Educational Play Snakes and Stairs Can Overcome Anxiety in Children's Hospitalization

  • Padila Padila University of Muhammadiyah Bengkulu
  • Juli Andri University of Muhammadiyah Bengkulu
  • Muhammad Bagus Andrianto University of Muhammadiyah Bengkulu
  • Andry Sartika University of Muhammadiyah Bengkulu
  • Yesi Oktaviyani University of Muhammadiyah Bengkulu


This study aims to determine the effect of snake and ladder educational game therapy (APE) on reducing anxiety in hospitalized children. This study uses an experimental method with a one-group pre-post test design. The number of samples used in this study was 15 samples with an incidental sampling technique. The results showed that the average level of anxiety before playing snake and ladder therapy in treated children was 19.13 with the moderate anxiety category. The anxiety story after snake therapy in treated children was 14.20 with mild class. In conclusion, playing snake and ladder therapy reduces anxiety in hospitalized children.


Keywords: Educational Game (APE), Snake and Ladder, Decreased Anxiety Level of Children (Pre-School)



Bhatia, M., & Goyal, A. (2018). Anxiety Disorders in Children and Adolescents: Need for Early Detection. Journal of Postgraduate Medicine, 64(2), 75.

Colin, V., Keraman, B., Maydinar, D. D., & Eca, E. (2020). Pengaruh Terapi Bermain (Skill Play) Permainan Ular Tangga terhadap Tingkat Kooperatif Selama Menjalankan Perawatan pada Anak Prasekolah (3-6 Tahun) Di Ruang Edelweist Rsud Dr. M Yunus Bengkulu. Journal of Nursing and Public Health, 8(1), 111–116.

Dalei, S. R., Nayak, G. R., & Pradhan, R. (2020). Effect of Art Therapy and Play Therapy on Anxiety among Hospitalized Preschool Children. Journal of Biomedical Sciences, 7(2), 71–76.

Daulima, N. H. C., & Handayani, A. (2020). Parental Presence in the Implementation of Atraumatic Care during Children’s Hospitalization. Pediatric Reports, 12(11), 8693.

Delvecchio, E., Salcuni, S., Lis, A., Germani, A., & Di-Riso, D. (2019). Hospitalized Children: Anxiety, Coping Strategies, and Pretend Play. Frontiers in Public Health, 7, 1–8.

Godino-Iáñez, M. J., Martos-Cabrera, M. B., Suleiman-Martos, N., Gómez-Urquiza, J. L., Vargas-Román, K., Membrive-Jiménez, M. J., & Albendín-García, L. (2020). Play Therapy as an Intervention in Hospitalized Children: A Systematic Review. Healthcare, 8(3), 239.

Ibrahim, H. A., Arbianingsih, A., Amal, A. A., & Huriati, H. (2020). The Effectiveness of Play Therapy in Hospitalized Children with Cancer: Systematic Review. Journal of Nursing Practice, 3(2), 233–243.

More, R. (2019). Effectiveness of Play Therapy on Anxiety among Hospitalized Children at Selected Hospitals. International Journal of Science and Research (IJSR), 8(2), 1802–1806.

Nur, S. A., Morika, H. D., & Sari, I. K. (2021). Analysis of Parents’ Affecting to Anxiety the Impact of Treated Inpatient Child in RSUD Solok Selatan 2021. 2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH 2021), 408–412.

Pourteimour, S., & Kazemi, S. (2021). The Effectiveness of the Robotic Game Kit on Anxiety among Hospitalized Preschool Children: A Non-Randomized Controlled Trial. Nursing Practice Today, 8(4), 273–283.

Prasetya, F. I. (2021). The Effect of Colouring Pictures Treatment on Anxiety in Pre-School Age Patient Hospitalized at Baladhika Husada Hospital Jember. UNEJ E-Proceeding, 43–47.

Pratiwi, R. D. (2021). Pengaruh Terapi Bermain Ular Tangga terhadap Kecemasan Pasien Anak Usia Praschool. MCHC: The Journal of Mother and Child Health Concerns, 1(1), 10–18.

Siwi, I. N., & Widyaningrum, R. (2019). Effectiveness of Bibliotherapy and Snake and Ladder Game’s Therapy Combination Towards Hospitalization Stress in School Ages. The First Asia–Pasific Partnership, 1(Overcoming Global Health), 84–88.

Vianti, R. A. (2020). Pengalaman Perawat Mengatasi Dampak Hospitalisasi pada Anak. Pena Jurnal Ilmu Pengetahuan dan Teknologi, 34(2), 29–39.
How to Cite
Padila, P., Andri, J., Andrianto, M., Sartika, A., & Oktaviyani, Y. (2022). Educational Play Snakes and Stairs Can Overcome Anxiety in Children’s Hospitalization. JOSING: Journal of Nursing and Health, 3(1), 1-6.
Abstract viewed = 0 times