Circumcision is an action done by removing the skin that covers the tip of the penis. The pain will be felt during the child is injected circumcision anesthesia. This can make the child uncooperative, making it difficult for the procedure to be performed. Electronic games are one of the non-pharmacological management to reduce pain in children. The purpose of this study was to identify the effect of the use of electronic games on the level of pain in children undergoing circumcision anesthetic injection. This research uses quantitative method, quasi-experimental research with one group pretest-posttest design.  The technique used is an accidental sampling. The study was conducted on 17 children who performed circumcision anesthesia injections in Klinik Kencana Medika Rancaekek Bandung. Pain response is measured using the Faces Pain Rating Scale. These results indicate that there are significant differences with p-value <0.001 and alpha significance value £ 0.05. Based on the results of the study showed the use of electronic games affects the level of pain in children who performed injection circumcision anesthesia. Electronic games can reduce the level of pain in children who undergo injection of circumcision anesthesia. It is hoped that the use of electronic games can be done on factors that affect the level of pain.

ABSTRAK  Proses tumbuh kembang kemampuan motorik halus dapat terlihat melalui berbagai gerakan dan permainan yang dilakukan anak.   Stimulasi yang sangat tepat dan menyenangkan bagi anak untuk meningkatkan dan memicu kemampuan motorik halus dapat dilakukan menggunakan permainan edukatif. Tujuan penelitian adalah menganalisis pengaruh penggunaan alat permainan edukatif terhadap perkembangan motorik halus pada anak usia prasekolah. Penelitian ini menggunakan metode kuantitatif, desain quasi eksperimental one group pre test–post test. Teknik yang digunakan purposive sampling.  Instrumen yang digunakan yaitu Alat Permainan Edukatif (APE) Lego dan Kuesioner Pra Skrining Perkembangan (KPSP). Hasil penelitian dianalisis dengan menggunakan uji Wilcoxon nilai p= 0,000 (nilai signifikan p-value < 0,05). Hasil tersebut menunjukkan ada pengaruh alat permainan edukatif terhadap perkembangan motorik halus anak usia prasekolah di TK At-Taqwa Cimahi, selanjutnya disarankan untuk dapat memberikan permainan edukatif untuk menstimulasi aspek  perkembangan anak.  Kata Kunci: Alat Permainan Edukatif, Anak Usia Prasekolah, Perkembangan Motorik Halus, Lego

ABSTRAK Pendahuluan: Sirkumsisi merupakan tindakan yang memerlukan persiapan, salah satunya tindakan anestesi. Selama sirkumsisi, rasa nyeri akan dirasakan hanya pada saat penyuntikan anestesi. Perawat sering kesulitan melakukan prosedur penyuntikan anestesi sirkumsisi karena anak sering menolak dilakukan tindakan keperawatan yang akan menimbulkan rasa nyeri. Salah satu manajemen non farmakologi untuk menurunkan nyeri pada anak adalah terapi slow deep breathing sambil bermain meniup baling-baling. Tujuan: mengidentifikasi pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi. Metode: Penelitian ini menggunakan quasi eksperimental dengan control group post test. Populasi penelitian ini adalah seluruh anak yang dilakukan penyuntikan anestesi sirkumsisi di Klinik Khitan Kencana Medika. Sampel yang digunakan berjumlah 36 anak, 18 anak kelompok intervensi dan 18 anak kelompok kontrol. Respon nyeri diukur menggunakan Faces Pain Rating Scale. Hasil: penelitian dianalisis menggunakan uji Mann-Whitney menunjukkan  ada perbedaan yang signifikan antara kelompok intervensi dan kontrol dengan p-value < 0,001 dan nilai signifikansi alpha £ 0,05. Kesimpulan penelitian ada pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi.   Kata kunci: anak, nyeri, penyuntikan anestesi sirkumsisi, slow deep breathing   ABSTRACT Introduction: Circumcision is treatment which needed preparation, one of them is anesthesia treatment. As long as circumcision treatment, pain will be feel only at the time anesthesia circumcision injection. Nurses often have difficult to make action procedure of anesthesia circumcision injection because children often refuse to procedures which will occurs pain feeling. One of non pharmacology managements to reduce pain on children by giving children breath is playing with a blow vane. Objective: The purpose of study to identify the effect of slow deep breathing therapy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Methods: This study used a quasi experimental design by control group post test. Populations were all children who had been performed anesthesia circumcision injection in Kencana Medika Circumcision Clinic. Used 36 samples consist of 18 samples were in intervention and control group. Pain response was measured by Faces Pain Rating Scale. Result: The results were analyzed using the Mann-Whitney showed there are significant differencebetweenthe interventionandcontrolgroups with ap-value of0.000 and α £ 0.05. The conclusioniseffect of slow deep breathing theraphy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Keywords: anesthesia circumcision injection, children, pain, slow deep breathing Full printable version: PDF