The Effect of Squishy Play Therapy on Reducing Anxiety in Toddlers during Hospitalization

Authors

  • Shelsa Mutiara Sukma Universitas Muhammadiyah Surakarta
  • Siti Arifah Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.37287/ijghr.v8i4.1863

Keywords:

anxiety, Hospitalization, play therapy, Squishy, toddler

Abstract

Hospitalization often triggers anxiety in children, characterized by reactions such as crying, fussiness, and restlessness, which vary among individuals. Play therapy can play an important role in distracting children from the pain or discomfort they experience. This study aims to examine the effect of squishy play therapy on reducing anxiety in toddlers during hospitalization. This was a quasi-experimental study with a one-group pretest-posttest design. This study involved purposive sampling techniques to recruit 15 children. Data were collected using a demographic questionnaire (age, gender, length of stay, and hospitalization history) and the Face Anxiety Scale (FAS). The collection process involved direct observation of anxiety levels before (pre-test) and after (post-test) the squishy play therapy intervention. Data analysis was performed using the Wilcoxon test, with the processing involving editing, coding, scoring, data entry, cleaning, and tabulating. The findings showed that the application of squishy play therapy resulted in a significant reduction in anxiety, with a p-value of 0.001 (p < 0.05). Thus, this intervention is proven to be effective in reducing anxiety in toddlers during hospitalization.This study is expected to contribute to the development of nursing practice through the use of squishy play therapy as an innovative non-pharmacological strategy that can be applied to improve the well-being of children in a hospital setting.

Author Biography

Siti Arifah, Universitas Muhammadiyah Surakarta

Lecturer at the Department of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia.

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. BMC Complementary Medicine and Therapies, 25(23). https://doi.org/https://doi.org/10.1186/s12906-025-04767-4

Andriastuti, A., Lestari, N. E., & Purnamasari, E. R. W. (2025). The Effect of Implementing Medical Play on Anxiety Levels Due to Hospitalization in Preschool Children. Jendela Nursing Journal, 9(1), 45–51. https://doi.org/https://doi.org/10.31983/jnj.v9i1.12860

Badan Pusat Statistik. (2023). Profil Statistik Kesehatan 2023. https://www.bps.go.id/id

Diansari, A., Soleman, S. R., & Ratrinaningsih, S. (2024). Penerapan Terapi Bermain Puzzle Terhadap Penurunan Tingkat Kecemasan Pada Anak Usia Toddler (1-3 Tahun) Yang Mengalami Hospitalisasi Di Rumah Sakit Umum Daerah Dr.Moewardi. Jurnal Keperawatan Mandira Cendikia, 3(5). https://journal-mandiracendikia.com/jikmc

Ginanjar, M. R., Ayu, D., & Malita. (2023). Terapi Bermain Scrapbook Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi : Pra Ekperimen. Jurnal Masker Medika, 11(2). https://doi.org/10.52523/maskermedika.v11i2.579

Gunasyah, D. T. P., Aziz, A., & Ismail, I. T. (2024). Penerapan Terapi Bermain Plastisin (Playdough) Terhadap Tingkat Kecemasan Akibat Hospitalisasi Pada Anak Usia Prasekolah (3-6 Tahun) Dengan Demam Thypoid Di Ruang Melati Rumah Sakit Tk. Ii Dustira Cimahi. Jurnal Kesehatan An-Nuur, 1(2). https://journal.ypss.or.id/index.php/jukes/index

Hariyadi. (2019). Pengaruh Terapi Bermain Puzzle Terhadap Tingkat Kecemasan Hospitalisasi pada Anak Usia Pra Sekolah (3-6 Tahun) di RSUD Dr. Harjono Kabupaten Ponorogo. 2-TRIK: Tunas-Tunas Riset Kesehatan, 9(4), 369–373. https://doi.org/http://dx.doi.org/10.33846/2trik9414

Harnilawati, & Asrianto. (2021). The Effect of the Application of Play Therapy on the Anxiety Level of Children Experiencing Hospitalization Reactions in Pre-School Age Children at RSUD Haji Provinsi Sulawesi Selatan. International Journal of Science, Technology & Management. https://ijstm.inarah.co.id/index.php/ijstm/article/view/377

Kemenkes RI. (2023). Survei Kesehatan Indonesia. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/

Maharani, K. D., Hamarno, R., Subekti, I., & Astuti, E. S. (2025). Pengaruh Meremas Squishy Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Dengan General Anestesi Di Instalasi Bedah Rumah Sakit Wava Husada. 8(1), 898–905.

McMurtry, C. M., Noel, M., Chambers, C. T., & McGrath, P. J. (2010). New face on the block: A pilot study of the Faces Anxiety Scale for measuring anxiety/fear in children undergoing painful medical procedures. Proceedings: International Symposium on Pediatric Pain.

Patantan, R. I., Romantika, I. W., Narmawan, & Andas, A. M. (2022). Hubungan Pengalaman Dan Lama Rawat Dengan Kecemasan Pada Anak Yang Menjalani Hospitalisasi Di Ruang Rawat Inap Rs Benyamin Guluh Kolaka. Jurnal Surya Medika, 8(3), 263–267. https://doi.org/https://doi.org/10.33084/jsm.vxix.xxx.

Pratiwi, B. R., & Arifah, S. (2025). The Effect Of Balloon Rocket Play Therapy On Anxiety In Preschool Children During Hospitalization. Indonesian Journal of Global Health Research, 7(1), 229–234. https://doi.org/https://doi.org/10.37287/ijghr.v7i1.4180.

Pujianti, O., Susanto, H., & Wijayanti, K. (2025). Gambaran Kecemasan Efek Hospitalisasi pada Anak Prasekolah di Ruang Parkit Rumah Sakit Qolbu Insan Mulia Batang. Protein: Jurnal Ilmu Keperawatan Dan Kebidanan, 3(4). https://doi.org/https://doi.org/10.61132/protein.v3i4.1762

Pujiati, W., Saribu, H. J. D., Rahman, Z., & Khariroh, S. (2021). Penurunan Tingkat Kecemasan Anak Melalui Terapi Bermain di RumKital Dr. Midiyato Suratani Tanjungpinang. Jurnal Pengabdian Masyarakat Indonesia (JPMI), 1(6), 371–376. https://doi.org/DOI: https://doi.org/10.52436/1.jpmi.73

Rohmah, M. A., Yunita, R., & Rahmat, N. N. (2025). Pengaruh Terapi Bermain Squishy Terhadap Penurunan Kecemasan Anak Usia Prasekolah (3-6 Tahun) Yang Mengalami Hospitalisasi di Rumah Sakit Rizani Paiton Probolinggo. Protein: Jurnal Ilmu Keperawatan Dan Kebidanan, 3(2), 259–274. https://doi.org/https://doi.org/10.61132/protein.v3i2.1298

Sari, D. L., & Arifah, S. (2017). Pengaruh Terapi Bermain Gelembung Super Terhadap Tingkat Kecemasan Pada Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Berita Ilmu Keperawatan, 10(2), 65–70.

Suraya, C., Wisuda, A. C., Science, A., Program, N. S., Tinggi, S., Kesehatan, I., & Husada, B. (2025). Journal of Nursing Science Research. 2(1), 27–36.

Widiarti, A., Toemon, A. N., Mutiasari, D., & Baboe, D. (2021). Kemampuan Komunikasi Anak Autisme Setelah Pemberian Mainan Squisy. Jurnal Surya Medika, 6(2), 88–93. https://doi.org/https://doi.org/10.33084/jsm.vxix.xxx.

World Health Organization. (2019). Operationalizing nurturing care for early childhood development.

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Published

2026-08-01

How to Cite

Sukma, S. M., & Arifah, S. (2026). The Effect of Squishy Play Therapy on Reducing Anxiety in Toddlers during Hospitalization. Indonesian Journal of Global Health Research, 8(4), 459–466. https://doi.org/10.37287/ijghr.v8i4.1863

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