scholarly journals Penurunan Tingkat Kecemasan pada Pasien Pre Operasi Sectio Caesarea dengan Terapi Murotal dan Edukasi Pre Operasi

2021 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Laili Fatmawati ◽  
Pawestri Pawestri
Keyword(s):  
Informed Consent ◽  
Preoperative Anxiety ◽  
Sectio Caesarea ◽  
Information Scale

Tindakan operasi sectio caesareadilakukan untuk mencegah kematian janin dan ibu karena adanya suatu komplikasi yang akan terjadi kemudian bila persalinan dilakukan secara pervaginam, sehingga dapat menyebabkan kecemasan pada pasien yang dapat menghambat proses penyembuhan post operasi. Berbagai macam cara dilakukan untuk mengatasi kecemasan pre operasi, diantaranya adalah terapi Murotal dan edukasi pre operasi.studi kasus ini bertujuan  untuk mengetahui penurunan tingkat kecemasan pada pasien sectio caesareadengan penerapan terapi murotal dan edukasi pre operasi. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan. Subjek studi kasus ini adalah pasien primigravida tanpa komplikasi penyakit  yang akan dilakukan sectio caesarea. Subjek studi kasus berjumlah 3 orang yang didapatkan secara random. Subjek studi kasus telah menandatangani informed consent sebelum dilakukan pengambilan data. Pengukuran kecemasan dilakukan dengan menggunakanThe Amsterdam Preoperative Anxiety and Information Scale (APAIS)sebelum dan sesudah dilakukan terapi murotal dan edukasi prosedur operasi pada ketiga pasien selama 30 menit. Hasil studi kasus menunjukkan ada penurunan kecemasan secara signifikan dari ketiga kasus dengan nilai rerata 8.33. Terapi murotal dan edukasi pre operasi terbukti efektif menurunkan kecemasan pada pasien preoperasi sectio caesarea

scholarly journals Validation of the Portuguese version of Amsterdam Preoperative Anxiety and Information Scale (APAIS)

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sandra Maurício ◽  
Isabel Rebêlo ◽  
Catarina Madeira ◽  
Filipa Resende ◽  
Susana Esteves
Keyword(s):  
Anesthetic Management ◽  
Characteristic Curve ◽  
Three Dimensional ◽  
Psychometric Evaluation ◽  
Preoperative Anxiety ◽  
Youden Index ◽  
Three Dimensional Model ◽  
Portuguese Version ◽  
Information Scale ◽  
Oncology Centre

Abstract Background Preoperative anxiety is common among the oncological surgical population. Due to its psychological and physiological detrimental effects, identifying and addressing it is of uttermost importance to improve anesthetic management and patient’s outcomes. The aim of this study is to validate the Portuguese version of Amsterdam Preoperative Anxiety and Information Scale (APAIS) in the oncological population. Methods Following forward and backward translation of the original APAIS scale, further adaptation was obtained through cognitive interviewing. The resulting instrument was tested on the day before surgery on a sample of adult cancer surgical patients from a Portuguese oncology centre. Psychometric evaluation was derived from inter-item correlation, confirmatory factor analysis, Cronbach’s alpha, correlation with comparative scales, receiver operating characteristic curve and Youden index. Results 109 patients (58 males, 51 females) were included. A three-dimensional model—anxiety about anesthesia, anxiety about surgery and desire for information, showed the best fit to the data. The questionnaire revealed high internal consistency (Cronbach alpha 0.81) and good inter-item correlation. Also, Portuguese APAIS correlated well with the gold standard anxiety scale. Therefore, the psychometric properties of this scale version make it a valid and reliable instrument. The optimal cutoff to maximize both sensitivity and specificity was 12 for the APAIS global anxiety score. Conclusions Portuguese APAIS version is an accurate tool to identify preoperative anxiety among cancer patients and might impact its management, from premedication choice to provision of information and reassurance about either anesthesia or surgery.

scholarly journals The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery

2014 ◽  
pp. e270-e273 ◽  
Author(s):  
D. Torres-Lagares ◽  
M. Heras-Meseguer ◽  
F. Azcarate-Velazquez ◽  
P. Hita-Iglesias ◽  
G. Ruiz-de-Leon-Hernandez ◽  
...  
Keyword(s):  
Informed Consent ◽  
Third Molar ◽  
Preoperative Anxiety ◽  
Third Molar Surgery

scholarly journals Rendahnya Praktik Menyusui pada Ibu Post Sectio Caesarea dan Dukungan Tenaga Kesehatan di Rumah Sakit

2014 ◽  
Vol 8 (8) ◽  
pp. 393
Author(s):  
Dwi Retno Wulandari ◽  
Linda Dewanti
Keyword(s):  
Informed Consent ◽  
Health Professional ◽  
Health Workers ◽  
Sectio Caesarea ◽  
P Value ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices ◽  
Breastfeeding Practice

Penelitian terdahulu menyebutkan bahwa ibu melahirkan secara sectio caesarea cenderung lebih lambat melakukan inisiasi menyusu dini dan mempunyai prevalensi lebih rendah dalam praktik ASI ekslusif dibanding Ibu melahirkan pervaginam. Ibu post sectio caesarea juga tidak memulai menyusui bayinya pada hari pertama melahirkan. Tujuan penelitian ini adalah mengetahui faktor yang menyebabkan rendahnya praktik inisiasi ASI pada Ibu post sectio caesarea termasuk peran tenaga kesehatan di sebuah rumah sakit di Surabaya. Sebanyak 72 ibu yang melahirkan secara sectio caesarea selama bulan Juni 2012 telah menandatangani informed consent, diobservasi sejak masuk rumah sakit sampai akhir hari ke-2 post sectio caesarea, dan diwawancara dengan menggunakan kuesioner. Hasil penelitian menunjukkan semua ibu sudah mempunyai pengetahuan yang baik tentang ASI, 26,4% di antaranya sudah mempunyai pengalaman sebelumnya dalam memberikan ASI, tetapi hanya 6,9% dan total 29,2% yang mulai memberikan ASI pada hari pertama dan kedua pasca sectio caesarea. Dukungan tenaga kesehatan dalam hal membantu proses pemberian ASI dilaporkan masih rendah. Uji korelasi mendapatkan bahwa dukungan tenaga kesehatan dan kondisi rawat gabung adalah faktor yang berhubungan dengan praktik pemberian ASI (p value 0,39; p = 0,001; phi value = 0,47; p = 0,001). Rendahnya pemberian ASI ibu pasca sectio caesarea berkorelasi dengan rendahnya dukungan tenaga kesehatan dan penundaan rawat gabung.Previous studies showed that breastfeeding initiation was late in babies born with sectio caesarea compared to those with vaginal delivery and prevalence of exclusive breastfeeding practice was low in the former group. There was no breastfeeding initiation in the first day of post sectio caesarea. The objective of this study was to define factors correlated to low breast feeding practice initiation on post sectio caesarea mother, including the role of health workers in a hospital in Surabaya. 72 post sectio caesarea mothers were observed and interviewed on 1-30 June 2012 to find the factors correlated with breastfeeding practice. The results showed that although all the mothers already had a good knowledge about breastfeeding, and 26.4% of them had previous experience in breastfeeding, only 6.9% and 29.2% of total breastfeeding is started on the first and second post sectio caesarea respectively. Support for breastfeeding practice from health workers was low, and there were significant correlation between the support and rooming conditions with breastfeeding practices (p = 0.001). We concluded that low level of breastfeeding practice on mother with sectio caesarea correlated with low support of health professional and with the delay of room-in practice. 

scholarly journals PENGARUH PEMBERIAN INFORMED CONSENT TERHADAP KECEMASAN PADA PASIEN PRE OPERASI SECTIO CAESAREA

2018 ◽  
Vol 9 (2) ◽  
pp. 155
Author(s):  
Dwi Astuti ◽  
Ummi Kulsum
Keyword(s):  
Informed Consent ◽  
Sectio Caesarea ◽  
P Value ◽  
Design Data

Tindakan pembedahan merupakan salah satu bentuk terapi dan merupakan upaya yang dapat mendatangkan ancaman terhadap tubuh, integritas dan jiwa seseorang. Pasien dan keluarga memandang setiap tindakan pembedahan sebagai peristiwa  besar yang  dapat menimbulkan takut dan cemas tingkat tertentu. Oleh karena itu dibutuhkan pemberian informed consent untuk mengurangi kecemasan pasien terhadap ancaman-ancaman yang dirasakan pasien saat akan menjalani operasi. Peran perawat dalam perawatan pre operasi adalah sebagai advocate, counselor dan consultant. Penelitian ini bertujuan mengetahui pengaruh pemberian informed consent terhadap kecemasan pasien pre operasi sectio caesarea di RSUD RAA Soewondo Pati. Jenis penelitian ini quasy experiment dengan menggunakan bentuk rancangan one group pre and postest design. Data dianalisa dengan uji statistik wilcoxon. Hasil penelitian menunjukkan kecemasan sebelum diberikan perlakuan pada kelompok intervensi sebagian besar mengalami cemas ringan sebanyak 25 orang (39,7%), dan kecemasan sesudah diberikan perlakuan pada kelompok intervensi yaitu sebagian besar mengalami cemas ringan sebanyak 33 orang (52,4%),  Hasil uji statistik Wilcoxon diperoleh p value = 0,001 < α = 0,05. Kesimpulan Ada pengaruh antara informed consent terhadap kecemasan pada pasien pre operasi Sectio Caesarea dengan hasil P value 0,001 < p value 0,05.

scholarly journals Role of Informed Consent in Reducing Pre-Operative Anxiety

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Informed Consent ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Preoperative Anxiety ◽  
Care Hospital ◽  
Post Intervention ◽  
Public And Private ◽  
Surgical Units ◽  
Quasi Experimental

Background: Preoperative anxiety is challenging concept in preoperative patients. It could reduce by various methods; one of them is informed consent in which information is provided to patients regarding anesthesia and surgical procedure, it also helps patients to make autonomous decision. Objective: The aim this study was to identify the role of informed consent in preoperative anxiety, in surgical patients of both public and private tertiary care hospital Peshawar. Method: A quasi experimental study design was carried out among preoperative patients of surgical units. The sample of 65 participants was selected through convenient sampling technique. First, the preoperative anxiety was measured with valid adopted questionnaire APAIS. Second, the informed consent was explained to patients and after this again preoperative anxiety was measured to see the effect of informed consent on preoperative anxiety. Results: Among 65 participants 41 (63.1%) were males and 24 (36.9%) were females. 58 (89.2%) were married and 7 (10.8%) were unmarried. The mean age of participants was 49.92 +16.76 years. 24 (36.9%) of the participants were uneducated, 17 (26.2%) primary, 13 (20.0%) secondary, 6 (9.2%) bachelor, and 5 (7.7%) had higher education. The participants were graded for preoperative anxiety, 3 (4.6%) had somewhat, 9 (13.8%) moderate, 27 (41.5%) moderately high, and 26 (40.0%) had extremely high anxiety. while the post-intervention anxiety grades were identified as 20 (30.8%) somewhat, 18 (27.7%) moderate, 17 (26.2%) moderately high, and 10 (15.4%) extremely high. The study shows that well explained informed consent reduced the patient pre-operative anxiety. Conclusion: Preoperative anxiety is common phenomena experienced by patient undergoing through surgical procedures, informed consent is a tool that ensure the respect of patient autonomy and reduce their preoperative anxiety.

scholarly journals Validation of the Chinese version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS)

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Hao Wu ◽  
Xin Zhao ◽  
Shuaishuai Chu ◽  
Fangxia Xu ◽  
Jia Song ◽  
...  
Keyword(s):  
Preoperative Anxiety ◽  
Chinese Version ◽  
Information Scale

scholarly journals Validation of the French version of the Amsterdam preoperative anxiety and information scale (APAIS)

2013 ◽  
Vol 11 (1) ◽  
pp. 166 ◽  
Author(s):  
Axel Maurice-Szamburski ◽  
Anderson Loundou ◽  
Xavier Capdevila ◽  
Nicolas Bruder ◽  
Pascal Auquier
Keyword(s):  
Preoperative Anxiety ◽  
French Version ◽  
Information Scale

scholarly journals The question of preoperative anxiety and depression in older patients and family protectors

2020 ◽  
Vol 15 (2) ◽  
pp. 217-225
Author(s):  
Sehun Lim ◽  
Younmi Oh ◽  
Kwangrae Cho ◽  
Myoung-hun Kim ◽  
Sungho Moon ◽  
...  
Keyword(s):  
Older Patients ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Preoperative Anxiety ◽  
Anxiety And Depression ◽  
Preoperative Period ◽  
Geriatric Depression ◽  
Information Scale ◽  
Insufficient Knowledge

Background: Higher levels of anxiety increase the risks of surgery, including morbidity and mortality. The objectives of this study were to measure anxiety and depression during the preoperative period and to identify the degree of knowledge and concerns of older patients and their family protectors regarding anesthesia, and the causes of these concerns. Methods: We administered a questionnaire to older patients scheduled to undergo surgery and their family protectors one day prior to the surgery. The questionnaire included tools for quantifying anxiety and depression (Anxiety-Visual Analogue Scale, the Amsterdam Preoperative Anxiety and Information Scale, State-Trait Anxiety Inventory Korean YZ Form, and Short Form Geriatric Depression Scale). We also asked about the concrete causes of anxiety using pre-created forms.Results: There were 140 older patients and family protectors who participated in the study. The majority of older patients (n = 114, 81.4%) undergoing surgery and their family protectors (n = 114, 81.4%) indicated that they were anxious. Most of the older patients and their family protectors responded that they had insufficient knowledge about anesthesia, and they were mostly worried about failure to awaken following surgery, and postoperative pain. Older patients with higher anxiety scores showed higher depression scores. There were significant differences in depression scores depending on the presence of cohabitating family members. Conclusions: It is important to remember that older patients with higher depression scores have higher anxiety during the preoperative period.

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