Update Artikelilmiah: 51991

FINI HERYANI

NIM

Judul Artikel

Abstrak (Bhs. Indonesia)

ABSTRAK
Latar Belakang: Prosedur pemasangan infus pada anak usia prasekolah sering menimbulkan nyeri dan kecemasan  karena keterbatasan pemahaman anak terhadap tindakan medis. Distraksi audiovisual merupakan intervensi nonfarmakologis yang efektif menurunkan respons nyeri.
Tujuan: Penelitian ini bertujuan menganalisis pengaruh distraksi audiovisual “BERANI” terhadap respons nyeri anak usia prasekolah selama pemasangan infus.
Metode: Penelitian dilakukan dalam dua tahap. Tahap I berupa R&D untuk mengembangkan video audiovisual “BERANI” dan menguji validitas serta reliabilitasnya. Tahap II merupakan penelitian quasi-eksperimental post-test only dengan 38 anak sebagai kelompok intervensi dan 38 anak sebagai kelompok kontrol yang diambil secara convenience sampling. Kelompok intervensi menonton video “BERANI” selama pemasangan infus (±5 menit), sedangkan kelompok kontrol diberikan latihan napas dalam selama 3–5 menit dengan bimbingan perawat. Respons nyeri diukur menggunakan skala FLACC dan Wong-Baker FACES Pain Rating Scale. Data dianalisis dengan uji Mann–Whitney U.
Hasil: Video audiovisual “BERANI” telah divalidasi pakar. Median skor nyeri kelompok intervensi lebih rendah dibanding kelompok kontrol: FLACC 3,0 (0–6) vs 5,0 (2–8), Wong-Baker 2,0 (0–6) vs 6,0 (2–8). Uji Mann–Whitney U menunjukkan perbedaan nyeri signifikan antara kedua kelompok (p < 0,001).
Kesimpulan: Distraksi audiovisual “BERANI” efektif sebagai metode nonfarmakologis untuk mengurangi nyeri saat pemasangan infus pada anak usia prasekolah.

Abtrak (Bhs. Inggris)

ABSTRACT

Background: Intravenous (IV) insertion procedures in preschool-aged children often cause pain and anxiety due to their limited understanding of medical interventions. Audiovisual distraction is a non-pharmacological intervention that has been shown to effectively reduce pain responses.
Objective: This study aimed to analyze the effect of the “BERANI” audiovisual distraction on pain responses in preschool-aged children during IV insertion.
Methods: The study was conducted in two phases. Phase I involved research and development (R&D) to develop the “BERANI” audiovisual video and to test its validity and reliability. Phase II employed a quasi-experimental post-test-only design with 38 children in the intervention group and 38 children in the control group, selected through convenience sampling. The intervention group watched the “BERANI” video during IV insertion (approximately 5 minutes), while the control group received deep breathing exercises for 3–5 minutes under nurse guidance. Pain responses were measured using the FLACC Scale and the Wong–Baker FACES Pain Rating Scale. Data were analyzed using the Mann–Whitney U test.
Results: The “BERANI” audiovisual video was validated by experts. The median pain scores in the intervention group were lower than those in the control group: FLACC 3.0 (0–6) vs. 5.0 (2–8), and Wong–Baker 2.0 (0–6) vs. 6.0 (2–8). The Mann–Whitney U test showed a statistically significant difference in pain scores between the two groups (p < 0.001).
Conclusion: The “BERANI” audiovisual distraction is effective as a non-pharmacological method to reduce pain during IV insertion in preschool-aged children.

Keywords: audiovisual, children, atraumatic care, distraction, procedure

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