Implementation of Bibliotherapy To Reduce Anxiety In Hospitalized Children: A Case Study

Abstract

The hospital environment can cause anxiety in children. This anxiety can lead to children refusing treatment, thereby prolonging their hospital stay. This study aims to identify the application of bibliotherapy in reducing anxiety in children undergoing hospitalization. Method: The method used in this study was a case study conducted in the Bougenvile Room at Dr. Haryoto Hospital, Lumajang. The study participants were children aged 6–12 years. The study was conducted from March 17–19, 2025. The tools used to measure anxiety levels were the Anxiety Level Observation Sheet (SLKI) and the Facial Expression Scale (FIS). Bibliotherapy was conducted using folklore books from the islands, with a duration of approximately 45 minutes per day over three days. Results: The results showed a decrease in anxiety levels from a score of 3 (moderate anxiety) to a score of 1 (no anxiety). Nursing objectives were also achieved, including a reduction in verbal expressions of confusion, a reduction in verbal expressions of worry, a reduction in restless behavior, a reduction in tense behavior, improved concentration, and improved sleep patterns. Conclusion: Bibliotherapy is a technique that can be applied to reduce anxiety in children undergoing inpatient care.