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Effects of Medical Material-Based Play Therapy on Pain Levels in Hospitalized Preschool Children Aged 3-6 Years Pangalila, Milkha; Gannika, Lenny; Simanjuntak, Susi Roida
Genius Journal Vol. 5 No. 2 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i2.368

Abstract

Introduction: Pain is a stressor of hospitalization that, if not managed properly, can have physical and psychological impacts on children. One intervention that can be provided to reduce pain in preschool-aged children is play therapy. Objective: This study aims to determine the effect of play therapy using medical materials on the pain levels of hospitalized preschool-aged children. Method: This study uses a pre-experimental design with a one group pretest-posttest design approach. The number of respondents in this study was 25 preschool-aged children who were treated in the Dahlia Pediatric Ward at TK. II R. W. Mongisidi hospital Manado, selected using purposive sampling based on inclusion criteria. Pain measurement was carried out using the Wong Baker FACES Pain Rating Scale. Data analysis was performed using the Nonparametric Wilcoxon test. Results: The Wilcoxon statistical test results showed a p-value of 0.000 (p<0.05), indicating a significant difference in pain levels before and after the play therapy intervention using medical equipment. Conclusion: Based on the analysis, it can be concluded that there is an effect of play therapy using medical materials on the pain levels of hospitalized preschool-aged children. Future researchers interested in this study are encouraged to use a quasi-experimental method with a two-group pretest-posttest design.
Family Support and Quality of Life of Children with Cancer : A Cross-sectional Study Gannika, Lenny; Mulyadi, Mulyadi; Simanjuntak, Susi Roida
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.61948

Abstract

Introduction: This study aims to examine the relationship between family support and the quality of life of children with cancer. Methods: This study used a cross-sectional design. The population in this study were children diagnosed with cancer who were getting treatment at the hospital, as well as their parents who cared for them. The sampling technique was consecutive sampling with a total sample of 51 children and 51 parents. Data was collected through a questionnaire consisting of two parts, namely the child's quality of life scale using PedsQLTM 4.0 and PedsQLTM 3.0 Cancer Module and family support using the family support questionnaire. Data analysis was performed using the Pearson correlation test. Results: The study showed that there was a relationship between family support and the quality of life of children with cancer using both the general child quality of life scale (p = 0.001) and with the quality-of-life scale specifically for children with cancer (p < 0.001). Children who received greater family support tended to have a better quality of life compared to children with lower family support. Conclusion: Families play an important role in improving the quality of life of children with cancer. It is important to involve families in the child's care process and to provide education on the importance of family support. Future research should explore other associated factors and family interventions to improve the quality of life of children with cancer.
Effectiveness of Music and Art Therapy on Hemodynamic Status in Pediatric Cancer Patients Undergoing Chemotherapy Lomboan, Shania Putri; Simanjuntak, Susi Roida; Gannika, Lenny
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.400

Abstract

Introduction: Cancer in children is a major global health issue, with over 400,000 new cases annually. Pediatric cancer treatment often results in fatigue and psychological stress, which may influence hemodynamic status such as pulse, blood pressure, respiration, and oxygen saturation. Music and art therapy have emerged as supportive nursing interventions that may help stabilize these indicators. Objective: This study aims to evaluate the effectiveness of combined music and art therapy on the hemodynamic status of pediatric cancer patients undergoing chemotherapy. Method: This study used a descriptive case study design involving three pediatric cancer patients with varying diagnoses: Hodgkin’s lymphoma, rectal adenocarcinoma, and ovarian clear cell carcinoma. The intervention consisted of simultaneous music and art therapy sessions administered for 15–20 minutes daily over three consecutive days. Hemodynamic indicators, including pulse rate, blood pressure, respiration rate, and oxygen saturation, were monitored before and after each session. Result: All three respondents showed a consistent decrease in pulse rate over the three days of therapy, indicating reduced physiological stress. However, changes in other hemodynamic indicators, such as systolic and diastolic blood pressure, respiratory rate, andoxygen saturation, were inconsistent across the participants. Despite variability in clinical outcomes, verbal and observational feedback indicated positive emotional responses and improved engagement during therapy. Conclusion: Music and art therapy interventions positively influenced the pulse rate of pediatric cancer patients, suggesting an impact on autonomic nervous system regulation. Although other hemodynamic parameters showed inconsistent changes, the interventions contributed to psychological comfort and may enhance the overall well-being of pediatric oncology patients. Further research with larger samples and extended intervention durations is recommended to confirm clinical significance.
Stress Levels and Coping Mecanism of COVID-19 Patient that Undergo Self-Isolation in Manado City Gannika, Lenny; Sembiring, Erika Emina; Setiono, Alfred
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 2 (2022): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (614.777 KB)

Abstract

Peningkatan jumlah pasien COVID-19 pada awal Mei 2021  menyebabkan pemerintah mengeluarkan kebijakan isolasi mandiri bagi pasien COVID-19 yang tidak bergejala atau bergejala ringan. Isolasi mandiri akan  membatasi interaksi fisik seseorang dengan orang lain  sehingga dapat menyebabkan stres. Pasien COVID-19 memerlukan mekanisme koping yang tepat untuk mengatasi stresnya. Tujuan penelitian ini adalah  untuk mengetahui hubungan tingkat stres dan mekanisme koping pasien COVID-19 yang menjalani isolasi mandiri. Metode penelitian yaitu penelitian kuantitatif dengan jenis penelitian analisis dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang pernah/sedang terkonfirmasi COVID-19 dan menjalani isolasi mandiri. Teknik pengambilan sampel adalah purposive sampling dengan jumlah responden 100 orang.  Penelitian dilakukan di Kota Manado dengan bekerjasama Dinas Kesehatan Kota Manado pada tanggal 06 Mei- 06 Agustus 2021. Alat ukur penelitian menggunakan kuesioner, untuk tingkat stres menggunakan kuesioner Depression Anxiety Stress Scale  (DASS) sedangkan untuk strategi koping menggunakan kuesioner Brief COPE. Peningkatan jumlah pasien COVID-19 pada awal Mei 2021  menyebabkan pemerintah mengeluarkan kebijakan isolasi mandiri bagi pasien COVID-19 yang tidak bergejala atau bergejala ringan. Isolasi mandiri akan  membatasi interaksi fisik seseorang dengan orang lain  sehingga dapat menyebabkan stres. Pasien COVID-19 memerlukan mekanisme koping yang tepat untuk mengatasi stresnya. Tujuan penelitian ini adalah  untuk mengetahui hubungan tingkat stres dan mekanisme koping pasien COVID-19 yang menjalani isolasi mandiri. Metode penelitian yaitu penelitian kuantitatif dengan jenis penelitian analisis dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang pernah/sedang terkonfirmasi COVID-19 dan menjalani isolasi mandiri. Teknik pengambilan sampel adalah purposive sampling dengan jumlah responden 100 orang.  
Screen Time and Emotional-Behavioral Problems in School-Aged Children: A Cross Sectional Study Dauhan, Clarita Jolanda Glorya; Gannika, Lenny; Simanjuntak, Susi Roida
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.501

Abstract

Background: The rapid development of digital technology has led to increased screen time among children, raising concerns about its potential impact on emotional and behavioral development. Excessive screen exposure is suspected to contribute to psychosocial issues in school-aged children. Objective: This study aims to analyze the relationship between screen time and emotional and behavioral problems in school-age children. Method: A cross-sectional quantitative design was employed. A total of 92 parents of students at a private elementary school in Tahuna, North Sulawesi, were selected using proportionate stratified random sampling. Data were collected using a validated screen time questionnaire and the Pediatric Symptom Checklist-17 (PSC-17). Statistical analysis was performed to assess the relationship between screen time and emotional and behavioral problems. Result: Findings showed that 83.7% of children had screen time exceeding WHO recommendations, and 84.8% exhibited signs of emotional and behavioral problems. A statistically significant relationship was found between excessive screen time and emotional and behavioral issues (p < 0.05). Conclusion: Excessive screen time is significantly associated with an increase in emotional and behavioral problems among school-aged children. Interventions aimed at monitoring and reducing screen exposure are strongly recommended to support children's psychosocial well-being.
HUBUNGAN POLA ASUH ORANG TUA DENGAN PERKEMBANGAN ANAK USIA PRASEKOLAH (3-6 TAHUN) Malonda, Valentina; Gannika, Lenny; Rompas, Sefti
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48921

Abstract

Usia prasekolah (3–6 tahun) merupakan masa emas perkembangan anak yang mencakup aspek motorik, bahasa, dan sosial, sehingga peran pola asuh orang tua sangat penting dalam mengoptimalkan stimulasi serta mencegah keterlambatan perkembangan. Dalam penelitian ini bertujuan untuk mengetahui hubungan pola asuh orang tua dengan perkembangan pada anak usia prasekolah (3-6 tahun). Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional yang dilaksanakan di Kota Manado pada bulan Maret hingga Mei 2025. Instrumen yang digunakan dalam penelitian ini adalah kuesioner PSDQ (Parenting Styles and Dimensions Questionnaire-Short Version) untuk mengukur pola asuh orang tua dan KPSP (Kuesioner Perkembangan Skrining Prasekolah) untuk menilai perkembangan anak. Sampel dalam penelitian pada anak prasekolah 3-6 tahun ini berjumlah 85 responden yang ditentukan dengan rumus Yamane dan menggunakan teknik purposive sampling. Analis data menggunakan uji Spearman’ rho. Hasil analisis menggunakan uji Spearman’s rho diperoleh nilai p=0.000<0,05 sehingga terdapat hubungan positif dan signifikan dengan kekuatan sedang antara pola asuh orang tua dengan perkembangan anak (r= 0.456). Dalam penelitian ini didapati terdapat hubungan yang signifikan antara pola asuh orang tua dengan perkembangan anak usia prasekolah 3-6 tahun. Oleh karena itu diharapkan orang tua perlu menerapkan pola asuh demokratis dan rutin memantau perkembangan anak melalui layanan kesehatan agar sesuai dengan tahap usianya.
HUBUNGAN PERILAKU CARING PERAWAT DENGAN TINGKAT KEPUASAN ORANG TUA DI RUANG RAWAT INAP ANAK Waladow, Tiara Elshaday; Ganika, Lenny; Pondaag, Ferlan Ansye
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49136

Abstract

Caring yang ditunjukkan perawat dalam memberikan asuhan keperawatan secara tulus dan penuh kepedulian dapat meningkatkan sikap manusiawi terhadap pasien, memperlakukan pasien dengan sepenuh hati, serta menciptakan kepuasan orang tua sebagai cerminan kualitas pelayanan di ruang rawat inap. Penelitian ini bertujuan untuk mengetahui hubungan perilaku caring perawat dengan tingkat kepuasan orang tua di ruang rawat inap anak. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional yang dilaksanakan di Kota Manado pada bulan Maret hingga Juli 2025. Instrumen yang digunakan dalam penelitian ini adalah kuesioner perilaku caring perawat untuk menilai perilaku caring perawat dan Pediatric Quality of Life Inventory - Healthcare Satisfaction Generic Module 3.0 untuk menilai kepuasaan orang tua. Sampel dalam penelitian pada orang tua pasien anak dengan jumlah 71 responden orang tua pasien anak yang ditentukan dengan rumus Yamane dan menggunakan teknik purposive sampling. Analisis data dilakukan dengan uji Spearman’s rho. Hasil penelitian menunjukkan adanya hubungan yang signifikan dengan kekuatan sedang (r=0,577; p=0,000) antara perilaku caring perawat dan tingkat kepuasan orang tua. Dalam penelitian ini terdapat hubungan yang signifikan dan positif antara perilaku caring perawat dengan tingkat kepuasan orang tua di ruang rawat inap anak Rumah Sakit Bhayangkara TK.III Manado, dimana semakin baik perilaku caring perawat maka semakin tinggi pula kepuasan yang dirasakan oleh orang tua pasien diruang rawat inap anak.
Hubungan Dukungan Sosial dengan Keberfungsian Sosial pada Eks Pasien Covid-19 di Sulawesi Utara Sembiring, Erika Emnina; Gannika, Lenny; Layuck, Anggun Rizty Proklamasia
Nerspedia Vol. 6 No. 1 (2024): Nerspedia
Publisher : School of Nursing, Faculty of Medicine and Health Science, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stigma negatif dan diskriminasi dari masyarakat tidak jarang diberikan kepada pasien Covid-19 yang sudah dinyatakan sembuh, hal ini dapat membuat keberfungsian sosial eks pasien Covid-19 di masyarakat menjadi terganggu. Dukungan sosial dari keluarga, teman, tetangga, rekan kerja sangat diperlukan untuk meningkatkan keberfungsian sosial eks pasien Covid-19. Penelitian ini bertujuan untuk mengidentifikasi hubungan dukungan sosial dengan keberfungsian sosial pada eks pasien Covid-19 di Sulawesi Utara. Penelitian ini merupakan penelitian korelasi dengan jumlah responden sebanyak 164 orang. Hasil penelitian dianalisa menggunakan uji Spearman dengan nilai p (0,000), hal ini menunjukan bahwa ada hubungan dukungan sosial dengan keberfungsian sosial pada eks pasien Covid-19.
Early patients' illness perception as a predictor of post-traumatic stress disorder and quality of life one month after mild traumatic brain injury: a prospective study Mulyadi, Mulyadi; Sithichoksakulchai, Siriluk; Gannika, Lenny; Sembiring , Erika Emnina
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.51316

Abstract

Introduction: The illness perception of mild Traumatic Brain Injury (mTBI) patients before discharge from the hospital tends to be inappropriate. Apart from that, post-injury symptoms such as post-traumatic stress disorder (PTSD) are often experienced by patients, which can affect their quality of life. However, research linking patient perceptions with post-traumatic stress and quality of life remains scarce. This study aimed to examine patient's illness perceptions and their relationship with PTSD and HRQOL. Methods: This study employed a prospective survey. Illness perceptions were measured before hospital discharge, and a follow-up of post-traumatic stress and health-related quality of life using an online survey was conducted one month later. The survey was administered from July to October 2023 at two hospitals, with a sample size of 72 mTBI patients. Results: mTBI patients with older age (p=.001), negative emotional perceptions (p=<.001), more consequence (p=.045), more concern about their injury (p=<.001) are significantly related to more symptoms of post-traumatic stress. Patients with mTBI who felt more identity symptoms of IR (p=.001), worsened personal control (p=.041), and worsened treatment control (p=.011) are significantly related to deteriorated quality of life one month after injury. Conclusions: This study produces evidence that mTBI patients' perceptions before leaving the hospital tend to be inappropriate and are related to post-traumatic stress and quality of life one month later. Based on these results, it is crucial for trauma nurses to identify patients' illness perceptions and initiate appropriate interventions to reduce PTSD symptoms and improve patients' quality of life.
Tingkat Pengetahuan dan Perilaku Pencegahan Coronavirus Disease 2019 (COVID-19) Pada Masyarakat Sulawesi Utara: Level of Knowledge and Preventive Behavior towards Coronavirus Disease 2019 (COVID-19) in the Community of North Sulawesi Lenny Gannika; Erika Emnina Sembiring
NERS Jurnal Keperawatan Vol. 16 No. 2 (2020): NJK Volume 16, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v16i2.150

Abstract

The Coronavirus Disease (COVID-19) pandemic that happens world widely including Indonesia have caused new habits to emerge in the society. The number of confirmed positive cases increased without seeing someone’s background includes it’s educational background makes the society have to be aware about the importance of COVID-19 prevention behavior. The goal is to know the correlation between level of education and COVID-19 prevention behavior of the people in North Sulawesi. This study uses quantitative research with cross sectional approach and with the total sample 390 respondents. This research was delivered by filling the online questionnaire that can be access through https://bit.ly/3gOVe5h. The data analyzed by using pearson chi square test. The result shows the value of p=0,000 <0.05 which means there is a correlation between level of education and COVID-19 prevention behavior of the people in North Sulawesi. The higher the level of education of someone hence the better the COVID-19 prevention behavior.