Mimi Yati, Sri Wahyuni, Islaeli Islaeli


Background: Anxiety is one of the psychical stresses experienced by children during hospitalization. A storytelling in a play therapy is considered effective in reducing anxiety.

Objective: This study aims to determine the effect of storytelling in a play therapy on anxiety level in pre-school children during hospitalization in the general hospital of Buton.

Methods: This was a quasy-experimental study with pretest-posttest control group design. There were 30 pre-school children selected in this study using accidental sampling, with 15 assigned in each group. The Pre School - Spence Children’s Anxiety Scale (SCAS) was used to measure anxiety in pre-school children. Wilcoxon matched paired test was used to analyze the data.

Results: Findings showed that the mean of anxiety level in the intervention group in pretest was 42 and in posttest was 31.53. Wilcoxon matched paired test showed p-value 0.003 (<0.05), which indicated that there was a statistically significant effect of storytelling on the level of anxiety in pre-school children.

Conclusions: There is a significant influence of storytelling in a play therapy on anxiety levels in pre school children during hospitalization. It is suggested that this intervention could be applied as a nursing intervention to reduce anxiety in children.


storytelling, anxiety, hospital

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Hockenberry MJ, Wilson D, Rodgers CC. Wong's Essentials of Pediatric Nursing-E-Book: Elsevier Health Sciences; 2016.

Müller DJ, Harris P, Wattley LA. Nursing children: psychology, research and practice: Taylor & Francis; 1986.

Spirito A, Stark LJ, Tyc VL. Stressors and coping strategies described during hospitalization by chronically ill children. Journal of Clinical Child Psychology. 1994;23(3):314-322.

Board R, Ryan-Wenger N. Long-term effects of pediatric intensive care unit hospitalization on families with young children. Heart & Lung: The Journal of Acute and Critical Care. 2002;31(1):53-66.

Hollingdale R. Back pain in nursing and associated factors: a study. Nursing Standard. 1997;11(39):35-38.

Kaminski M, Pellino T, Wish J. Play and pets: The physical and emotional impact of child-life and pet therapy on hospitalized children. Children's health care. 2002;31(4):321-335.

Glasper EA, Campbell S. Beyond the Clothier inquiry: With children’s nursing brought back into the spotlight recently, Edward Alan Glasper and Steve Campbell consider the questions raised about men and their role in nursing children today. Nursing Standard. 1994;8(28):18-19.

Ball J, Bindler RM. Pediatric nursing: Caring for children: Prentice Hall; 2008.

Aziz A. Pengantar Ilmu Keperawatan Anak. Jakarta: Salemba Medika. 2008.

Hidayat AAA. Buku saku praktikum keperawatan anak2008.

Byrne B. Relationships between anxiety, fear, self-esteem, and coping strategies in adolescence. Adolescence. 2000;35(137):201-216.

Freud A. The role of bodily illness in the mental life of children. The psychoanalytic study of the child. 1952;7(1):69-81.

Callery P. Caring for parents of hospitalized children: a hidden area of nursing work. Journal of advanced nursing. 1997;26(5):992-998.

Wyne A, Darwish S, Adenubi J, Battata S, Khan N. The prevalence and pattern of nursing caries in Saudi preschool children. International journal of paediatric dentistry. 2001;11(5):361-364.

Sari I. Peningkatan Nilai-Nilai Moral Anak Melalui Bercerita, permainan papan magnet di Raudhatul athfal baburrahman Padang pariaman. JURNAL PESONA PAUD. 2012;1(05).

Bachri BS. Pengembangan Kegiatan Bercerita Di Taman Kanak-Kanak, Teknik dan Prosedurnya. Jakarta: Departemen Pendidikan Nasional. 2005.

Buton DKK. Profil Kesehatan Kabupaten Buton: Pasarwajo; 2016.

Forsner M, Jansson L, Sørlie V. The experience of being ill as narrated by hospitalized children aged 7-10 years with short-term illness. Journal of Child Health Care. 2005;9(2):153-165.

Coyne IT. Partnership in care: parents' views of participation in their hospitalized child's care. Journal of Clinical Nursing. 1995;4(2):71-79.

Spielberger CD. Theory and research on anxiety. Anxiety and behavior. 1966;1:3-20.

Simpson JA, Rholes WS, Nelligan JS. Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles. Journal of personality and social psychology. 1992;62(3):434.

Beck A, Emery G, Greenberg RL. Anxiety disorders and phobias: A cognitive perspective: Basic Books; 2005.

Zeidner M. Personal and contextual determinants of coping and anxiety in an evaluative situation: A prospective study. Personality and Individual Differences. 1994;16(6):899-918.

Craig WM. The relationship among bullying, victimization, depression, anxiety, and aggression in elementary school children. Personality and individual differences. 1998;24(1):123-130.

Samiasih A. Pengaruh Terapi Bermain Terhadap Tingkat Kecemasan Anak Usia Prasekolah Selama Tindakan Keperawatan di Ruang Lukman Rumah Sakit Roemani Semarang2007.

Alfiyanti D, Hartiti T, Samiasih A. Pengaruh Terapi Bermain Terhadap Tingkat Kecemasan Anak Usia Prasekotah Setama Tindakan Keperawatan Di Ruang Tukman Rumah Sakit Roemani Semarang. FIKkeS. 2012;1(1).

Shonkoff JP, Meisels SJ. Handbook of early childhood intervention: Cambridge University Press; 2000.

Sansosti FJ, Powell-Smith KA. Using social stories to improve the social behavior of children with Asperger syndrome. Journal of Positive Behavior Interventions. 2006;8(1):43-57.

Salzer Burks V, Laird RD, Dodge KA, Pettit GS, Bates JE. Knowledge structures, social information processing, and children’s aggressive behavior. Social development. 1999;8(2):220-236.

Demyttenaere K, Bruffaerts R, Posada-Villa J, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Jama. 2004;291(21):2581-2590.

Organization WH. The World Health Report 2001: Mental health: new understanding, new hope: World Health Organization; 2001.

Services CfMH, International M. Evaluation of the comprehensive community mental health services for children and their families program: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services; 1998.

Baggerly J. The Effects of Child-Centered Group Play Therapy on Self-Concept, Depression, and Anxiety of Children Who Are Homeless. International Journal of Play Therapy. 2004;13(2):31.



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