Effectiveness of Preoperating Teaching with Anxiety Levels in Preoperating Sectio Caesarea Patients
DOI:
https://doi.org/10.30994/jqph.v6i2.453Keywords:
Anxiety Levels, Pre Operating TeachingAbstract
Surgery is an experience that can cause anxiety. Anxiety is a feeling of fear that is unclear and not supported by the situation. In lowering anxiety, health education is needed. The purpose of the study was to analyze the effect of Pre Operating Teaching (Informed Consent) with anxiety levels in preoperative sectio caesarea patients in the Maternity Room of Arga Husada Hospital, Kediri, Malang Regency. Pre-experimental research design with pre-test and post-test design approaches. The population of all maternity mothers with sectio caesarea in the Maternity Room of Arga Husada Kediri Hospital was 120 people and a sample of 93 people with accidental sampling techniques. The research variables are Pre Operating Teaching and anxiety levels. HARS checklist and questionnaire instruments for anxiety. Data analysis using the Mc Nemar test. The results of the Mc Nemar statistical test showed a significance value of 0.0 00 (p<0.05) there was an effect of pre-operating teaching with the level of anxiety of pre-operative sectio caesaria patients in the maternity room. The conclusion of this study is that the administration of pre-operating teaching can significantly reduce anxiety levels in SC preoperative patients. The anxiety that preoperative patients experience is due to a psychological condition that feels that it is not possible to express something unknown and the anticipation of something unknown and possible painful procedures will be the most common main cause. The anxiety facedis due to ignorance of the surgical procedure, the impact of the operation and the condition after undergoing surgery. Therefore, informed consent is needed to reduce the patient's anxiety about the threats that the patient feels when he is about to undergo surgery. Based on the results of this study, it is recommended to midwives to provide informed consent in accordance with the SPO applicable in the hospital.
References
Aggresmawati, S. et al. (2018) ‘Informed Consent Pada Tingkat Kecemasan Pasien Pre-Operative’, Jurnal Ilmiah Kesehatan, 7(2), pp. 101–104.
Ahsan, A., Lestari, R. and Sriati, S. (2019) ‘The Factors Affecting Pre-Surgery Anxiety of Sectio Caesarea Patients’, Jurnal Keperawatan. Muhammadiyah University Malang, 8(1), p. 138375.
Al Ahkam, N. and Esti, A. (2020) ‘Pengaruh Pemberian Informasi Prabedah Terhadap Tingkat Kecemasan Pasien Pre Operasi Elektif Di Ruang Rawat Inap Bedah RSUD Pasaman Barat’, Jurnal MSBB: Medisains STIKes Sumatera Barat, 1(1), pp. 7–14.
Astuti, D. and Kulsum, U. (2018) ‘Pengaruh Pemberian Informed Consent Terhadap Kecemasan Pada Pasien Pre Operasi Sectio Caesarea’, Jurnal Ilmu Keperawatan dan Kebidanan, 9(2), pp. 155–161.
Boland, R. and Verduin, M. (2021) Kaplan & Sadock’s Concise Textbook of Clinical Psychiatry. Lippincott Williams & Wilkins.
Bouka, S. and Widani, N. L. (2020) ‘Pengaruh Pendidikan Kesehatan Pre Operasi Dan Relaksasi Autogenic Terhadap Perubahan Tingkat Ansietas Pasien Pre Operasi Di Rs Karitas Weetebula Ntt’, Carolus Journal of Nursing, 1(2), pp. 167–184. doi: 10.37480/cjon.v1i2.22.
Carpenito, L. J. (2021) Handbook of Nursing Diagnosis. Jones & Bartlett Learning.
Dartiwen, N. (2019) ‘Buku Asuhan Kebidanan Pada Kehamilan’, CV Andi Offset: Yogyakarta.
Emilinda, S., & Rahmawati, A. F. (2021). The Effect of Five Finger Hypnosis Therapy in Reducing Anxiety in Gravida Mothers: Literature Review. Open Access Health Scientific Journal, 2(2), 48–54. https://doi.org/10.55700/oahsj.v2i2.19
Fatmawati, L. and Pawestri, P. (2021) ‘Penurunan Tingkat Kecemasan pada Pasien Pre Operasi Sectio Caesarea dengan Terapi Murotal dan Edukasi Pre Operasi’, Holistic Nursing Care Approach, 1(1), p. 25. doi: 10.26714/hnca.v1i1.8263.
Gezer, D. and Arslan, S. (2019) ‘The effect of education on the anxiety level of patients before thyroidectomy’, Journal of PeriAnesthesia Nursing. Elsevier, 34(2), pp. 265–271.
Guritnawati, I. P. D., Sutresna, I. N. and Darmawan, A. A. K. N. (2021) ‘Pengaruh Pre Operating Teaching (Inform Consent) Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operatif Sectio Cesaria Di Rumah Sakit X Denpasar’, Journal of Advanced Nursing and Health Sciences, 2(2), pp. 42–50.
Hepp, P. et al. (2016) ‘Measuring the course of anxiety in women giving birth by caesarean section: A prospective study’, BMC Pregnancy and Childbirth. BMC Pregnancy and Childbirth, 16(1), pp. 1–7. doi: 10.1186/s12884-016-0906-z.
Matthias, A. T. and Samarasekera, D. N. (2012) ‘Preoperative anxiety in surgical patients-experience of a single unit’, Acta Anaesthesiologica Taiwanica. Elsevier, 50(1), pp. 3–6.
Mubarak, W. I. (2012) Ilmu Kesehatan Masyarakat : Konsep dan Aplikasi dalam Kebidanan. Jakarta: Salemba Medika.
Ndapaole, A. H., Tahu, S. K. and Gerontini, R. (2020) ‘Pengaruh Pendidikan Kesehatan dengan Media Booklet Terhadap Tingkat Kecemasan pada Penderita Hipertensi di Puskesmas Oepoi-Wilayah Kerja Kota Kupang’, CHMK Nursing Scientific Journal, 4(1), pp. 162–170.
Nekada, C. D. Y., Amigo, T. A. E. and Krisnanto, P. D. (2020) ‘Tetap Bekerja di Tengah Kecemasan Terhadap Pandemi Covid-19’, in Prosiding Seminar Nasional Multidisiplin Ilmu, pp. 158–165.
Pragholapati, A., Megawati, S. W. and Suryana, Y. (2021) ‘Psikoterapi Reedukasi Terhadap Tingkat Kecemasan Pasien Preoperatif Sectio Caesaria’, Jurnal Intervensi Psikologi, 13(1), pp. 15–20.
Prahesti, R. and Putriningrum, E. (2021) ‘Pemberian Informasi Dan Kelengkapan Pengisian Informed ConsentPada Pasien Sectio Caesarea Di Rs Pku Muhammadiyah Gamping Yogyakarta’, J Rekam Medis Dan Inf Kesehat, 4(1), pp. 1–7.
Puspitasari, I. and Wahyuntari, E. (2020) ‘Gambaran Kecemasan Ibu Hamil Trimester III’, Proceeding of The URECOL, pp. 116–120.
Rezaeipanah, A., Syah, R., Wulandari, S., & Arbansyah, A. (2021). Design of Ensemble Classifier Model Based on MLP Neural Network For Breast Cancer Diagnosis. Inteligencia Artificial, 24(67), 147-156.
Sihombing, N., Saptarini, I. and Putri, D. S. K. (2017) ‘Determinan persalinan sectio caesarea di Indonesia (analisis lanjut data Riskesdas 2013)’, Jurnal Kesehatan Reproduksi, 8(1), pp. 63–75.
Sitopu, S. D. et al. (2018) ‘Hubungan Komunikasi Terapeutik Perawat Dengan Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea’, Jurnal kesehatan, 9(1), pp. 32–36.
Smeltzer, S.C. & Bare, B. . (2016) Brunner and Suddarth Text Book of Medical Surgical Nursing. 8th Ed. Lippincott, Philadelphia.
Sukarini, D. (2020) ‘Pengaruh Pemberian Edukasi Pre Operasi Dengan Media Booklet Terhadap Tingkat Kecemasan Pasien Pre Operasi Dibangsal Cendrawasih 2 RSUP DR Sardjito Yogyakarta’. Universitas Alma Ata Yogyakarta.
Susilowati, T., Pramana, N. and Muis, S. F. (2019) ‘Intervensi Non Farmakologi Terhadap Kecemasan Pada Primigravida’, Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(3), pp. 181–186.
Veneris, M. and Pubis, M. (2021) ‘Fisiologi Kehamilan’, Asuhan Kebidanan Kehamilan. Media Sains Indonesia, p. 1.
Vogt, L. et al. (2021) ‘Virtual reality tour to reduce perioperative anxiety in an operating setting before anesthesia: Randomized clinical trial’, Journal of medical Internet research. JMIR Publications Inc., Toronto, Canada, 23(9), p. e28018.
Wahyuni, N. and Sugiarti, I. (2017) ‘Implementasi Pengisian Formulir Informed Consent Kasus Bedah Umum Sebagai Salah Satu Bukti Transaksi Terapeutik Di Rsud Dr. Soekardjo Kota Tasikmalaya Tahun 2017’, Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 5(36), pp. 5–18.
Wahyuningsih, W. and Agustin, W. R. (2020) ‘Terapi Guide Imagery Terhadap Penurunan Kecemasan Pasien Preoperasi Sectio Caesarea’, Jurnal Keperawatan’Aisyiyah. Universitas’ Aisyiyah Bandung, 7(1), pp. 31–37.
Wulandari, I. S. M. (2020) ‘Hubungan Dukungan Keluarga dengan Kecemasan Pasien Pre-Operasi’, Manuju: Malahayati Nursing Journal. Universitas Malayati Lampung, 2(3), pp. 469–479.
Wulandari, S. (2016). Hubungan Antara Jarak dan Status Gizi dengan Kejadian Pre Eklamsi pada Ibu Hamil di RS Aura Syifa Kediri. Jurnal Kebidanan Midwiferia, 2(1), 11-20.
Wulandari, S., Utomo, B. M., Laili, F., Novita, K., & Sucma, R. (2023). ANALISA FAKTOR PSIKOSOSIAL IBU DENGAN KEJADIAN POST PARTUM BLUES. Jurnal Ilmu Keperawatan dan Kebidanan, 14(1), 148-153.
Yuliani, D. R. et al. (2021) Asuhan Kehamilan. Yayasan Kita Menulis.
Zuhana, N., Prafitri, L. D. and Ersila, W. (2020) ‘Descriptive Analysis Of Maternal Anxiety Before Sectio Caesaria Surgery’, STRADA Jurnal Ilmiah Kesehatan, 9(2), pp. 1329–1337.