Edukasi Terapi Bermain Puzzle pada Anak Hospitalisasi di RS Awal Bros Batam

Indah Purnamasari; Julia Hermalina; Melidiya Anggun Sapitri

doi:10.62951/masyarakatmandiri.v3i1.2854

Authors

Indah Purnamasari Universitas Awal Bros
Julia Hermalina Universitas Awal Bros
Melidiya Anggun Sapitri Universitas Awal Bros

DOI:

https://doi.org/10.62951/masyarakatmandiri.v3i1.2854

Keywords:

Atraumatic Care, Family Education, Pediatric Hospitalization, Play Therapy, Puzzle

Abstract

Hospitalization often triggers anxiety in children because of unfamiliar environments, invasive procedures, and disruption of daily routines. Pediatric nurses are expected to implement atraumatic care through developmentally appropriate, non‑pharmacological interventions. This community service program aimed to strengthen nurses’ and families’ skills in delivering puzzle‑based play therapy and to evaluate short‑term changes in children’s anxiety responses in the pediatric ward of Awal Bros Hospital, Batam. The program was conducted in December 2025 using an action-based approach: coordination with the ward team, preparation of graded puzzle sets and education media, bedside education for parents, and supervised play sessions. Four hospitalized children with different diagnoses (chemotherapy, childhood‑onset lupus erythematosus, febrile illness, and stoma care) participated. Anxiety was assessed before and after the session using an observation sheet and a faces anxiety scale adapted for clinical use. After a 20–30 minute session adjusted to the child’s developmental stage, all participants demonstrated lower anxiety scores and better cooperative behaviors. Caregivers also reported increased understanding of play therapy as part of holistic nursing care. Puzzle play therapy is feasible, low‑cost, and can be integrated into routine pediatric nursing to support coping during hospitalization.

References

Abdi, F., Karamoozian, A., Lotfilou, M., Gholami, F., & Shaterian, N. (2025). Effect of play therapy and storytelling on the anxiety level of hospitalized children: A randomized controlled trial. Journal name, 4, xx–xx.

Alfiyanti, D., Arief, Y. S., Krisnana, I., & Triharini, M. (2024). Parents’ participation in atraumatic care during children hospitalization: A systematic review. Malaysian Journal of Nursing, 15(3), 156–168. https://doi.org/10.31674/mjn.2024.v15i03.018

Care, O., & Forest-Lalande, L. (2023). Best practice guidelines for ostomy care in neonates, children, and adolescents: An executive summary. Journal of Wound, Ostomy and Continence Nursing, 50(4), 381–385. https://doi.org/10.1097/WON.0000000000001001

Chiappini, E., Orlandi, M., Chiarugi, A., Vallini, M., & Lo Vecchio, A. (2024). Fever management in children and insights into fever of unknown origin: A survey among Italian pediatricians. Frontiers in Pediatrics, 12, Article 1452226. https://doi.org/10.3389/fped.2024.1452226

Conference, I. (2025). Play therapy and its effect on anxiety levels in hospitalized pediatric patients: A literature review. Conference proceedings, 91–101.

Dua, S., Zaidi, E. Z., Qamber, A., Siddiq, M. A., & Haseeb, A. (2024). Preoperative anxiety management in pediatric distraction techniques. Frontiers in Pediatrics, 12, Article 1353508. https://doi.org/10.3389/fped.2024.1353508

Duangmala, P., & Sontichai, W. (2025). Depression and anxiety in childhood-onset systemic lupus erythematosus: Prevalence, associated factors, and impact on quality of life and family. Journal name, 6, xx–xx.

Gerçeker, G. Ö., Bektaş, M., Önal, A., B., C., Kudubeş, A. A., & Çeçen, R. E. (2024). The effect of virtual reality distraction and fatigue training on anxiety and fatigue levels in children with cancer: A randomized controlled study. Journal name, 40(6), xx–xx.

Hakim, A., Kazemi, S., Peyvasteh, M., & Haghighizadeh, M. H. (2025). The effectiveness of an educational program on knowledge and caring performance of parents of children with colostomy: A clinical trial study. Journal name, xx–xx.

Ho, W., Li, C., Kwan, O., Chung, J., Chen, H., & Xiao, S. (2025). Understanding the perceptions, behavior, and attitudes of healthcare professionals, hospitalized children, and their parents toward hospital play services: A mixed-methods approach. Journal of Pediatric Nursing, 83, 38–46. https://doi.org/10.1016/j.pedn.2025.04.024

Neto, J., Fernandes, R., Andrade, L., & Fernandes, I. (2025). Invasive procedures and atraumatic care in pediatric nursing practice: Nurses’ perceptions. Frontiers in Pediatrics, 13, Article 1543138. https://doi.org/10.3389/fped.2025.1543138

Satriana, A., & Mulfiyanti, D. (2023). The effectiveness of puzzle play therapy in reducing anxiety due to hospitalization in preschool-age children (3–6 years). Journal name, 2(2), 602–608.

Signorelli, C., Robertson, E. G., Valentin, C., Alchin, J. E., & Treadgold, C. (2023). A review of creative play interventions to improve children’s hospital experience and wellbeing. Journal name, 13(11), 355–364.

Tambunan, D. M., Silaen, H., & Sansuwito, T. B. (2024). Play therapy to minimize anxiety among children during hospitalization: A scoping review. Journal name, 20(3), 205–209.

Years, A. P. C. (2025). The effect of play therapy on hospitalization anxiety. NERS Jurnal Keperawatan, 21(1), 106–111.