Optimizing Nursing Interventions in Children with Diarrhea

Elly Marce Titihalawa, Dwi Kurniasih, Florida Listavia Panggus


Dharma Insan Nursing Academy, Pontianak, Indonesia



 Background: Diarrhea or gastroenteritis was a watery bowel movements more than three times a day for two consecutive days. Diarrhea can occur in all age groups, both toddlers, children, and adults with various social groups. Diarrhea was the second leading cause of death in children under five years, and nearly 1.7 billion cases of diarrhea occur in children, with a mortality rate of around 525,000. This study aimed to describe the application of knowledge and practice of nursing care in children with diarrhea to prevent hypovolemia risk due to excessive fluid loss.

Subjects and Method: This study was qualitative research with a pheno­menological approach conducted at the Pontianak Level II Government Hospital in Central Borneo for two weeks. The samples used in this study were four key informants who are nurses working in the child care room and three triangulated informants from the client’s family. The dependent variable was diarrhea in children. The independent variable was optimizing nursing interventions. Data collection was carried out by structured and direct interviews using a tape recorder. The data were analyzed using content analysis method.

Results: This study identified several themes such as sufficiency of fluid needs, hypothermia, and skin integrity damage prevention. In case of diarrhea in children, the nurses should consider the sufficient fluid administration as the primary intervention to overcome the risk of hypovolemia with the conscent of parents.

Conclusion: The sufficient fluid administration is the primary intervention of nursing care for children with diarrhea to prevent the risk of hypovolemia.

Keywords: active fluids, diarrhea, intervention, nurse

Correspondence: Elly Marce Titihalawa. Dharma Insan Nursing Academy. Pontianak, Indonesia. Jl. Merdeka 55 Pontianak, West Borneo, Indonesia. Email: ellymarce1968@­gmail.com. Mobile: 081348465064.

DOI: https://doi.org/10.26911/AB.Maternal.ICPH.08.2021.38

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