Kusumawardani Lita Heni, Mulyono Sigit, Fitriyani Poppy
a Faculty of Nursing , Universitas Indonesia , Depok , Indonesia.
Compr Child Adolesc Nurs. 2019;42(sup1):122-134. doi: 10.1080/24694193.2019.1578433.
Healthy and clean living behaviors among school-aged children are still relatively low in Indonesia, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the most influential factors to effectiveness therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6-12 years). The study design was quasi-experimental with pre- and post-tests, involving 102 school-age children who were divided into an intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that parental knowledge had a significant effect on therapeutic sociodramatic play improving students' knowledge ( = 0.001), attitudes ( = 0.004), and diarrheal prevention skills ( = 0.003). Therapeutic sociodramatic play will be more effective when followed by good parental knowledge. The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.
在印度尼西亚，学龄儿童的健康清洁生活行为水平仍然相对较低，这使他们面临未来出现健康问题的风险，比如腹泻。实际上，学龄期是儿童能够养成健康行为的最早阶段，因此这一阶段成为改善健康状况的战略目标。学龄儿童正处于具体运算发展阶段，他们需要能够反映真实互动体验的特定健康教育方法。本研究的目的是确定对学龄儿童（6至12岁）腹泻预防行为的治疗性社会戏剧游戏效果最具影响力的因素。该研究设计为准实验，采用前后测试，涉及102名学龄儿童，他们被分为干预组和对照组。采用多阶段随机抽样来确定研究区域和开展研究的学校，而研究对象则通过简单随机抽样选定。结果表明，家长知识对治疗性社会戏剧游戏改善学生的知识（=0.001）、态度（=0.004）和腹泻预防技能（=0.003）有显著影响。在家长具备良好知识的情况下，治疗性社会戏剧游戏会更有效。该研究建议，治疗性社会戏剧游戏可用于努力增强学龄儿童的健康清洁生活行为并预防腹泻，并且可以纳入学校护理服务。
