Published date:Mar 15 2021

Journal Title: KnE Life Sciences

Issue title: The 4th International Virtual Conference on Nursing

Pages:758-769

DOI: 10.18502/kls.v6i1.8752

Lisbet Octovia Manalulisbetmanalu14@gmail.comProgram studi Sarjana Keperawatan, Institut Kesehatan Rajawali

Budi RustandiProgram studi Sarjana Keperawatan, Institut Kesehatan Rajawali

Budi SomantriProgram studi Sarjana Keperawatan, Institut Kesehatan Rajawali

Thalassemia is one of the top eight catastrophic diseases. Data from Yayasan Thalasemia Indonesia dan Perhimpunan Orang tua Penderita Thalasemia Indonesia (YTI/POPTI) have shown that in Indonesia the number of cases of this disease increased from 2011 to 2015. Preschool-aged children who experience thalassemia every month are subjected to invasive measures such as blood transfusions. Repeated blood transfusions make children feel threatened and can trigger various responses, one of which is anxiety. Anxiety is an emotional response to something dangerous, closely related to feeling uncertain and helpless. Puppet play therapy can reduce anxiety in children with thalassemia who undergo blood transfusions. This study aims to determine the effect of puppet play therapy on anxiety of preschool children (3-6 years) with thalassemia at the Thalassemia Polyclinic at Al-Ihsan Hospital, Bandung. The design used in this study used a quasi-experimental study with a one group pre-post test design without control approach using the Wilcoxon test. The number of samples in this study were 30 respondents who were taken by total sampling technique. The instrument used refers to the content / research theme developed from the Spence Children Anxiety Scale. The results of the Wilcoxon statistical test obtained a significance figure, namely p = 0.009, thus p <α (0.009 <0.05), then H0 is rejected. It can be concluded that there are differences in the level of anxiety of children with thalassemia before and after being given puppet play therapy.

Keywords: puppet play therapy; worry; preschool; Thalassemia

[1] Kemenkes RI. (2017). Skrining Penting untuk Cegah Thalasemia. www.kemkes.go.id. published on May 8, 2017 at 00.00


[2] Kemenkes RI. Hari Thalasemia Sedunia 2018: Bersama untuk Masa Depan yang Lebih Baik. www. kemkes.go.id published on May 7, 2018 at 00.00


[3] Drewes, S. (2018). Puppet Play Therapy A Practical Guidebook. New York: Apex CoVantage, LLC.


[4] Soetjiningsih, R. (2013). Tumbuh Kembang Anak (2nd ed.). Jakarta: EGC.


[5] Saputro, F. (2017). Anak Sakit Wajib Bermain di Rumah Sakit: Penerapan Terapi Bermain Anak Sakit; Proses, Manfaat dan Pelaksanaannya. Ponorogo: FORIKES.


[6] Kosasih, E. (2012). Cara Bijak Memahami Anak Berkebutuhan Khusus. Bandung: Yrama Widya.


[7] Kerry R.S, et al. (2017). Puppets in an Acute Paediatric Unit: Nurses’s Experiences. Australian College of Nursing, vol. 24, pp. 441-447. Published by Elseevier Ltd.


[8] Putri, K. H. (2016). Efektivitas Permainan Boneka Tangan Terhadap Penurunan Ketakutan Anak Hospitalisasi pada Usia Prasekolah (3-6 Tahun) di RSUD Dr. R Koesma Kabupaten Tuban. Majalah Kesehatan FKUB, vol. 3, issue 3, pp. 128-136.


[9] Meila S.P, et al. (2015). Gambaran Respon Anak Usia Prasekolah dalam Menjalani Proses Transfusi. December 2015. Jurnal Keperawatan Padjadjaran Vol. 3, issue 3, pp. 176-184. DOI: 10.24198/jkp.v3n3.6


[10] A’diilah, S. (2016). Efektivitas Terapi Mendongeng Terhadap Kecemasan Anak Usia Toddler dan Prasekolah Saat Tindakan Keperawatan. Jurnal Keperawatan Padjadjaran, vol. 4, issue 3, pp. 248- 254.


[11] Dehghan, Z., et al. (2017). The Effectiveness of Dramatic Puppet and Theraupetic Play in Anxiety Reduction in Children Undergoing Surgery: A Randomized Clinical Trial. Iran Red Crescent Med J., vol. 19, issue 3, p. 41178.


[12] Tilbrook, V., Reid, K. and Parson, J. A. (2016). A Review of the Literature –The Use of Interactive Puppet Simulation in Nursing Education and Children’s Healthcare. Nurse Education in Practice, vol 22. Issue 5, p. 73-79. DOI: 10.1016/j.nepr.2016.12.001


[13] Kroger, T. and Nupponen, A. (2019). Puppet as a Pedagogical Tool: A Literature Review. International Electronic Journal of Elementary Education, vol. 11, issue 4, pp. 393-401.


[14] Soleymani, R. Z., Hemmati, S. and Shahrzadi, L. (2017). Comparison of the Effects of Storytelling and Creative Drama Methods on Children’s Awareness about Personal Hygiene. Journal of Education and Health Promotion, vol. 6, p. 82.


[15] Aminimanesh, A., Ghazavi, Z. and Mehrabi, T. (2020). Effectiveness of the Puppet Show and Storytelling Methods on Children’s Behavioral Problems. Iranian journal of nursing and midwifery research . vol 24. Issue 1, p. 61-65


[16] Stuart, G. W. (2016). Keperawatan Kesehatan Jiwa. Indonesia: Elsevier.


[17] Donna, L. W., et al. (2008). Buku Ajar Keperawatan Pediatrik. Jakarta: EGC.


[18] Hockenberry, M. and Wilson, D. (2015). Wong’s Nursing Care Infants and Children (10th ed.). USA: Elsevier.