Anak sangat rentan mengalami ketidakseimbangan cairan karena memiliki proporsi air tubuh yang lebih besar di ruang ekstraseluler. Tujuan penulisan karya ilmiah akhir ini adalah memberikan gambaran penerapan model konservasi Levine dalam proses asuhan keperawatan pada klien anak dengan ketidakseimbangan cairan. Dan memberikan gambaran penerapan tehnik distraksi meremas bola lunak dalam mengontrol nyeri anak selama insersi kateter intravena. Model konservasi Levine digambarkan pada 5 kasus kelolaan. Masalah keperawatan yang muncul pada 4 kasus adalah kekurangan volume cairan dan 1 kasus kelebihan volume cairan. Intevensi keperawatan yang diberikan berdasarkan prinsip konservasi energi, konservasi integritas struktural, konservasi integritas personal dan konservasi integritas sosial. Evaluasi yang didapatkan pada kelima kasus tersebut adalah masalah kekurangan volume cairan teratasi dan masalah kelebihan volume cairan teratasi sebagian. Selanjutnya pada penerapan tehnik distraksi meremas bola lunak pada anak yang dilakukan insersi intravena didapatkan skor nyeri anak berkurang. Hal ini membuktikan bahwa tehnik distraksi meremas bola lunak efektif mengontrol nyeri saat insersi intravena pada anak.

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Children are very susceptible to experience fluid imbalances due to their body composition which have a greater proportion of body water in the extracellular space. The paper aims to illustrate the application of the Levine conservation model in the process of nursing care to a child with fluid imbalance. This paper also provides an overview of softball squeezing distraction techniques to control children's pain during intravenous catheter insertion. Levine s conservation model is described in five cases. In general, four cases were related to a lack of fluid volume and one case related to excess fluid volume. The nursing intervention was given based on the four conservation principles: energy, structural integrity, personal integrity, and social integrity. The evaluation obtained from the five cases informs that the problem of lack of fluid volume resolved, and the problem of the excess fluid volume was partially resolved. Furthermore, in applying softball squeezing distraction techniques to children who have intravenous insertions, the child s pain score was decreased. Softball squeeze distraction techniques are proved to control pain effectively during intravenous insertion in children.