Susi Roida Simanjuntak
Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Universitas Sam Ratulangi

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The Effect of Expressive Writing Therapy on Fear Scores in Hospitalized Children Aged 10-12 Years Susi Roida Simanjuntak; Selvin Tody; Milkha Pangalila; Khairun Nisa
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1469

Abstract

Introduction: Fear is one of the impacts of hospitalization commonly experienced by children. The fear experienced by children during hospitalization can contribute to the development of other psychological problems, therefore, nurses are expected to implement interventions to address children’s fear during hospitalization. This study aimed to analyze the effect of expressive writing on the level of fear among school-aged children undergoing hospitalization. Methods: The research design used in this study was a pre-experimental one-group pretest–posttest design involving 25 hospitalized children aged 10–12 years. The sampling technique used was purposive sampling. The instrument employed to measure children’s fear levels was the Children’s Fear Measurement Scale (CFS). The intervention implemented in this study was expressive writing administered over three days. Fear scores were measured on the first day prior to the intervention and re-measured on the third day after the intervention was completed. Data were analyzed using the Wilcoxon test. Results: The results showed that expressive writing therapy was significantly associated with fear scores (p < 0.05). This indicates that expressive writing therapy can help reduce fear scores in children after a three-day intervention. Conclusions: Based on these findings, expressive writing therapy can be considered as one of the nursing interventions to address fear in children during hospitalization. Nurses are expected to facilitate hospitalized children in engaging in expressive writing therapy.
Parents' Experiences of Caring for Children with Cancer in the Early Diagnosis Phase: A Qualitative Study Susi Roida Simanjuntak; Maria Lupita Nena Meo; Christha Zenithy Tamburian
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1527

Abstract

Background: Childhood cancer is a traumatic experience that significantly affects parents' lives, particularly during the early diagnosis phase, when parents must adapt to complex medical information, invasive procedures, and profound uncertainty within a short period of time. Studies exploring parents' experiences during this critical phase, particularly within the cultural context of North Sulawesi, remain very limited. Objective: This study aimed to explore parents' experiences in caring for children with cancer during the early diagnosis phase in North Sulawesi. Methods: This study used a qualitative descriptive design. Twelve mothers of children diagnosed with cancer were recruited through purposive sampling. Data were collected through in-depth interviews and analyzed using content analysis. Results: Three main themes emerged from the data: (1) Health Service Navigation, describing mothers' health-seeking behaviors, including the use of alternative therapies, utilization of health services, and circular treatment-seeking patterns; (2) Dynamics of Psychological Response, encompassing feelings of helplessness, negative emotions, self-blame, and anticipation of the possible diagnosis; and (3) Challenges, including difficulty understanding medical information, caregiving burden, and social stigma. Conclusion: The early diagnosis phase represents a psychologically demanding period for mothers of children with cancer, marked by uncertainty, emotional distress, and multidimensional caregiving burdens. These findings highlight the urgent need for early psychosocial support, health education, and culturally sensitive interventions from healthcare professionals to assist parents from the point of diagnosis onward, particularly in the North Sulawesi context.