pengaruh akupresur titik Nei Guan  terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah

Chemotherapy as a pediatric cancer treatment has nausea and vomiting side effects. Nausea and vomiting in school-age children with cancer can lead to nutritional, emotional, playing, and school function disorders, decreasing the quality of life in children. An adjuvant therapy that can decrease chemotherapy-induced nausea and vomiting is acupressure which is non-invasive and safe. Nei Guan acupressure point uses pressure technique on the wrist. This study was conducted to determine effects of Nei Guan acupressure on nausea and vomiting due to highly emetogenic chemotherapy in school-age children with cancer. The study design was quasi-experimental through a pre-post test design study approach, with single-blind control. Thirty respondents obtained from the average calculation of two population hypothesis test, were divided into a control and intervention group comprising 15 people respectively. Both groups got the same antiemetic. Measurement of nausea was performed three times during the study using the Pediatric Nausea Assessment Tools (PeNAT), while vomiting intervals were documented for every vomiting and retching. Data analysis used the Mann Whitney and independent t-test. The analysis result in the control group showed that the average nausea value tended to increase and the vomiting interval was faster than in the intervention group. In conclusion, Nei Guan acupressure affects nausea and vomiting due to highly emetogenic chemotherapy in school-aged children with cancer although it is not statistically significant (p-value> 0.05). Nurses are expected to monitor ongoing nausea and vomiting, and consider acupressure as adjuvant therapy, besides providing pharmacological treatment to reduce nausea and vomiting.

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Pop Up Toys as Story Play Therapy on the Level of Anxiety on General Anesthesia Surgery among Children around 6-12 Years Old

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.29 ◽

2020 ◽

Author(s):

Ni Ketut Mendri ◽

◽

Atik Badi’ah ◽

Mohammad Najib ◽

◽

...

Keyword(s):

General Anesthesia ◽

Play Therapy ◽

Intervention Group ◽

Moderate Level ◽

School Age Children ◽

Control Group ◽

School Age ◽

Control Group Design ◽

Number Of Children ◽

Post Test

ABSTRACT Background: Children who are first hospitalized may experience higher anxiety levels than children who have been hospitalized. The preliminary study in 2018 showed that when general surgery was to be done, as many as 90%school-age children were scared and nervous. It is important to provide play therapy to children who are going to undergo surgery. In addition to reading and seeing through photos, pop-up toy story books will also be offered to school-age children. This study aimed to examine the relationship between pop up toys as story play therapy on the level of anxiety on general anesthesia surgery among children around 6-12 years old. Subjects and Method: This was an experimental study with pre-post test with control group design. This study was conducted in Yogyakarta Province hospital. Study subjects were children around 6-12 years old and will performed general anesthesia surgery. The data were collected using questioner and in-depth interview. The data were analyzed using Mann-Whitney test. Results: There was a decrease number of children with moderate level of anxiety after the intervention group using pop up toys as story play therapy from 30 children (81.1%) to 6 children (16.2%). While in the control group, a total of 25 children had moderate level of anxiety (87.6%) before the theraphy, and after therapy a total of 2 children also had moderate level of anxiety (5.4%), and they were statistically significant. Conclusion: Playing pop up toys story therapy has an effect on the level of anxiety among children around 6-12 years old and will performed general anesthesia surgery. Keywords: pop up toys story therapy, anxiety level, general anesthesia, school age children Correspondence: Ni Ketut Mendri. School of Health Sciences, Yogyakarta. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.29

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Enhancing Maternal Ability: Mediating for Pre-school Age Children’s Cognitive Development

International Journal of Innovation, Creativity and Change ◽

10.53333/ijicc2013/15809 ◽

2021 ◽

pp. 174-188

Author(s):

Leny Latifah ◽

Diah Yunitawati ◽

Yusi Dwi Nurcahyani ◽

Suryati Kumorowulan

Keyword(s):

Cognitive Development ◽

Intervention Group ◽

Cognitive Stimulation ◽

School Age Children ◽

Control Group ◽

School Age ◽

Control Group Design ◽

Parenting Training ◽

Quasi Experimental ◽

The Impact

The multifactorial risks that accompany IDD (Iodine Deficiency Disorders) aggravate cognitive development deficits in children. The most important factors are poor cognitive stimulation and parenting. This study aimed to analyse the impact of parenting training on maternal skills to mediate cognitive development in children. The study was quasi-experimental pre-post with a control group design. A total of 78 mothers and their children, aged four to five years, from Purworejo participated in the research. Palpation to assess maternal goiter status and Mother-Child Picture-Talk Task (MCPTT) assessed the ability to perform cognitive mediation in children. The Smart Mother Class, a parenting skill intervention, was given for six months (16 meetings), each lasting 60-90 minutes. The risk of low family resources, both economic and caring resources, is indicated by the work and education of the fathers and mothers. Most mothers and fathers have elementary school education and below (60.3). The result show that three months after the intervention there was a significant effect at the positive level, and at six months, the intervention group showed a significant improvement (p< 0.001). Parenting training in low parenting resource settings could improve maternal skills for mediating cognitive development in pre-school age children.

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Efficacy, safety and feasibility of fosaprepitant for the prevention of chemotherapy-induced nausea and vomiting in pediatric patients receiving moderately and highly emetogenic chemotherapy – results of a non-interventional observation study

BMC Cancer ◽

10.1186/s12885-019-6252-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Semjon Willier ◽

Karin Melanie Cabanillas Stanchi ◽

Martina von Have ◽

Vera Binder ◽

Franziska Blaeschke ◽

...

Keyword(s):

Adverse Events ◽

Pediatric Patients ◽

Emetogenic Chemotherapy ◽

Nausea And Vomiting ◽

Control Group ◽

Observation Study ◽

Highly Emetogenic Chemotherapy ◽

Antiemetic Agent ◽

Chemotherapy Administration ◽

Antiemetic Prophylaxis

Abstract Background Chemotherapy-induced nausea and vomiting (CINV) belong among the most burdensome side effects in hemato-oncology. Mostly, a combination of ondansetron and dexamethasone is used as antiemetic prophylaxis in pediatric patients undergoing emetogenic chemotherapy. However, dexamethasone is prohibited in different pediatric chemotherapy protocols. Currently, data on the use of ondansetron with the new antiemetic agent fosaprepitant without dexamethasone is not available for pediatric patients. Methods In this non-interventional observation study, 79 pediatric patients with a median age of 8.0 years (range 0.5–17.9 years) who received a CINV prophylaxis regimen with either fosaprepitant (4 mg/kg; maximum 150 mg) and ondansetron (as 24-h continuous infusion) (n = 40; fosaprepitant group/FG) or ondansetron only (n = 39; control group/CG) during moderately or highly emetogenic chemotherapy were analyzed. The groups were analyzed and compared for frequency of vomiting, administered doses of on-demand antiemetic dimenhydrinate and adverse events during the acute (0-24 h after chemotherapy administration) and delayed (> 24 h–120 h) CINV phases. Results A total of 112 and 116 chemotherapy blocks were analyzed in the fosaprepitant and the control group, respectively. The emetogenic potential of the administered chemotherapy did not significantly differ (p = 0.8812) between the two cohorts. In the acute CINV phase, the percentage of patients experiencing vomiting (n = 26 patients) and the vomiting events were significantly higher (p = 0.0005 and p < 0.0001, respectively) in the CG (n = 26 patients (66.7%); 88 events) compared with the FG (n = 10 patients (25.0%); 37 events). In the delayed CINV phase, the percentage of patients experiencing vomiting and the vomiting events were also significantly higher (p = 0.0017 and p < 0.0001, respectively) in the CG (n = 31 patients (79.5%); 164 events) compared with the FG (n = 17 patients (42.5%); 103 events). Additionally, significantly more dimenhydrinate doses were administered in the CG compared with the FG patients (n = 322/n = 198; p < 0.0001). The occurrence of adverse events did not significantly differ between the two groups (p > 0.05). Conclusion Fosaprepitant (4.0 mg/kg) in addition to ondansetron, without application of dexamethasone, was well tolerated, safe, effective and superior to ondansetron only as CINV prophylaxis in pediatric patients during moderately and highly emetogenic chemotherapy.

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Primary school-based nutrition education intervention on nutrition knowledge, attitude and practices among school-age children in Ghana

Global Health Promotion ◽

10.1177/1757975920945241 ◽

2020 ◽

Vol 27 (4) ◽

pp. 114-122

Author(s):

Janet Antwi ◽

Agartha Ohemeng ◽

Laurene Boateng ◽

Esi Quaidoo ◽

Boateng Bannerman

Keyword(s):

Nutrition Education ◽

Dietary Diversity ◽

Intervention Group ◽

Nutrition Knowledge ◽

Nutrition Status ◽

School Age Children ◽

Control Group ◽

Education Intervention ◽

School Age ◽

Significant Difference

This study was performed to evaluate the effect of a six-week nutrition education intervention on the nutrition knowledge, attitude, practices, and nutrition status of school-age children (aged 6–12 years) in basic schools in Ghana. Short-term effects of nutrition education training sessions on teachers and caregivers were also assessed. Pre-post controlled design was used to evaluate the program. Intervention groups had significantly higher nutrition knowledge scores (8.8 ± 2.0 vs. 5.9 ± 2.1, P < 0.0001) compared to controls in the lower primary level. A higher proportion of children in the intervention group strongly agreed they enjoyed learning about food and nutrition issues compared to the control group (88% vs. 77%, P = 0.031). There was no significant difference in dietary diversity scores (4.8 ± 2.0 vs. 5.1 ± 1.4, P = 0.184) or in measured anthropometric indices (3.6% vs. 8.2%, P = 0.08). A marginally lower proportion of stunted schoolchildren was observed among the intervention group compared to the control group (3.6% vs. 8.2%, P = 0.080). Nutrition knowledge of teachers and caregivers significantly improved (12.5 ± 1.87 vs. 9.2 ± 2.1; P = 0.031) and (5.86 ± 0.73 to 6.24 ± 1.02, P = 0.009), respectively. Nutrition education intervention could have positive impacts on knowledge and attitudes of school children, and may be crucial in the development of healthy behaviors for improved nutrition status.

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The Effectiveness of Assertive Training Therapy to Emotional Management Ablity of School Age Children in Woromarto 1 Elementary School

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v3i3.art.p218-224 ◽

2016 ◽

Vol 3 (3) ◽

pp. 218-224

Author(s):

Laviana Nita L ◽

Puput Yosie

Keyword(s):

Intervention Group ◽

Sampling Technique ◽

School Age Children ◽

Control Group ◽

Behavior Changes ◽

School Age ◽

Emotional Management ◽

Training Technique ◽

Assertive Training ◽

Training Therapy

Assertive Training Therapy represent a training technique to teach and familiarize individualsbehave assertively in relationships with other people, able to control himself, feel free and fun, ableto respond to love things and express love and affect people who are very meaningful in their life. Theobjective of this research was to know the effect of Assertive Training therapy to the ability to manageemotions of school children (age 9-11 years). The research design used Quasy Experimental with thepopulation of 32 children with purposive sampling technique. The research instruments used observationand questionnaires with statistical test of Mann Whitney  <  with result 0,02 < 0,05 that meansH0 rejected means there was difference between control group and intervention group, and also theexistence of influence on intervention group. Based on the data indicated that most of children beforeconducted intervention had aggressive behavior, but after the giving of intervention of Assertive TrainingTherapy the children behavior changes becomes assertive. This because during the interventionchildren taught the way to express feeling correctly by conducted therapy of four sessions. Parents andteachers were expected to understand what the child feels in managing emotions to assist children inexpressing the desire that the child feels in a way of Assertive Training Therapy that includes 4 sessions.

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Pendidikan kesehatan dengan teknik bermain kartu edukasi dapat membentuk perilaku jajanan sehat pada anak usia sekolah

AcTion Aceh Nutrition Journal ◽

10.30867/action.v5i2.310 ◽

2020 ◽

Vol 5 (2) ◽

pp. 147

Author(s):

Dewi Marianthi ◽

Ismail Ismail ◽

T Alamsyah ◽

Wirda Hayati

Keyword(s):

Health Education ◽

Group Analysis ◽

Intervention Group ◽

Analysis Data ◽

School Age Children ◽

Control Group ◽

School Age ◽

Before And After ◽

Quasi Experimental ◽

Amount Of Knowledge

The behavior of school-age snacks, for the most part, does not meet health requirements, so there is a risk of various health problems or diseases. The need for health education for appropriate school-age children to shape healthy snacks, one of which is by playing. The objective research an after community service, it is expected that school-age children consume healthy snacks while in school. Methods, the research design was quasi-experimental, the treatment group received an intervention in the form of providing health education about healthy snacks through playing techniques using educational cards, using healthy snacks, while the control group was carried out with health education about distributing leaflets. The study sample of 100 people consisted of 50 intervention groups and 50 in the control group—analysis data using Dependent T-Test. Results, there were differences in healthy snack behavior before and after treatment, and there were differences in scores of the value of the knowledge, skills, and attitude variables about healthy snacks before and after treatment (p= 0,001), between the intervention group and the control group. In conclusion, there is an increase in the amount of knowledge, attitudes, and behaviors of healthy snacks for Banda Aceh students after providing health education. Suggestion, there needs to support from all of the institutions had related to form healthy snacks behavior among all students in elementary school.

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PENGARUH KOMPRES DINGINTERHADAP TINGKAT NYERI SAAT PEMASANGAN INFUS PADA ANAK USIA SEKOLAH

Bali Medika Jurnal ◽

10.36376/bmj.v5i2.35 ◽

2018 ◽

Vol 5 (2) ◽

pp. 56-67

Author(s):

I Gusti Ayu Putu Satya Laksmi ◽

Ni Made Suryati ◽

Ni Luh Gede Puspita Yanti

Keyword(s):

Pediatric Patients ◽

Intervention Group ◽

Control Design ◽

Invasive Procedure ◽

School Age Children ◽

Control Group ◽

P Value ◽

School Age ◽

Pain Level ◽

Consecutive Sampling

Pendahuluan:Prosedur pemasangan infus pada anak usia sekolah merupakan prosedur invasifyang mengakibatkan nyeri. Nyeri yang tidak ditangani dapat menimbulkan kesulitan tidur, ansietas, ketidakberdayaan dan keputusasaan. Kompres dingin merupakan salah satu tindakan keperawatan yang mampu mengurangi nyeri dengan memberikan efek anestesi lokal pada area yang akan dipasang infus. Penelitian ini bertujuan mengetahui pengaruh kompres dingin terhadap tingkat nyeri saat pemasangan infus pada anak usia sekolah. Metode:Desain penelitian menggunakan true eksperimental, dengan rancangan posttest-only control design. Teknik pengambilan sampel menggunakan consecutive sampling dengan sampel sebanyak 20 responden terbagi menjadi dua kelompok (10 responden kelompok kontrol dan 10 responden kelompok perlakuan).Kompres dingin dilakukan selama 3 menit sebelum pemasangan infus dilakukan.Hasil:Hasil penelitian menunjukkan rata-rata tingkat nyeri anak pada kelompok kontrol 6,4 termasuk nyeri sedang. Rata-rata tingkat nyeri pada kelompok perlakuan 2,7 termasuk nyeri ringan. Beda rata-rata tingkat nyeri pada kelompok perlakuan dan kelompok kontrol sebesar 3,7. Diskusi:Hasil uji Independent T Test didapatkan p value 0,000, menunjukkan ada pengaruh kompres dinginterhadap tingkat nyeri saat pemasangan infus pada anak usia sekolah di RSUD Sanjiwani Gianyar. Kompres dingin saat pemasangan infus pada pasien anak diharapkan dapat dijadikan standar, sehingga dapat menurunkan nyeri pada pasien anak. Kata kunci:Anak usia sekolah, Kompres dingin, Tingkat Nyeri ABSTRACK Introduction:The infusion procedure in school-age children is an invasive procedure that results pain. Pain that is not treated may cause anxiety, insomnia, powerlessness and hopelessness. Cold compress is one of the nursing interventions that are able toreduce pain by providing local anesthetic effect on the area where the infusion will be installed. The aim of the study to identify the effects of cold compress on levels of pain in school-age children during infusion installation.Method:Design of study was true experimental, with a posttest-only control design, by using consecutive sampling with 20 respondents consisted of two groups (10 control group and 10 intervention group). Cold compress was performed for 3 minutes prior infusion installation. Result:Results indicated that mean level of child pain in control group of 6,4 included moderate pain, mean level in intervention group of 2,7 included mild pain. Discussion:Bivariate analysis using Independent T Test.Mean difference of pain level in treatment and control group was 3,7 (p value 0,000), there are effects of cold compress on levels of pain during infusion installation in school-age children at Sanjiwani Gianyar hospital. Cold compresses during infusion in pediatric patients are expected to be standardized, by reducing pain in pediatric patients Key word:School-age children, cold compress, Pain Level

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Abstract P437: Children First Study II: How An Educational Program In Cardiovascular Prevention At School Can Improve Children Recreational Inactivity

Circulation ◽

10.1161/circ.129.suppl_1.p437 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Cristiano J Pinto ◽

Silvia M Oyama ◽

Maria Manoela D Rodrigues ◽

Taciana Davanço ◽

Bruno Caramelli ◽

...

Keyword(s):

Public Schools ◽

Educational Program ◽

Intervention Group ◽

Cardiovascular Prevention ◽

School Age Children ◽

Control School ◽

Control Group ◽

School Age ◽

School Students ◽

One Year

Objective: Evaluate the improvement in recreational inactivity (tv/internet/vieogames) in school age children after a multidisciplinary educational program in cardiovascular prevention (CVP) at school. Methods: Students aging 6 to 10 years old were exposed to two different approaches at two public schools in Sao Paulo, Brazil. For the control school we delivered written educational material (EM) for their parents during the year of 2012 about healthy lifestyle. The intervention school students received the same EM for their parents and the children were exposed to a weekly educational program in CVP with a multidisciplinary heath team during the year 2012. This intervention tried to teach to these children concepts of healthy nutrition, avoidance of tobacco and physical activity. Both at the inclusion in the study and one year later we collect data of parents and their children, including a questionnarie about the time children spent in tv, computes and videogames during the day (recreational inactivity). Results: We studied 262 children. The control group had 136 children (mean age of 8 years) and the intervention group had 126 children (mean age of 8 years). In the intervention group 79.4% of children (100 children) had a reacreational inactivity time (RIT) > 2 hours/day, and in the control group 80.1% of children (109 children) had a RIT > 2 hours/day. After one year of educational intervention 87 children (69.0%) of the intervention group and 107 children (78.6%) of the control group still had a RIT >2 hours/day, p= 0.03923 (Fisher's Exact test Mid p). This represents a 13% reduction in the intervention group and a 1,8% reduction in the control group. Conclusion: An educational program in cardiovascular prevention directed to children at school age can improve recreational inactivity in children contributing for the reduction of obesity and cardiovascular risk.

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Literature Review : Pengaruh Guided Imagery Terhadap Tingkat Nyeri Pemasangan Infus Anak Usia Sekolah

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.733 ◽

2021 ◽

Vol 1 ◽

pp. 671-677

Author(s):

Nuraeni Inayah Wulandari ◽

Aida Rusmariana

Keyword(s):

Literature Review ◽

Guided Imagery ◽

Rating Scale ◽

Intervention Group ◽

Google Scholar ◽

School Age Children ◽

Control Group ◽

School Age ◽

Pain Rating ◽

Pain Rating Scale

AbstractSchool-age children are they who are in middle age starting from the age of 6-13 years. Pain during intravenous cannulation is a painful thing, and it can be treated using non-pharmacological therapy, namely guided imagery therapy. Guided imagery is an intervention that can encourage children to concentrate by imagining fun things during procedures that cause pain. The measuring instrument used to measure pain is the Wong Bacer Faces Pain Rating Scale. So that children can determine the scale of pain they feel when assessing pain. The purpose ofthis study was to determine the effect of giving guided imagery therapy to reduce pain during intravenous cannulation among school-age children. The design of this study was a literature review of three articles from Google Scholar with the research subjects being school-age children. The results of a literature review of three articles showed a decrease In pain scale m children who experienced pain dunng Intravenous cannulation after guided imagery therapy. In conclusion, the average of the three articles with guided imagery therapy, the results in the intervention group was 2.20 and in the control group was 2.52, so there was a decrease in pain of 0.32. It is suggested for nurses to provide the therapy to school-age children who experience pain during intravenous cannulation.Keywords :School-age Children, Guided Imagery, Pain, Intravenous Cannulation, Wong Bacer Faces Pain Rating Scale. AbstrakPada masa anak-anak sampai dengan masa pertengahan dimulai sejak usia 6-13 tahun yang disebut dengan anak usia sekolah. Nyeri pemasangan infus merupakan suatu hal yang menyakitkan, nyeri dapat diatasi dengan menggunakan terapi non farmakologi yaitu dengan terapi guided imagery. Guided imagery adalah tindakan yangdapat mendorong anak untuk berkonsentrasi dengan membayangkan hal yang menyenangkan selama prosedur yang menyebabkan nyeri, alat ukur yang digunakan untuk mengukur nyeri yaitu Wong Bacer Faces Pain Rating Scale, sehingga pada saat dilakukan tindakan pengkajian nyeri pada anak dapat menunjuk skala nyeri yang dirasakan. Tujuan penelitian karya tulis ilmiah ini adalah untuk mengetahui pengaruh pemberian terapi guided imagery untuk menurunkan nyeri pemasangan infus pada anak sekolah. Desain penulisan karya tulis ilmiah berupa literature review yang diambil dari 3 jurnal penelitian, dicari di laman google scholar, subjek penelitian yaitu anak usia sekolah. Hasil literature review pada ketiga artikel penelitian menunjukan terjadinya penurunan skala nyeri pada anak yang mengalami nyeri saat pemasangan infus setelah dilakukan terapi guided imagery. Kesimpulan pada hasil rata-rata dari ke 3 penelitian yang dilakukan tindakan terapi guided imagery pada kelompok intervensi yaitu 2,20 dan pada kelompok kontrol 2,52 ada penurunan nyeri sebanyak 0,32. Saran kepada perawat untuk memberikan terapi guided imagery pada pasien anak usia sekolah yang mengalami nyeri pemasangan infus.Kata kunci :Anak Sekolah, Guided Imagery, Nyeri, Pemasangan Infus, Wong Bacer Faces Pain Rating Scale

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Pengaruh media AR Book terhadap peningkatan pengetahuan dan sikap gizi seimbang pada anak usia sekolah

AcTion Aceh Nutrition Journal ◽

10.30867/action.v6i2.380 ◽

2021 ◽

Vol 6 (2) ◽

pp. 118

Author(s):

Vira Herliana Putri ◽

Laras Sitoayu ◽

Putri Ronitawati

Keyword(s):

Intervention Group ◽

T Test ◽

School Age Children ◽

Average Score ◽

Control Group ◽

School Age ◽

Nutritional Knowledge ◽

Knowledge And Attitudes ◽

Post Test ◽

Increasing Knowledge

Stunting in school-age children is still a problem in Indonesia, including chronic malnutrition. One of the causes is the lack of good knowledge about balanced nutrition. Increasing knowledge of balanced nutrition in school-age children can use AR Books, and students are exposed to real objects that are studied. This study aims to determine the provision of AR Book media to increase knowledge and attitudes of balanced nutrition for school-age children. The research design used Quasy Experimental through a pre-post test control group design. The sample size is 65 students, 27 students in the intervention group and 38 students in the control group. Measurements of pre-test and post-test were carried out in each group, with a duration of up to two weeks. Data analysis used Paired Sample T-Test, Wilcoxon, Independent T-test, and Mann Whitney. The results showed an increase in the average score of nutritional knowledge in the intervention group using AR Book by 77,8, and attitudes about nutrition also increased by 92,0. The provision of AR Book media affects increasing knowledge of balanced nutrition (p= 0,0001) and balanced nutrition attitudes (p= 0,001). In conclusion, the AR Book media on balanced nutrition is one of the alternative educational media that can be used to increase knowledge and attitudes of balanced nutrition in elementary school-aged children

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