Case study of stress ball implementation to reduce pain in children with dhf during blood sampling
DOI: https://doi.org/10.56922/mchc.v5i2.3302
Blood sampling Children DHF Pain Stress Ball
Abstract
Background: Blood sampling is a common invasive procedure in children with suspected Dengue Hemorrhagic Fever (DHF). This procedure causes pain, non-pharmacological interventions to reduce pain with distraction techniques using stress balls.
Purpose: This study aims to describe the effect of stress ball implementation in reducing pain in children aged 3-6 years who undergo blood sampling in the emergency room with a medical diagnosis of suspected DHF.
Method: Descriptive method research in the form of a case study on one preschool child with a diagnosis of suspected DHF. Data were collected through interviews, observations, physical examinations, literature studies, and medical documentation.
Results: The results of the assessment of breathing frequency 26x/min, SpO2 96%, BP 95/65 mmhg, pulse frequency 78x/min, CRT <2 seconds, complaining of pain on a scale of 5, grimacing, looking restless, with acute pain nursing problems. The results of the study showed that the use of stress balls during the blood sampling process at preschool age was able to reduce the level of pain from a moderate pain scale to mild pain through observation of children's verbal and non-verbal responses.
Conclusion: Stress ball is proven to reduce pain during blood collection in preschool age.
Suggestion: Therefore, this intervention can be applied more widely in health care facilities as part of standard paediatric nursing services.
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References
Alodokter. (2024). Ketidaknyamanan dan Trauma akibat Pengambilan Darah yang Tidak Berhasil. retrieved from: https://www.alodokter.com/komunitas/topic/studi-kasus-praktikum-hematologi
Amelia, E. (2024). Stress Ball: Asal-usul dan manfaatnya. Retrieved from: https://kulitbundar.com/2024/12/07/stress-ball-asal-usul-dan-manfaatnya/
Badrujamaludin, A., Rismayanti, R., Ismafiaty, I., & Bangun, A. V. (2025). Penerapan teknik relaksasi genggam jari untuk mengurangi nyeri pada pasien dengan post operasi appendectomy. JOURNAL OF Qualitative Health Research & Case Studies Reports, 5(3), 337-344.
Friedrichsdorf, S. J., Postier, A., Eull, D., Weidner, C., Foster, L., Gilbert, M., & Campbell, F. (2015). Pain outcomes in a US children’s hospital: a prospective cross-sectional survey. Hospital pediatrics, 5(1), 18-26.
Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2021). Wong's essentials of pediatric nursing-e-book. Elsevier health sciences.
Kuttner, L. (2010). A child in pain: what health professionals can do to help. Crown House Publishing.
Laporte, P. P., Pan, P. M., Hoffmann, M. S., Wakschlag, L. S., Rohde, L. A., Miguel, E. C., & Salum, G. A. (2017). Specific and social fears in children and adolescents: separating normative fears from problem indicators and phobias. Revista brasileira de psiquiatria, 39(02), 118-125.
Ministry of Health of the Republic of Indonesia. (2022). Pengaruh Sampel Hemolisis pada Pemeriksaan Hematologi. Retrieved from: https://kemkes.go.id/id/search?s=Pengaruh+Sampel+Hemolisis+pada+Pemeriksaan+Hematologi.
Prasetya, H. R., Dentri, M. I., & Sistiyono, S. (2016). Perbedaan Hitung Jumlah Trombosit Menggunakan Darah Vena dan Darah Kapiler. Journal of Health (JoH), 3(2), 81-84.
Purnama, D. A., Samidah, I., & Murwati, M. (2022). Pengaruh Terapi Bermain Squishy Terhadap Respon Nyeri Anak Usia Pra Sekolah Saat Pengambilan Sampel Darah Di Rumah Sakit Umum Daerah Curup. ANJANI Journal (Medical Science & Healthcare Studies), 2(2), 61-65.
Sari, W. A. M. (2019). Asuhan Keperawatan Pada Anak Dengan Dengue Hemoragic Fever (DHF). Jurnal Ilmiah Cerebral Medika, 1(2), 3-3.
Setiawati, S., & Novikasari, L. (2021). Aplikasi pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis. Holistik Jurnal Kesehatan, 15(1), 140-146.
Shyntia, S. Y. P., Elvira, M., & Novariza, R. (2024). Asuhan Keperawatan Pada Pasien Dengan Dengue Hemoragic Fever (DBD). Jurnal Keperawatan Medika, 3(1), 42-49.
Surrena, H. (2010). Handbook for Brunner and Suddarth's textbook of medical-surgical nursing. Lippincott Williams & Wilkins.
World Health Organization. (2009). Guidelines for Diagnosis, Treatment, Prevention and Control. Retrieved from: https://www.who.int/publications/i/item/9789241547871
World Health Organization. (2023). Dengue and severe dengue. Retrieved from: https://www.who.int/health-topics/dengue-and-severe-dengue#tab=tab_1
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