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Exploring the therapeutic effect of Calmcube play on emotional well-being in hospitalized preschool-aged children

Devia Sri Rahayu Poltekkes Kemenkes Tasikmalaya, Indonesia Correspondence deviasrirahayu31@gmail.com
,
Dini Mariani Poltekkes Kemenkes Tasikmalaya, Indonesia Correspondence dinimariani77@gmail.com
,
Novi Enis Rosuliana Poltekkes Kemenkes Tasikmalaya, Indonesia Correspondence ikhsanovi@gmail.com
,
Lia Herliana Poltekkes Kemenkes Tasikmalaya, Indonesia Correspondence liaherliana3@gmail.com
Pages 172-181
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Abstract

Hospitalization can trigger significant anxiety in preschool children (ages 3–6) due to separation from familiar environments, invasive medical procedures, and limited emotional coping strategies. Excessive anxiety during hospitalization may hinder recovery and negatively affect emotional development. Play therapy is a widely recommended non-pharmacological approach to reduce pediatric anxiety. CalmCube is an innovative play therapy tool designed to engage children's cognitive and emotional responses through interactive, age-appropriate activities. This study aimed to evaluate the effectiveness of CalmCube play therapy in reducing anxiety among hospitalized preschool children. A quasi-experimental study using a pretest-posttest control group design was conducted at Dr. Soekardjo Hospital from October to December 2024. A total of 38 preschool-aged children (3–6 years) were selected through purposive sampling and assigned to intervention (n = 19) and control (n = 19) groups. Anxiety levels were measured using the Preschool Anxiety Scale (PAS) before and after the intervention. Data were analyzed using paired and independent sample t-tests. In the intervention group, the mean anxiety score decreased significantly from 37.10 (SD = 19.83) to 29.21 (SD = 17.57) after CalmCube therapy (p = 0.000). In contrast, the control group showed a negligible reduction from 44.78 to 43.94 (p = 0.076). Between-group analysis also revealed a statistically significant difference in post-intervention anxiety levels (p = 0.016), confirming the effectiveness of CalmCube therapy. CalmCube play therapy significantly reduced anxiety in hospitalized preschool children and can be implemented as a non-pharmacological nursing intervention to improve children's psychological well-being during hospitalization. Integrating structured play therapy into pediatric care protocols may enhance emotional resilience and recovery outcomes in young patients.

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References

  • Knauer HA, Ozer EJ, Dow WH, Fernald LCH. Parenting quality at two developmental periods in early childhood and their association with child development. Early Child Res Q. 2019 Apr 1;47:396–404.
  • Suryana E, Sopiah M, Agustiawan A, Harto S. Early Childhood Development (Physical, Intellectual, Emotional, Social, Moral, and Religious Tasks) Implications For Education. Indones J Early Child J Dunia Anak Usia Dini. 2022 July 31;4(2):361.
  • Sutapa P, Pratama KW, Rosly MM, Ali SKS, Karakauki M. Improving Motor Skills in Early Childhood through Goal-Oriented Play Activity. Children. 2021 Nov 2;8(11):994.
  • Padila P, Agusramon A, Yera Y. Terapi Story Telling dan Menonton Animasi Kartun terhadap Ansietas. J Telenursing JOTING. 2019 Apr 17;1(1):51–66.
  • Badan Pusat Statistik. Profil Statistik Kesehatan Tahun 2023. Jakarta - Indonesia: Badan Pusat Statistik; 2024.
  • Meentken MG, van der Ende J, del Canho R, van Beynum IM, Aendekerk EWC, Legerstee JS, et al. Psychological outcomes after pediatric hospitalization: the role of trauma type. Child Health Care. 2021 July 3;50(3):278–92.
  • Jepsen SL, Haahr A, Eg M, Jørgensen LB. Coping with the unfamiliar: How do children cope with hospitalization in relation to acute and/or critical illness? A qualitative metasynthesis. J Child Health Care. 2019 Dec 1;23(4):534–50.
  • Vianti RA. Pengalaman Perawat Mengatasi Dampak Hospitalisasi Pada Anak. Pena J Ilmu Pengetah Dan Teknol. 2020 Oct 5;34(2):29.
  • Aliyah H, Rusmariana A. Gambaran Tingkat Kecemasan Anak UsiaPrasekolah Yang MengalamiHospitalisasi?:Literature Review. Pros Semin Nas Kesehat. 2021 Nov 29;1:377–84.
  • Andriastuti A, Lestari NE, Purnamasari ERW. The Effect of Implementing Medical Play on Anxiety Levels Due to Hospitalization in Preschool Children. Jendela Nurs J. 2025;9(1):45–51.
  • Fetriani R, Dharizal AR. Pengaruh Terapi Bermain Bercerita Terhadap Tingkat Kecemasan Pada Anak Usia Prasekola (3-5 Tahun) Akibat Hospitalisasi. J MEDIA Kesehat. 2017;10(2):179–84.
  • Martasih E, Sari IY, Prawesti I. Terapi Bermain Menyusun Balok Menurunkan Kecemasan Prasekolah Selama HospitalisasI. J Kesehat. 2025 Jan 9;10(2):92–100.
  • Dewi DR, Lestari A, Vellyana D. The Effect of Therapy Containing Puzzle on Decreasing Anxiety of Hospitalized Children Aged 3–6 Years. In Atlantis Press; 2020 [cited 2024 Oct 16]. p. 413–5. Available from: https://www.atlantis-press.com/proceedings/icosheet-19/125942136
  • Saputro H, Fazrin I. Penurunan Tingkat Kecemasan Anak Akibat Hospitalisasi dengan Penerapan Terapi Bermain. JKI J Konseling Indones. 2017 Oct 17;3(1):9–12.
  • Harnilawati, Asrianto. 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. Int J Sci Technol Manag. 2021 Nov 29;2(6):1989–94.
  • Warner EN, Ammerman RT, Glauser TA, Pestian JP, Agasthya G, Strawn JR. Developmental Epidemiology of Pediatric Anxiety Disorders. Child Adolesc Psychiatr Clin N Am. 2023 July;32(3):511–30.
  • Dihuma M, Arniyanti A, Sanghati S. Application of Coloring Play Therapy with Anxiety of Preschool Age Children. J Ilm Kesehat Sandi Husada. 2023 June 1;12(1):40–6.
  • Zannah M, Agustina R, Marlinda E. Peran Orang Tua Terhadap Tingkat Kecemasan Anak Pada Saat Pemasangan Infus Diinstalasi Gawat Darurat (IGD) RSUD Banjarbaru. Dunia Keperawatan J Keperawatan Dan Kesehat. 2015;3(2):26–33.
  • Putra IGY. Terapi Bercerita Berpengaruh terhadap Kecemasan Akibat Hospitalisasi pada Anak Pra Sekolah. J Gema Keperawatan. 2016 June 30;9(1):1–8.
  • Aprina A, Ardiyansa N, Sunarsih S. Terapi Bermain Puzzle pada Anak Usia 3-6 tahun terhadap Kecemasan Pra Operasi. J Kesehat. 2019 Sept 13;10(2):291–7.
  • Purnamasari A, Andas AM, Prima A, Harahap D. Efektivitas Terapi Bermain Menggambar terhadap Kecemasan Anak Usia Sekolah 6-12 Tahun di Ruang Perawatan Anak Rumah Sakit Umum Daerah Konawe: The Effectiveness of Drawing Play Therapy on Anxiety of School Age Children 6-12 Years in the Child Care Room of Konawe Regional General Hospital. J Surya Med JSM. 2022 Apr 30;8(1):188–93.
  • Islaeli I, Yati M, Islamiyah, Fadmi FR. The effect of play puzzle therapy on anxiety of children on preschooler in Kota Kendari hospital. Enferm Clínica. 2020 June 1;30:103–5.
  • Damanik R, Purba SD, Saragih FL, A.P.Dalimunthe T. Pengaruh Terapi Bermain Plastisin Terhadap Tingkat Kecemasan Akibat Hospitalisasi Pada Anak Usia 3-6 Tahun Di RSUD Dr.RM Djoelham Binjai. J Teknol Kesehat Dan Ilmu Sos TEKESNOS. 2024 May 31;6(1):51–8.
  • Dayani NE, Budiarti LY, Lestari DR. Terapi Bermain Clay Terhadap Kecemasan Pada Anak Usia Prasekolah (3-6 Tahun) Yang Menjalani Hospitalisasi Di RSUD Banjarbaru. Dunia Keperawatan J Keperawatan Dan Kesehat. 2015;3(2):1–15.
  • Nursetiawati S, Siregar JS, Josua DP. Understanding adaptability in the family environment in facing COVID-19: A review. Heliyon. 2023 Oct 27;9(11):e20618.
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How to Cite This

Rahayu, D. S., Mariani, D., Rosuliana, N. E., & Herliana, L. (2025). Exploring the therapeutic effect of Calmcube play on emotional well-being in hospitalized preschool-aged children. Jurnal Kesehatan Ibu Dan Anak, 18(2), 172–181. https://doi.org/10.29238/kia.v18i2.2869

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