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All Journal Nursing Current : Jurnal Keperawatan Borneo Nursing Journal
Candra Saputra
Institut Kesehatan Payung Negeri Pekanbaru
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Pengaruh Aktivitas Art of Distraction Terhadap Tingkat Nyeri Pada Anak Yang Di Rawat M. Khoirunizam; Candra Saputra; Veni Dayu Putri; Angga Arfina
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.616

Abstract

Nyeri pada anak yang dirawat sering kali tidak terdiagnosis dan kurang tertangani (under-treated) akibat keterbatasan verbalisasi. Penyebab utama meliputi prosedur invasif seperti pemasangan infus (83% pada anak prasekolah), trauma, atau penyakit. Manajemen efektif memerlukan kombinasi terapi farmakologis dan non-farmakologis salah satunya dengan penerapan Art of Distraction. Penelitian bertujuan untuk mengetahui pengaruh aktivitas art of distraction terhadap penurunan tingkat nyeri pada anak yang di rawat di RSUD Arifin Achmad. Jenis penelitian kuantitatif desain Quasi Eksperimental dengan One Group Pretest-Posttest. Jumlah sampel penelitian 30 orang, dengan tehnik accidental sampling. Pengumpulan data menggunakan data primer. Instrumen penelitian menggunakan pensil warna dan buku gambar, serta lembar observasi nyeri. Pengolahan data menggunakan SPSS versi 20, dan analisis data secara univariat dan bivariat. Hasil penelitian lebih dari separuh responden memiliki tingkat nyeri sedang sebelum diberikan intervensi mayoritas sebanyak 20 responden (66,7%) dan sesudah diberikan intervensi mayoritas sebanyak 24 responden (80,0%) dengan tingakt nyeri ringan. Hasil uji Wilcoxon didapat p-value 0.001 < 0,05. Kesimpulan penelitian ada pengaruh aktivitas art of distraction terhadap tingkat nyeri pada anak yang melakukan pengobatan di RSUD Arifin Achmad dengan p-value 0.001. Diharapkan pada pihak rumah sakit dapat menerapkan aktivitas art of distraction untuk mengatasi masalah nyeri pada anak yang menjalani pengobatan dirumah sakit.
Nursing Diagnoses in Pediatric Surgical Inpatients: A Cross-Sectional Study Gita Adelia; Eka Malfasari; Deswinda Deswinda; Candra Saputra; Bayu Azhar; M Zul 'irfan; Rizka Febtrina; Noni Ramadianty
Nursing Current: Jurnal Keperawatan Vol. 14 No. 1 (2026): June
Publisher : Faculty of Nursing, Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/ncjk.v14i1.10554

Abstract

Introduction: Children in surgical units are vulnerable to nursing problems due to invasive procedures and complex medical conditions. Identifying nursing diagnoses is essential to determine appropriate and effective interventions.Objective: This study aimed to identify nursing diagnoses based on the Indonesian Nursing Diagnosis Standards (Standar Diagnostik Keperawatan Indonesia, SDKI) in pediatric patients hospitalized in a pediatric surgical care unit. Methods: This quantitative study employed a cross-sectional design using retrospective data from medical records. The study was conducted in the Pediatric Surgical Care Unit of Arifin Achmad General Hospital, Riau Province, from December 2024 to March 2025. The sample consisted of 107 children and adolescents who were hospitalized for more than 24 hours. Data were collected using pediatric nursing assessment forms and analyzed descriptively using frequency and percentage. Results: A total of 13 actual nursing problems were identified. The most common problem was acute pain (D.0077), found in 82 cases (75%). Other issues included decreased intracranial adaptive capacity (D.0066) and constipation (D.0049), each in 6 cases (6.5%), as well as urinary elimination impairment (D.0040) and anxiety (D.0080), each in 2 cases (2.2%). Conclusion: Acute pain is the most dominant nursing problem among postoperative children, accompanied by anxiety as a significant psychological issue. A systematic SDKI-based assessment of pain and anxiety, along with integrated interventions encompassing pain management and anxiety reduction, is essential to improve the quality of care and enhance postoperative recovery outcomes in children.
Co-Authors Angga Arfina Bayu Azhar Deswinda Deswinda Eka Malfasari Gita Adelia M Zul 'irfan M. Khoirunizam Noni Ramadianty Rizka Febtrina Veni Dayu Putri