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Abstrak :
ABSTRAK
Tidur memiliki fungsi restoratif yang penting untuk proses pemulihan penyakit klien. Salah satu faktor dominan penentu kualitas tidur klien adalah praktik ritual tidur. Penelitian ini merupakan penelitian deskriptif korelasi dengan desain potong lintang yang bertujuan untuk mengidentifikasi hubungan antara perubahan praktik ritual tidur dengan kualitas tidur pada klien hospitalisasi. Penelitian ini dilakukan di RSUD Pasar Rebo Jakarta Timur terhadap 85 klien rawat inap kelas III yang dipilih secara random sampling. Praktik ritual tidur klien diukur menggunakan kuesioner Bedtime Routine Questionnaire yang dimodifikasi sedangkan kualitas tidur diukur dengan kuesioner Pittsburgh Sleep Quality Index. Hasil penelitian menunjukkan sebesar 83,5% klien memiliki kualitas tidur yang buruk. Penelitian ini juga menunjukan bahwa ada perbedaan praktik ritual tidur klien selama di rumah dan di rumah sakit. Hasil analisis uji T independent menunjukkan secara statistik ada hubungan yang signifikan antara praktik ritual tidur dengan kualitas tidur (p=0,019). Penelitian ekspresimen terkait intervensi peningkatan kualitas tidur klien dengan mendukung ritual tidur diperlukan pada penelitian selanjutnya.

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ABSTRACT
Sleep has a restorative function that is important to recovery process of patients disease. One of the dominant factors determine patient?s sleep quality is sleep ritual practices. This is a descriptive correlative study using cross-sectional approach which aims to identify the relationship between sleep ritual practice's change with the sleep quality of hospitalized adult patient. This research was conducted in RSUD Pasar Rebo towards 85 patients in Class III room recruited using random sampling method. Patient?s sleep ritual practice were measured by Bedtime Routine Questionnaire (BRQ) that was modified,while the sleep quality was measured by Pittsburgh Sleep Quality Index (PSQI). The result shows 83,5% of patients have poor sleep quality. This research also shows that there are differences between patient?s sleep ritual practice at home and at the hospital. Statistical analyses using Independent T test shows there was significant relationship between sleep ritual practice and sleep quality (p = 0,019). Any future experimental research about the sleep intervention by supporting patient?s sleep ritual practice is needed

Abstrak :
Hospitalisasi seringkali menyebabkan keadaan stress pada anak, salah satu penyebabnya adalah karena adanya rasa nyeri. Perawat mempunyai peran penting dalam merawat anak dengan nyeri dan salah satu faktor yang mempengaruhi perawat adalah sikap. Penelitian ini dilakukan dengan tujuan mengidentifikasi sikap perawat terhadap nyeri pada anak di ruang rawat inap anak di salah satu rumah sakit rujukan anak di Jakarta. Adapun desain dari penelitian ini adalah deskriptif dengan metode sampling acak sederhana dan melibatkan 69 responden. Hasil penelitian menunjukkan bahwa belum ada perawat yang memiliki sikap yang positif terhadap nyeri pada anak. Hal tersebut menggambarkan bahwa nyeri pada anak belum ditangani dengan baik. Pihak rumah sakit perlu memfasilitasi perawat untuk meningkatkan pengetahuan terhadap manajemen nyeri pada anak, misalnya melalui pelatihan manajemen nyeri pada anak. ......Hospitalization often cause stress in chidren, example because of pain. Nurse has significant role to attend children in pain. One of factor that influence nurse in attending children in pain is nurse’s attitude This study’s purpose is to identfy nurse’s attitude to children’s pain one of Pediatric Hospital in Jakarta. Desciptive was chosen as design of this study. This study used random sampling method by involving 69 nurses. The result of this study showed there was no nurse has positive attitude to children’s pain. It describe that children’s pain still undertreatment. Pediatric hospital’s stake holder should facilitate nurse to improve their knowledge about children’s pain management, for example by providing children’s pain management training.

Abstrak :
ABSTRAK
Angka rawat inap pasien anak masih tinggi baik di dunia maupun di Indonesia. Selama proses perawatan rawat inap, anak harus beradaptasi dengan berbagai stresor seperti kondisi kesehatan, tindakan invasif, lingkungan fisik rumah sakit, sikap petugas kesehatan, dan lingkungan sosial. Setiap anak memiliki tingkat kemampuan koping yang berbeda dalam menghadapi stresor. Anak-anak yang tidak mampu mengatasi stres selama dirawat di rumah sakit cenderung mengalami stres dan akhirnya mengalami trauma. Penelitian ini bertujuan untuk menggali pengalaman anak dalam menerima asuhan atraumatik selama rawat inap menggunakan metode penelitian kualitatif dengan pendekatan studi fenomenologi deskriptif. Jumlah partisipan dalam penelitian ini sebanyak 11 partisipan yang dipilih dengan menggunakan teknik purposive sampling. Hasil penelitian diperoleh empat tema yaitu kebutuhan anak akan kehadiran orang tua dalam rawat inap; Manajemen nyeri yang tidak efektif dalam tindakan invasif menyebabkan trauma; Kualitas perawatan pasien menurun karena kesibukan perawat; dan kebutuhan sosialisasi, belajar dan bermain anak-anak selama dirawat di rumah sakit.
ABSTRACT
The hospitalization rate for pediatric patients is still high both in the world and in Indonesia. During the inpatient care process, children must adapt to various stressors such as health conditions, invasive measures, the physical environment of the hospital, the attitude of health workers, and the social environment. Every child has a different level of coping ability in dealing with stressors. Children who are unable to cope with stress while in hospital are more likely to experience stress and eventually experience trauma. This study aims to explore children's experiences in receiving atraumatic care during hospitalization using qualitative research methods with descriptive phenomenological study approach. The number of participants in this study were 11 participants who were selected using purposive sampling technique. The results obtained four themes, namely the child's need for the presence of parents in hospitalization; Ineffective pain management under invasive measures resulting in trauma; The quality of patient care has decreased due to the busyness of the nurses; and the children's social, learning and playing needs during their hospitalization.

Abstrak :
ABSTRAK
Storytelling merupakan salah satu alternatif intervensi dalam asuhan atraumatik keperawatan anak di rumah sakit untuk mengurangi efek negatif akibat hospitalisasi. Storytelling dapat diberikan sebagai distraksi terhadap ketakutan anak yang dialami selama dalam perawatan. Penelitian ini bertujuan untuk mengetahui efektivitas storytelling terhadap takut akibat hospitalisasi pada anak usia sekolah di rumah sakit. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian quasi eksperiment dan metode yang digunakan adalah non-equivalent control group pretest-posttest design. Subyek dalam penelitian ini terdiri dari dua kelompok yaitu kelompok intervensi 1 (storytelling) dan kelompok 2 yaitu kelompok kontrol dimana jumlah total responden n=32, di RSAB Harapan Kita Jakarta. Pengambilan data responden menggunakan sistem blok yang dilakukan dari bulan Juni sampai Juli 2020. Hasil analisis bivariat menunjukkan bahwa intervensi storytelling berpengaruh signifikan terhadap penurunan takut hospitalisasi anak usia sekolah di rumah sakit sebelum dan sesudah pemberian intervensi (P value =0,000 < 0,05). Selain itu juga ada perbedaan bermakna selisih skor takut pada kelompok intervensi dengan kelompok kontrol terhadap skor takut hospitalisasi (P value = 0,000 < ). Storytelling dapat diterapkan dalam asuhan keperawatan pasien anak di rumah sakit untuk membantu meminimalkan trauma atau takut anak.

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ABSTRACT
Storytelling is one of the alternative interventions in pediatric nursing atraumatic care in hospitals to reduce the negativeaffects of hospitalization. Storytelling can be given as distraction to the fears a child experiences during treatment. This study aims to determine the effectiveness of storytelling againts fear due to hospitalization in school- age children in hospital. This study is a quantitative study with a quasi-experimental researchdesign and the method used in non-equivalent control group pretest-posttest design. Subjects in this study consisted of two groups namely the intervention first group (storytelling) and second group namely the control group.The total number of respondens was n=32, at the Harapan Kita Maternity and Children Hospital in Jakarta. Respondent data collection using a block system conducted from June to July 2020. Bivariat analysis results show that storytelling intervention has a significant effect on reducing fear of hospitalization of school-age children in hospitals before and after administration of the intervention (P value =0,000 < 0,05). In addition, there is also a significant deifference between the fear score in the intervention group and the control group (P value = 0,000 < ). Storytelling can be applied in nursing care of pediatric patients in hospitals to help minimize trauma or fear of children.

Abstrak :
ABSTRAK
Hospitalisasi pada anak prasekolah merupakan pengalaman yang sering membuat anak stress dan mengalami kecemasan.Tujuan penelitian untuk menganalisa pengaruh penggunaan rompi bergambar oleh perawat terhadap kecemasan anak prasekolah akibat hospitalisasi. Desain penelitian quasi eksperimen post test-only non equivalent control group. Instrumen pengukuran kecemasan anak menggunakan kuesioner yang diisi orang tua. Sampel penelitian berjumlah 34 anak terbagi dalam kelompok kontrol dan intervensi. Analisis untuk melihat pengaruh antara kedua variabel menggunakan Mann Withney test Hasil penelitian menunjukkan ada pengaruh penggunaan rompi bergambar terhadap kecemasan anak akibat hospitalisasi dengan p value = 0,003. Penggunaan rompi bergambar dapat digunakan sebagai upaya untuk menurunkan kecemasan anak akibat hospitalisasi.

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ABSTRACT
The experiences of hospitalization leaded to stress and anxiety. The aim of this research was to analyze the influence of wearing patterned vest during hospitalization by the nurses to hospital-related anxiety. The research design was quasi experiment post test-only non equivalent control group and the sample was 17 children in intervention group and 17 children in control group. Spance Children Anxiety Scale was filled out by the parents to measure the level of children?s anxiety. The data was analyzed with Mann Withney test. The research showed that there was a significant relationship between wearing patterned vest during hospitalization by the nurses and children?s anxiety (p value=0.003). Patterned vest uniform can be used to decreasing children?s hospital related anxiety.

Abstrak :
Fungsi tidur adalah menjaga keseimbangan fisiologi dan psikologis individu. Kondisi kronis yang dialami pasien menyebabkan terjadinya perubahan-perubahan fisiologis maupun psikologis yang adakalanya mengharuskan untuk menjalani hospitalisasi. Aspek yang melingkupi intervensi hospitalisasi menjadi salah satu faktor yang dapat memengaruhi kualitas tidur pasien. Penelitian ini menggunakan desain cross sectional dengan purposive sampling dan diterapkan pada 105 sampel yaitu pasien dengan diagnosis penyakit kronis berusia ³18 tahun, mampu berkomunikasi secara efektif dan tengah menjalani perawatan di unit rawat jalan dan rawat inap. Tujuan penelitian ini adalah mengetahui hubungan antara hospitalisasi dengan kualitas tidur pada pasien penyakit kronis. Penelitian ini dianalisis dengan uji Chi Square dan Mann-Whitney. Pasien penyakit kronis cenderung memiliki kualitas tidur buruk terkait dengan kondisi intenal yaitu faktor keluhan fisik, stress emosional, dan kebiasaan yang dilakukan (p = 0.015; p = 0.004; p = 0.001). Penelitian ini merekomendasikan agar perawat dapat melakukan intervensi terhadap gangguan tidur yang dialami pasien. ......The function of sleep is to maintain an individuals physiological and psychological balance. Chronic conditions experienced by patients cause physiological and psychological changes that sometimes require hospitalization. The aspects surrounding the hospitalization intervention are one of the factors that can affect the quality of the patient's sleep. This study used a cross sectional design with purposive sampling and was applied to 105 samples, namely patients with a diagnosis of chronic disease aged ³18 years, able to communicate effectively and were undergoing treatment in the outpatient unit and inpatient care. The purpose of this study was to determine the relationship between hospitalization and sleep quality in patients with chronic disease. This study was analyzed by Chi Square and Mann-Whitney tests. Chronic disease patients tend to have poor sleep quality related to internal conditions, namely physical complaints, emotional stress, and habits (p = 0.015; p = 0.004; p = 0.001). This study recommends that nurses intervene in sleep disorders experienced by patients.

Abstrak :
ABSTRAK
Hospitalisasi adalah suatu keadaan dimana seorang anak memiliki status sakit yang akut dan harus dirawat selama beberapa waktu di rumah sakit untuk pemulihan. Ketegangan yang dirasakan orang tua terhadap kondisi kesehatan anaknya yang menurun membuat tidak jarang orang tua menyalahkan diri sendiri atas penyakit yang diderita anaknya. Faktor-faktor yang berhubungan dari dalam dan luar diri seseorang memegang peranan penting dalam pembentukan koping individu. Mekanisme koping yang dimiliki orang tua dapat mempengaruhi psikologi orang tua. Penelitian ini bertujuan untuk mengetahui pengaruh faktor predisposisi dengan parental coping. Penelitian ini menggunakan desain cross sectional dengan purposive sampling dan diterapkan pada 106 sampel yaitu orang tua dengan pengasuhan anak minimal 3 hari. Hasil penelitian setelah dianalisis dengan Chi-square menunjukkan bahwa faktor yang paling berhubungan dengan parental coping saat anak menjalani rawat inap adalah hari perawatan (p value = 0,000; = 0,05) dan ketersediaan ruang bermain anak (p value = 0,016; = 0). ,05).
ABSTRACT
Hospitalization is a condition where a child has an acute illness status and must be treated for some time in the hospital for recovery. The tension that parents feel about their child's declining health condition makes it not uncommon for parents to blame themselves for their child's illness. Factors that are related from within and outside a person play an important role in the formation of individual coping. Coping mechanisms that are owned by parents can affect the psychology of parents. This study aims to determine the effect of predisposing factors with parental coping. This study used a cross sectional design with purposive sampling and applied to 106 samples, namely parents with at least 3 days of child care. The results of the study after being analyzed by Chi-square showed that the factors most related to parental coping when children were hospitalized were the day of care (p value = 0.000; = 0.05) and the availability of children's playroom (p value = 0.016; = 0) . ,05).

Abstrak :
Hospitalization can produce anxiety and interrupt school age children’s wellness. Although many methods have been applied to handle child anxiety, however the most new effective one has not found yet. The art therapy is one of alternatives to minimize child anxiety. This research goal is to describe art therapy effect toward minimizing anxiety in school age children undergoing hospitalization. Quasi experimental research was set on pre-post test non-equivalent control group design. Research population was 6-12 years old children undergoing hospital care at RSUD Prof. Dr. Margono Soekarjo and RSUD Banyumas, and purposive sampling was applied to them. Sample research was 60 children between age 6 and 12 years old, divided into 2 groups. Those were 30 children as research group and 30 children as control group. Child drawing: Hospital (CD: H) instrument was used in this research to measure anxiety. The effects of art therapy were tested with Chi Square. This statistic analyses showed that there was different anxiety level between two groups before applying art therapy (p=0,011). However there was no difference anxiety level between two groups after applying art therapy (p=0,760). An additional analyses showed that art therapy effectively reduce arterial pulse level (p=0,008). There was no evidence that age, length of care, and experiencing care correlate to anxiety level after applying art therapy, except sex in experimental group with anxiety level. Results showed that art therapy did not reduce anxiety level however this was effective in reducing arterial pulses, one of anxieties physiological responses. Developing the research in art therapy need randomize sampling to increase homogeneity between two groups then will strengthen the result. Pediatric nurses should applying art therapy with variation method to reduce anxieties physiological responses.

Abstrak :
Hospitalisasi dapat menimbulkan kecemasan pada anak. Biblioterapi adalah pemanfaatan buku sebagai media terapi. Penelitian ini bertujuan mengidentifikasi pengaruh biblioterapi terhadap tingkat kecemasan anak usia sekolah yang menjalani hospitalisasi. Jenis penelitian kuasi eksperimen dengan sampel 30. Tehnik pengambilan sampel adalah purposive sampling. Hasil penelitian ini menunjukan rata-rata tingkat tingkat kecemasan anak yang mendapatkan bibliotarapi sebesar 29,27 dan rata-rata tingkat kecemasan anak yang tidak mendapatkan biblioterapi sebesar 36,07. Hasil uji statistik menunjukan pengaruh biblioterapi terhadap penurunan tingkat kecemasan anak usia sekolah yang menjalani hospitaliasi. Tidak terdapat hubungan usia, jenis kelamin, pengalaman dirawat, lama rawat dan frekuensi membaca dengan tingkat kecemasan anak. Pemberian biblioterapi dapat diterapkan sebagai salah satu intervensi keperawatan untuk menurunkan kecemasan anak usia sekolah selama menjalani hospitalisasi. ......Hospitalization can cause anxiety in children. Bibliotherapy is using the book as a medium of therapy. The purpose of this study was to identified the effect of bibliotherapy on anxiety levels school-age children who underwent hospitalization. This type of study was quasi-experimental with a sample of 30. Sampling technique was purposive sampling. The results of this study showed the average level of anxiety levels of children who got bibliothrapy is 29.27 and the average level of anxiety of children who did not get biblioterapi is 36,07. Statistical test results showed the influence of bibliotherapy on reducing anxiety levels school-age children who underwent hospitalization. There is no relationship of age, gender, experience, length of care and frequency of reading with a child's anxiety level. Giving biblioterapi can be applied as a nursing intervention to reduce anxiety during schoolage children hospitalization.