IMPLEMENTATION OF NURSING ACTION OF PUZZLE PLAYING DISTRACTION IN REDUCING ANXIETY IN PRESCHOOL CHILDREN DUE TO HOSPITALIZATION IN THE CHANDRA ROOM, RUMKIT TYK II Dr. J. A LATUMETEN AMBON

Authors

  • Suprianto STIKes Maluku Husada

DOI:

https://doi.org/10.58467/ijons.v6i1.285

Keywords:

distraksi, terapi bermain puzzle, Kecemasan, anak prasekolah, hospitalisasi

Abstract

Background: Hospitalization in children often causes anxiety due to the unfamiliar hospital environment, frightening medical procedures, and separation from a comfortable environment. This anxiety condition can hinder the treatment process and reduce the child's cooperation during medical procedures. One intervention that can be done by nurses to reduce anxiety in children is distraction techniques through puzzle play therapy. Playing puzzles can help children divert attention from fear and provide positive cognitive and emotional stimulation. Objective: To determine the policy of actions that prevent puzzle play distractions in reducing children's anxiety due to hospitalization in the Chandra Room of the Dr. J. A. Latumeten Class II Hospital Ambon. Methods: This study used a case study approach on 2 preschool-aged children who experienced anxiety during hospitalization. The intervention was carried out by providing puzzle play therapy during the treatment period and observations were made on changes in the children's anxiety levels before and after the intervention. Results: The study showed that after being given puzzle play therapy, the children's anxiety levels decreased, which was indicated by reduced crying behavior, tension, and increased cooperation during nursing procedures. Conclusion: This study shows that puzzle play distraction nursing actions are effective in helping reduce anxiety in preschool children who are hospitalized. This intervention can be used as a non-pharmacological approach in pediatric nursing practice in hospitals.

References

Atikah, R, A., dan Siti, R. (2022). The Application of Fairy Tale Theraphy to Preschool Kids Who Get Anxious Due to Hospitalization. University Research Colloqium. Universitas Muhammadiyah Pekajangan Pekalongan.

Fathoni, A., Irdawati, & Oktiva, Y. D. (2023). Pengaruh Terapi Bermain Origami terhada[ Tingkat Kecemasan Anak Selama Rawat Inap di Ruang Sakura RS Indriati Solo Baru: A Case Study. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP), 1(10), 9–20. https://skyfold.com/document/371a5b503596-11ec-abe7 993375836146?download=true

Jamilah, & Mahardhita, M. (2025). Pemberian Terapi Murrotal Qur’an Dan Sholawat Terhadap Kecemasan Ibu Bersalin Sebelum Operasisectio Caesarea Di Rumah Sakit Bhakti Muliajakarta Barat Tahun 2024. Jur, 9, 1745–1753. http://journal.universitaspahlawan.ac.id/index .php/ners

Kurniawati, D., & Dewi, R. (2021). Kecemasan anak selama hospitalisasi di ruang perawatan anak. Jurnal Keperawatan Anak, 5(2), 45–52.

Kemenkes RI. (2020). Profil Kesehatan Indonesia 2020 [Indonesia Health Profile 2020].http://www.depkes.go.id/resources/download/pusdatin/profil_kesehatanindonesia/Data dan-Informasi_Profil-Kesehatan-Indonesia-2020.pdf

Khoerunnisa, S. R., Muqodas, I., & Justicia, R. (2023). Pengaruh Bermain Puzzle terhadap Perkembangan Motorik Halus Anak Usia 5-6 Tahun. 4(2), 49–58. https://doi.org/10.37985/murhum.v4i2.279

Lestari, A., Putri, N., & Sari, M. (2022). Respons psikologis anak prasekolah selama menjalani hospitalisasi. Jurnal Keperawatan Indonesia, 10(1), 33–40.

Nursalam. (2022). Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.

Padila, P., Yanti, L., Pratiwi, B. A., Angraini, W., & Admaja, R. D. (2020). Touch, Talk Dan Skill Play Terhadap Penurunan Kecemasan Anak Pre-School. Jurnal Kesmas Asclepius, 2(2), 64 72. Https://Doi.Org/10.31539/Jka.V2i2.1418

Perdana, R. G., & Tambunan, D. M. (2024). Pengaruh Terapi Bermain Jenga Terhadap Tingkat Kecemasan Pada Anak Prasekolah Prasekolah (4-6 Tahun) Akibat Hospitalisasi Di Rumah Sakit Murni Teguh Ciledug. Indonesian Trust Nursing Journal (Itnj), 2(1), 87–92.

Pramudita, C. D. A., & Maryatun, M. (2023). Penerapan Terapi Bermain Puzzle Pada Anak Prasekolah (3-6 Tahun) Yang Mengalami Kecemasan Akibat Hospitalisasi Di Bangsal Shofa Rs Pku Muhammadiyah Karanganyar. Ovum : Journal Of Midwifery And Health Sciences, 3(2), 54–61. Https://Doi.Org/10.47701/Ovum.V3i2.2945

Pratiwi, W., Immawati., Sri, N. (2023). Penerapan Terapi Bermain Puzzle Pada Anak Prasekolah (3-6 Tahun) Yang Mengalami Kecemasan Akibat Hospitalisasi Di Rsud Jend. Ahmad Yani Metro. Jurnal Cendikia Muda 3(4): 618-627.

Rahmawati, L., Nuraini, T., & Yuliana, R. (2023). Terapi bermain sebagai distraksi untuk menurunkan kecemasan anak selama hospitalisasi. Jurnal Keperawatan Anak Indonesia, 11(1), 21–29.

Sari, P., & Wulandari, A. (2024). Pengaruh terapi bermain puzzle terhadap kecemasan anak prasekolah yang dirawat di rumah sakit. Jurnal Keperawatan Modern, 12(1), 14–22.

Published

2026-07-31