Manfaat Teknik Relaksasi Napas Dalam Untuk Menurunkan Kecemasan Pasien Pre Operasi General Anastesi

Rudi Hamarno; Taufan Arif; Devi Ayu Oktavia; Supono

doi:10.30651/jkm.v9i3.22772

Penulis

Rudi Hamarno
Taufan Arif Poltekkes Kemenkes Malang
Devi Ayu Oktavia
Supono

DOI:

https://doi.org/10.30651/jkm.v9i3.22772

Kata Kunci:

deep breath relaxation., anxiety, preoperatif, general anasthesia

Abstrak

Introduction: Preoperative patients with anxiety will cause an increase in breathing frequency and heart rate, potentially resulting in the cancellation of surgery. Anxious patients will be intervened through deep breath relaxation techniques that are proven to reduce anxiety levels.

Method: The research design is "quasi-experimental" with a " Non-Equivalent Group Design Pre and Post Test" approach. The sampling method used was purposive sampling with a total of 20 respondents divided into two groups. Determination of respondents based on the inclusion criteria of general anesthesia patients, compositional awareness with moderate-severe APAIS anxiety levels who have scheduled surgery at Karsa Husada Batu Hospital. The independent variable is deep breath relaxation, and the dependent variable is anxiety level. Univariate analysis to determine the characteristics of respondents. Bivariate analysis using paired t-test and independent t-test to determine the difference between the two groups.

Results: The paired t-test in the pre-post control group resulted in a p-value of 0.823, indicating an average increase of 0.80. Conversely, in the pre-post treatment group, the p-value was 0.000, signifying a mean decrease of 4.00. In the independent t-test between the control and treatment groups in the post-test, the p-value was 0.002.

Discussion: Deep breath relaxation improves lung ventilation and blood oxygenation, involving the medulla oblongata which controls the cardiovascular and HPA which regulates the neuendocrine system. Activation of ACTH and CRH increases cortisol secretion, which is associated with anxiety.

Biografi Penulis

Taufan Arif, Poltekkes Kemenkes Malang

Keperawatan Medikal Bedah

Referensi

Arif, T., Fauziyah, M. N., & Astuti, E. S. (2022). Pengaruh Pemberian Edukasi Persiapan Pre Operatif Melalui Multimedia Video Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Elektif. Jurnal Ilmiah Kesehatan Media Husada, 11(2), 174–181. https://doi.org/10.33475/jikmh.v11i2.331

Ariga, R. A. (2019). Decrease anxiety among students who will do the objective structured clinical examination with deep breathing relaxation technique. Open Access Macedonian Journal of Medical Sciences, 7(16), 2619–2622. https://doi.org/10.3889/oamjms.2019.409

Azmi, D. A., Wiyono, J., & DTN, I. (2020). Hubungan Indeks Massa Tubuh (IMT) dan Jenis Operasi dengan Waktu Pulih Sadar Pada Pasien Post Operasi Dengan General Anestesia di Recovery Room RSUD Bangil. Journal of Applied Nursing (Jurnal Keperawatan Terapan), 5(2), 189. https://doi.org/10.31290/jkt.v5i2.991

Euis Nurhidayati dan Firmanto. (2017). EFEKTIFITAS TEKNIK RELAKSASI UNTUK MENURUNKAN KECEMASAN SISWA KELAS XII SMA PUSAKA 1 JAKARTA DALAM MENGHADAPI UJIAN. 30–38, 1–9.

Ghina Sa’adah Hasibuan, Martyarini Budi Setyawati, F. H. N. A. (2020). Jurnal Penelitian Perawat Profesional Pencegahan Tetanus. British Medical Journal, 2(5474), 1333–1336.

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), 1–11. https://doi.org/10.1038/s41598-022-10302-z

Murdiman, N., Harun, A. A., L, N. R. D., & Solo, T. P. (2019). Hubungan Pemberian Informed Consent Dengan Kecemasan Pada Pasien. Jurnal Keperawatan, 02(03), 1–8.

Musdalifah, Daud, A., & Birawida, A. B. (2022). Journal of Public Health. Journal of Public Health, 3(1), 99–114.

Ningrum, S. W. D., Ayubbana, S., & Inayati, A. (2021). Penerapan Teknik Relaksasi Nafas Dalam Terhadap Kecemasan Pasien Praoperasi Di Ruang Bedah Rsud Jend. Ahmad Yani Kota Metro Tahun 2021. Jurnal Cendikia Muda, 2, 529–534.

Parinduri, J. S. (2020). Pengaruh Tekhnik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Wilayah Kerja Puskesmas Sidangkal. Indonesian Trust Health Journal, 3(2), 374–380. https://doi.org/10.37104/ithj.v3i2.63

Puspitasari, A. C., Ludiana, & Immawati. (2023). Implementation of Slow Deep Breathing To Reduce Blood Pressure in. Cendikia Muda, 3, 76–85.

Qodriya, D. L., Putra, I. P. Y. P., Winaya, I. M. N., & Artini, I. G. A. (2023). TINGKAT KECEMASAN TERHADAP PERUBAHAN DENYUT NADI KERJA MAHASISWA FISIOTERAPI SAAT MENGHADAPI OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) PERTAMA. 11, 138–144.

Rahmayati, E., Silaban, R. N., & Fatonah, S. (2018). PengarRahyani, D. N. K. Y., Lindayani, I. K., Suarniti, N. W., Ni Made Dwi Mahayati., Astiti, N. K. E., & Dewi, I. N. (2020). Buku Ajar Asuhan Kebidanan Patologi Bagi Bidan. Penerbit Andi. https://books.google.co.id/books?id=BTgNEAAAQBAJuh Dukungan Spritu. Jurnal Kesehatan, 9(1), 138.

Ramadhan, D., Faizal, K. M., & Fitri, N. (2023). Pengaruh Konseling dengan Pendekatan, Thinking, Feeling dan Acting (TFA) terhadap Tekanan Darah pada Pasien Pre Operasi. Jurnal Penelitian Perawat Profesional, 5(2), 637–644. https://doi.org/10.37287/jppp.v5i2.1522

Rasyidin, M. U., & Pratiwi, T. I. (2022). Penerapan teknik relaksasi untuk menangani kecemasan menghadapi ujian pada siswa. Jurnal BK UNESA, 12(2), 865–877. https://ejournal.unesa.ac.id/index.php/jurnal-bk-unesa/article/view/45875

Ridho, M., Mariana, E. R., & Mahdalena, M. (2022). Perbedaan Teknik Relaksasi Otot Progresif dan Teknik Relaksasi Nafas Dalam Terhadap Penurunan Kecemasan Pada Pasien Hemodialisa: Literature Review. JKM : Jurnal Keperawatan Merdeka, 2(2), 182–190. https://doi.org/10.36086/jkm.v2i2.1438

Riniasih, W., & Natassia, K. (2016). Efektivitas Tehnik Relaksasi Napas Dalam Dan Dzikir Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operasi Bph Di RSUD Dr. Raden Soedjati Soemodiardjo Purwodadi. Jurnal Kesehatan, 1(4), 41–48.

Rismawan, Wawan, Fikri Muhammad R., dan A. K. (2019). TINGKAT KECEMASAN PASIEN PRE-OPERASI DI RSUD dr.SOEKARDJO KOTA TASIKMALAYA. Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-Ilmu Keperawatan, Analis Kesehatan Dan Farmasi, 19(1). https://doi.org/10.36465/jkbth.v19i1.451

Wahyuningsih, Sutanta, & Afifah, V. A. (2020). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pasien Pre Operasi Fraktur Femur. Media Ilmu Kesehatan, 8(3), 230–236. https://doi.org/10.30989/mik.v8i3.334

Yi, J., Lei, Y., Xu, S., Si, Y., Li, S., Xia, Z., Shi, Y., Gu, X., Yu, J., Xu, G., Gu, E., Yu, Y., Chen, Y., Jia, H., Wang, Y., Wang, X., Chai, X., Jin, X., Chen, J., … Huang, Y. (2018). Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study in China. PLoS ONE, 12(6), 1–13. https://doi.org/10.1371/journal.pone.0177221