Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers: A Study at Cempaka High Care Unit.
Dr.
Moewardi Hospital Putri Oktaviana1*.
Eska Dwi Prajayanti1.
Suciana Ratrinaningsih2 1 AoAisyiyah University of Surakarta.
Indonesia 2 Dr.
Moewardi Regional Hospital.
Surakarta Article History Submitted: 16-04-2025 Revised: 22-04-2025 Accepted: 25-04-2025 org/10.
58545/jkki.
Copyright .
2025 Putri Oktaviana This is an open-access article under the CC-BY-SA License.
Abstract Background: Hyperthermia is a condition that often occurs in preschool children due to infection or inflammation.
If not treated immediately, hyperthermia can cause complications such as dehydration and febrile One safe and effective non-pharmacological method is warm water compresses, which help lower body temperature by increasing heat evaporation and stimulating vasodilation, thereby improving blood Objective: This study aims to determine the effectiveness of warm water compresses in lowering body temperature in preschool children with hyperthermia in the Cempaka High Care Unit of Dr.
Moewardi Hospital.
Surakarta.
Method: This study used a descriptive case study method on two children with hyperthermia.
Body temperature was measured before and after giving warm water compresses for 15-20 minutes every 4 hours.
Results: Child Patient S's body temperature decreased from 39.
0AC to 36.
4AC and Child Patient M's 2AC to 36.
2AC within 24-48 hours after the intervention.
Conclusion: Warm water compresses have been proven effective, safe, and simple as a non-pharmacological method in lowering the body temperature of preschool children.
Keywords: Preschool children.
Hyperthermia.
Warm water compresses.
Aloe vera Correspondence Putri Oktaviana AoAisyiyah University of Surakarta Jl.
Ki Hajar Dewantara No.
Kota Surakarta.
Jawa Tengah 57146.
Indonesia Email: putrioktaviana053@gmail.
How to cite:
Oktaviana.
Prajayanti.
, & Ratrinaningsih.
Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers: A Study at Cempaka High Care Unit.
Dr.
Moewardi Hospital.
Jurnal Kesehatan Komunitas Indonesia, 5.
, 39-47.
https://doi.
org/10.
58545/jkki.
inquisitive about various things and BACKGROUND The preschool period is a period that increased physical activity, which often covers the ages of 3 to 6 years, often referred causes fatigue.
In addition, an unstable to as the golden age, where children immune system or weak immune system makes children susceptible to disease and development during this period (Saragih et often requires hospitalization (Putri et al.
, 2.
This period is also known as "The Hyperthermia, more commonly Wonder known as fever, is one of the symptoms in Years," Oktaviana et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 children characterized by an increase in body and compressing certain areas using body temperature due to the activity of the warm water for a specific period.
The warm temperature regulation center in the water in the warm compress helps hypothalamus .
he part of the brain that stimulate vasodilation of peripheral blood regulates body temperatur.
In children, vessels, thereby accelerating the transfer of heat from the body to the environment.
temperature increases to 37.
5Ae38EE or addition to warm water compresses, aloe If not treated quickly, fever can cause vera is used because of its polysaccharide serious complications, such as brain and salicylic acid content, which provide damage, hyperpyrexia .
xtreme feve.
that anti-inflammatory effects, cool the skin, and help lower body temperature safely in developmental delays, learning difficulties.
Applying a warm water compress and seizures (Malla et al.
, 2.
to an area with many blood vessels will According to data from the World cause significant vasodilation, so the heat Health Organization (WHO), in 2022, the transfer process can occur up to eight times incidence of fever worldwide reached 17 faster (Annisa et al.
, 2.
million cases per year, with a mortality rate Aloe vera has various medical of 600,000, of which 70% of cases occurred in Asia (WHO, 2.
Based on basic properties that help reduce fever.
The health research in Indonesia in 2020, the content of active compounds such as aloin, prevalence of fever reached 1.
5% of the salicylic acid, and polysaccharides in aloe population, with the highest prevalence in vera is believed to relieve inflammation, children aged 1 to 4 years.
In Central Java, lower body temperature, and provide a the incidence of fever in children is quite calming effect.
With these properties, aloe high, especially at Dr.
Moewardi Surakarta vera has the potential to be a natural Hospital, which recorded 44,422 cases of fever in children in 2019, increasing to management, especially in cases of mild 46,142 cases in 2020 (Ministry of Health, fever (Putri et al.
, 2.
Based on research conducted by Warm water compresses are a non- (Saragih et al.
, 2.
showed that warm pharmacological method to lower body water compresses are effective in reducing temperature by thoroughly wiping the fever by applying warm water at a Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 temperature of 37AC for 15 minutes in and a calming effect that can support the several areas with large blood vessels, such process of reducing fever naturally.
as the neck, armpits, and groin, and wiping combining these two methods, this study is other body areas.
Another study by Arista expected to provide a safe, efficient, and .
stated that warm water compresses evidence-based alternative for treating are more effective than other methods because they are applied to five main points .
eck, two armpits, and two groin.
, as METHODS well as wiping the stomach and chest This study uses a case study method.
(Putri et al.
, 2.
Dr.
Moewardi Hospital The design used is a descriptive case study is the primary referral hospital in Central that aims to describe the results of the Java that handles various pediatric cases, intervention's implementation.
In this including fever in children.
In the Cempaka study, the implementation focused on High Care Unit, cases of childhood fever applying the warm water compress and are often one of the main focuses of medical aloe vera method to reduce fever in According to data from Dr.
Moewardi Hospital, in 2023, there were an conducted a series of nursing procedures, average of 20-30 fever cases in children from an assessment to collect data, each month that required treatment in the searching for supporting literature, to High Care Unit.
This shows the need for evaluating the results of the intervention in effective and efficient methods, such as patients treated in the Cempaka High Care warm compresses, in treating fever in Unit.
Dr.
Moewardi Hospital.
The subjects This study aims to evaluate the of this study were hospitalized patients in effectiveness of applying warm compresses the Cempaka High Care Unit.
Dr.
and aloe vera in reducing fever in children Moewardi Hospital.
The study was in the Cempaka High Care Unit of Dr.
conducted on preschool children .
to 6 Moewardi Hospital.
This intervention was year.
who had a fever.
The study subjects chosen because warm compresses are a involved 2 patients who were observed in non-pharmacological The effective in reducing body temperature compresses and aloe vera, with the criteria through external cooling.
At the same time, of children with a body temperature of aloe vera has anti-inflammatory properties more than 380C, accompanied by parents Oktaviana et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 or family members during the procedure.
and ensuring that the intervention in the Exclusion criteria: children with a history study does not endanger the patient's of uncontrolled febrile seizures, children condition by implementing intervention with certain skin conditions .
uch as operational standards.
allergies or irritatio.
that inhibit the use of aloe vera, and children in unstable RESULTS conditions such as signs of shock or The warm water compress and aloe impaired consciousness.
vera method was applied to lower body The data obtained will be tabulated temperature during the research period on to facilitate the process of observation.
February 4-6, 2025.
The results of the Data application of warm water compresses and aloe vera to reduce body temperature in preschool children aged 3-4 years in the intervention to determine any temperature Cempaka High Care Unit of Dr.
Moewardi changes that occur due to the application Surakarta Hospital were carried out on February 4-6, 2025, involved 2 respondents compresses and aloe vera.
with a medical diagnosis of Children S's Researchers apply research ethics by respiratory distress and Children M's providing informed consent as approval Table 1.
Body Temperature in Children S and Children M before and after Treatment with Warm Water and Aloe Vera Compress Respondent Children S Children M Temperature Before 39,00C 38,20C After 36,80C 36,20C Table 1 shows the results of Child S's Child M before the warm water and aloe body temperature before the warm water vera compress was 38.
20C, after the warm and aloe vera compress was 39.
0 0C, after water and aloe vera compress was 3 times a the warm water and aloe vera compress day it became 36.
was 3 times a day, it became 36.
80C and in Table 2.
Results of Body Temperature Reduction in Child S and Child M Before and After Compress with Warm Water and Aloe Vera
Intervention Before intervention Children S 39,0 C
Children M
38,20C
Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 After intervention Body temperature decrease 36,80C 2,20C Table 2 shows that the application of 36,20C 2,00C warm water compresses and aloe vera response in the body, which causes an effectively decreases the body temperature increase in temperature, which acts as a of both respondents.
Respondent Child defense mechanism against pathogens.
Children S experienced a decrease in Warm water compress and aloe vera temperature of 2.
2AC, from 39.
0AC to have been proven effective in lowering 8AC, while Child M experienced a body temperature in children with fever.
decrease in temperature of 2.
0AC, from This method is a safe and effective non- 2AC to 36.
2AC after the intervention.
pharmacological alternative.
Before the addition, after three daily interventions.
Child S showed improvements, such as temperature was 39.
0AC, and Children M's reduced fussiness and increased appetite.
2AC.
After three days of application.
Children S's Children S's body temperature dropped by 20C from 39.
0AC to 36.
80C, and An.
M's DISCUSSION body temperature dropped by 2.
00C from respondents before and after warm 20C to 36.
2AC.
This shows a significant change in the management of hyperthermia Body in children.
The effectiveness of warm Based on the observation results, the water compresses is associated with the body temperature of both respondents before the warm water compress and aloe accelerate heat release through the skin.
vera application showed a significant fever Aloe vera, which have a more water Children anti-inflammatory temperature of 39.
0AC, while Children M properties, helps soothe the skin and had a body temperature of 38.
2AC.
This accelerate the natural process of lowering condition is caused by infections such as the temperature.
In addition, the hydration pneumonia and respiratory distress.
By the effect of aloe vera helps maintain the child's body fluid balance during fever.
Zakiyah's experienced respiratory distress while .
research supports this, with results Children M experienced pneumonia.
The showing an average temperature decrease Children Oktaviana et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 of 1ACAe2AC after 15 minutes of applying aloe difference in response time, these results vera compresses.
Based on the description in line with (Siagian et al.
, 2.
, the compresses and aloe vera effectively lowers combination of warm water compresses body temperature in both respondents.
and aloe vera not only effectively lowers The difference in response time is likely body temperature but also provides due to each individual's physical condition and metabolism.
Further monitoring is Holistic care that includes physiological needed to ensure body temperature and psychological aspects is considered stability after the intervention.
superior to a single approach that only The results align with Wardaniyah's focuses on lowering temperature.
This .
study in that the differences in the approach is also considered safe, non- level and speed of body temperature invasive, and easy to implement in the decrease are related to the underlying home environment or health facilities.
medical conditions experienced by each Children S, who experienced respiratory distress, tended to respond decreases in childrens before and after faster to warm water compress and aloe applying warm water compresses and vera therapy, while Children M, who aloe vera experienced pneumonia, took longer due to Comparison The comparison results showed the bacterial infection in the lungs.
significant changes in body temperature in Therefore, although both intervention both respondents.
Children S experienced a decrease in temperature from 39.
0AC to duration and level of temperature decrease 8AC, with a total decrease of 2.
2AC.
may vary depending on the medical Meanwhile.
Children M experienced a condition of each respondent.
The comparison of effectiveness The limitation of this study lies in the decrease in temperature from 38.
2AC to 2AC, with a total decrease of 2.
0AC.
intervention of warm water compress and showed that in Children S, the temperature decrease occurred more quickly in the first administration of antipyretics, so the 30 minutes, while in Children M, the decrease in body temperature is not decrease occurred more gradually in the entirely due to this intervention.
first 45 minutes.
Although there was a addition, researchers also need to pay Efficacy of Warm Water Compress and Aloe Vera Therapy for Fever Management in Preschoolers Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 attention to the schedule for administering The comparison results showed that paracetamol, which is generally given every ChildrenS experienced a decrease in 4Ae6 hours, to prevent spikes in body temperature of 2.
2AC, while ChildrenM temperature that can trigger febrile 0AC.
This confirms that the method's effectiveness can vary depending on the Regularly temperature and information regarding the initial time of fever symptoms is essential, combining warm water compresses and especially in children diagnosed with respiratory distress or pneumonia, to pharmacological intervention and is worth considering in treating fever in preschool prevent further complications.
Thus.
Patients with fever are advised to apply warm water compress therapy and CONCLUSION The main infection caused the pharmacological treatment in treating increase in body temperature in both fever in children before using antipyretic respondents, namely respiratory distress in ChildrenS and pneumonia in ChildrenM, with several supporting factors such as dehydration and late early intervention.
AUTHOR CONTRIBUTIONS
The author contributes all research After applying warm water compresses Conceptualization, and aloe vera, the body temperature of both writing and manuscript revisions.
respondents showed a significant decrease.
ChildrenS dropped from 39.
0AC to 36.
8AC,
ACKNOWLEDGMENT
while ChildrenM dropped from 38.
2AC to The author want to thank you for the 2AC.
The combination of warm water the Cempaka High Care Unit.
Dr.
compresses and aloe vera has been proven Moewardi effective as a non-pharmacological method Hospitalthat facilatated this research.
Hospital.
Dr.
Moewardi to lower body temperature in children with This method follows the theory of vasodilation and natural cooling effects and CONFLICT OF INTEREST The authors declare that there are no conflicts of interest in this research.
administering antipyretics.
Oktaviana et al.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 1.
April 2025, pp 39-47 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435
DATA AVAILABILITY STATEMENT
The data are available from the corresponding author upon reasonable Anggrek
RSUD
Dr.
Soeratno Gemolong.
Jurnal Ilmu Kesehatan Dan Gizi (JIG), 1.
, 1Ae9.
Malla.
Yenny Djeny Randa, & Rahmat Bahri.
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