Nurhayati, Siti Pengarang Syabilla, Nanda Pengarang

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