The Effectiveness of Audiovisual-Based Health Education on Anxiety Levels Among Families of ICU Patients: an Analysis Using Roy’s Adaptation Model

Anis Windari, Fery Agusman, Anny Rosiana M

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ABSTRACT

 

The Intensive Care Unit (ICU) is a hospital unit equipped with specialized staff and medical equipment to care for patients in critical and life-threatening conditions. This situation often causes family members of ICU patients to experience stress, fear, and anxiety regarding the patient’s condition. Anxiety experienced by ICU patients’ families can have both physical and psychological impacts. Interventions are needed to help families adapt and manage this anxiety, one of which is audiovisual-based health education. This study to determine the effectiveness of audiovisual-based health education in reducing anxiety among families of ICU patients using Roy’s Adaptation Model.This study was quasi-experimental with a two-group pretest-posttest control group approach. The research was conducted from December 2024 to January 2025 at RSUD dr. Loekmono Hadi Kudus. The population consisted of 65 family members of patients admitted to the ICU. Using purposive sampling, 55 respondents were selected, divided into an intervention group (28 respondents) and a control group (27 respondents). The intervention used audiovisual media in the form of a video accessed through smartphones. The instruments included video, smartphone (belonging to the family), and the Hospital Anxiety and Depression Scale (HADS) questionnaire. Data were analyzed using an independent sample t-test. This study has obtained an Ethical Clearance Certificate with number 69/KEPK/RSLH/VIII/2024. The independent sample t-test analysis showed a p-value of 0.017 (p < 0.05). Audiovisual-based health education is effective in reducing anxiety among families of ICU patients using Roy’s Adaptation Model. It is recommended that hospitals provide audiovisual-based health education as part of a family support program in the ICU.

 

Keywords: Anxiety, Audiovisual, Family, ICU, Roy’s Adaptation Model.


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Agusrianto, A., Rantesigi, N., & Suharto, D. N. (2021). Efektifitas Terapi Relaksasi Autogenik Dan Aromaterapi Lavender Terhadap Penurunan Tingkat Kecemasan Pasien Di Ruang ICU RSUD Poso. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 7(3), 141–146. https://doi.org/10.22487/htj.v7i3.330

Avcı, M., & Ayaz-Alkaya, S. (2021). Anxiety, social support and satisfaction of patients’ families in intensive care units: A descriptive-correlational study. Journal of Clinical Nursing, 2(1). https://doi.org/https://doi.org/10.1111/jocn.16094

Bimantara, P. A. (2023). Pengaruh Terapi Relaksasi Autogenik Dan Aromaterapi Lavender Terhadap Kecemasan Keluarga Pasien Di Instalasi Rawat Intensif RSUD Dr. Soedirman Kebumen. Jurnal Keperawatan, 5(1), 1–14. https://www.ncbi.nlm.nih.gov/books/NBK558907/

Boehm, L. M., Bird, C. M., Warren, A. M., Danesh, V., Hosey, M. M., McPeake, J., Potter, K. M., Su, H., Eaton, T. L., & Powers, M. B. (2023). Understanding and Managing Anxiety Sensitivity During Critical Illness and Long-Term Recovery. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 32(6), 449–457. https://doi.org/10.4037/ajcc2023975

Chatterjee, A., Strong, G., Meinert, E., Milne-Ives, M., Halkes, M., & Wyatt-Haines, E. (2021). The use of video for patient information and education: A scoping review of the variability and effectiveness of interventions. Patient Education and Counseling, 104(9), 2189–2199. https://doi.org/https://doi.org/10.1016/j.pec.2021.02.009

Dharma, K.-K., & Rahayu, H. (2022). The effective post-stroke adaptation behavior model requires a family support system. Enfermeria clinica, 32(2), 123–130. https://doi.org/10.1016/j.enfcle.2020.11.006

Grilo, A. M., Ferreira, A. C., Ramos, M. P., Carolino, E., Pires, A. F., & Vieira, L. (2022). Effectiveness of educational videos on patient’s preparation for diagnostic procedures: Systematic review and Meta-Analysis. Preventive Medicine Reports, 28, 101895. https://doi.org/10.1016/j.pmedr.2022.101895

Hasanah, I., Nursalam, N., Pandin, M. G. R., Ikhwani, D. A., & Rohita, T. (2022). A Critical Analysis of Using Roy’s Adaptation Model in Nursing Research as an Empirical for Clinical Practice: a Systematic Review. Europe PMC Plus, May, 1. https://doi.org/10.20944/preprints202205.0276.v1

Herman, A., Apriadi, W., Hasrima, Sarasmita, M. A., Atoy, L., Andareas, S., Husna, E., Haryati, Ardyawan, L. O. M. A., Upoyo, A. S., Sudiro, T. Y., Jasmin, Hajri, S., Rosanty, A., & Kartini. (2022). Pengantar Keperawatan Kritis. CV. Eurka Media Aksara.

Hosseini, M., & Soltanian, M. (2022). Application of Roy’s Adaptation Model in Clinical Nursing: A Systematic Review. Journal of Iranian Medical Council, 5(4), 540–556. https://doi.org/10.18502/jimc.v5i4.11327

Hudak, C., & Gallo, B. (2021). Critical Care Nursing: A Holistic Approach (8th ed.). EGC.

Kemenkes RI. (2023). Profil Indonesia Sehat. Kementrian Kesehatan RI. https://kemenkes.go.id

Khaerunnisa, M., Sumarni, N., & Mulya, A. P. (2024). Asuhan Keperawatan Keluarga dengan Pasien Pascastroke Menggunakan Pendekatan Model Adaptasi Roy: Studi Kasus. Ilmiah Keperawatan, 8(2), 92–102.

Mansouri, A., Baraz, S., Elahi, N., Malehi, A. S., & Saberipour, B. (2020). The effect of an educational program based on Roy’s adaptation model on the quality of life of patients suffering from heart failure: A clinical trial study. Japan Journal of Nursing Science : JJNS, 16(4), 459–467. https://doi.org/10.1111/jjns.12255

Mariati, Hindriyastuti, S., & Dwi Winarsih, B. (2022). Gambaran Tingkat Kecemasan Keluarga Pasien Yang Di Rawat Di Icu Rumah Sakit Mardi Rahayu Kudus. Journal of TSCS1Kep, 7(1), 2775–0345. http://ejournal.annurpurwodadi.ac.id/index.php/TSCS1Kep

Morgado, M., Botelho, J., Machado, V., Mendes, J. J., Adesope, O., & Proença, L. (2024). Full title: Video-based approaches in health education: a systematic review and meta-analysis. Scientific Reports, 14(1), 23651. https://doi.org/10.1038/s41598-024-73671-7

Pitoy, F. F., Manoppo, M. W., & Hutagalung, I. H. (2023). Kecemasan Keluarga Pasien saat Menunggu Anggota Keluarga yang Dirawat di Ruang ICU. MAHESA : Malahayati Health Student Journal, 3(9), 2718–2726. https://doi.org/10.33024/mahesa.v3i9.10930

Ratna, Bau, A. S., Sawitri, N. K. A., Paulina, Ngii, Y., Mariana, D., Ayu, S. A., Sulistiowati, N. M. D., Pitri, A. D., Ernawati, Y., Sahmad, Asda, P., & Dewi, I. M. (2023). Falsafah Dan Teori Dalam Keperawatan. In CV. Eureka Media Aksara Purbalingga. CV. Eureka Media Aksara.

Regmi, S., Pradhan, B., Acharya, S. P., Shrestha, P. S., Pathak, S., & Shahi, S. (2024). Prevalence of anxiety and depression among family members of ICU patients in a tertiary-level hospital in Nepal : A cross-sectional observational study. Journal of Nepalese Society of Critical Care Medicine., 3(2), 13–20. https://doi.org/https://doi.org/10.3126/jnsccm.v3i2.81085

Scott, P., Thomson, P., & Shepherd, A. (2020). Families of patients in ICU: A Scoping review of their needs and satisfaction with care. Nursing Open, 6(3), 698–712. https://doi.org/10.1002/nop2.287

Setiawan, A., Sriyono, & Maryanti, H. (2024). Effect of Audio-Visual Health Education on Psychological Distress of Perioperative Patients: a Systematic Review. Nurse and Health: Jurnal Keperawatan, 13(2), 275–285. https://doi.org/10.36720/nhjk.v13i2.683

Simanjuntak, G. V., Susanto, W. H. A., Megasari, A. L., Purwoto, A., Agustin, W. R., Achmad, V. S., Waladani, B., Faizah, A., Surani, V., Nuliana, W., Kusumawaty, I., Rachman, N., Yunike, & Wulandari, I. S. (2022). Keperawatan Kritis. PT. Global Eksekutif Teknologi.

Society of Critical Care Medicine (SCCM). (2022). Critical Care Statistics. Society of Critical Care Medicine. http://www.sccm.org/Communicatio%0Ans/Pages/CriticalCareStats.aspx

Stuart, G. W. (2020). Buku Ajar Keperawatan Jiwa. EGC.

Sudarsih, Winarsih, B. D., & Widyaningsih, H. (2022). Hubungan Pemberian Informasi Penyakit Jantung Terhadap Kecemasan Keluarga Pasien Di Ruang Icu Rumah Sakit Mardi Rahayu Kudus. Journal of TSCS1Kep, 7(1), 23–36.

Sutisnu, A. A., Sugiharto, F., Yulianita, H., & Eriyani, T. (2023). The Effect of Family Visit Management on Anxiety Levels Among Patients in the Intensive Care Unit: A Scoping Review. Jurnal Berita Ilmu Keperawatan, 16(2), 280–289. https://doi.org/10.23917/bik.v16i2.1861

Waladani, B., Yuwono, P., Setianingsih, E., Widyaswara Suwaryo, P. A., & Ernawati, E. (2024). Association Between Anxiety Levels and Demographic Characteristics of ICU Patients’ Family Members: A Cross-Sectional Study. International Journal Of Pharmaceutical And Bio-Medical Science, 05(07), 427–430. https://doi.org/10.47191/ijpbms/v5-i7-03

WHO. (2021). Mental Disorder. WHO. https://www.who.int/newsroom/fact-sheets/detail/mentaldisorders

Widiastuti, L., Gandini, A. L. A., & Setiani, D. (2023). Hubungan Lama Rawat Dengan Tingkat Kecemasan Keluarga Pasien Yang Dirawat Di Ruang ICU RSD Dr. H. Soemarno Sosroatmodjo. SAINTEKES: Jurnal Sains, Teknologi Dan Kesehatan, 2(2), 225–233. https://doi.org/10.55681/saintekes.v2i2.78

Winarti, T. D., Trigantara, R., & Fatmawati, D. N. (2024). Nurses’ therapeutic communication and its correlation with family anxiety in the intensive care unit setting. The Journal of Palembang Nursing Studies, 3(3), 127–133. https://doi.org/10.55048/jpns135

Xiao, X., Wong, R. M., & Yang, W. (2024). Effectiveness of video-based health promotion: A systematic review and meta-analysis. Patient Education and Counseling, 119, 108095. https://doi.org/10.1016/j.pec.2023.108095

Yeşilyurt, K. Ö. (2023). The Effect of Roy Adaptation Model on the Adaptation Status of Patients after Surgical Intervention. Journal of Education and Research in Nursing, 20(3), 277–283. https://doi.org/10.14744/jern.2021.21246

Yu, Z., Jia, W., Sun, X., Zhang, S., Tan, J., & Feng, L. (2023). Effect of Roy’s Adaptation, Model-based, Perioperative Nursing Service on Patients: A Clinical Observational Study. Alternative Therapies in Health and Medicine, 29(1), 118–123.

Yuliati. (2021). Konsep Keperawatan Kritis Serta Fungsi Dan Peran Perawat Dalam Keperawatan Kritis. Esa Unggul.




DOI: https://doi.org/10.33024/mahesa.v6i9.24478

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