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Abstract
Preschool children frequently experience anxiety during hospitalization due to unfamiliar environments, unpleasant medical procedures, and limited interaction with their parents. This anxiety may reduce children’s cooperation during treatment and negatively affect treatment outcomes if it is not properly managed. This study aimed to determine the effect of puzzle-playing therapy involving parental participation on anxiety levels among hospitalized preschool children. This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 22 preschool-aged children admitted to Tarakan Regional General Hospital, Central Jakarta, Indonesia. Anxiety levels were assessed using the Face Image Scale (FIS) before and after the intervention. Puzzle-playing therapy was administered with parental involvement for approximately 15 minutes over two days. Univariate and bivariate analyses were conducted using the Wilcoxon test. The results showed that the median anxiety score decreased from 4 to 1 following the intervention. The Wilcoxon test indicated a statistically significant difference (p = .001). These findings demonstrate that puzzle-playing therapy involving parental participation effectively reduces anxiety among hospitalized preschool children.
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JKEP (Jurnal Keperawatan)
References
Yulianto A, Idayati I, Sari SA. Bermain (Puzzle) Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Jurnal Wacana Kesehatan 2021; 6: 39. doi: 10.52822/jwk.v6i1.172
Johnson AA, Berry A, Bradley M, Daniell JA, Lugo C, Schaum-Comegys K et al. Examining the Effects of Music-Based Interventions on Pain and Anxiety in Hospitalized Children: An Integrative Review. J Pediatr Nurs 2021; 60: 71–76. doi:10.1016/j.pedn.2021.02.007
Abdi F, Karamoozian A, Lotfilou M, Gholami F, Shaterian N, Niasar AA et al. Effect of play therapy and storytelling on the anxiety level of hospitalized children: a randomized controlled trial. BMC Complement Med Ther 2025; 25. doi:10.1186/s12906-025-04767-4.
Islamiyah I, Dwi Novianti A, Anhusadar L. Pengaruh Terapi Bermain Puzzel untuk Penurunan Kecemasan Hospitalisasi pada Anak Usia Prasekolah. Murhum : Jurnal Pendidikan Anak Usia Dini 2024; 5: 87–98. doi:10.37985/murhum.v5i1.409
Sapardi VS, Andayani RP, Ubaidillah. Pengaruh Terapi Bermain Puzzle Islami Terhadap Kecemasan Pada Anak Usia Pra Sekolah Dengan Hospitalisasi. 2024. doi: 10.36984/jkm.v4i2.240
Fitriani D, Hendrawati S, Nur Asriyani Maryam N, Studi Ners Fakultas Keperawatan P, Padjadjaran U, Keperawatan Anak Fakultas Keperawatan D. Penerapan Prinsip Atraumatic Care dan Family Centered Care pada Anak dengan Hemangioma di Ruang Rawat Inap Non Intensif: Studi Kasus. 2023 doi:10.55681/sentri.v2i9.1432.
Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier: St. Louis, Missouri 63043, 2023.
Hockenberry MJ, Gibbs KD, Duffy EA. Wong’s Essentials of Pediatric Nursing (12th ed.). Elsevier, 2025.
Deswita, Fajria L, Fitridilla. Tahap Perkembangan Anak & Stimulasi Perkembangan Pada Anak Yang Perlu Diketahui Ibu Yang Mempunyai Anak Usia Prasekolah. 2023.
Santoso APA, Agustin CA, Azzahra FB, Efani H, Correia TA, Safitri ZH. Konsep pelayanan keperawatan komplementer alternatif dengan pendekatan teori Dorothea Orem. Journal Complementary of Health (JCoHealth) 2022; 2: 85–87. https://doi.org/10.36086/jch.v2i2
Adiputra IMS, Trisnadewi NW, Oktaviani NPW, Munthe SA, Hulu VT, Budiastutik I et al. Metodologi Penelitian Kesehatan. 1st ed. Yayasan Kita Menulis: Indonesia, 2021.
Purwanza SW, Wardhana A, Mufidah A, Renggo YR, Hudang AK, Setiawan J et al. Metodologi Penelitian Kuantitatif, Kualitatif, dan Kombinasi. Media Sains Indonesia dan Penulis: Indonesian, 2022. https://doi.org/10.36086/jch.v2i2
Anggreni D. Buku Ajar Metodologi Penelitian Kesehatan. E 610.7. STIKes Majapahit Mojokerto., 2022. Available on https://digilib.mahardika.ac.id/index.php?p=show_detail&id=3524.
Hardani, Aulia Hikmatul N, Andriani H, Fardani Asri R, Ustiawaty J, Utami Fatmi E et al. Metode Penelitian Kualitatif dan Kuantitatif. 2020. Avilable on http://webs.ucm.es/info/biomol2/Tema.
Triana NY, Haniyah S, Khabibah U. Efektivitas Audiovisual Film Kartun dengan Storytelling Terhadap Nyeri Prosedur Invasif Anak Pra Sekolah. 2024; : 7. doi: 10.52488/jnh.v9i4.439
Oktaviana D, Immawati I, Nurhayati S. Implementasi Terapi Bermain Edukasi (Puzzle) pada Anak Usia Prasekolah yang Mengalami Kecemasan Akibat Hospitalisasi. Jurnal Cendikia Muda 2025; 5: 216–224.
Babullah R. Teori Perkembangan Kognitif Jean Piaget dan Penerapannya dalam Pembelajaran. Epistemic: Jurnal Ilmiah Pendidikan 2022; 1: 131–152. https://doi.org/10.70287/epistemic.v1i2.10
Saputro H, Farzin I. Anak Sakit Wajib Bermain di Rumah Sakit: Penerapan Terapi Bermain Anak Sakit; Proses, Manfaat dan Pelaksanaannya. Forum Ilmiah Kesehatan (FORIKES): Ponorogo, Indoensian, 2017.
Suhartini S, Wahyudi G, Raharjo R, Lailaturohmah L, Khasanah N, Toaha A. Asuhan Keperawatan Anak. CV. Dewa Publishing, 2023.
Ikhsan M, Hartati S, Gowi A, Maharani R, Hasnani F, Basri M et al. Buku Ajar Keperawatan Anak. CV. Science Techno Direct: Pangkalpinang, 2024.
Abiyyu R. Pengaruh Distraksi Virtual Reality (VR) melalui Video Animasi Kartun terhadap Kecemasan dan Nyeri Anak saat Prosedur Pemasangan Infus di Ruang Rawat Inap Anak Rumah Sakit dr. Reksodiwiryo Kota Padang. 2025; 32.
Sahir SH. Metolodologi Penelitian (T. Koryati, Ed.; 1 ed). Jawa Timur: KBM Indonesia. Penerbit Kbm Indonesia, 2021.
Wulandini P, Kartika IR, Sartika W, Febrianita Y. Keperawatan Dasar Anak: Permainan Tradisional untuk Meningkatkan Motorik dan Manajemen Nyeri pada Anak Penyakit Kronis. Tahta Media Group: Solo, Indonesia, 2023.
Menkes. Peraturan Menteri Kesehatan Nomor 26 Tahun 2021 tentang Pedoman Indonesian Case Base Groups (INA-CBG) dalam Pelaksanaan Jaminan Kesehatan. Kementerian Kesehatan Republik Indonesia, 2021.
Marbun RA, Sihombing F, Randa YD, Wilandika A, Sopaliu DW, Nirwan et al. Buku Ajar Keperawatan Anak. 1st ed. CV. Eureka Media Aksara, 2025.