Detail Cantuman

Tifus merupakan infeksi sistemik yang disebabkan oleh Salmonella Typhi, biasanya melalui konsumsi makanan
atau air yang terkontaminasi. Perubahan kebiasaan yang terjadi pada anak demam Tifus saat hospitalisasi
memberikan pengaruh kepada psikis anak. Salah satu dampak psikis dari hospitalisasi yaitu kecemasan.
Intervensi keperawatan yang dapat dilakukan untuk menurunkan kecemasan yaitu terapi bermain clay. Metode
penulisan ini menggunakan metode deskripsi melalui pendekatan studi kasus dan studi kepustakaan dimana data
diperoleh melalui tehnik wawancara, observasi dan pemeriksaan fisik serta pencarian literatur. Hasil dari
penerapan Evidence Based Nursing didapatkan pasien Anak dengan demam Tifus dengan tanda dan gejala
demam berkepanjangan, lemas, mual dan tidak nafsu makan dan gelisah serta cemas. Masalah keperawatan pada
Anak yaitu: Bersihan jalan napas tidak efektif, Hipertermia, Risiko Hipovolemia, Risiko Defisit Nutrisi dan
Ansietas. Penerapan berbasis bukti pada kasus yaitu melakukan terapi bermain clay 30 menit dengan frekuensi
1x/hari selama tiga hari untuk menurunkan tingkat kecemasan anak. Hasil evaluasi menunjukkan terjadi
penurunan skor kecemasan secara signifikan dari 45 pada pengkajian awal menjadi 26 pada hari ketiga
implementasi. Dapat disimpulkan, terapi bermain clay dapat diterapkan pada anak saat hospitalisasi untuk
menurunkan kecemasan.
Kata kunci: asuhan keperawatan, demam Tifus, terapi bermain clay
Abstract
Typhus is a systemic infection caused by Salmonella Typhi, usually through the consumption of contaminated
food or water. Changes in habits that occur in children with typhus fever during hospitalization have an effect
on the child's psyche. One of the psychological impacts of hospitalization is anxiety. Nursing interventions that
can be done to reduce anxiety are clay play therapy. This writing method uses a description method through a
case study approach and a literature study where data is obtained through interview techniques, observation
and physical examination as well as literature search. The results of the implementation of Evidence Based
Nursing were obtained in pediatric patients with typhus fever with signs and symptoms of prolonged fever,
weakness, nausea and loss of appetite and anxiety and anxiety. Nursing problems in children are: Ineffective
airway cleaning, Hyperthermia, Risk of Hypovolemia, Risk of Nutritional Deficit and Anxiety. The evidencebased application in the case is to do 30 minutes of clay play therapy with a frequency of 1x/day for three days
to reduce the child's anxiety level. The results of the evaluation showed that there was a significant decrease in
anxiety scores from 45 in the initial assessment to 26 on the third day of implementation. It can be concluded
that clay play therapy can be applied to children during hospitalization to reduce anxiety.
Key words : nursing care, typhus fever, clay play therapy