SITI NURHASANAH, NIM.202403170 (2025) ASUHAN KEPERAWATAN PADA PASIEN THALASEMIA DENGAN DIAGNOSA ANSIETAS PADA TINDAKAN TRANSFUSI DARAH DI RUANG ASTER RUMAH SAKIT UMUM DAERAH PROF DR. MARGONO SOEKARJO PURWOKERTO. KIA thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: Thalassemia is often experienced by children aged 4-6 years. At this age, children experience rapid growth and high curiosity. Blood transfusion in thalassemia patients will cause anxiety. Puzzle play therapy can be one way to reduce anxiety in children. Objective: The objective of this study is to describe nursing care for thalassemia patients with a diagnosis of Anxiety during blood transfusion in the Aster Room at RSUD Prof. Dr. Margono Soekarjo Purwokerto. Method: This research method uses a case study method. The subjects of the study were 5 thalassemia patients who underwent blood transfusion. The instruments used were nursing care format, FIS (Facila Image Scale) questionnaire sheet, SOP for Puzzle Play Therapy. Data analysis was carried out descriptively qualitatively. The data results are presented in the form of tables and narratives. Results: The assessment results showed that the five patients had the same main complaint, namely Anxiety. The priority nursing diagnosis in patients I-V is Anxiety related to Situational Crisis. The nursing intervention and implementation carried out were Puzzle Play Therapy. The results of the nursing evaluation in the five patients showed that the Anxiety problem was resolved with the outcome criteria of Decreased pulse rate, Decreased restless behavior, Decreased tense behavior, Decreased respiratory rate, Increased concentration. The results of the innovation of Puzzle Play Therapy nursing actions in preschool children who underwent blood transfusion with the nursing problem of Anxiety experienced an average decrease in score of 3 Conclusion: Handling anxiety in children diagnosed with thalassemia during blood transfusion through puzzle play therapy can reduce anxiety symptoms. Recommendation: It is recommended to implement puzzle play therapy independently to reduce anxiety.

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