–posttest menunjukkan peningkatan pada seluruh aspek. Nilai pengetahuan meningkat dari 7,8 menjadi 8,4, praktik menyusui dari 8,4 menjadi 9,6, praktik pemberian makan dari 48,5 menjadi 74,8, pemberian PMT dari 29,7 menjadi 67,4, komunikasi kesehatan dari 31,4 menjadi 54,3, dan ketahanan keluarga dari 49,7 menjadi 79,9. Hasil ini menunjukkan bahwa Program TAHAN efektif meningkatkan kapasitas keluarga dalam mencegah dan menangani stunting serta berpotensi menjadi model intervensi berbasis komunitas untuk percepatan penurunan stunting.
Determinants of fatigue in children and adolescents with type 1 diabetes mellitus: A systematic review Risna Ningsih; Ina Islamia; Nur Agustini; Dewi Astika Ramadhani; Robiyatul Adawiyah; Mega Hasanul Huda; Dewi Hayati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.850

Abstract

Background: Fatigue is one of the most common non-specific symptoms experienced by children and adolescents with type 1 diabetes mellitus (T1DM), yet it often goes unnoticed by clinicians. It can affect quality of life, learning ability, and engagement in daily activities. Fatigue in T1DM patients is not only related to glycemic control, but is also influenced by a complex range of physical, psychological and social determinants. A comprehensive understanding of the factors that contribute to fatigue in this population is essential for the development of more effective and holistic intervention strategies. Purpose: To determine fatigue among children and adolescents with Type 1 Diabetes Mellitus. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The article search was conducted systematically using the keywords: “Child” AND “Children” AND “Adolescent” AND “Adolescence” AND “Teenagers” AND “Diabetes Mellitus Type 1” AND “Type 1 Diabetes” AND “IDDM” AND “Type 1 Diabetes Mellitus” AND “Juvenile Onset Diabetes” AND “Psychosocial Problem” AND “Psychosocial Support System” AND “Psychological Support System” AND “Social Support System”. This study is registered on PROSPERO (CRD42024618445). Results: Aside from anxiety, depression, and behavioral disorders, other psychosocial issues—specifically self-management difficulties—are also observed in children with T1DM. These challenges are often associated with fatigue, which can negatively affect a child's motivation, focus, and ability to consistently carry out essential diabetes care tasks such as taking insulin, monitoring blood sugar levels, managing diet, and engaging in physical activity. Conclusion: The findings related to fatigue as a psychosocial issue may offer evidence-based support for the early identification and intervention of psychosocial challenges in children and adolescents with T1DM.
Determinant factors of psychological well-being and parental resilience in parents of children with cancer: A systematic review Azizah Nurrohmah; Siti Chodidjah; Ayu Widya Lestari; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1798

Abstract

Background: Childhood cancer remains a major global health concern, significantly impacting parents psychological well-being. A child’s cancer diagnosis often triggers emotional distress, anxiety, and long-term uncertainty for the family. Purpose: To identify the determinant factors of psychological well-being and parental resilience among parents of children with cancer. Method: Observational studies evaluating psychological well-being and resilience in parents of children with cancer were systematically searched in the databases PubMed, ScienceDirect, EBSCOhost, Sage Journals, and Scopus. Data were extracted independently by two reviewers. We included seven studies involving a total of 892 parents from various countries who have children with cancer. Results: Protective factors that were found to significantly enhance resilience and psychological well-being include spiritual well-being, social support, self-efficacy, and coping strategies. Conversely, psychological factors such as trauma, depression, anxiety, and general health status were significantly negatively correlated with both psychological well-being and resilience (p < 0.05). Conclusion: The reviewed studies consistently demonstrate that parental resilience and well-being are strongly influenced by spiritual well-being, social support, self-efficacy, and coping strategies. Negative psychological variables such as depression, anxiety, and trauma significantly contribute to the decline in psychological well-being and resilience.
Incidence and determinant factors of delirium in children in the PICU: A systematic review Hermin Mardiana; Mega Hasanul Huda; Nani Nurhaeni; Nur Agustini
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.1977

Abstract

Background: Delirium in children admitted to the Pediatric Intensive Care Unit (PICU) is an acute neuropsychiatric complication associated with increased morbidity, mortality, length of stay, and long-term neurocognitive impairment. Its incidence ranges from 17–65.6% and exceeds 90% in infants. Various determinant factors including young age, developmental delay, mechanical ventilation, benzodiazepine sedation, metabolic disturbances, physical restraints, and severity of illness have been identified in previous studies. Purpose: To identify the incidence and determinant factors of delirium in children hospitalized in the PICU. Method: A systematic review design with narrative synthesis following PRISMA 2020 guidelines was employed. Literature searches were conducted in PubMed, Scopus, Web of Science, and Google Scholar. Study selection followed PICOS criteria, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Due to heterogeneity in delirium assessment tools, populations, and effect sizes, analysis was conducted using a narrative synthesis approach. Results: Eight studies met the inclusion criteria. The most consistent determinant factors of delirium included developmental delay (OR 3.34–4.20), mechanical ventilation (OR 3.7–6.02), benzodiazepine use (OR 2.89–5.05), high PRISM/PIM scores, hypoxia, metabolic disturbances (OR 3.73), and the use of physical restraints (OR 4.67–5.86). PICU length of stay increased the risk of delirium by 1.1 times for each additional day. Conclusion: Delirium in children in the PICU is a multifactorial condition influenced by biological, clinical, pharmacological, and environmental factors. Prevention efforts should include early detection, routine screening using validated instruments, minimization of high-risk sedation, optimization of ventilation management, environmental modifications to support sleep patterns, and family involvement.
Risk factors for hospital readmission of children patients with pneumonia: A systematic review Christanty Christanty; Mega Hasanul Huda; Nani Nurhaeni; Fajar Tri Waluyanti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2032

Abstract

Background: Readmission is an undesirable event influenced by various conditions. While readmission risk factors in pneumonia patients have been widely studied in adults, evidence in children remains limited. Purpose: To identify various risk factors on the rate of hospital readmissions in children with pneumonia. Method: Systematic search following PRISMA guidelines was conducted in PubMed Central, ScienceDirect, Scopus, ProQuest, Wiley, and Google Scholar databases and search engines from inception until September 2025. We used the Joanna Briggs Institute Critical Appraisal Checklist to assess the quality of published studies until they were concluded. Results: Readmission rates in children with pneumonia range from 7% to 16% within 30 to 90 days after hospital discharge. Age risk factors consistently show that younger age (infants to toddlers) significantly increases the risk of childhood pneumonia readmission. Besides that, comorbid conditions and chronic conditions are strong predictors of readmission. Conclusions: Young age and specific chronic comorbid conditions were found to be significant risk factors for hospital readmission among pneumonia patients.
Long-term Neurodevelopmental and Growth Outcomes of Necrotizing Enterocolitis Among Preterm Infants: A Systematic Review Maria Margarita Oratmangun; Mega Hasanul Huda; Yeni Rustina; Dessie Wanda
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.831

Abstract

Background: Preterm infants with necrotizing enterocolitis (NEC) are at increased risk of mortality, severe morbidity, and adverse long-term neurodevelopmental and growth outcomes. Objective: This systematic review aimed to identify and synthesize evidence on the long- term impact of NEC on neurodevelopmental and growth outcomes in preterm infants, including differences between medical and surgical NEC. Methods: The review adhered to PRISMA 2020 guidelines, with literature searches conducted in ScienceDirect, Sage Journals, ProQuest, PubMed, Scopus, and Wiley for studies published between 2015 and 2025. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. From a total of 2,055 articles identified, supplemented by citation tracking, 10 studies were included in this review. Result: The findings indicate that NEC survivors have a higher risk of neurodevelopmental impairment, including lower cognitive, motor, and language scores, behavioral problems, and an increased risk of cerebral palsy, particularly among infants requiring surgical intervention. Regarding growth outcomes, NEC survivors demonstrated persistent deficits in weight, height, and head circumference that may extend into school age and adolescence. Several studies also reported reduced fat mass and decreased bone mineral density in early childhood. Surgical NEC was consistently associated with poorer outcomes than medical NEC. Conclusion: The findings indicate that NEC in preterm infants has significant long-term consequences for neurodevelopment and growth. Comprehensive multidisciplinary follow- up, family empowerment, standardized developmental screening, nutritional optimization, and risk-based early intervention are crucial for improving long-term outcomes and quality of life among NEC survivors.
Effectiveness of the Pediatric Early Warning Score (PEWS) in Improving Triage Accuracy among Pediatric Patients in the Emergency Department: A Systematic Review Mariam Efendi; Allenidekania Allenidekania; Mega Hasanul Huda; Ayu Widya Lestari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2435

Abstract

Changes in children's health status in the Emergency Department (ED) often occur suddenly, progressively, and are difficult to recognize due to children's limited verbal communication and non-specific clinical manifestations. This condition triggers a high risk of triage errors (mistriage), especially in general EDs, leading to delayed treatment and increased mortality. The Pediatric Early Warning Score (PEWS) assessment system has the potential to be a structured solution to improve assessment accuracy through objective monitoring of physiological parameters. This study aims to evaluate the effectiveness of implementing PEWS in improving triage accuracy for pediatric patients in the emergency department through a systematic review. This study employed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted across the PubMed, Scopus, ScienceDirect, Cochrane Library, and ProQuest databases for articles published between 2021 and 2025. The search strategy combined Medical Subject Headings (MeSH) terms and keywords, including "Pediatric Early Warning Score" OR "PEWS" AND "pediatric triage" OR "emergency department" OR "clinical deterioration" OR "early detection" OR "hospital admission" OR "critical care" OR "pediatric emergency". Articles were selected according to predefined inclusion criteria, and their methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. A total of 17 articles were included in the review. The findings demonstrated that the implementation of the Pediatric Early Warning Score (PEWS) enhances the early detection of clinical deterioration in pediatric patients and improves triage accuracy in emergency departments. Most studies reported that PEWS has good sensitivity and specificity for predicting the need for critical care admission, thereby facilitating faster and more accurate clinical decision-making. Furthermore, the use of PEWS improves communication among healthcare professionals and enhances pediatric patient safety.
Pengaruh edukasi motivational interviewing terhadap efikasi, pengetahuan, perubahan perilaku pada masalah kesehatan anak: Tinjauan sistematik Atik Setiawati; Dewi Astika Rahmadhani; Yeni Rustina; Happy Hayati; Mega Hasanul Huda
Hik Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.634

Abstract

 Background: The implementation of child care education will be different from adult care education. This is because children are not miniature adults. However, the role of child care cannot be separated from the involvement of parents or families. Motivational interviewing (MI) educational interventions have been suggested to improve efficacy, knowledge, and health behavior change in pediatric patients. Psychological approaches such as Motivational Interviewing (MI) have emerged as a promising alternative to overcome these limitations, with the aim of creating more sustainable behavior change in the context of health. Purpose: To evaluate the impact of Motivational Interviewing (MI)-based education on efficacy, knowledge, and behavioral change in children. Method: A systematic literature review study using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the PICOS approach. The keywords used were, "motivation" OR "self-efficacy" OR "knowledge" OR "behavior change" AND "pediatric" OR "pediatrics" AND "motivational interviewing" OR "directive counseling". Identified 6 articles related to the impact of motivational interviewing (MI)-based education on efficacy, knowledge, and behavioral change in children. Results: Showed that MI intervention has a positive impact on self-efficacy, increased knowledge, and behavioral change in children with various health conditions, such as obesity, asthma, dental caries, and alcohol dependence. Conclusion: Although the results showed significant improvements in various parameters, differences in the level of effectiveness between studies indicate the need for a more specific approach to the target population and certain health problems. Suggestion: Further research with a more targeted and specific focus is needed to provide more comprehensive results and support the development of future MI-based interventions.   Keywords: Children; Education; Efficacy; Knowledge; Motivational Interviewing (MI).   Pendahuluan: Pelaksanaan edukasi perawatan anak akan berbeda dengan edukasi perawatan dewasa. Hal ini dikarenakan anak-anak bukanlah miniatur orang dewasa. Meskipun demikian, peran perawatan anak tidak lepas dari keterlibatan orang tua atau keluarga. Intervensi edukasi wawancara motivasi (MI) telah disarankan untuk meningkatkan efikasi, pengetahuan, dan perubahan perilaku kesehatan pada pasien anak. Pendekatan psikologis seperti Motivational Interviewing (MI) telah muncul sebagai alternatif yang menjanjikan untuk mengatasi keterbatasn ini, dengan tujuan menciptakan perubahan perilaku yang lebih berkelanjutan dalam konteks kesehatan. Tujuan: Untuk mengevaluasi dampak edukasi berbasis Motivational Interviewing (MI) terhadap efikasi, pengetahuan, dan perubahan perilaku pada anak. Metode: Penelitian sistematik literature review menggunakan panduan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) dan pendekatan PICOS. Kata kunci yang digunakan yakni, “motivation” OR “self efficacy” OR “knowledge” OR “behavior change” AND “pediatric” OR “pediatrics” AND “motivational interviewing” OR “directive counselling”. Mengidentifikasi 6 artikel yang berkaitan dengan dampak edukasi berbasis motivational interviewing (MI) terhadap efikasi, pengetahuan, dan perubahan perilaku pada anak. Hasil: Menunjukkan bahwa intervensi MI memberikan dampak positif terhadap efikasi diri, peningkatan pengetahuan, dan perubahan perilaku pada anak-anak dengan berbagai kondisi kesehatan, seperti obesitas, asma, karies gigi, dan ketergantungan alkohol. Simpulan: Meskipun hasil menunjukkan adanya peningkatan signifikan dalam berbagai parameter, perbedaan tingkat efektivitas antara penelitian mencerminkan perlunya pendekatan yang lebih spesifik terhadap populasi target dan masalah kesehatan tertentu. Saran: Penelitian lebih lanjut dengan fokus yang lebih terarah dan spesifik diperlukan untuk memberikan hasil yang lebih komprehensif dan mendukung pengembangan intervensi berbasis MI di masa depan.   Kata Kunci: Anak; Edukasi; Efikasi; Motivational Interviewing (MI); Pengetahuan.
Effectiveness of discharge planning in reducing readmissions in children with chronic diseases: A systematic review Alfah Ratna Wati; Mega Hasanul Huda; Fajar Tri Waluyanti; Nani Nurhaeni
Hik Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.767

Abstract

Background: Discharge planning is an important process to ensure continuity of care after discharge from the hospital. This process helps reduce readmission rates, especially in children with chronic illnesses. Discharge planning can be a strategic approach to preventing readmissions by ensuring a smooth transition of care from the hospital to home. Purpose: To determine the effect of discharge planning in reducing readmissions in children with chronic diseases. Method: This study uses a systematic review approach with reference to the PRISMA guidelines. The articles analyzed came from the PubMed, SAGE, and ScienceDirect databases with a Randomized Controlled Trial (RCT) research design. A total of 4 (four) articles were selected based on inclusion criteria, discharge planning topics, focus on children with chronic diseases, and publications in the last 5 (five) years (2020-2024). Results: Comprehensive discharge planning significantly reduces readmission rates in children with chronic illness. Findings include that structured family education improves parental readiness to care for children and that social factors, such as parental literacy and household resource availability, influence discharge planning success. Case management provides superior outcomes in reducing readmission rates and improving patient quality of life. An as-needed follow-up approach is highly efficacious without compromising intervention effectiveness. Conclusion: Discharge planning is an effective intervention in reducing readmission rates and improving the quality of home care for children with chronic illness. Successful implementation requires integrated family education, social support, and case management. Adapting the intervention to account for social and cultural factors is also important to improve success across contexts.   Keyword: Children With Chronic Illness; Discharge Planning; Readmission.   Pendahuluan: Discharge planning adalah proses penting untuk memastikan kelanjutan perawatan pasien setelah keluar dari rumah sakit. Proses ini membantu mengurangi angka readmisi, terutama pada anak dengan penyakit kronis. Discharge planning dapat menjadi pendekatan strategis untuk mencegah readmisi dengan memastikan transisi perawatan yang lancar dari rumah sakit ke rumah. Tujuan: Untuk mengetahui efektivitas discharge planning dalam mengurangi readmisi pada anak dengan penyakit kronis. Metode: Penelitian systematic review mengacu pada panduan PRISMA. Artikel yang dianalisis berasal dari database PubMed, SAGE, dan ScienceDirect dengan desain penelitian Randomized Controlled Trial (RCT). Sebanyak 4 artikel dipilih berdasarkan kriteria inklusi, topik discharge planning, fokus pada anak dengan penyakit kronis, dan publikasi dalam 5 tahun terakhir (2020-2024). Hasil: Discharge planning yang komprehensif secara signifikan menurunkan angka readmisi pada anak dengan penyakit kronis. Temuan mencakup edukasi keluarga terstruktur meningkatkan kesiapan orang tua dalam merawat anak dan faktor sosial, seperti literasi orang tua dan ketersediaan sumber daya rumah tangga memengaruhi keberhasilan discharge planning. Manajemen kasus memberikan hasil superior dalam menurunkan angka rawat inap ulang dan meningkatkan kualitas hidup pasien. Pendekatan follow-up berbasis kebutuhan (as-needed) memiliki efisiensi tinggi tanpa mengurangi efektivitas intervensi. Simpulan: Discharge planning efektif dalam mengurangi angka readmisi dan meningkatkan kualitas perawatan di rumah bagi anak dengan penyakit kronis. Keberhasilan intervensi ini membutuhkan edukasi keluarga, dukungan sosial, dan manajemen kasus yang terintegrasi. Penyesuaian intervensi dengan mempertimbangkan faktor sosial dan kultural juga penting untuk meningkatkan keberhasilan di berbagai konteks.   Kata Kunci: Anak-Anak dengan Penyakit Kronis; Readmisi; Rencana Pemulangan Pasien.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfah Ratna Wati Alfanira Setiawan Alfin Nugroho Alfin Nugroho Allendekania Allendekania Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Astuti Astuti Yuni Nursasi Atik Setiawati Atik Setiawati Atun Roudatul Ma’rifah Avliya Quratul Marjan Ayu Widya Lestari Ayu Widya Lestari Ayuni Rizka Utami Azizah Nurrohmah Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Azwar Azwar Christanty Christanty Defi Efendi Dessie Wanda Desti Elza Muslimah Desy Rasmiyani Dewi Astika Rahmadhani Dewi Astika Rahmadhani Dewi Astika Ramadhani Dewi Hayati Dewi Irianti Dewi Irianti Dina Setya Rahmah Kelrey Dwi Cahya Rahmadiyah Elisa Islami Putri Endah Dessirya Endah Dessirya Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Fajar Tri Waluyanti Fajar Tri Waluyanti Ganar Rajni Fathariq Gita Sari Aryani Gustika Arnils Hafizs Nasirun Happy Hayati Happy Hayati Hermin Mardiana Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Imamah Indah Cahyani Ina Islamia Ina Islamia Intan Asri Nurani Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Kusnul Hasanah Kusnul Hasanah Lhesmi Tri Yana Putri S Lhesmi Tri Yana Putri Simanjuntak Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Abdul Hamid Zubair1 M. Zakuan Agung Maria Margarita Oratmangun Mariam Efendi Mariana Ulfa Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Novia Pratiwi Nur Agustini Nurani, Intan Asri Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Okki Dhona Laksmita Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmasari, Syifa Widya Rahmatika Alimuddin Raudha Ilmi Farid Reni Yustina Risna Ningsih Riswal Hanafi Siregar Rita Wahyuni Robiyatul Adawiyah Robiyatul Adawiyah Roselyn Chipojola Rudy, Rudy SANTOSO SANTOSO Shahylannanda Tito Yuwono Siti Chodidjah Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wanda , Dessie Widhiastuti, Erma Yeni Rustina Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra