Pengaruh Kombinasi Distraksi Cerita Bergambar dan Dukungan Orang Tua Untuk Mengurangi Kecemasan Anak Pre operasi di IBS RS Lavalette Malang

Cornelia Fransisca Christiani, Nurul Pujiastuti, Erlina Suci Astuti, Joko Wiyono

Abstract


Anxiety in children, if not addressed promptly, can interfere with their eating, drinking, and sleeping needs; therefore, it should not be ignored and must be managed immediately to prevent adverse effects on the child’s healing process. This study aims to determine the effect of a combined intervention of picture story distraction and parental support in reducing preoperative anxiety in children. This research employed a quasi-experimental design with a pre-test and post-test nonequivalent control group. The sample consisted of 34 school-aged children (6– 12 years old) selected through purposive sampling. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed that in the intervention group, the mean pre-test anxiety score was 50.67, with a range of 41.60 to 68.40, which significantly decreased to a post-test mean score of 25.99, ranging from 23.34 to 28.40. A p-value of 0.000 (< 0.05) indicated a significant effect of the combined intervention in reducing preoperative anxiety in children. The results of the study showed a decrease in anxiety scores after the combined therapy was administered. This approach can be utilized by nurses as a non-pharmacological strategy to create a more comfortable preoperative environment for children.


Keywords


Anxiety; preoperative; distraction; parental support

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References


Barus, M., Sembiring, F., & Lubis, M. G. (2024). Hubungan Dukungan Keluarga dengan Kecemasan Anak Usia Sekolah (6-12) yang Mengalami Pemasangan Infus di RSUP Haji Adam Malik Medan Tahun 2023. Journal Of Social Science Research, 4(2), 1892–1904. https://doi.org/https://doi.org/10.31004/innovative.v4i2.9526

Canbek, B., Birbicer, H., & Demirel, S. (2023). Validity and Reliability of the Modified Yale Preoperative Anxiety Scale in Turkish Children Aged 0-2. Anestezi Dergisi, 31(4), 267–276. https://doi.org/10.54875/jarss.2023.94220

Cing, M. T. G. C., & Annisa, R. (2022). Dukungan Keluarga Terhadap Tingkat Kecemasan Pasien Pre Operasi. JIK JURNAL ILMU KESEHATAN, 6(2), 403–408. https://doi.org/10.33757/jik.v6i2.574

Faryabi, R., Rahimi, T., Daneshi, S., Movahed, E., Yusefi, A. R., Shahrokhabadi, M. S., Chen, D.-G. (Din), Azaraeen, S., & Clark, C. C. T. (2022). Stress Coping Styles in Family and Relatives of Coronavirus Disease 2019 (COVID-19) Patients in the South of Iran: Application of Lazarus and Folkman’s Theory of Stress Coping. The Open Public Health Journal, 15(1), 1–8. https://doi.org/10.2174/18749445-v15-e220927-2021-243

Goktasa, N., & Avci, D. (2023). The effect of visual and/or auditory distraction techniques on children’s pain, anxiety and medical fear in invasive procedures: A randomized controlled trial. Journal of Pediatric Nursing, 73, 27–35. https://www.pediatricnursing.org/article/S0882-5963(23)00182-3/abstract?utm_source=chatgpt.com

Kusuma, A. N., & Nurhidayati, T. (2021). Penurunan Tingkat Kecemasan Dengan Biblioterapi Pada Anak Saat Pemasangan Infus. Ners Muda, 2(2), 60. https://doi.org/10.26714/nm.v2i2.6297

Liang, Y., Huang, W., Hu, X., Jiang, M., Liu, T., Yue, H., & Li, X. (2021). Preoperative anxiety in children aged 2–7 years old: a cross-sectional analysis of the associated risk factors. Translational Pediatrics, 10(8), 2024–2034. https://doi.org/10.21037/tp-21-215

Listari, L. A. (2022). Pengaruh Video Animasi terhadap Tingkat Kecemasan Preoperasi pada Anak Usia Prasekolah di RSU PKU Muhammadiyah Bantul [Universitas Aisyiyah]. https://digilib.unisayogya.ac.id/6364/

Luthfiah, R., Rahmawati, N. A., Faozi, E., & Haryanto, A. (2025). Studi Kasus: Penerapan Terapi Musik dan Biblioterapy untuk Mengurangi Kecemasan Anak Saat Diberikan Terapi Intravena. Jurnal Ners, 9(1), 880–888. https://doi.org/https://doi.org/10.31004/jn.v9i1.31542

Maulina, L., Susilowati, Y., & Diel, M. M. (2023). Perbedaan Tingkat Kecemasan Pemberian Informed Consent pada Pasien Pra Operasi. Jurnal Kesehatan, 12(2), 189–198. https://doi.org/10.37048/kesehatan.v12i2.164

Mendri, N. K., Badi’ah, A., & Najib, M. (2020). Pop Up Toys as Story Play Therapy on The Level of Anxiety on General Anesthesia Surgery Among Children Around 6-12 Years Old. THE 7th INTERNATIONAL CONFERENCE ON PUBLIC HEALTH 2020, 242–253. https://doi.org/10.26911/the7thicph-FP.03.41

Niland, A. (2023). Picture Books, Imagination and Play: Pathways to Positive Reading Identities for Young Children. Education Sciences, 13(5), 511–519. https://doi.org/10.3390/educsci13050511

Pandiangan, E., & Wulandari, M. (2020). Hubungan Dukungan Keluarga dengan Kecemasan Pasien Pre-Operasi. Malahayati Nursing Journal, 2, 469–479. https://doi.org/https://doi.org/10.33024/mnj.v2i3.2888

Partiwi, A. I. (2023). Pengaruh Pemberian Storytelling terhadap Tingkat Kecemasan Anak Usia Prasekolah 3-6 Tahun Akibat Hospitalisasi di Rumah Sakit Swasta X Bekasi [STIKES Mitra Keluarga]. https://share.google/oJaYNLWRXP2on8I4G

Purnamasari, A. R., & Rahmatika, R. (2016). Perbedaan Dukungan Sosial dari Ibu Mertua pada Ibu Menyusui yang Bekerja dan Tidak Bekerja. Jurnal Psikologi Undip, 15(1), 21–35.

Purwaningsih, Y. (2021). Pengaruh Distraksi Cerita Bergambar terhadap Kecemasan Anak usia Prasekolah yang Dilakukan Pemberian Obat Intravena di Ruang Anggrek RSUD Panembahan Senopati Bantul [STIKES Wira Husada]. https://share.google/GpWtDQ8Vdl6DIL89i

Putri, D. A. (2023). Gambaran Kecemasan Pre Operasi pada Anak dan Orang Tua di RSUD K.R.M.T Wongsonegoro Semarang [Universitas Islam Sultan Agung]. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://repository.unissula.ac.id/29880/1/Ilmu%20Keperawatan_30901900043_fullpdf.pdf

Retnani, A. D., Sutini, T., & Sulaeman, S. (2019). Video Kartun dan Video Animasi dapat Menurunkan Tingkat Kecemasan Pre Operasi pada Anak Usia Pra Sekolah. Jurnal Keperawatan Silampari, 3(1), 332–341. https://doi.org/10.31539/jks.v3i1.837

Schoppmann, J., Severin, F., Schneider, S., & Seehagen, S. (2023). The effect of picture book reading on young children’s use of an emotion regulation strategy. PLoS ONE, 18(8), 1–21. https://doi.org/10.1371/journal.pone.0289403

Soenarto, R. F., Pudjiningsih, I., Marsaban, A. H., & Kaligis, F. (2016). Pre-anesthetic Anxiety Level in Children with Congenital Heart Disease: Comparison between Maternal Presence during Anesthetic Induction and Midazolam Premedication. eJournal Kedokteran Indonesia (eJKI), 4(2), 92–98.

Sunitin. (2023). Pengaruh Terapi Distraksi Audiovisual Menggunakan Film Animasi terhadap Kecemasan Anak Saat Tindakan Pengambilan Darah di RSUD Kajen Kabupaten Pekalongan [Universitas Widya Husada Semarang]. https://eprints.uwhs.ac.id/1927/

Supangat, S., Sakinah, E. N., Nugraha, M. Y., Baswedan, A. H., & Haritsah, P. A. (2024). Gambaran Tingkat Kecemasan Pasien Bedah Anak pada Persiapan Perioperatif di RSD dr. Soebandi Jember. Jurnal Anestesi Perioperatif, 12(1), 1–5. https://doi.org/10.15851/jap.v12n1.3126

Syakura, A., Eldi, F. A., & Noviandry, H. (2022). Tingkat Kecemasan Anak yang Dipasang Infuse menggunakan Teknik Distraksi Bercerita. Wiraraja Medika: Jurnal Kesehatan, 12(1), 1–5. https://doi.org/https://doi.org/10.24929/fik.v12i1.1896

WHO. (2025, September 8). Anxiety disorders. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders

Yan, Z., Yu, S., & Lin, W. (2024). Parents’ perceived social support and children’s mental health: the chain mediating role of parental marital quality and parent‒child relationships. Current Psychology, 43(5), 4198–4210. https://doi.org/10.1007/s12144-023-04625-x




DOI: http://dx.doi.org/10.30829/jumantik.v11i1.25351

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