HUBUNGAN ANTARA KECEMASAN PADA PASIEN POST OPERASI TERHADAP KESIAPAN PASIEN MENGHADAPI PERAWATAN LANJUTAN
Abstract
Latar belakang: Kecemasan adalah salah satu respons emosional yang umum dialami pasien post operatif, serta berdampak pada proses pemulihan secara keseluruhan. Tujuan: Tujuan dari penelitian ini untuk mengetahui hubungan antara kecemasan dan perawatan lanjutan post operative di rumah. Metode: Cross-sectional study design digunakan dalam penelitian ini. Teknik pengambilan sample menggunakan Convenience sampling pada 30 responden. Readiness for Hospital Discharge Scale (RHDS) dan The State-Trait Anxiety Inventory (STAI) digunakan sebagai alat ukur. Pearson correlation, Independent t-test, dan Hierarchical multiple regressions digunakan untuk mengolah data. Hasil: Usia mempunyai hubungan yang signifikan dengan perawatan lanjutan post operative di rumah (r= -.79, p< .01), dan kecemasan mempunyai hubungan yang significant dengan perawatan lanjutan post operative di rumah (r= .53, p< .01); Sedangkan, jenis kelamin tidak mempunyai pengaruh yang significant terhadap perawatan lanjutan post operative di rumah. Kesimpulan: Kesiapan pasien dalam menghadapai perawatan lanjutan dirumah memiliki peran dalam menangani masalah kecemasan, serta usia dari responden dapat membantu pasien dalam menghadapi perawatan lanjutan dirumah.
Background: Anxiety is a common emotional response experienced by post-operative patients and significantly impacts the overall recovery process. Purpose: This study aims to examine the relationship between anxiety and post-operative home-based care. Methods: A cross-sectional study design was employed. A total of 30 respondents were selected using the convenience sampling technique. The Readiness for Hospital Discharge Scale (RHDS) and The State-Trait Anxiety Inventory (STAI) were used as measurement tools. Data were analyzed using Pearson correlation, independent t-test, and hierarchical multiple regression. Results: Age was found to have a significant relationship with post-operative home-based care (r = -0.79, p < .01), while anxiety also showed a significant correlation with post-operative home-based care (r = 0.53, p < .01). However, gender did not have a significant effect on post-operative home-based care. Conclusion: Patient readiness for post-operative home-based care plays a crucial role in managing anxiety, and patient age may influence their ability to cope with post-operative care at home.
References
2. Conti, D., Ballo, P., Salucci, L., Benvenuti, E., Metrangolo, L., Barucci, R., . . . Sarti, A. (2018). Clinical impact of recovery room on post-operative walking performance in elderly patients submitted to hip surgery: a real-world analysis. Aging Clinical and Experimental Research, 30(8), 999-1003. doi:10.1007/s40520-017-0860-2
3. Drudi, L. M., Tat, J., Ades, M., Mata, J., Landry, T., MacKenzie, K. S., . . . Gill, H. L. (2019). Preoperative exercise rehabilitation in cardiac and vascular interventions. Journal of Surgical Research, 237, 3-11.
4. Fernandez-Aguilar, J., Guillen, I., Sanz, M. T., Jovani-Sancho, M. (2020).Patient's pre-operative dental anxiety is related to diastolic blood pressure and the need for post-surgical analgesia. Sci Rep, 10(1), 9170. doi:10.1038/s41598-020-66068-9
5. Forsberg, A. (2020). Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients. Int J Orthop Trauma Nurs, 39, 100769. doi:10.1016/j.ijotn.2020.100769
6. Ojo, S., Okoye, T. O., Olaniyi, S. A., Ofochukwu, V. C., Obi, M. O., Nwokolo, A. S., . . . Okobi, O. E. (2024). Ensuring Continuity of Care: Effective Strategies for the Post-hospitalization Transition of Psychiatric Patients in a Family Medicine Outpatient Clinic. Cureus, 16(1), e52263. doi:10.7759/cureus.52263
7. Quek, K. F., Low, W. Y., Razack, A. H., Loh, C. S., & Chua, C. B. (2004). Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: a Malaysian study. Medical Journal of Malaysia, 59(2), 258-267.
8. Ramadhan, R. G., Priyatin, W., & Kriswanto, S. H. (2024). Gambaran Kelengkapan Dokumen Rekam Medis Rawat Inap Pasien Operasi di Rumah Sakit Umum Harapan Ibu Purbalingga. Innovative: Journal Of Social Science Research, 4(1), 11896-11903.
9. Shami, A., Brennan, M., Marie, P. S., Lindenauer, P. K., & Stefan, M. S. (2019). The association of cognitive impairment as screened by the Mini-Cog with long term post-hospitalization outcomes. Archives of Gerontology and Geriatrics, 85, 103916. doi:10.1016/j.archger.2019.103916
10. Soljacic Vranes, H., Potkonjak, A. M., Vranes, H., Djakovic, I., & Bogovic, A. (2022). Stress and anxiety in patients waiting for non-urgent gynaecological surgery post-earthquake exposure in Zagreb, during the COVID-19 pandemic. Journal of Obstetrics and Gynaecology, 42(8), 3741-3742. doi:10.1080/01443615.2022.2106838
11. Szczesniak, M., Falewicz, A., Meisner, M., Grodecka, K. (2024). The mediating effect of maturity on anxiety and the motives for postponing parenthood. Sci Rep, 14(1), 20258.
a. doi:10.1038/s41598-024-71043-9
12. Sun, J., Meng, Q. T., Wang, Y. W., Zhao, W. L., Sun, F. Z., Liu, J. H., & Liu, J. Y. (2022). Comparison of the levels of depression and anxiety in elderly aortic stenosis patients treated with surgical or transcatheter aortic valve replacement. Journal of Cardiothoracic Surgery, 17(1), 141. doi:10.1186/s13019-022-01888-6
13. Suyanto, S., Indri, I., Farid, T. (2023). Pengaruh Terapi Spiritual Bimbingan Do’a Terhadap Tingkat Kecemasan Pasien Pre Opersi Dengan Spinal Anestesi. Jurnal Ilmu Kesehatan dan Gizi, 1(2), 245-256.
14. Taha, A., Taha-Mehlitz, S., Staartjes, V. E., Lunger, F., Gloor, S., Unger, I., . . . Gingert, C. (2021). Association of a prehabilitation program with anxiety and depression before colorectal surgery: a post hoc analysis of the pERACS randomized controlled trial. Langenbecks Archives of Surgery, 406(5), 1553-1561. doi:10.1007/s00423-021-02158-0
15. Tak, H. J., Chen, L. W., Wilson, F. A., Goldsweig, A. M., Oleynikov, D., Hawking, M., & Shih, Y. T. (2019). Post-Discharge Services for Different Diagnoses Than Index Hospitalization Predict Decreased 30-Day Readmissions Among Medicare Beneficiaries. Journal of General Internal Medicine, 34(9), 1766-1774. doi:10.1007/s11606-019-05115-2
16. Trevizan, F. B., Miyazaki, M., Silva, Y. L. W., & Roque, C. M. W. (2017). Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation. Braz J Cardiovasc Surg, 32(3), 162-170. doi:10.21470/1678-9741-2017-0029
17. Weiss, M. E., & Piacentine, L. B. (2006). Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 14(3), 163-180. doi:10.1891/jnm-v14i3a002
18. Yuanto, H. H., Rosuli, A., Masroni, M., & Yulia, S. A. (2025). Penerapan terapi progressive muscle relaxation terhadap nyeri akut pre operasi fracture neck femur. SINERGI: Jurnal Riset Ilmiah, 2(1), 128-136.
