The Effect of Storytelling Using Finger Puppets on Anxiety in Hospitalized Preschool Children

Main Article Content

Shelfi Dwi Retnani Putri Santoso
Suci Nurjanah
Corresponding Author:
Shelfi Dwi Retnani Putri Santoso |


Introduction: The prevalence rates of disease at preschool age are higher than toddlers and school age. The coping mechanism has not developed at that age, thus contributing to increased anxiety levels during hospitalization. Interventions are needed to overcome anxiety problems so that children are more comfortable and cooperative in undergoing treatment in the hospital more effectively. The research aims to examine the effect of storytelling using finger puppets on anxiety in hospitalized preschool children.

Methods: Quasi-experiment research with pre and post-test design, 40 preschool children were selected with purposive sampling with inclusion and exclusion criteria, 20 respondents of treatment groups, and 20 respondents of control groups. The instrument used FAS. Data analysis used is the Mann Whitney and Wilcoxon Sign Rank Tests.

Results: Mann-Whitney results showed the difference in anxiety between treatment and control group in post-test (p=0.023), and Wilcoxon results showed Z count -3.827 a< Z table -1.96 value asymp sig. (2-tailed) where z arithmetic ≤ z table which means there is influence or probability value p= 0.000 (p< α= 0,05) which means H1 accepted.

Conclusion: It is expected that in the future, it can be used as an alternative method to reduce anxiety. And then it’s hoped that researchers can further examine more deeply the effectiveness of parental involvement in storytelling play therapy.

Article Details

How to Cite
S. D. R. P. Santoso and S. Nurjanah, “The Effect of Storytelling Using Finger Puppets on Anxiety in Hospitalized Preschool Children”, Babali Nurs. Res., vol. 2, no. 3, pp. 120-127, Nov. 2021.
Original Research


[1] Kementerian Kesehatan Republik Indonesia, “Buku Kesehatan Ibu dan Anak,” Jakarta, 2015.

[2] M. Idris and M. Reza, “Efektifitas Terapi Bermain (Mewarnai) Terhadap Penurunan Kecemasan Akibat Hospitalisasi Pada Anak Usia Prasekolah (3-6 Tahun) Di Ruang Melati RSUD Kota Bekasi,” J. AFIAT “Kesehatan Jiwa,” vol. 4, no. 2, pp. 583–592, 2018.

[3] M. Yati, S. Wahyuni, and I. Islaeli, “The Effect of Storytelling in a Play Therapy on Anxiety Level in Pre-School Children During Hospitalization in the General Hospital of Buton,” Public Heal. Indones., vol. 3, no. 3, pp. 96–101, 2017, doi: 10.36685/phi.v3i3.134.

[4] S. Pourteimour and S. Kazemi, “The effectiveness of the robotic game kit on anxiety among hospitalized preschool children: A non-randomized controlled trial,” Nurs. Pract. Today, vol. 8, no. 4, pp. 273–283, 2021, doi: 10.18502/NPT.V8I4.6703.

[5] W. O. Nursanaa and I. N. C. Ady, “Play Therapy for Children with Anxiety Disorders,” in 5th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2019), 2020, vol. 395, no. Acpch 2019, pp. 81–86, doi: 10.2991/assehr.k.200120.018.

[6] I. N. Nur Oktavia Hidayati, Ajeng Andini Sutisnu, “Efektivitas Terapi Bermain Terhadap Tingkat Kecemasan Anak Yang Menjalani Hospitalisasi,” J. Keperawatan BSI, vol. 9, no. 1, pp. 61–67, 2021.

[7] H. Saputro and I. Fazrin, Anak Sakit Wajib Bermain di Rumah Sakit: Penerapan Terapi Bermain Anak Sakit; Proses, Manfaat dan Pelaksanaannya. Ponorogo: Forum Ilmiah Kesehatan (FORIKES), 2017.

[8] W. H. C. Li, J. O. K. Chung, K. Y. Ho, and B. M. C. Kwok, “Play interventions to reduce anxiety and negative emotions in hospitalized children,” BMC Pediatr., vol. 16, no. 1, pp. 1–9, 2016, doi: 10.1186/s12887-016-0570-5.

[9] Z. Sekhavatpour, N. Khanjani, T. Reyhani, S. Ghaffari, and M. Dastoorpoor, “The effect of storytelling on anxiety and behavioral disorders in children undergoing surgery: a randomized controlled trial,” Pediatr. Heal. Med. Ther., vol. 10, pp. 61–68, 2019, doi: 10.2147/phmt.s201653.

[10] Jumasing and S. Patima, “Terapi dongeng si kancil terhadap penurunan kecemasan anak hospitalisasi di rsud haji makassar,” Alauddin Sci. J. Nurs., vol. 1, no. 2, pp. 66–72, 2021.

[11] D. Apriany, S. N. Aban, and I. Bola, “Pengaruh Bermain Mewarnai Lukisan Pasir terhadap Tingkat Kecemasan Anak Usia Prasekolah yang Menggalami Hospitalisasi di Ruang C6 RSUD Cibabat Cimahi,” J. Kesehat. Kartika, vol. 15, no. 3, pp. 28–39, 2020.

[12] S. R. Dalei, G. R. Nayak, and R. Pradhan, “Effect of art therapy and play therapy on anxiety among hospitalized preschool children,” J. Biomed. Sci., vol. 7, no. 2, pp. 71–76, 2020, doi: 10.3126/jbs.v7i2.34006.

[13] D. L. Wong, Pedoman Klinis Perawatan Pediatrik Edisi Buku Kedokteran. Jakarta: EGC, 2009.

[14] N. L. Wati, N. M. N. Sukmayanti, and R. Kartikasari, “The Relationship Between Therapeutic Communication and Level of Anxiety Among Hospitalized Preschool Children,” KnE Life Sci., vol. 2019, pp. 870–879, 2019, doi: 10.18502/kls.v4i13.5346.

[15] J. R. Legi, S. Sulaiman, and N. H. Purwanti, “Pengaruh storytelling dan guided-imagery terhadap tingkat perubahan kecemasan anak usia prasekolah yang dilakukan tindakan invasif,” J. Telenursing, vol. 1, no. 1, pp. 145–156, 2019, doi:

[16] P. Pawiliyah and L. Marlenis, “Pengaruh Terapi Bermain Mendongeng dengan Penurunan Tingkat Kecemasan pada Anak Usia Pra Sekolah Akibat Hospitalisasi,” J. Keperawatan Silampari, vol. 3, no. 1, pp. 271–280, 2019, doi:

[17] M. A. Kostak, G. Kutman, and R. Semerci, “The effectiveness of finger puppet play in reducing fear of surgery in children undergoing elective surgery: A randomised controlled trial,” Elsevair, vol. 28, no. 4, pp. 415–421, 2021, doi:

[18] K. Behera, A. Tripathi, A. Basu, and P. R. Sethy, “Effect Of Puppet Therapy On Reduction Of Anxiety Among Childrens (6-12 Years) Suffering From Leukemia In Selected Hospitals,” Eur. J. Mol. Clin. Med., vol. 07, no. 10, pp. 3849–3859, 2020.

[19] L. O. Manalu, B. Rustandi, and B. Somantri, “Effect of Puppet Play Therapy on Anxiety in Preschoolers with Thalassemia at the Thalassemia Polyclinic at Al-Ihsan Baleendah Hospital, Bandung Regency,” in The 4th International Virtual Conference on Nursing, 2021, vol. 2021, pp. 758–769, doi: 10.18502/kls.v6i1.8752.

[20] W. T. Astuti and N. Faiqoh, “Literature Review : Penerapan Terapi Story Telling Terhadap Kecemasan Anak Prasekolah Akibat Hospitalisasi,” J. Keperawatan Karya Bhakti, vol. 7, no. 1, pp. 11–24, 2021.