BOOKLET SPINAL ANESTESI MENURUNKAN TINGKAT KECEMASAN PADA PASIEN SECTIO CAECAREA

Abstract

ABSTRAKTindakan operasi sectio caecarea dapat menimbulkan gangguan potensial maupun aktual pada integritas pasien yang dapat membangkitkan reaksi terhadap stres fisiologis maupun psikologis sehingga dibutuhkan suatu penangan untuk menurunkan tingkat kecemasan melalui pendidikan kesehatan tentang spinal anestesi kepada pasien section caecarea pada preanestesi dengan menggunakan booklet. Tujuan penelitian: Mengetahui pengaruh pemberian pendidikan kesehatan menggunakan booklet spinal anestesi terhadap kecemasan pada pasien sectio caecarea. Metode: Jenis penelitian quasi experiment without control group. Jumlah responden 24 orang yang dipilih dengan menggunakan purposive sampling. Instrumen menggunakan kuesioner APAIS (Amsterdam Preoperative Anxiety and Information Scale) yang telah diuji validitas 0,840-0849 dan reliabilitas (a 0,852) pada 102 orang. Pengambilan data tanggal 12 November-17 Desember 2016 di RSUD Dr. Tjitrowardojo Purworejo, Jawa Tengah. Analisis data menggunakan ujipaired t-test. Hasil: Sebagian besar responden mengalami cemas berat sebelum menjalani anestesi (79,2%). Setelah diberikan pendidikan kesehatan, lebih dari setengah responden mengalami kecemasan ringan (62,5%). Skor rata-rata sebelum intervensi adalah 21,38 dan setelah intervensi adalah 11,58. Hasil paired t-test menunjukkan ada penurunan secara signifikan tingkat kecemasan dari sebelum ke setelah pemberian pendidikan kesehatan. Simpulan: Pendidikan kesehatan menggunakan booklet spinal anestesi dapat digunakan untuk melengkapi intervensi yang sudah ada di rumah sakit dan perlu dilakukan penelitian lebih lanjut dengan menggunakan kelompok kontrol dan jumlah sampel yang lebih besarKata Kunci: booklet, kecemasan, sectio caecarea, pendidikan kesehatan.SPINAL ANESTHESIA BOOKLETS REDUCEANXIETYLEVELS IN PATIENTS WITH CAESAREAN SECTIONABSTRACTCaesarean section surgery may result in potential and actual disorders in the integrity of patients which can generate a reaction to physiological and psychological stress so that a treatment is needed to reduce anxiety levels through health education about spinal anesthesia to patients with caesarean section in preanesthesia care using a booklet. Objective: To identify the effect of giving health education using spinal anesthesia booklets on anxiety in patients with caesarean section. Methods: This study belongs to a quasi-experiment without control group. The number of respondents was 24 people taken by using purposive sampling. The study used an instrument in the form of APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire of which validity and reliability had been tested by 0.840-0849 and (a 0,852) respectively in 102 people. Data were collected on 12 November 2016-17 December 2016 at Dr. Tjitrowardojo Hospital, Purworejo, Central Java. Data were analyzed using paired t-test. Results: Most respondents (79.2%) experienced severe anxiety before undergoing anesthesia. After being given health education, more than half of the respondents (62.5%) experienced mild anxiety. The average score before intervention was 21.38 and after the intervention was 11.58. The results of paired t-test indicated that there was a significant decrease in the level of anxiety from before to after giving the health education. Conclusion: Health education using spinal anesthesia booklets can be used to complement interventions that already exist in the hospital and it is necessary to conduct further research using a control group and a larger number of samplesKeywords: booklets, anxiety, caesarean section, health education