The Application of Play Therapy Using Colored Paper Stickers to Improve Fine Motor Skills in Children Hospitalized at UNS Hospital in Sukoharjo
Keywords:
Colored Paper, Fine Motor Skills, Hospitalization, Play Therapy, Preschool Children.Abstract
Hospitalization may restrict children's opportunities for play and developmental stimulation, potentially affecting their fine motor engagement during treatment. This study aimed to describe changes in fine motor skills following the application of colored-paper sticker play therapy among preschool children hospitalized at UNS Hospital in Sukoharjo. A descriptive quantitative design was conducted in the Kreativa Ward of UNS Hospital involving three preschool children aged 5–6 years selected according to predetermined inclusion criteria. Data were collected using an observation sheet administered before and after the intervention, covering paper grasping, glue application, hand-eye coordination, attachment accuracy, finger use, and concentration. Data were analyzed descriptively by comparing the observed conditions before and after the intervention across the assessed indicators. The findings showed positive changes in all observed aspects of fine motor performance, including more skilled use of the thumb and index finger, greater independence in applying glue, improved hand-eye coordination, more accurate attachment according to the picture pattern, increased finger activity and flexibility, and greater concentration. The children also demonstrated increased interest, cooperation, participation, and independence during the activity. These findings indicate that colored-paper sticker play can provide a simple and developmentally appropriate activity for integrating fine motor stimulation with therapeutic play during pediatric hospitalization. Further research with larger samples and standardized measurement instruments is recommended.
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Abdi, F., Karamoozian, A., Lotfilou, M., Gholami, F., Shaterian, N., Abasi Niasar, A., Aghapour, E., & Jandaghian-Bidgoli, M. (2025). Effect of play therapy and storytelling on the anxiety level of hospitalized children: A randomized controlled trial. BMC Complementary Medicine and Therapies, 25, 23. https://doi.org/10.1186/s12906-025-04767-4
Afriana, V., Susanti, M. E., & Aprianti, D. (2026). Implementation of LEGO play therapy to improve fine motor skills in preschool children at PAUD Aulia, Bengkulu City, 2025. Journal of Nursing, 1(2), 75–80. https://doi.org/10.70963/jn.v1i2.486
Andriastuti, A., Lestari, N. E., & Purnamasari, E. R. W. (2025). The effect of implementing medical play on anxiety levels due to hospitalization in preschool children. Jendela Nursing Journal, 9(1), 45–51. https://doi.org/10.31983/jnj.v9i1.12860
Hamdani, D., Firmansyah, A., El Haque, I. T., Rahayu, G. Z., Koswara, A., Rahmat, A. R. D., et al. (2022). Play therapy with digital media augmented reality cards to improve memory and fine motor skills in children. Kolaborasi: Jurnal Pengabdian Masyarakat, 2(6), 480–485. https://journal.inspira.or.id/index.php/kolaborasi/article/view/324
Hamed, A. C., Agustina, H. R., & Haroen, H. (2026). Play therapy as a method of fine motor stimulation for hospitalized children with acute lymphoblastic leukemia. Multidisciplinary Journals, 3(1), 95–104. https://doi.org/10.37676/mj.v3i1.1259
Hockenberry, M. J., & Wilson, D. (2020). Wong's nursing care of infants and children (11th ed.). Elsevier.
Hurlock, E. B. (2018). Perkembangan anak (Edisi ketujuh, Jilid 1). Erlangga.
Kementerian Kesehatan Republik Indonesia. (2022). Pedoman pelaksanaan stimulasi, deteksi dan intervensi dini tumbuh kembang anak. Kementerian Kesehatan Republik Indonesia.
Khasanah, F. N., & Oktarina, N. D. (2024). The effect of playing therapy with Kokoru paper on the level of anxiety due to hospitalization in preschool age children. Indonesian Journal of Early Childhood: Jurnal Dunia Anak Usia Dini, 6(2), 229–237. https://doi.org/10.35473/ijec.v6i2.2674
Khoirunisa, R., Kamillah, S., & Susaldi, S. (2025). Efektivitas Terapi Kolase Menggunakan Kertas Origami Terhadap Tingkat Kecemasan Hospitalisasi Anak Usia Pra Sekolah Di UPTD Puskesmas Ciranjang Tahun 2024. (2025). Jurnal Intelek Insan Cendikia, 2(3), 4746-4754. https://jicnusantara.com/index.php/jiic/article/view/2746
Nazari, A. M., Sarmadi, S., Ghazanfari, M. J., Gholami, M., Emami Zeydi, A., & Zare-Kaseb, A. (2025). The effectiveness of play therapy on depression and anxiety in hospitalized children with cancer: A systematic review. Supportive Care in Cancer, 33(2), 88. https://doi.org/10.1007/s00520-024-09144-4
Ningrum, D. T., & Wanda, D. (2024). Reducing anxiety in children during hospitalization by providing therapeutical puppet play intervention. JOSING: Journal of Nursing and Health, 4(2). https://doi.org/10.31539/josing.v4i2.9522
Nursalam. (2020). Asuhan keperawatan bayi dan anak (untuk perawat dan bidan). Salemba Medika.
Patrianto, P., Diahsari, A., & Widiastuti, Z. (2025). Penerapan terapi bermain puzzle terhadap penurunan tingkat kecemasan pada anak usia toddler dengan acute myeloid leukemia. Jurnal Pendidikan Kesehatan, 5(2), 250–255. https://doi.org/10.64931/jks.v5i2.188
Sabila, M. D. R., Suminar, I. T., & Badiah, A. (2026). Pengaruh Terapi Bermain (Medical Play) Terhadap Kecemasan Minum Obat Pada Anak Di RS PKU Muhammadiyah Gamping, Yogyakarta. Borneo Nursing Journal (BNJ), 8(1), 1082-1093. https://doi.org/10.61878/bnj.v8i2.642
Saputra, Z. U. P., Arabikum, J., Rahma, S. A., Aminingrum, R., Apriantono, I. B., Annura, S., & Agustina, N. L. (2023). Play therapy as a mediation in hospitalized children. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 7(1), 548–562. https://doi.org/10.31004/obsesi.v7i1.3896
Setyowati, R., & Sukinah, S. (2025). Fine Motor Skill Development in ADHD-Risk Children: An Intervention Using Loose Parts Collage Activities. Journal of Innovation and Research in Primary Education, 4(4), 2897-2911. https://doi.org/10.56916/jirpe.v4i4.2313
Shi, W., Hou, Y., Zhou, S., & Song, X. (2025). Effects of exercise interventions on hand-eye coordination and fine motor skills in children with developmental coordination disorder: A meta-analysis. Frontiers in Physiology, 16, 1689256. https://doi.org/10.3389/fphys.2025.1689256
Su, W. C., Srinivasan, S., & Bhat, A. N. (2024). Effects of creative movement, general movement, or seated play interventions on motor performance in children with autism spectrum disorder: A pilot randomized controlled trial. Research in Autism Spectrum Disorders. https://doi.org/10.1016/j.rasd.2024.102501
Supartini, Y. (2021). Buku ajar konsep dasar keperawatan anak. EGC.
Suryani, M. (2021). Terapi bermain kreatif untuk tumbuh kembang anak usia dini. Deepublish.
Taverna, L., Bellavere, M., Tremolada, M., Santinelli, L., Biffi, A., & Tosetto, B. (2019). Psycho-educational play supports occupational activity in ALL children during hospitalization. Effects on children's fine motor skills, HRQOL, parents' perception of the child. International Journal of Psychosocial Rehabilitation, 23, 1-27. https://research.unipd.it/handle/11577/3317628
Utami, A. P., & Irdawati, I. (2026). Efektivitas Terapi Bermain Boneka Tangan terhadap Tingkat Kecemasan Anak Usia Prsekolah (3-6 Tahun) selama Hospitalisasi. Jurnal Keperawatan , 18(2), 281–288. Retrieved from https://journal3.stikeskendal.ac.id/index.php/keperawatan/article/view/187
Wadley, C., & Stagnitti, K. (2024). Implementation of Learn to Play Therapy for children in special schools. American Journal of Occupational Therapy, 78(4), 7804185030. https://doi.org/10.5014/ajot.2024.050434
Whaley, L., & Wong, D. L. (2018). Nursing care of infants and children (6th ed.). Mosby.
