Teknik Distraksi Audio Visual Menurunkan Tingkat Kecemasan Anak Usia Sekolah yang Menjalani Sirkumsisi
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Introduction: Circumcision is one of minor surgery that usually done for school age children. Most of the children appear to be anxious enough. Audio-visual distraction is one of the methods that researcher want to applied to decrease children's anxiety level during circumcision. The objective of this study was to identify the effect of audio-visual distraction to decrease children's anxiety level during circumcision.
Method: Non randomized pretest-posttest control group design was used in this study. There were 21 children divided into two groups, control group (n=13) receive intervention as usual, otherwise the intervention group (n=8) receive audio-visual distraction during circumcision. By using self report (scale of anxiety) and physiological measures of anxiety (pulse rate per minute), children are evaluated before and after the intervention.
Result: The result showed that audio-visual distraction is efective to decrease the anxiety level of school age children during cicumcision with significance difference on the decrease of anxiety level between control and intervention group (p=0.000) and significance difference on the pulse rate per minute between control and intervention group (p=0.006).
Discussion: It can be concluded that by applying the audio-visual distraction during circumcision could be minimized the children's anxiety. The audio visual is needed for children to manage and reduce anxiety during invasive therapy through mecanism of distraction.
Bastian, H. 2002. Reducing Anxiety Before Surgery, (Online), (http://www.medibank.com.au/cochrane/new/hottopic_0502.asp, diakses tanggal 26 Maret 2006, jam 10.00 WIB).
Bentsen, B. 2002. Audio-visual Signals and Distraction of Perceived Pain, (Online), (http://216.239.59.104/search?q=cache:YZ0C8jei0ukJ:www.odont.au.dk/rad/BB-Thesis.pdf+%22audio-visual%22+distraction+therapy+child+anxiety&hl=id, diakses tanggal 6 Mei 2006, jam 10.15 WIB).
Blackburn, I.M. 1990. Cognitive Therapy for Depressions and Anxiety. Cambridge: Blackwell Scientific Publication, pp. 23-24, 77.
Brunges, M. 2003. Music Therapy for Reducing Surgical Anxiety - Clinical Innovations. AORN Journal, Edisi November 2003, (Online), (http://www.findarticles.com/cf_dls/m0FSL/578/111011829/p1/article.jhtml, diakses tanggal 6 Maret 2006, jam 09.30 WIB).
Cansever, G. 2002. Psychological Effects of Circumcision, British Journal of Medical Psychology, 38, 321-331, (Online), (http://www.cirp.org/library/psych/cansever/, diakses tanggal 26 Maret 2006, jam 09.15 WIB).
Cohen, et al. 1997. Nurse Coaching and Cartoon Distraction: an Effective and Practical Intervention to Reduce Child, Parent, and Nurse Distress during Immunizations. Entrez PubMed, 22(3), 355-370, (Online), (http://www.ncbi.nlm.nih.gov/entrez/q uery.fcgi?cmd=Retrieve&db=pubmed &dopt=Abstract&list_uids=9212553& itool=iconabstr, diakses tanggal 13 April 2006, jam 10.00 WIB).
Goldman, R. 1999. The Psychological Impact of Circumcision. BJU International, 83(1), 93-102, (Online), (http://www.cirp.org/library/psych/gol dman1/., diakses tanggal 26 Maret 2006, jam 11.20 WIB).
Keliat, B.A. 1999. Penatalaksanaan Stress. Cetakan Pertama. Editor: Yasmin Asih. Jakarta: EGC, hlm. 10-11.
Kozier and Erb. 1991. Fundamental of Nursing: Concepts and Procedures 4th Edition. California: Addison Wesley Publishing Company, pp. 253, 495, 839, 892, 914.
Landolt, et al. 2002. Does Cartoon Movie Distraction Decrease Burned Children's Pain Behavior?. Entrez PubMed, 23(1), 61-65, (Online), (http://www.ncbi.nlm.nih.gov/entrez/q uery.fcgi?cmd=Retrieve&db=pubmed &dopt=Abstract&list_uids=11803316 &itool=iconabstr, diakses tanggal 13 April 2006, jam 10.45 WIB).
Ljungman, et al. 2000. Midazolam Nasal Spray Reduces Procedural Anxiety in Children, (Online), (http://www.aafp.org/afp/20000701/tip s/10.html., diakses tanggal 2 Maret 2006, jam 9.30 WIB).
Man and Yap, 2003. The Effect of Intraoperative Video on Patient Anxiety. Entrez PubMed, 58(1), 64-68, (Online), (http://www.ncbi.nlm.nih.gov/entrez/q uery.fcgi?cmd=Retrieve&db=PubMed &list_uids=12523327&dopt=Abstract., diakses tanggal 6 Maret 2006, jam 10.00 WIB).
McKenzie, et al. 1997. Manual of Acute Pain Management in Children. New York: Churchill Livingstone, pp. 7-9.
Walker, R.S. 2004. About Pain: Pain Mechanisms, (Online), (http://www.coventrypainclinic.org.uk/ aboutpain-painmechanisms.htm., diakses tanggal 6 Mei 2006, Jam 11.00 WIB).
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