Analisis Faktor yang Mempengaruhi Kecemasan Pasien Sebelum Anestesi
DOI:
https://doi.org/10.59585/bajik.v4i1.812Keywords:
Anxiety, Patients, Anesthesia, Influencing FactorsAbstract
Background: Pre-anesthesia anxiety is a common phenomenon that can affect a patient's physiological and psychological state and impact the perioperative process. Identifying factors influencing patient anxiety is important for planning educational interventions and psychosocial support.
Objective: This study aimed to analyze factors influencing patient anxiety before anesthesia, including demographic factors, previous experience, family support, and preoperative information.
Methods: The study used a descriptive analytical design with a cross-sectional approach. The sample consisted of 100 elective patients undergoing general or regional anesthesia at Hospital X, selected using purposive sampling. The instruments used were a demographic questionnaire and the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the chi-square test and logistic regression.
Results: The results showed that patient anxiety levels were associated with young age (p = 0.032), low education (p = 0.018), first-time surgical experience (p = 0.001), minimal family support (p = 0.005), and lack of preoperative information (p = 0.001). The dominant factor influencing anxiety was a lack of preoperative information, with an OR of 3.5.
Conclusion: Patient anxiety levels before anesthesia are influenced by age, education, surgical experience, family support, and preoperative information. Preoperative educational interventions and family support are important strategies for reducing patient anxiety.
References
Adhikari, S., Dhungana, S., & Shrestha, S. (2019). Preoperative anxiety and associated factors in patients undergoing elective surgery. Journal of Anesthesia & Clinical Research, 10(11), 847.
Caumo, W., Schmidt, A. P., Schneider, C. R., Bergmann, J., Iwamoto, C., Bandeira, D. R., ... & Torres, F. (2001). Preoperative anxiety and postoperative pain in women undergoing hysterectomy. Anesthesia & Analgesia, 93(4), 100–105.
Caumo, W., et al. (2015). Preoperative anxiety: a multifactorial issue in elective surgery. Frontiers in Psychology, 6, 2015.
Ezenwa, B., et al. (2020). Sociodemographic and psychological predictors of preoperative anxiety in adults undergoing surgery. Annals of Medicine and Surgery, 60, 38–44.
Hairuddin. K., Yulis, D. M., Sahalessy, Y., Tomasoa, J., Rumaseb, E., Said, A., & B, S. A. L. (2023). Factors Associated with the Incidence of Gastritis in Patients at Faisal Islamic Hospital Makassar. International Journal of Health Sciences, 1(2), 156–161. https://doi.org/10.59585/ijhs.v1i2.78
Jawaid, M., Mushtaq, A., Mukhtar, S., & Khan, Z. (2007). Preoperative anxiety before elective surgery. Neurosciences, 12(2), 145–148.
Kain, Z. N., & Mayes, L. C. (2001). Anxiety in children and adolescents in the perioperative setting. Pediatric Anesthesia, 11(6), 638–649.
Kain, Z. N., Mayes, L. C., Caldwell-Andrews, A. A., & Karas, D. E. (2000). Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics, 105(6), e131.
Lin, C. C., & Liang, S. C. (2017). Factors influencing preoperative anxiety among patients undergoing elective surgery. Journal of Perioperative Practice, 27(12), 290–297.
Maranets, I., & Kain, Z. N. (1999). Preoperative anxiety and intraoperative anesthetic requirements. Anesthesia & Analgesia, 89(6), 1346–1351.
Maranets, I., et al. (2006). Psychological predictors of preoperative anxiety in patients undergoing general surgery. Anesthesia & Analgesia, 102(5), 1253–1258.
Mitchell, M. (2010). Patient anxiety and modern elective surgery: a literature review. Journal of Clinical Nursing, 19(7–8), 1049–1057.
Mulugeta, H., Zewdie, T., & Ayele, W. (2018). Preoperative anxiety and associated factors among adult surgical patients in Ethiopia. International Journal of Surgery Open, 10, 21–29.
Nigussie, S., Belachew, T., & Wolancho, W. (2014). Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital. Ethiopian Journal of Health Sciences, 24(1), 57–64.
Oner, C., & Levendoglu, F. (2018). Preoperative anxiety and postoperative recovery in adult patients. Journal of Perioperative Nursing, 31(3), 22–28.
Polanunu, M. A. A. (2025). Efektivitas Penggunaan Anestesi Regional terhadap Pengurangan Nyeri Pasca Operasi. Barongko: Jurnal Ilmu Kesehatan, 4(1), 44–52. https://doi.org/10.59585/bajik.v4i1.807
Perks, A., Chakravarti, S., & Manninen, P. (2009). Preoperative anxiety in neurosurgical patients. Journal of Neurosurgical Anesthesiology, 21(2), 127–130.
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA: Consulting Psychologists Press.
Werdyaningsih, E., Iqbal Ahmad, M., Serli, S., Meiliani Yulis, D., Citra, A., Supriatin, S., & Andi Latif, S. (2023). Social Impact of Early Marriage on Reproductive Health. International Journal of Health Sciences, 1(1), 53–58. https://doi.org/10.59585/ijhs.v1i1.53
Yilmaz, M., Sezer, H., Gürler, H., & Bekar, M. (2012). Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing, 21(7–8), 956–964.
Yulis, D. M., Hilal, A., Latif, S. A., Mainassy, M. C., Nuryati, A., & Dewi, C. (2024). Pendidikan Kesehatan dan Sosialisasi terhadap persoalan kesehatan Jentik Nyamuk Sejak Dini di Daerah Antang sebagai Tempat Pembuangan Sampah. Sahabat Sosial: Jurnal Pengabdian Masyarakat, 2(4), 639–647. https://doi.org/10.59585/sosisabdimas.v2i4.482
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