Pengaruh Relaksasi Nafas dalam Terhadap Kecemasan Pasien Pre Operasi Fraktur
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ABSTRACT
Fracture surgery is an invasive procedure that induces anxiety in patients. Preoperative anxiety has a negative impact on the success of the procedure and treatment; it can even lead to the postponement or cancellation of the surgery. Concrete efforts are needed to manage preoperative anxiety in patients to prevent further harm. This study aims to identify the level of preoperative anxiety in fracture patients, before and after practicing deep breathing relaxation; and to analyze the effect of deep breathing relaxation on preoperative anxiety in fracture patients. This research is a quantitative study with a pre-experimental design of the One Group Pre Test-Post Test Design. The population of this study is all preoperative fracture patients, with a known population size from medical record data in the last 3 months of 79 people. The sample was calculated using the Slovin formula, resulting in 45 respondents selected using accidental sampling technique. Respondents' anxiety was measured using the Hamilton Rating Scale for Anxiety instrument developed by the Jakarta Biological Psychiatry group in the form of an Anxiety Analog Scale with a Cronbach's Alpha value of 0.794. This study was able to identify preoperative fracture patients experiencing anxiety; anxiety decreased after practicing deep breathing relaxation. Statistical analysis using Pearson product-moment correlation showed that deep breathing relaxation had a positive effect in reducing preoperative anxiety in fracture patients.
Keywords: Anxiety, Fracture, Deep Breathing Relaxation, Preoperative
ABSTRAK
Operasi fraktur merupakan prosedur invasif yang menimbulkan perasaan cemas pada pasien. Kecemasan pre operasi mempunyai pengaruh negative terhadap keberhasilan prosedur dan perawatan; bahkan dapat menyebabkan ditunda atau dibatalkannya prosedur operasi. Perlu upaya konkrit mengelola kecemasan pasien pre operasi agar tidak menimbulkan kerugian lebih jauh bagi pasien. Penelitian ini bertujuan untuk mengidentifikasi tingkat kecemasan pasien pre operasi fraktur, sebelum dan sesudah melakukan relaksasi nafas dalam; serta menganalisis pengaruh relaksasi nafas dalam terhadap kecemasan pasien pre operasi fraktur. Penelitian ini merupakan studi kuantitatif dengan desain pre eksperimental rancangan One Group Pre Test-Post Test Desaign. Populasi penelitian ini ialah seluruh pasien pre operasi fraktur dengan besar populasi diketahui dari data rekam medis 3 bulan terakhir sebesar 79 orang. Sampel dihitung dengan rumus Slovin diperoleh 45 responden yang diambil dengan teknik accidental sampling. Kecemasan responden di ukur dengan instrumen Hamilton Rating Scale for Anxiety yang sudah dikembangkan oleh kelompok Psikiatri Biologi Jakarta dalam bentuk Anxiety Analog Scale dengan nilai Cronbach’s Alpha 0,794. Penelitian ini mampu mengidentifikasi pasien pre operasi fraktur mengalami kecemasan; kecemasan menurun setelah melakukan relaksasi nafas dalam. Analisis statistic dengan person product moment terbukti relaksasi nafas dalam berpengaruh positif dalam menurunkan kecemasan pasien pre operasi fraktur.
Kata Kunci: Fraktur, Kecemasan, Pre operasi, Relaksasi Nafas Dalam.
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Alidina, S., Kuchukhidze, S., Menon, G., Citron, I., Lama, T. N., Meara, J., Barash, D., Hellar, A., Kapologwe, N. A., Maina, E., Reynolds, C., Staffa, S. J., Troxel, A., Varghese, A., Zurakowski, D., Ulisubisya, M., & Maongezi, S. (2019). Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: Protocol for a quasi-experimental study. BMJ Open, 9(10). https://doi.org/10.1136/bmjopen-2019-031800
Baagil, H., Baagil, H., & Gerbershagen, M. U. (2023). Preoperative Anxiety Impact on Anesthetic and Analgesic Use. Medicina (Lithuania), 59(12). https://doi.org/10.3390/medicina59122069
Bedaso, A., & Ayalew, M. (2019). Preoperative anxiety among adult patients undergoing elective surgery: A prospective survey at a general hospital in Ethiopia. Patient Safety in Surgery, 13(1). https://doi.org/10.1186/s13037-019-0198-0
Bentley, T. G. K., D’Andrea-Penna, G., Rakic, M., Arce, N., LaFaille, M., Berman, R., Cooley, K., & Sprimont, P. (2023). Breathing Practices for Stress and Anxiety Reduction: Conceptual Framework of Implementation Guidelines Based on a Systematic Review of the Published Literature. Brain Sciences, 13(12), 1–52. https://doi.org/10.3390/brainsci13121612
Chow, C. H. T., Rizwan, A., Xu, R., Poulin, L., Bhardwaj, V., Van Lieshout, R. J., Buckley, N., & Schmidt, L. A. (2019). Association of Temperament With Preoperative Anxiety in Pediatric Patients Undergoing Surgery: A Systematic Review and Meta-analysis. JAMA Network Open, 2(6), e195614. https://doi.org/10.1001/jamanetworkopen.2019.5614
Eberhart, L., Aust, H., Schuster, M., Sturm, T., Gehling, M., Euteneuer, F., & Rüsch, D. (2020). Preoperative anxiety in adults—A cross-sectional study on specific fears and risk factors. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02552-w
Engda, A. S., Yigzaw, H. B., Engdaw, N. A., Basha, E. A., Adem, A., Wubetu, A. D., Kebede, W. M., Atinafu, B. T., Tarekegn, F. N., & Belew, M. A. (2022). Magnitude of Preoperative Anxiety and Associated Factors Among Adult Surgical Patients in Debre Berhan Comprehensive Specialized Hospital. International Journal of General Medicine, 15, 5999–6007. https://doi.org/10.2147/IJGM.S369921
Grey Nuns Community Hospital. (2016). Resources to Reduce Preoperative Anxiety. In Operative Services. https://youtu.be/xQq7kqlhiLQ
Ji, W., Sang, C., Zhang, X., Zhu, K., & Bo, L. (2022). Personality, Preoperative Anxiety, and Postoperative Outcomes: A Review. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912162
Kassahun, W. T., Mehdorn, M., Wagner, T. C., Babel, J., Danker, H., & Gockel, I. (2022). The effect of preoperative patient-reported anxiety on morbidity and mortality outcomes in patients undergoing major general surgery. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-10302-z
Ma, J., Li, C., Zhang, W., Zhou, L., Shu, S., Wang, S., Wang, D., & Chai, X. (2021). Preoperative anxiety predicted the incidence of postoperative delirium in patients undergoing total hip arthroplasty: A prospective cohort study. BMC Anesthesiology, 21(1). https://doi.org/10.1186/s12871-021-01271-3
Malikul Mulki, M., & Sunarjo, L. (2020). Effectiveness of Deep Breath Relaxation Techniques and Music Therapy on Reducing Anxiety Level among Pre-operative Patients. International Journal of Nursing and Health Services (IJNHS), 4(1), 59–65. https://doi.org/10.35654/ijnhs.v4i1.389
Msoma, R. A.-G. H., Khamis, R. H., Rwanyuma, L. P., Akoko, L. O., Mkulo, A.-Z., & Msinde, P. (2023). Prevalence of Pre-Operative Anxiety and Predictors among Elective Surgical Patients and Their Pre-Operative Hemodynamic Changes at Muhimbili National Hospital. Open Journal of Medical Psychology, 12(02), 55–70. https://doi.org/10.4236/ojmp.2023.122003
Musyaffa, A., Netra Wirakhmi, I., Sumarni Program Studi Keperawatan Program Sarjana, T., Kesehatan, F., Harapan Bangsa, U., Raden Patah No, J., & Tengah, J. (2024). Gambaran Tingkat Kecemasan Pasien Pre Operasi. Jurnal Penelitian Perawat Profesional, 6(3), 939–948.
Nusa Harta, I. P. A., Kamaryati, N. P., Putra, I. N. A. M., & Wicaksana, I. T. (2023). The Influence of Slow Deep Breathing Technique on Inpatient Anxiety. Babali Nursing Research, 4(3), 311–325. https://doi.org/10.37363/bnr.2023.43243
Ordas-Bayon, A., Cabrera Ortiz, D., Logan, K., & Pesantez, R. (2021). Enhancing Preoperative Planning in Orthopedic Trauma Surgery Using a Presentation Software. Revista Brasileira de Ortopedia, 56(4), 517–522. https://doi.org/10.1055/s-0040-1721833
Simanjuntak, G. V., Amidos, J., Pardede, J. A., & Manalu, N. H. (2020). Effectiveness of Deep Breath Relaxation and Lavender Aromatherapy against Preoperative Patient Anxiety. Diversity and Equality in Health and Care, 17(4), 168–173. https://doi.org/10.36648/206
Sugiartha, P. A., Juniartha, I. G. N., & Kamayani, M. O. A. (2021). Gambaran kecemasan pada pasien pra operasi di RSUD Buleleng. Community of Publishing in Nursing, 9(3), 305–313.
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 2021. https://doi.org/10.1155/2021/5924040
Villa, G., Lanini, I., Amass, T., Bocciero, V., Scirè Calabrisotto, C., Chelazzi, C., Romagnoli, S., De Gaudio, A. R., & Lauro Grotto, R. (2020). Effects of psychological interventions on anxiety and pain in patients undergoing major elective abdominal surgery: A systematic review. Perioperative Medicine, 9(1). https://doi.org/10.1186/s13741-020-00169-x
Witri, S., Ningrum, D., Ayubbana, S., Inayati, A., Dharma, A. K., & Metro, W. (2022). Implementation of Deep Breath Relaxation Techniques on Anxiety in The Surgery Patient Preoperative Hospital Jend. Ahmad Yani Metro City In 2021. Jurnal Cendikia Muda, 2(4), 529–534.
Yang, K. L., Detroyer, E., Van Grootven, B., Tuand, K., Zhao, D. N., Rex, S., & Milisen, K. (2023). Association between preoperative anxiety and postoperative delirium in older patients: A systematic review and meta-analysis. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-03923-0
Yilmaz, M., & Bulut, Y. (2020). The Effect of Progressive Breathing Relaxation Training on Preoperative Anxiety and Surgical Stress Response. International Journal of Caring Sciences, 13(2), 1287–1296.
DOI: https://doi.org/10.33024/mahesa.v4i8.14780
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