Abstract

M. Hasinuddin, Nursalam, I Ketut Sudiana, Ulva Noviana, Fitriah

ABSTRACT

Most of hospitalized children facing stress during hospital care which one of its indication is getting anxious. Nursing care by using holistic care oriented is expected to be able to reduce stress during hospitalization. This research aims to reveal the influence of nursing care by using modified holistic care model toward the stress reduction of pediatric patients. This research was designed in two stages. The first stage was compiling modul and the second was testing the modul by using “Quasy experimental” design and pre post control group non randomized design. The population of this research was taken from 50 hosptalized children in Syamrabu hospital which consist of 15 patient in each group as the sampel. Mann whitney, wilcoxon, t independent and t dependent test were used for the hypothesis test. Meanwhile, Confirmatory Factor Analysis (CFA) with the asistance of Lisrel student program was used to test the model. The result of this research shows that nursing care by applying modified holistic care model could reduce stress hospitalization to the pediatric patients. However, it could ameliorate coping behaviour (p=0,000), it could reduce the stress both on psychological dimension (Children became cooperative) (p=0,023) and on social dimension (interpersonal relation got improved) (p=0,035). Moreover, the stress on spiritual dimension could also be reduced (patients and the family got determined) (p=0,002) and importantly, it could lower the cortisol level of the pediatric patients (p = 0,031). Nursing care by using modified holistic care model can be applied by nurses in taking care the hospitalized patients. The stress reduction and the shortened-hospitalized period became one of the bases in holistic care model implementation.