• Rita Dwi Pratiwi Widya Dharma Husada Tangerang School of Health Science, Indonesia
  • Riris Andriati Widya Dharma Husada Tangerang School of Health Science, Indonesia
  • Fenita Purnama Sari Indah Kharisma Persada School of Health Science, Indonesia



Educative Game Tool, Puzzle, Cognitive Development, Pre-School Children


Children at the Pre-school age i.e. at 3-5 years old shows progressively motoric, cognitive, social and social skill development. In daily life, children must be given a stimulus to help the improvement and development of cognitive function at the early age. Playing at the early-age for children is very necessary. By playing, the learning process will be effective and promptly perceived when they play. One of the media of playing for children that function to stimulate cognitive development is puzzle game. Puzzle is a piece of thin paper comprising 2–3 pieces even 4–6 pieces that are made of wood or cardboard. One of the benefits of playing is good for development of children’s cognitive side. The aim of this research is to find out the influence of educative tool of game (puzzle) on the cognitive development of 4-5years old pre-children at RW.011 Pondok Pinang, Jakarta City Indonesia. The design of this research used pre-experiment with one-group pretest-posttest design approach. The sample consisted of 44 respondents by using non-probability sampling method. The result of Wilcoxon test on the intervening group obtained p value 0.0000 meaning there was influence on intervening group. Based on the above result, that giving educative tool of game like puzzle is suggested in order to improve the development of children’s cognitive side.


Download data is not yet available.


Anjani, D.A. & Nurjanah, S.(2014). Permainan Puzzle Mempengaruhi Perkembangan kecerdasan visual-spatial anak usia 4-5 tahun di TK Al-fath desa Kebon Anom Gedangan Sidoarjo. Jurnal Ilmiah Kesehatan, 7(2), pp 186-192.

Aral, N., Gursoy, F. & Yasar, M.C. (2012). An Investigation of the Effect of Puzzle Design on Children’s Development Areas. Procedia - Social and Behavioral Sciences, 51, pp 228-233.

Christensen, D., Schieve, L., Devine, O. & Drews-Botsch, C. (2014). Socioeconomic status, child enrichment factors and cognitive performance among preschool-age children: results from the follow-up of growth and development experiences study. Research in Developmental Disabilities, 35(7), pp 1789-801.

Dougherty, L.R., Leppert, K.A., Merwin, S.M., Smith, V.C., Bufferd, S.J. & Kushner, M.R. (2015). Advances and Directions in Preschool Mental Health Research. Child Development Perspective, 9(1), pp 14-19.

Hidayat, A.A. (2010). Pengantar Ilmu Kesehatan Anak. Jakarta: Salemba Medika

Howie, E.K., Brewer, A.E., Dowda, M., McIver, K.L., Saunders, R.P. & Pate, R.R. (2016). A Tale of Two Teachers: A Preschool Physical Activity Intervention Case Study. Journal of School Health, 86(1), pp 23-30.

Kandir, A. & Tezel Sahin, F. (2011). Okul öncesi dönemde oyuncak ve oyun materyalleri: Egitici oyuncaklar [Toys and play materials in early childhood period: Educational toys]. Istanbul: Morpa Kültür Publishing. [In Turkish]

Kaya, A. & Efe, E. (2016). Review Article: Pre-School Period of Development. Annals of Nursing and Practice, 3(2), 1044.

Muloko, I.C., Ismanto, A.Y. & Bataha, Y. (2016). Pengaruh Alat Permainan Edukatif Puzzle Terhadap Perkembangan Kognitif Anak Usia 5-6 Tahun Desa Linawan Mangondow Selatan. e-Journal Keperawatan(e-Kp), 5(1).

Notoatmodjo, S. (2012). Clinical Research Methodology. Jakarta: EGC

Novan, A.W. (2014). Psikologi Perkembangan Anak Usia Dini. Yogyakarta: Gava Media.

Sandjaja, S., Budiman, B., Harahap, H., Ernawati, F., Soekatri, M., Widodo, Y., Sumedi, E., Rustan, E., Sofia, G., Syarief, S.N. & Khouw, I. (2013). Food consumption and nutritional and biochemical status of 0.5–12-year-old Indonesian children: the SEANUTS study. British Journal of Nutrition. 110(Suppl 3), pp S11–20.

Sugari, P.N. (2014). Efektifitas Permainan Puzzle Terhdap Perkembangan Kognitif Anak ADHD (Attention Deficit Hyperactive Disorder) Di SLB Nasional Desa Sudimara Kecamatan Cilongok Kabupaten Banyumas. Bachelor thesis, Universitas Muhammadiyah Purwokerto, Indonesia.

Suryastini, L.A., Wirya, N. & Ujianti, P.R. (2014). Penerapan Metode Pemberian Tugas Perbantuan Media Puzzle Huruf Untuk Meningkatkan Perkembangan Bahasa Pada Anak TK. Jurusan Pendidikan Anak Usia Dini, 2(1).

Susanto, A. (2011). Perkembangan Anak Usia Dini. Jakarta: Kencana Prenada. Media Group.

Suyadi. (2009). Permainan Edukatif Yang Mencerdaskan. Yogyakarta: Power Books (Ihdina).

Weisz, E.R. (2018). Piaget Theory: Childhood cognitive developmental stages. Cognifit Health brain Neuroscience. Retrieved from:

Wilks, M., Collier-Baker, E. & Nielsen, M. (2015). Preschool children favor copying a successful individual over an unsuccessful group. Developmental Science, 18(6):1014- 1024.

Yusinta, D.A. (2016). Pentingnya Peran Orang Tua Terhadap Pendidikan Anak. Yogyakarta: STIKes Alma Ata.



How to Cite

Rita Dwi Pratiwi, Riris Andriati, & Fenita Purnama Sari Indah. (2020). THE POSITIVE EFFECT OF EDUCATIVE GAME TOOLS (PUZZLE) ON COGNITIVE LEVELS OF PRE-SCHOOL CHILDREN (4-5 YEARS). The Malaysian Journal of Nursing, 11(3), 35-41.