Istinengtiyas Tirta Suminar, Indria Laksmi Gamayanti, Lely Lusmilasari



Background: Being hospitalized is usually related to the fear, especially for children. Nurse supports should be able to help the children to deal with the fears related to nurse and medical services. 
Objective: This study aims to examine the relationship between nurse support and the fear of school-age children being treated in the PKU Muhammadiyah hospital, Yogyakarta.
Methods: This study employed a cross sectional correlation design, which was conducted from October to December 2016 in PKU Muhammadiyah Hospital, Indonesia. The samples of the study were 49 mothers and school-aged children who were admitted to the children ward. A consecutive sampling was applied to determine sample size. The instruments used in this study were nurse support and CMFS-R (Child Medical Fear Survey-Revised) questionnaires. Chi square test was performed with significance level p = 0.05 and level of trust = 95% for data analysis.
Results: Findings showed 42.9% of respondents had medical fear and 36.7% of them had medical fear related-behavior responses. The nurse support was in a high category (73.5%). Chi square test showed p-value 0.038 (>0.05), which indicated that there was statistically no significant relationship between nurse support and children fear. There was only age of the children had a significant relationship with fear with p-value 0.035 (<0.05).
Conclusions: There was no significant association between nurse support and fear of school-age children.


nurse support; fear; hospitalization

Full Text:



Encyclopedia of Children's Health. Hospitalization. 2016; html. Accessed 17 August, 2016.

Rokach A. Psychological, emotional and physical experiences of hospitalized children. Clinical Case Reports and Reviews. 2016;2(4):399-401.

Salmela M, Salanterä S, Aronen ET. Coping with hospital‐related fears: experiences of pre‐school‐aged children. Journal of Advanced Nursing. 2010;66(6):1222-1231.

Mahat G, Scoloveno MA, Cannella B. Comparison of children's fears of medical experiences across two cultures. Journal of Pediatric Health Care. 2004;18(6):302-307.

Muris P, Merckelbach H, Collaris R. Common childhood fears and their origins. Behaviour Research and Therapy. 1997;35(10):929-937.

LeRoy S, Elixson EM, O’Brien P, Tong E, Turpin S, Uzark K. Recommendations for preparing children and adolescents for invasive cardiac procedures. Circulation. 2003;108(20):2550-2564.

Rennick JE, Morin I, Kim D, Johnston CC, Dougherty G, Platt R. Identifying children at high risk for psychological sequelae after pediatric intensive care unit hospitalization. Pediatric Critical Care Medicine. 2004;5(4):358-363.

Jan MMS. Neurological examination of difficult and poorly cooperative children. Journal of Child Neurology. 2007;22(10):1209-1213.

Pinto JP, Barbosa VL. Maternal-infant bonding and the mother's participation during venipuncture: a psychoanalytic perspective. Revista Latino-Americana De Enfermagem. 2007;15(1):150-155.

Sumanti I. Hubungan dukungan perawat dan keluarga dengan tingkat kecemasan akibat menjalani perawatan pada anak usia pra sekolah [Relationship of nurse and family support and anxiety due to undergoing treatment in pre-school age children]. Surakarta: Program Pasca Sarjana Universitas Sebelas Maret; 2010.

Friedman MR. Family nursing: Theory & practic: Stamford, CT: Apleton & Lange; 2008.

Ramdaniati S. Analisis determinan kejadian takut pada anak pra sekolah dan sekolah yang mengalami hospitalisasi di Ruang Rawat Anak RSU BLUD dr. Slamet Garut [Analysis of determinants of fear in pre-school and school age children who undergo hospitalization in pediatric wards of RSU BLUD dr. Slamet Garut Hospital]. Tesis. Depok: Fakultas Ilmu Keperawatan Program Magister Keperawatan Universitas Indonesia; 2011.

Monteiro HM, Shetty AP, Bagali PV. Fears of school-age children and parental perceptions of nursing support during hospitalization in a selected pediatric hospital, Mangalore. Muller Journal of Medical Science and Research. 2015;5(2):139-142.

Ginimol A. A study of self reported fears of hospitalized school age children, and the association between the child’s fear and the anxiety level of mother in a selected hospital of Udupi district. India: Manipal University; 1998.

Hart D, Bossert E. Self-reported fears of hospitalized school-age children. Journal of Pediatric Nursing. 1994;9(2):83-90.

Lamtraktul S-a. Do not ignore separation anxiety in children. Belitung Nursing Journal. 2016;2(1):1-2.

Ratna W. Sosiologi dan antropologi dalam perspektif ilmu keperawatan [Sociology and anthropology in the nursing perspective]. Yogyakarta: Pustaka Rihana; 2010.


  • There are currently no refbacks.

Copyright (c) 2017 Istinengtiyas Tirta Suminar, Indria Laksmi Gamayanti, Lely Lusmilasari

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.