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All Journal Biomedical Journal of Indonesia JURNAL WACANA KESEHATAN Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Faletehan Health Journal Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Wellness And Healthy Magazine Jurnal Pengabdian Kepada Masyarakat Ungu ( Abdi Ke Ungu) PROFESI (Profesional Islam): Media Publikasi Penelitian Journal of Public Health Innovation (JPHI) An Idea Health Journal Jurnal Maternitas Aisyah (JAMAN AISYAH) Health Research Journal of Indonesia Majalah Cendekia Mengabdi JOURNAL OF Mother and Child Health Concerns Journal of Innovative and Creativity
Surmiasih Surmiasih
Universitas Aisyah Pringsewu
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Effectiveness of Play Therapy for Reducing Anxiety Among Children with Thalassemia on Blood Transfusion : A Quasi-Experimental Study Feri Kameliawati; Tiara Permata Sari; Rini Palupi; Surmiasih Surmiasih; Ikhwan Amirudin; Nor Aziyan Yahaya; Jagjit Kaur Najar Singh
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.656

Abstract

Background: Children with thalassemia require lifelong, repeated blood transfusions, which frequently induce anxiety due to invasive procedures and unfamiliar clinical settings. If left unaddressed, anxiety can compromise treatment adherence and adversely impact psychological well-being. The present study investigates the effectiveness of play therapy in reducing anxiety among children with thalassemia undergoing blood transfusion. Methods: A quasi-experimental one-group pretest–posttest design was used at Pringsewu Regional Hospital. A total of 26 children were recruited using a total sampling approach. The intervention consisted of coloring-based play therapy administered for 20–30 minutes prior to transfusion. Anxiety levels were measured using a standardized child anxiety questionnaire before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Result: Anxiety levels dropped significantly after the intervention. The median (IQR) anxiety score went from 40.42 before play therapy to 15.65 after. The difference between pretest and posttest scores was statistically significant (p < 0.001). Play therapy reduced anxiety in the participants. Conclusion: Play therapy is an effective non-pharmacological intervention for reducing anxiety in children with thalassemia undergoing blood transfusion. Its implementation may support pediatric nursing care by improving emotional comfort and facilitating smoother treatment procedures.
Co-Authors Anggi Kusuma Apriliana Riwanti Putri Desmarita Desmarita EMY WAHYUNI EMY WAHYUNI Eva Yunita Sari Fachry Abda El Rahman Feri Kameliawati Hanna Afifah Hardono Hardono, Hardono Hediya Putri, Riska Ikhwan Amirudin Jagjit Kaur Najar Singh Kusuma, Anggi Laura Okta Diny Malasari, Denti Martalena, Yeni Najwa Fauzi Salsa Nasasi Nindya Saputri Nashiratunnisa, Ratu Siti Nor Aziyan Yahaya Novikha Nur Khumala Dewi Okta Ulfana, Vingki Oktasari, Heni Palupi, Rini Prana Citra Puspita Ningrum, Puspita Ratnasari, Dina Rice Hernanda Rini Palupi Riska Hediya Putri Rizki Yeni Wulandari Roynaldy Roynaldy Sabrima, Eby Juliana Sanjaya, Riona Saputri, Lisa Wida Sintya, Vina Siti Aisyah Tiara Permata Sari Wiwi Febriani Wulandari, Rizky Yeni Yola Oktarina Yona Desni Sagita Yunina Elasari