Penerapan Distraksi Audio Visual pada Prasekolah Menggunakan Smart Book terhadap Penurunan Skala Nyeri Setelah Pemasangan Infus
DOI:
https://doi.org/10.62383/quwell.v3i1.2928Keywords:
Anxiety, IV Insertion, Pain, Pain Management, PreschoolAbstract
The IV infusion process will cause pain that can be disturbing for children. Pain is a form of uncomfortable sensation that is felt personally by each individual. In addition, there will be changes in vital signs such as increased pulse, blood pressure, and respiration so that it will be an unpleasant experience for children. Non-pharmacological therapy as an intervention to reduce pain perception in children and increase comfort during medical procedures. One form of non-pharmacological technique is audio visual distraction using a smart book. Smart books are fun and interactive play therapy that can support cognitive, fine motor, and sensory aspects in children and to divert children's attention from pain by displaying more pleasant and interesting images and musical sounds so that it can reduce the pain scale after IV installation. The design used in the preparation of this Final Scientific Paper for Nurses is a case study with an intervention in the form of audio visual distraction using a smart book for ± 10 minutes. The number of respondents was 3 people, the intervention was carried out on September 14, October 7, and November 24, 2025, located in the Theresia Charitas Hospital Palembang room. After the smart book audio visual distraction therapy, there was a decrease in the pain scale for 3 respondents, namely in An. A from a pain scale of 7 to a pain scale of 4, An. G from a pain scale of 10 to a pain scale of 4, and An. R from a pain scale of 7 to a pain scale of 4. The application of EBP smart book audio visual distraction therapy can be used to reduce the pain scale in preschoolers after IV installation.
References
Addiansyah, M. N. R. (2024). Smart village and public service innovation in endemic times: Learning from Mojowarno Village. Matra Pembaruan: Jurnal Inovasi Kebijakan, 8(1), 75-88. https://doi.org/10.21787/mp.8.1.2024.75-88
Alfianur, A., et al. (2021). Modul praktikum keperawatan anak. Adanu Abimata.
Andriyani, S., et al. (2025). Buku ajar keperawatan anak sakit. PT Optimal Untuk Negeri.
Audrey, J. W., Liang, L., & Martin, K. (2022). Overview of hospital stays among children and adolescents, 2019. Healthcare Cost and Utilization Project.
Badan Pusat Statistik. (2023). Profil statistik kesehatan 2023 (Vol. 7). Badan Pusat Statistik.
Bata, V. A., et al. (2023). Buku ajar keperawatan anak. https://www.google.co.id/books/edition/Buku_Ajar_Keperawatan_Anak
Fauzi, R. N., Delima, D. A., Serlita, J., Aulia, I., Metom, S. J. M., & Pranata, L. (2023). Edukasi tentang peningkatan nutrisi dan pencegahan penyakit cacingan pada anak. Health Community Service, 1(1), 8-10. https://doi.org/10.47709/hcs.v1i1.3097
Hairiyah, S., & Mukhlis. (2025). Alat permainan edukatif dalam mengembangkan aspek-aspek perkembangan anak usia dini. CV Budi Utama.
Helda, H., et al. (2025). Keperawatan pediatrik: Asuhan bayi dan anak. PT Bukuloka Literasi Bangsa.
Hermalinda. (2024). Terapi bermain di rumah sakit. PT Adab Indonesia.
Hidayah, S. N., et al. (n.d.). Efek terapi kartun animasi pada nyeri anak usia prasekolah saat pemasangan infus di Rumah Sakit Azra Bogor.
Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2017). Wong's essentials of pediatric nursing. Elsevier.
Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2018). Wong's essentials of pediatric nursing. Elsevier.
Kumalasari, D. N., et al. (2023). Keperawatan anak: Panduan praktis untuk perawat dan orang tua. Sonpedia Publishing Indonesia.
Lestari, N. E., et al. (2024). Buku ajar asuhan keperawatan anak sakit kronis. Sonpedia Publishing Indonesia.
Ludyanti, L. N., & Ishariani, L. (2019). Parents coaching dan perilaku kurang gerak (sedentary behavior) pada anak usia prasekolah. Media Nusa Creative.
Lufianti, A., et al. (2022). Ilmu dasar keperawatan anak. CV Pradina Pustaka.
Mardona, Y., et al. (2023). Manajemen nyeri pada anak perspektif keperawatan pediatrik. Rizmedia Pustaka Indonesia.
Naryati, N., & Nur, S. (2024). Proses keperawatan: Konsep, implementasi, dan evaluasi. Universitas Nusantara PGRI Kediri.
Nasution, D. E., et al. (2025). Keperawatan dasar anak. Eureka Media Aksara.
Nazarius, Y. R. (2024). Pengaruh permainan puzzle pada anak usia prasekolah terhadap kecerdasan emosional. NEM.
Ningtyas, N. W. R., et al. (2023). Bunga rampai manajemen nyeri. PT Medika Pustaka Indo.
Pinzon, R. T. (2016). Pengkajian nyeri. Betha Grafika.
Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research. Wolters Kluwer.
PPNI, T. P. S. D. (2017). Standar diagnosis keperawatan Indonesia. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Pranata, L., Surani, V., Suryani, K., & Fari, A. I. (2023). Understanding of research methods based on evidence-based practice in nursing for nursing students. Jurnal Kesehatan dan Pembangunan, 13(26), 174-178. https://doi.org/10.52047/jkp.v13i26.247
Pratiwi, E. A., et al. (2020). Konsep keperawatan anak. CV Media Sains Indonesia.
Prima, A., et al. (2025). Buku referensi perspektif keperawatan paliatif dalam berbagai bidang ilmu kesehatan. Sonpedia Publishing Indonesia.
Riani Adha, D., Wirakhmi, I. N., & Susanti, I. H. (n.d.). Pengaruh teknik distraksi audiovisual menonton kartun animasi terhadap nyeri saat pemasangan infus pada anak usia prasekolah di RSUD Ajibarang. Health Journal "Love That Renewed", 11(1), 8-16.
Ruben, S. D., Julita, E., Pranata, L., Wijayanti, L. A., & Pannyiwi, R. (2023). Analisis faktor dengan tingkat stress kerja pada perawat akibat hospitalisasi anak pra sekolah ruang perawatan anak di rumah sakit. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(12), 2427-2432. https://doi.org/10.56338/mppki.v6i12.3765
Santy, W. H., & Arief, Y. S. (2023). Menurunkan kecemasan dan nyeri invasif pada toddler. Airlangga University Press.
Silvia, D., Nikma, A. R., & B. W. (2024). Penerapan terapi distraksi audio visual untuk menurunkan tingkat nyeri pemasangan IV catheter.
Sulisnadewi, N. L. K., et al. (2023). Buku ajar anak S1 keperawatan jilid II. Mahakarya Citra Utama.
Suprapti, E., et al. (2023). Konsep keperawatan dasar. Sonpedia Publishing Indonesia.
Suryati, S., et al. (2024). Buku ajar keperawatan anak. Sonpedia Publishing Indonesia.
Susanti, Y. T., Silvita, I., & Ratrinaningsih, S. (2025). Penerapan teknik distraksi menonton kartun untuk mengurangi rasa nyeri pada anak saat diberikan injeksi intravena di ruang HCU Cempaka RSUD Dr. Moewardi. Jurnal Keperawatan, 3(2), 470-480.
Susanto, T., et al. (2024). Teori model dan inovasi dalam keperawatan: Gagasan besar guru besar keperawatan Indonesia. Nuansa Fajar Cemerlang.
Suwondo, B. S., Meliala, L., & Sudadi. (2017). Buku ajar nyeri. Perkumpulan Nyeri Indonesia.
Tim Pokja Pedoman SPO Keperawatan DPP PPNI. (2021). Pedoman standar prosedur operasional keperawatan (1st ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Triana, N. Y. (2025). Mengatasi nyeri anak prasekolah: Terapi distraksi audiovisual. Deepublish Digital.
Wahyuni, E., Neherta, M., & Sari, I. M. (2023). Intervensi keperawatan saat bencana (Ibu dan anak prasekolah). CV Adanu Abimata.
Wahyuningrum, E., et al. (2025). Buku ajar keperawatan anak sehat dan sakit akut. Sonpedia Publishing Indonesia.
Wardhani, J. D., & Surtikanti. (2019). Strategi pembelajaran anak usia dini. Muhammadiyah University Press.
Widayati, K., et al. (2024). Keperawatan anak sehat dan sakit. Eureka Media Aksara.
Yusuf, M. (2022). Pendidikan anak prasekolah. UMSU Press.
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