Hospitalization is one of the stressors for children that causes discomfort and anxiety because of nursing actions that impact varies depending on the development of age, an experience of pain, support system, and coping skills in dealing with stress. Various activities can be used as alternatives to reduce children's anxiety such as Solving Puzzles and listening to music. This study aims to determine the therapeutic effect of Solving Puzzles and listening to music on the level of anxiety in children. The design used is quasi-experiment with one group pretestposttest with the control group. the subject group was observed before the intervention, then observed again after the intervention. Samples were taken using Accidental Sampling with 34 people in one group and the entire study sample was 68 people. The research instrument was a Hamilton Anxiety Rating Scale (HARS) questionnaire. The analysis used a T-paired test to compare the anxiety variables in the group, while the independent T-test to compare the anxiety variables in the two groups. The results showed that there was a significant decrease in anxiety levels after being given therapy to play Puzzless and listen to music (p = 0.0001). So it can be concluded that there is an effect of play therapy on anxiety in children before and after and after therapy Solving Puzzles and listening to music. When undergoing hospitalization a therapeutic play activity allows the child to express feelings including anxiety, fear and a feeling of losing control.
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