IMPLEMENTASI TERAPI BERMAIN MEDIA KOLASE SEBAGAI INTERVENSI UNTUK MENURUNKAN KECEMASAN PADA ANAK PRASEKOLAH AKIBAT HOSPITALISASI DI RSUD ARJAWINANGUN

Maharani, Dyaz Aristawidya (2026) IMPLEMENTASI TERAPI BERMAIN MEDIA KOLASE SEBAGAI INTERVENSI UNTUK MENURUNKAN KECEMASAN PADA ANAK PRASEKOLAH AKIBAT HOSPITALISASI DI RSUD ARJAWINANGUN. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.

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Abstract

Latar Belakang: Anak usia prasekolah (3–6 tahun) berada pada tahap perkembangan yang ditandai dengan peningkatan kemampuan interaksi sosial dan adaptasi lingkungan. Pada masa ini, anak rentan mengalami gangguan kesehatan yang dapat menyebabkan hospitalisasi (Hatuwe et al., 2025). Hospitalisasi dapat menimbulkan kecemasan akibat lingkungan rumah sakit yang asing, tindakan medis, dan perpisahan dengan keluarga. Kecemasan yang tidak ditangani dapat menghambat proses perawatan dan pemulihan anak. Salah satu intervensi nonfarmakologis yang dapat diberikan adalah terapi bermain media kolase. Tujuan: Mengetahui efektivitas terapi bermain media kolase dalam menurunkan kecemasan hospitalisasi pada anak usia prasekolah di Ruang Ade Irma Suryani RSUD Arjawinangun. Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan studi kasus pada dua anak usia prasekolah yang mengalami kecemasan hospitalisasi. Data dikumpulkan melalui observasi, wawancara, dokumentasi, dan pengukuran tingkat kecemasan menggunakan Facial Image Scale (FIS) sebelum dan sesudah intervensi selama lima hari. Hasil: Sebelum intervensi, kedua subjek mengalami kecemasan berat (skor FIS 5) yang ditandai menangis, menolak tindakan, tegang, gelisah, sulit berkomunikasi, kontak mata berkurang, dan takut terhadap tenaga kesehatan. Setelah terapi bermain media kolase, tingkat kecemasan menurun menjadi tidak cemas (skor FIS 1), ditandai kontak mata dan komunikasi membaik, tersenyum, aktif, kooperatif, dan tidak menunjukkan penolakan maupun ketakutan terhadap tenaga kesehatan. Kesimpulan: Terapi bermain media kolase efektif menurunkan kecemasan hospitalisasi serta membantu meningkatkan motorik halus, kreativitas, konsentrasi, dan kemampuan sensorik anak selama perawatan. Saran: Perawat diharapkan dapat menerapkan terapi bermain media kolase sebagai intervensi nonfarmakologis untuk membantu menurunkan kecemasan hospitalisasi. Kata kunci: Anak usia prasekolah, Hospitalisasi, Kecemasan, Terapi bermain, Kolase. Background: Preschool children (3–6 years old) are in a developmental stage characterized by increasing social interaction and adaptation to their environment. During this period, children are vulnerable to health problems that may require hospitalization (Hatuwe et al., 2025). Hospitalization can cause anxiety due to an unfamiliar hospital environment, medical procedures, and separation from family members. Untreated anxiety may interfere with the care and recovery process. One non-pharmacological intervention that can be provided is collage play therapy. Objective: To determine the effectiveness of collage play therapy in reducing hospitalization anxiety among preschool children in the Ade Irma Suryani Ward at Arjawinangun Regional General Hospital. Methods: This study employed a qualitative design with a case study approach involving two preschool children experiencing hospitalization anxiety. Data were collected through observation, interviews, documentation, and measurement of anxiety levels using the Facial Image Scale (FIS) before and after the intervention for five days. Results: Prior to the intervention, both subjects experienced severe anxiety (FIS score of 5), characterized by crying, refusing procedures, tension, restlessness, difficulty communicating, reduced eye contact, and fear of healthcare providers. After receiving collage play therapy, the anxiety level of both subjects decreased to no anxiety (FIS score of 1), indicated by improved eye contact and communication, smiling, active participation, cooperative behavior, and the absence of refusal or fear toward healthcare providers. Conclusion: Collage play therapy is effective in reducing hospitalization anxiety among preschool children. In addition, this therapy helps improve fine motor skills, creativity, concentration, and sensory abilities during hospitalization. Suggestion: Nurses are expected to implement collage play therapy as a non-pharmacological intervention to help reduce hospitalization anxiety. Keywords: Preschool Children, Hospitalization, Anxiety, Play Therapy, Collage.

Item Type: Thesis (Diploma)
Contributors:
ContributionContributorsNIDN/NIDKEmail
ConsultantZaitun, ZaitunUNSPECIFIEDUNSPECIFIED
ConsultantYuliani, AyuUNSPECIFIEDUNSPECIFIED
Uncontrolled Keywords: Anak usia prasekolah, Hospitalisasi, Kecemasan, Terapi bermain, KTIKEP2026, KTIKEPCRB, KTICRB Kolase.
Subjects: L Education > L Education (General)
R Medicine > R Medicine (General)
R Medicine > RG Gynecology and obstetrics
R Medicine > RT Nursing
Divisions: Jurusan Keperawatan > D3 Keperawatan
Depositing User: CP3 DYAZ ARISTAWIDYA MAHARANI
Date Deposited: 20 Jul 2026 01:59
Last Modified: 20 Jul 2026 01:59
URI: http://repo.poltekkestasikmalaya.ac.id/id/eprint/9378

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