Coloring Pictures as Play Therapy to Reduce Impact of Hospitalization among Children in Hospital


The impact of hospitalization on preschool children may impair the child’s development and healing process. Therefore it is important to minimize the impact of hospitalization. One method to achieve this is by allowing children to play. The purpose of this study was to figure out the effect of therapeutic play (by coloring pictures) on the impact of hospitalization on preschool children in the child care unit of Cibabat-Cimahi Regional Public Hospital, West Java, Indonesia. This was quasi-experimental research with One Group Pre-test Post-test, with a sample of 15 respondents taken by quota sampling. The instrument used was Standard Operating Procedure (SOP) to play coloring pictures and questionnaires on the impact of hospitalization. Coloring pictures was performed once a day (15 minutes / intervention) for 2 days. The data analysis was employed paired with a sample t-test. This research shows the influence of coloring pictures on the impact of hospitalization, with the result of the paired sample t-test statistic shows p value 0.003 (p <0.05). Nurses are expected to be more active in applying coloring pictures to preschool children undergoing hospitalization to reduce the impact of hospitalization.


Keywords: Coloring, Hospitalization, Preschool

[1] Riyadi, S, S. (2015). Children Nursing Care. Yogyakarta: Graha Ilmu.

[2] Halimatus, R. and Sari, R. (2014). Effectiveness of Playing Origami toward Anxiety Level among Pre School during Hospitalization at Dr. Soebandi Hospital, Jember. Retrieved from http://download.

[3] Survey Social Economic National. (2014). Indonesia - Survei Sosial Ekonomi. Retrieved from https: //

[4] Wong, D. L., et al. (2009). Buku Ajar Keperawatan Pediatric. Jakarta: EGC.

[5] Lumiu, S. E., et al. (2013). Relationship between Family Support and Anxiety Level during Hospitalization among Preschool Age at RSUP Prof Dr. RD Kandou Manado. Retrieved from

[6] Puspasari, D., R. (2010). Children Cooperative Behavior (Age 3-6 years) with Palying Therapy during Hospitalization at Panti Rapih Hospital. (Skripsi, Yogyakarta Surya Medika, 2010).

[7] Samidah, I. (2012). Effectiveness of Playing Therapy toward Anxiety among Children (age 3-5) during Hospitality at RSUD Labuang Baji Makasar. Retrieved from

[8] Ridha, N. H. (2014). Text Book, Children Nusing Care. Yogyakarta: Pustaka Pelajar.

[9] Yuniarti, S. (2015). Asuhan Tumbuh Kembang Neonatus Bayi-Balita Dan Anak Prasekolah. Bandung: PT Refika Aditama.

[10] Putri, M. (2015). Effectiveness of Playing Therapy toward Cooperative Behavior among Children during Hospitalization. Retrieved from

[11] Elferia, E. (2011). Effectiveness of Tory Telling Technique toward Anxiety among Children (Pre School Age) during Hospitalization at RSUP H. Adam Malik Medan. Retrieved from

[12] Supartini, Y. (2004). Fundamental Nursing Care. Jakarta: EGC.

[13] Pratiwi, E. and D (2013). Perbedaan Pengaruh Terapi Bermain Mewarnai Gambar Dengan Bermain Puzzle Terhadap Kecemasan Anak Usia Prasekolah Di Irna Anak Rsup Dr. M. Djamil Padang. Retrieved from

[14] Aizah, S. and Wati, S. (2014). Effectiveness of Coloring Pictures Therapy toward Anxiety among Children (age 4-6 years) during Hospitalization at RSUD Gambiran Kediri. Retrieved from http://lp2m.unpkediri.