NURSING CARE FOR CHILDREN THROUGH THE APPLICATION OF AUDIOVISUAL THERAPY: WATCHING CARTOON FILMS TO REDUCE ANXIETY LEVELS DURING HOSPITALIZATION AT ARIFIN ACHMAD HOSPITAL

Abstrak

Anxiety is one of the most common emotional reactions in children, particularly among preschoolers (ages 3–6), when undergoing hospitalization. Hospitalization at this age often exposes children to an unfamiliar hospital environment and frightening medical procedures, which may affect their comfort and recovery process. This study aimed to determine the effect of audiovisual therapy by watching cartoon films on anxiety levels in hospitalized children at Arifin Achmad General Hospital, Pekanbaru. The research design used was an evidence-based nursing case study involving two preschool-aged children (3–6 years) experiencing mild to moderate anxiety. The intervention was conducted for two consecutive days, 15 minutes each session, using colorful, cheerful, and simple cartoon films. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. The results showed a significant decrease in anxiety levels after the audiovisual therapy. The first patient’s HARS score decreased from 18 to 10 (mild anxiety category), and the second patient’s score decreased from 15 to 8 (mild anxiety category). Positive behavioral changes were also observed, including being more relaxed, not crying, and showing better cooperation during medical procedures. It can be concluded that audiovisual therapy through watching cartoons is effective in reducing anxiety levels among preschool children undergoing hospitalization. This intervention is a simple, enjoyable, safe, and practical non-pharmacological method that can be applied in pediatric nursing practice to enhance comfort and support Evidence-Based Nursing Practice (EBNP).