Nurse and Holistic Care
Vol. 6 No. 1 (2026): Nurse and Holistic Care

THE EFFECT OF NONPHARMACOLOGICAL PAIN MANAGEMENT (BEHAVIORAL INTERVENTION) ON ANXIETY AND CRYING TIME IN PRESCHOOLERS DURING INVASIVE PROCEDURES AT RSI JEMURSARI SURABAYA

Wesiana Heris Santy (Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, 60237 Surabaya, East Java, Indonesia)
Nabila Rizqi Syahrizal (Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, 60237 Surabaya, East Java, Indonesia)
Yurike Septianingrum (Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, 60237 Surabaya, East Java, Indonesia)
M. Shodiq (Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, 60237 Surabaya, East Java, Indonesia)



Article Info

Publish Date
29 Apr 2026

Abstract

Background: Preschool children often experience high anxiety during invasive procedures, which may lead to refusal, prolonged crying, and the risk of psychological trauma. Behavioral interventions are nonpharmacological strategies aimed at reducing these negative responses. Purpose: To determine the effectiveness of behavioral intervention in reducing anxiety levels and crying duration among preschool children undergoing invasive procedures. Methods: A quasi-experimental study with a post-test control group design was conducted among 80 preschool children aged 3–6 years undergoing intravenous cannulation at RSI Jemursari Surabaya. Participants were randomly assigned to an intervention group (n = 40) and a control group (n = 40). The intervention group received behavioral intervention, while the control group received standard care. Anxiety levels were measured using the Face Anxiety Scale, and crying duration was recorded using a stopwatch. Data were analyzed using the Mann–Whitney U test. Results: The intervention group showed significantly lower anxiety levels and shorter crying duration compared to the control group. The mean anxiety score in the intervention group was 1.53, while the control group scored 3.03. The mean crying duration was 47.83 seconds in the intervention group and 138.25 seconds in the control group, indicating the effectiveness of behavioral intervention. Conclusion: Behavioral intervention effectively reduces anxiety and crying duration in preschool children during invasive procedures. This intervention supports holistic nursing care by addressing psychological and emotional needs. Nurses are encouraged to routinely apply behavioral interventions with parental involvement to promote child-centered care.

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Journal Info

Abbrev

nhc

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

“Nurse and Holistic Care" is a Scientific Journal managed by Institute for Research and Community Services of Nahdlatul Ulama University, Surabaya. The scope of this journal is articles in the fields of health, public health, midwifery and nursing (basic nursing, medical surgical nursing, ...