Effectiveness of Children's Music Therapy on Changes in Hospitalized Children's Anxiety Levels: Quasi Experimental Study

Authors

  • Finna Rachma Agustin Universitas Muhammadiyah Surakarta
  • Irdawati Irdawati Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.37287/ijghr.v8i2.771

Keywords:

anxiety, children, hospitalization, music therapy

Abstract

Hospitalization can cause anxiety in children due to unfamiliar environments, the sound of medical devices, and frightening procedures. This condition causes children to feel scared, cry, have trouble sleeping, and refuse medical treatment, thus hindering the healing process. One of the nonpharmacological interventions that can be used to reduce anxiety is music therapy, because music has a relaxing, calming, and fun effect on children. This study aimed to analyze the effectiveness of children's music therapy on changes in anxiety levels during hospitalization.  The research design used a quasi-experimental approach with a one group pretest-posttest approach on 10 children treated in the children's room of Indriati Hospital. The sampling technique used was purposive sampling. The intervention was given for three days with two sessions per day using selected children's music such as Cocomelon, Cicak-cicak di dinding, and Baby Shark. Anxiety levels were measured using the Facial Image Scale (FIS) and analyzed using the Wilcoxon test. The Wilcoxon test showed values of (Z = -6.797; p < 0.001), which means that there was a significant difference between anxiety levels before and after music therapy. The average anxiety score decreased from 4.53 (severe anxiety) to 2.17 (not anxious). Children's music therapy is effective in reducing anxiety levels during hospitalization and can be used as a nonpharmacological intervention in pediatric nursing care.

References

Ali, L., Jacob, C. M., & Wang, J., et al. (2024). Hospitalization and new mental health diagnoses in children: A retrospective cohort study. BMC Psychiatry, 24, 118.

Ali, S., Thurman, J., & Kellerman, T. (2024). Hospitalization and subsequent anxiety disorders among children: A retrospective cohort study. Journal of Pediatric Psychology, 49(3), 215–226.

Andiny, F., Rahmawati, D., & Ningsih, R. (2023). The effectiveness of Islamic music therapy on children's anxiety during hospitalization. Indonesian Journal of Child Nursing, 11(2), 87–94.

Andiny, M., Novikasari, L., & Furqoni, P. D. (2023a). The effect of Islamic music therapy on children's anxiety levels due to hospitalization. Perak Malahayati Journal, 5(2), 133–139.

Andiny, M., Novikasari, L., & Furqoni, P. D. (2023b). Socialization of the benefits of Islamic children's song music therapy to reduce anxiety due to hospitalization at Sakai Sambayan, Bandar Lampung. Perak Malahayati Journal, 5(1), 25–31.

Bagnasco, A., Peiró, A., & Sasso, L., et al. (2020). Validation of the Facial Image Scale for assessing anxiety in hospitalized children. Journal of Pediatric Nursing, 55, 58–63.

Bar, A. M., Monalisa, M., Damayantie, N., & Halimah, H. (2023). Music therapy for pain and anxiety in hospitalized children: A systematic review of randomized controlled trials. NSC Nursing Journal, 4(1), 14–21.

Bar, D., Lewis, H., & Patel, R. (2023). Music intervention in pediatric care: A systematic review of randomized controlled trials. Journal of Pediatric Nursing, 72, 125–136.

Bar, S., Kim, H., & Lee, M. (2023). The effect of music therapy on anxiety and pain in pediatric patients: A systematic review of randomized controlled trials. Frontiers in Psychology, 14, 1179021.

Baskara, A. S., & Zulaikha, F. (2020). The effect of music therapy on pain and anxiety responses in preschool-aged children. Borneo Student Research, 2(1), 75–81.

Creswell, J. W., & Guetterman, T. C. (2024). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). Sage Publications.

Febrianti, N., & Anggraini, M. (2022). The effect of music therapy on cortisol levels, blood pressure, and pulse rate of hospitalized children. Indonesian Journal of Medical Nursing, 10(3), 112–120.

Field, A. (2022). Discovering statistics using IBM SPSS statistics (6th ed.). Sage Publications.

Ghasemi, A., & Zahediasl, S. (2021). Normality tests for statistical analysis: A guide for non-statisticians. International Journal of Endocrinology and Metabolism, 19(1), e110122.

Hakim, A., Kaldozkhi, S., & Tashakori, A., et al. (2023). Effects of non-verbal music on anxiety in hospitalized children: A quasi-experimental study. BMC Pediatrics, 23(2), 112–119.

Hakim, R., Fahimah, A., & Nurhadi, A. (2023). Effect of instrumental music on anxiety levels among hospitalized children. Indonesian Journal of Nursing Research, 10(2), 87–94.

Hakim, R. F., Anisa, D., & Rahayu, P. (2023). The effect of music therapy on reducing children's anxiety levels during hospitalization. Indonesian Journal of Child Nursing, 5(3), 201–210.

Hakim, R., Dewi, L., & Rahmadani, F. (2023). Non-verbal music therapy in reducing children's anxiety during hospitalization. Journal of Comprehensive Nursing, 9(1), 23–31.

Karbandi, S., Hosseini, S. M., & Sadeghi, T. (2020). The effects of music and visual distraction on anxiety in hospitalized children with chronic illness. Iranian Journal of Nursing and Midwifery Research, 25(4), 304–310.

Knott, A., Davis, P., & Harrington, J. (2022). Family-centered music therapy and its effects on communication and emotional well-being in hospitalized children. Pediatric Nursing Review, 58(2), 145–153.

Koenig, J., Parzer, P., & Voss, A. (2022). Physiological effects of music listening on the autonomic nervous system in children. Child and Adolescent Mental Health, 27(4), 347–356.

Liu, Y., Zhang, H., & Chen, S. (2022). Music therapy interventions for hospitalized children: A meta-analysis of anxiety outcomes. Pediatric Nursing, 48(6), 312–321.

Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979.

Polit, D. F., & Beck, C. T. (2022). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Putri, A. D., & Dewi, S. N. (2024). Effectiveness of music therapy on reducing children's anxiety during hospitalization: A literature review. Journal of Sriwijaya Science and Nursing, 7(1), 12–21.

Rahmadani, L., Putri, A. D., & Dewi, S. N. (2023). Reliability and validity of the Facial Image Scale (FIS) in preschool-aged children in Indonesia. Indonesian Journal of Child Nursing, 5(2), 101–109.

Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021). Global prevalence of anxiety and depression in children and adolescents during COVID-19: A meta-analysis. JAMA Pediatrics, 175(11), 1142–1150.

Rianti, D., & Sukmawati, S. (2023). Music therapy as a non-pharmacological distraction to the child's anxiety during invasive measures. Journal of Pediatric Nursing Nusantara, 8(2), 67–75.

Sholikha, N., Wibowo, A., & Fitria, N. (2022). The effectiveness of popular children's songs on reducing hospitalization stress in preschool-age children. Journal of Maternal and Child Health, 5(3), 201–210.

Snyder, K., & Mendoza, L. (2023). Quasi-experimental designs in pediatric nursing research: Practical and ethical considerations. Journal of Pediatric Nursing, 68, 45–54.

Ullah, R., Khan, S., & Nazir, H. (2022). Impact of music therapy on emotional regulation in hospitalized school-aged children. Journal of Pediatric Nursing, 63, e42–e49.

Wadu, F., & Mediani, H. S. (2021). The effect of music therapy on brain waves and relaxation in children experiencing hospitalization stress. Journal of Psychiatric Nursing, 9(1), 22–29.

Wang, Y., He, L., & Zhou, Q. (2024). Music therapy for reducing preoperative anxiety in children: A systematic review and meta-analysis. Journal of Clinical Nursing, 33(5–6), 945–958.

Wijaya, U., & Wulaningsih, I. (2025). Anxiety management in preschool-aged children who experience hospitalization using puzzle play tools. Deepublish.

Zengin, N., Yildirim, S., & Basar, F. (2023). Effectiveness of music therapy in decreasing anxiety among hospitalized children undergoing invasive procedures. Clinical Child Psychology and Psychiatry, 28(2), 445–459.

Zhang, L., Chen, Y., & Wu, H. (2023). Music therapy improves emotional regulation in children with asthma: A randomized clinical trial. Complementary Therapies in Clinical Practice.

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Published

2026-04-30

How to Cite

Agustin, F. R., & Irdawati, I. (2026). Effectiveness of Children’s Music Therapy on Changes in Hospitalized Children’s Anxiety Levels: Quasi Experimental Study. Indonesian Journal of Global Health Research, 8(2), 843–850. https://doi.org/10.37287/ijghr.v8i2.771

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