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Hospitalization is a condition that requires a child to be admitted to the hospital. This situation causes children to experience anxiety, restlessness, and fear. One of the nursing interventions to reduce anxiety due to hospitalization is play therapy. A form of play therapy appropriate for preschool children is puzzle play therapy. Puzzle play therapy is an activity in which children arrange pieces of pictures or specific shapes to form a complete image. This therapy encourages children to develop patience, stimulates concentration, and provides feelings of comfort and enjoyment, thereby reducing anxiety. The method used in preparing this Final Nursing Scientific Paper was a descriptive case study with the implementation of puzzle play therapy. The respondents consisted of three children experiencing anxiety due to hospitalization. Puzzle play materials and the Facial Image Scale (FIS) were used as measurement tools. The intervention was conducted over three consecutive days, with a duration of 15 minutes per session. The results showed a decrease in anxiety levels after puzzle play therapy: respondent 1 decreased from anxiety scale 5 to scale 1, respondent 2 from scale 4 to scale 1, and respondent 3 from scale 5 to scale 1. It can be concluded that puzzle play therapy is effective in reducing anxiety due to hospitalization in preschool children with dengue hemorrhagic fever. The implementation of puzzle play therapy is expected to become a routine nursing intervention to reduce hospitalization-related anxiety in preschool children with dengue hemorrhagic fever.

Pendidikan seks kepada anak sejak dini dan pemilihan jenis tontonan yang sesuai dengan usia anak perlu menjadi perhatian orang tua sebagai upaya untuk mencegah kekerasan seksual yang terjadi pada anak. Namun faktanya pendidikan seksual kepada anak usia prasekolah belum dilakukan secara optimal oleh orang tua sehingga pemahaman seksual pada anak masih terbatas selain itu juga anak suka menonton video di aplikasi yang beresiko munculnya video tidak sesuai usia anak. Belum optimalnya orang tua dalam melakukan pendidikan seksual juga ditemukan di TK GMIM Alfa Omega dan TK Pembina, dimana orang tua mengungkapkan tidak mengetahui cara untuk melakukan pendidikan seksual dan anak suka menggunakan youtube untuk menonton. Berdasarkan hal tersebut dibentuk kegiatan pemberdayaan orang tua dalam bentuk kegiatan pelatihan metode story telling.dan pemanfaatan youtube kids. Program pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan orang tua dalam melakukan pendidikan seksua dengan metode story telling dan penggunaan youtube kids. Pelaksanaan kegiatan terdiri atas 3 tahapan yaitu sosialisasi, pelatihan serta monitoring dan evaluasi yang diikuti oleh orang tua anak usia prasekolah di Tk GMIM Alfa Omega dan TK Pembina. Hasil dari pelaksanaan kegiatan ini yaitu adanya peningkatan pengetahuan orang tua dan keterampilan orang tua dalam melakukan pendidikan seks kepada anak usia prasekolah dan pemanfaatan aplikasi youtube kids. Kesimpulan dari kegiatan pengabdian masyarakat ini membawa dampak positif terhadap kemampuan orang tua melakukan pendidikan seksual dan pengunaan youtube kids sebagai alternatif tontonan bagi anak.

Nutritional problems among preschool children remain a global and national concern. WHO (2017) reported that approximately 54% of child mortality under five is caused by malnutrition, while in Indonesia the prevalence of picky eaters reaches 20%, with West Java recording as high as 41.9%. The 2018 Basic Health Research (Riskesdas) data showed that the national stunting rate was still high at 30.8%, far from the national target of 19% in 2024. This study aimed to examine the relationship between picky eating behavior and physical activity with the nutritional status of preschool children at PAUD Kiddy Kid Center Banda Aceh. This was an analytical study with a cross-sectional design. The population included all 42 preschool children at the institution, selected through total sampling. Data analysis was carried out using univariate and bivariate (Chi-Square test) analyses. The results showed a significant relationship between picky eating behavior and nutritional status (p = 0.001), as well as between physical activity and nutritional status (p = 0.001). Conclusion: There is a significant association between picky eating behavior, physical activity, and the nutritional status of preschool children. It is recommended that schools and parents collaborate in promoting healthy eating patterns and encouraging physical activity from an early age.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

This research aims to analyze the impact of family socio-economic conditions on the interest in learning of preschool children (ages 3-6) at KB Darussalam Sidoarjo. Interest in learning at an early age is an important foundation for children's cognitive and socio-emotional development in the future. However, this interest does not exist in isolation but is greatly influenced by the child's immediate environment, namely the family and its socio-economic conditions. Abraham Maslow's Hierarchy of Needs theory is used as a conceptual framework to understand how the fulfillment of children's basic needs, which is often related to socio-economic conditions, affects their motivation and interest in learning. This study employs a qualitative approach with a case study design, focusing on KB Darussalam Sidoarjo. Data is collected through in-depth interviews with parents/guardians and teachers, as well as participatory observation of children in the learning environment. The research results show that the socio-economic conditions of families have a significant and multifaceted impact on the learning interest of preschool children. Economic limitations can hinder the fulfillment of children's physiological needs and their sense of safety, which directly reduces their energy and focus on learning. In addition, socio-economic conditions affect the quality of parent-child interactions and the availability of learning stimulation at home, which are crucial to fostering a sense of love, belonging, and appreciation in children. An environment that inadequately supports basic needs tends to result in lower levels of interest in learning.

Fish plays a vital role in early childhood development due to its high nutritional value, yet consumption among preschoolers in Indonesia remains low. This study explores the effectiveness of combining hypnoparenting and storytelling as a complementary nursing strategy to promote fish consumption in young children. A quasi-experimental design with a pretest–posttest control group was used, involving 30 preschoolers divided into experimental and control groups. The experimental group received a four-week intervention integrating hypnoparenting and storytelling, while the control group received standard education. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ). Results showed a significant increase in fish consumption in the experimental group (p = 0.000), with no significant change in the control group (p = 0.102). The Mann-Whitney U test also confirmed a significant difference between the groups (p = 0.000). These findings suggest that integrating hypnoparenting and storytelling is an effective, family-centered complementary nursing approach to promote healthier eating habits. This innovative method offers potential in supporting preschool children’s nutrition and overall development through engaging and parent-involved strategies.

.The process of independence in early childhood is crucial for their development, especially in Kindergarten (TK) environments. However, the phenomenon of sibling rivalry often affects this development. This study aims to examine the relationship between sibling rivalry and independence development in early childhood at TK Islam Sultan Agung 4 Semarang. This study employed a quantitative design with a cross-sectional approach, and a sample was taken using total sampling techniques involving 74 respondents. Instruments were used to measure sibling rivalry and independence development. Data analysis was performed through univariate and bivariate analysis with Somers' d test. The results showed that the majority of respondents were male (42 people) and most were 5 years old. In addition, 61 respondents experienced high levels of sibling rivalry, while 44 respondents showed low levels of independence. Bivariate testing produced a ρ-Value of 0.413, indicating no significant relationship between sibling rivalry and independence development, with an r-value of -0.119 indicating a very weak relationship. These findings indicate that other factors, such as limited sampling, parental upbringing patterns, socio-economic conditions, and environmental influences, may also influence the results. Therefore, further research with a larger sample and considering external factors is recommended to obtain more comprehensive results.

The author discusses this title on the background that preschool children in the process of learning to read have difficulty understanding reading teaching materials, one of which is about letter recognition because this is a new experience. Based on these problems, the author aims to design/design a reading learning media for preschoolers (kindergarten) based on Multimedia using Adobe Flash. The method used in the research is the research and development (R&D) method, which is a research method used to produce certain products and test the effectiveness of products with Blackbox. The research results of this reading learning media design for preschoolers (kindergarten) are: (1) This reading learning media uses the Luther-Sutopo multimedia development model which is carried out in six stages, namely the concept, design, material collecting, assembly, testing and distribution stages. (2) The final result of this reading learning media design is a compact disk (CD) that can be run using media on a computer and does not require another system to run it.  

Motor development is the process of growth and development of a child's ability to move. Basically, this development develops in line with the maturity of the nerves and muscles of the child. The form of community service activities carried out is the implementation   of   counseling   to   mothers   about   the   level   of development of children under five to pre-school. The population of preschool children in Indonesia is around 10% of the total population. The quality of growth and development of preschool children in Indonesia needs serious attention because they are the future generation of the nation. For this reason, children need to receive good nutrition, adequate stimulation and access to quality health services. including early detection and intervention of growth and development deviations, so that they can grow and develop optimally in accordance with their genetic potential and be able to compete in the global era

Background: In sick children, their interests and activities will change, especially if the child needs to be hospitalized. Hospitalization is a child's experience while undergoing treatment in hospital. Prevalence of hospital anxiety in RSUD Dr. Moewardi , the number of children treated in the preschool age ward, namely the flamboyan ward, during the last 4 months starting from January to March 2024 was 465 patients, with 286 preschool age patients and anxiety nursing problems as many as 226 patients. One way to overcome hospital anxiety is play therapy. Objective: to determine the results of anxiety values when applying coloring play therapy in Flamboyan Room 9 Dr Moewardi Hospital. Method: This type of research is a case study that describes anxiety before and after coloring picture play therapy. Results: The results of the application to 2 respondents which were carried out for 2 days with a frequency of 30 minutes a day showed that there was a therapeutic effect of playing coloring pictures. Conclusion; There were differences in the results of anxiety scores before and after the coloring picture play therapy intervention.      

Background : Feelings of anxiety are the impact of hospitalization experienced by preschool children. This impact has the risk of disrupting the child's growth and development and the child's healing process. To reduce anxiety, children can be given play therapy. Hospitalization anxiety in children can make children difficult to eat, restless, afraid, restless, anxious, unwilling to cooperate in treatment, thus disrupting the child's healing process, the hospitalization period in preschool children can also cause post-traumatic stress disorder (PSTD) which makes children became traumatized while being treated in hospital. Purpose : To find out the results of anxiety values when applying coloring play therapy in Flamboyan Room 9, Dr. RSUD. Moewardi. Methods : The application was carried out using a descriptive case study method for 2 respondents and was carried twice every 3 day for 30 minutes. Result : Respondent 1, before being given coloring play therapy, obtained an anxiety score of 4 (moderately anxious) and after being given coloring play therapy it became 1 (very not anxious). Meanwhile, for Respondent 2, before being given coloring play therapy, the anxiety score was 5 (Severely Anxious) and after being given coloring play therapy it was 2 (Not anxious). Based on the results of the implementation that has been carried out, there is a reduction in anxiety due to hospitalization. Conclusion : Coloring play therapy can be used as a technique to reduce anxiety in preschool children due to hospitalization.    

BACKGROUND Children require special attention as the nation's next generation who will become valuable assets for future development, so that quality human resources can be formed. The first five years of human life greatly influence a child's growth and development for the next stage, especially for physical growth and intelligence. One of the factors that influences the child's growth process is nutritional status which determines success in improving the quality of human resources (Nurrizka and Saputra, 2015). The main causes of death in the group of children under five (12-59 months) were diarrhea at 10.3% and pneumonia at 9.4%. Other causes of death include dengue fever, congenital heart defects, drowning, injuries, accidents, other congenital disorders, COVID-19, parasitic infections and other causes. (Indonesia Health Profile, 2021). Undernutrition or overnutrition (malnutrition) will happen if food consumption patterns are wrong (Oemar, Novita, 2015). In 2017, 22.2% or around 150.8 million children under five in the world experienced malnutrition. However, this figure has decreased compared to data in 2000, namely 32.6%. In 2017, more than half of children under five experiencing malnutrition in the world came from Asia (55%) while more than a third (39%) lived in Africa. (Indonesian Ministry of Health, 2019).   OBJECTIVE To analyze the pattern of nutritional intake on children's growth at the Pegajahan Community Health Center, Pegajahan District, Serdang Bedagai District in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: There is a significant relationship between nutritional intake patterns and child growth, showing that the majority of respondents with good nutritional intake patterns have children with normal growth, namely 14 (77.8%). From the results of the chi-square test, it was found that the p value was 0.001 or less than 0.05, meaning that Ho was rejected and Ha was accepted that Nutritional Parenting Patterns on Child Growth at the Pegajahan Community Health Center, Pegajahan District, Serdang Bedagai District in 2023

This service aims to create Gubug Pintar as an educational initiative aimed at improving the English language skills of primary school-aged children in RW 008 Banjarsari Surakarta. English is an essential skill in the era of globalization, and introducing it early to children is a key step to provide them with wider future opportunities. However, many children in this community face barriers in access and limited resources for quality English learning. Through the creation of Gubug Pintar, it is hoped that an innovative, engaging and inspiring learning environment will be created for the children. The program will focus on teaching English vocabulary and will be organized in eight meetings with two meetings per week. Gubug Pintar will be a learning center that provides free access for children to improve their English skills through interactive learning methods. It is hoped that through this Gubug Pintar, children will develop a sense of enthusiasm for English learning, feel better prepared to continue their EFL (English as a Foreign Language) education, and acquire English skills that can help them in their educational and career journey. In addition, the program can also provide inspiration for other communities to take similar steps in improving English education at the primary level.

Hospitalization is a form of stressor in children that lasts as long as the child is hospitalized, hospitalization becomes a crisis that must be faced by children. Feelings of anxiety are the impact of hospitalization experienced by pre-school children. This impact has the risk of interfering with child development and the healing process in children. To reduce children's anxiety, we need a media that can express anxiety, one of which is play therapy. Forms of games that are suitable for children aged 3-6 years are coloring pictures. The purpose of this application is to find out the results of applying play therapy to reducing anxiety due to hospitalization. The application method was carried out using a case study descriptive method to 3 respondents and the coloring play therapy was carried out once in 30 minutes. The results of the application that has been carried out are a decrease in anxiety due to hospitalization. The conclusion in this study is that coloring play therapy can be used as a technique to reduce feelings of anxiety in preschool children due to hospitalization.

Anak usia dini merupakan individu yang sedang mengalami proses perkembangan dengan pesat, sehingga anak prasekolah memerlukan optimalisasi perkembangan motorik kasar salah satunya dengan menggunakan senam. Perkembangan motorik merupakan salah satu aspek pertumbuhan anak-anak yang begitu jelas dan terlihat, kadang-kadang kita menerimanya begitu saja. Tujuan penelitian ini yaitu untuk mengetahui peranan senam irama dalam meningkatkan kemampuan motorik kasar pada anak usia dini. Metodologi dalam penelitian ini menggunakan pendekatan kualitatif dengan metode penelitian kajian pustaka pada sumber-sumber terpercaya seperti artikel jurnal, buku dan semakin banyak kegiatan yang bervariatif dan inovatif maka peluang untuk meningkatkan kemampuan motorik kasar pada anak sehingga dapat berkembang dengan optimal. Implikasi temuan dari tulisan ini memberikan gambaran dari  mengembangkan fisik motorik kasar pada anak usia dini melalui olahraga senam senam irama .

Tingginya penggunaan smartphone pada anak usia prasekolah telah menunjukkan pengaruh terhadap perkembangan personal sosialnya, oleh karena itu pemerintah saat ini merancang peraturan tentang penggunaan smartphone pada anak. Penelitian ini bertujuan mengetahui hubungan penggunaan smartphone dengan perkembangan personal sosial pada anak usia prasekolah. Metode penelitian memakai survei analitik dan pendekatan kuantitatif di TK Irama Jaya Desa Ulapato A pada tanggal 05 September-05 Oktober 2022. Populasi terdiri dari semua orangtua murid yang memiliki smartphone dan memiliki anak berumur 4-6 tahun sejumlah 43 orang, sampel sejumlah 36 responden diambil memakai teknik purposive sampling. Pengambilan data durasi penggunaan smartphone memakai lembar pertanyaan, dan data perkembangan personal sosial memakai Denver II, pengolahan data menggunakan uji statistik chi-square. Hasil penelitian menyimpulkan penggunaan smartphone dengan perkembangan personal sosial pada anak usia prasekolah di TK Irama Jaya Desa Ulapato A ada hubungan yang signifikan (p value= 0,01 < α= 0,05).  Diharapkan orangtua memahami smartphone, dan dapat mengidentifikasi pengaruhnya terhadap perkembangan personal sosial anak usia prasekolah.