INTERVENSI KEPERAWATAN UNTUK MENURUNKAN KECEMASAN ANGGOTA KELUARGA PASIEN SELAMA PERIODE INTRAOPERATIVE
DOI:
https://doi.org/10.32584/jikmb.v4i2.613Keywords:
anxiety, family, intraoperativeAbstract
Background: Surgery can cause anxiety of family member because uncertainty during awaiting surgery. Nursing intervention is needed to reduce anxiety of family member during intraoperative period. Objective: To identify strategies or nursing intervention in alleviating anxiety of family member of patient during intraoperative period. Method: This is literature review. Authors search article in electronic database such as SpringerLink, Scopus, EBSCOhost, Semantic Scholar, Portal Garuda and web search engine Google Scholar. The inclusion criteria of article are full text, quantitative research, in English or Indonesian language, year of publication was 2010 – 2020, and article’s topic in accordance with the research problem area. Results: Thirty – four articles were obtained and only nine articles were eligible to be included in this review. The review shows that anxiety level of family member during intraoperative decline after being given an intervention. The nursing intervention are providing information cards, providing information and visiting hours, watching TV, audiovisual orientation, and sending text messages. Conclusion: There are several nursing interventions that can be implemented by nurses to reduce family members’ anxiety during intraoperative period. Providing information to the family is very important and beneficial during intraoperative period. Latar Belakang: Tindakan pembedahan dapat mengakibatkan kecemasan pada keluarga pasien karena ketidakpastian selama menunggu operasi. Intervensi keperawatan diperlukan untuk menurunkan kecemasan keluarga pasien selama periode intraoperative. Objektif: Untuk mengidentifikasi strategi atau intervensi keperawatan dalam menurunkan kecemasan keluarga pasien selama periode intraoperative. Metode: Studi ini merupakan literature review. Peneliti melakukan penelusuran artikel secara elektronik melalui SpringerLink, Scopus, EBSCOhost, Semantic Scholar, Portal Garuda dan mesin pencari Google Scholar. Pemilihan artikel ditetapkan berdasarkan kriteria inklusi, yaitu full teks, design penelitian kuantitatif, berbahasa Inggris atau Indonesia, tahun publikasi 2010 – 2020, dan artikel sesuai dengan topik masalah penelitian. Hasil: Sebanyak 34 artikel didapatkan dan 9 artikel yang memenuhi kriteria inklusi. Hasil review menunjukkan rata – rata tingkat kecemasan keluarga pasien mengalami penurunan setelah mendapatkan intervensi keperawatan. Intervensi keperawatan yang dapat menurunkan kecemasan keluarga pasien selama menunggu operasi meliputi pemberian kartu informasi, pemberian informasi dan kunjungan, menonton TV, orientasi audiovisual, dan pengiriman pesan teks. Kesimpulan: Perawat dapat memberikan beberapa bentuk intervensi keperawatan untuk menurunkan kecemasan keluarga pasien selama periode intraoperative. Pemberian informasi kepada keluarga sangat penting dan bermanfaat selama fase intraoperative.References
Alsabban, W., Alhadithi, A., Alhumaidi, F. S., Al Khudhair, A. M., Altheeb, S., & Badri, A. S. (2020). Assessing needs of patients and families during the perioperative period at King Abdullah Medical City. Perioperative medicine (London, England), 9, 10. https://doi.org/10.1186/s13741-020-00141-9
Azarfarin, R., Totonchi, Z., Babaei, M., Alizadehasl, A., Ghadrdoost, B., Najafikhah, M., & Ehsani, A. (2018). Effectiveness of an “information card” in reducing family members’ anxiety in the waiting room during heart surgery and angiographic procedures. Iranian Heart Journal, 19(2), 65–70.
Barberi, P. M. (2015). Reducing the Surgical Patient ’ s Family Member ’ s Anxiety Using an Electronic Patient Tracking Board.
Carmody, S., Hickey, P., & Bookbinder, M. (1991). Perioperative Needs of Families. AORN Journal, 54(3), 561–567. https://doi.org/10.1016/s0001-2092(07)66777-5
DaCunha, J. P. (2010). Family Health Care Nursing : Theory, Practice, and Research. In J. R. Kaakinen (Ed.), Public Health (4th ed., Vol. 74). https://doi.org/10.1016/S0033-3506(59)80093-7
Davis, Y., Perham, M., Hurd, A. M., Jagersky, R., Gorman, W. J., Lynch-Carlson, D., & Senseney, D. (2014). Patient and family member needs during the perioperative period. Journal of Perianesthesia Nursing, 29(2), 119–128. https://doi.org/10.1016/j.jopan.2013.05.013
Dexter, F., & Epstein, R. H. (2001). Reducing family members' anxiety while waiting on the day of surgery: systematic review of studies and implications of HIPAA health information privacy rules. Journal of clinical anesthesia, 13(7), 478–481. https://doi.org/10.1016/s0952-8180(01)00322-1
Guo, P., East, L., & Arthur, A. (2012). A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. International Journal of Nursing Studies, 49(2), 129–137. https://doi.org/10.1016/j.ijnurstu.2011.08.008
Hamester, L., de Souza, E. N., Cielo, C., Moraes, M. A., & Pellanda, L. C. (2016). Effectiveness of a Nursing Intervention in Decreasing the Anxiety Levels of Family Members of Patients Undergoing Cardiac Surgery: a Randomized Clinical Trial. Revista Latino-Americana de Enfermagem, 24. https://doi.org/10.1590/1518-8345.0208.2729
Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (2017). Medical Surgical Nursing (9Th ed.). Retrieved from https://books.google.co.id/books?id=Qzg1DwAAQBAJ&pg=PA246&lpg=PA246&dq=Why+visiting+family+member+to+patient+can+help+to+reduce+their+anxiety?&source=bl&ots=OGVtnb70k2&sig=ACfU3U25aHPAcNkpdbszh6s1F40fd-ERKg&hl=id&sa=X&ved=2ahUKEwjHiNflpIvqAhXTdCsKHVTiA2kQ
Jaidka, K., Khoo, C. S. G., & Na, J. C. (2013). Literature review writing: How information is selected and transformed. Aslib Proceedings: New Information Perspectives, 65(3), 303–325. https://doi.org/10.1108/00012531311330665
Jarred, J. D. (2003). The Effect Of Live Music On Anxiety Levels Of Persons Waiting In A Surgical Waiting Room As Measured By Self-Report. Retrieved from http://diginole.lib.fsu.edu/etd
Jaruzel, C. B., Gregoski, M., Mueller, M., Faircloth, A., & Kelechi, T. (2019). Aromatherapy for Preoperative Anxiety: A Pilot Study. Journal of Perianesthesia Nursing, 34(2), 259–264. https://doi.org/10.1016/j.jopan.2018.05.007
Kemenkes RI. (2015). Pembedahan Tanggulangi 11% Penyakit Di Dunia. Retrieved November 13, 2019, from https://www.depkes.go.id/article/view/15082800002/pembedahan-tanggulangi-11-penyakit-di-dunia.html
Kynoch, K., Crowe, L., McArdle, A., Munday, J., Cabilan, C. J., & Hines, S. (2017). Structured Communication Intervention to Reduce Anxiety of Family Members Waiting for Relatives Undergoing Surgical Procedures. Acorn, 30(1), 29–35.
Kwan, M. K., Chiu, C. K., Gan, C. C., & Chan, C. Y. (2016). Can Intraoperative Text Messages Reduce Parental Anxiety of Children Undergoing Posterior Spinal Fusion Surgery for Adolescent Idiopathic Scoliosis?. Spine, 41(4), E225–E230. https://doi.org/10.1097/BRS.0000000000001199
Leon, A. M., & Knapp, S. (2008). Involving family systems in critical care nursing: challenges and opportunities. Dimensions of critical care nursing : DCCN, 27(6), 255–262. https://doi.org/10.1097/01.DCC.0000338866.47164.6d
Marylin, M., & Friedman. (1998). Keperawatan Keluarga Edisi 3 (Edisi 3). Jakarta: Jakarta.
Mojdeh, S., Zamani, M., Kooshki, A. M., & Jafari, N. (2013). Effect of Watching A Movie on Family Members’ Anxiety Level During Their Relatives’ Surgery. J Nurs, 18(4). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872870/
Muldoon, M, Cheng, D., & Vish, N. (2015). Waiting Room Card Reduces Family Anxiety. Retrieved September 9, 2019, from AHC Media website: https://www.reliasmedia.com/articles/136457-waiting-room-card-reduces-family-anxiety
Muldoon, M., Cheng, D., Vish, N., Dejong, S., & Adams, J. (2011). Implementation of an Informational Card to Reduce Family Members’ Anxiety. AORN Journal, 94(3), 246–253. https://doi.org/10.1016/j.aorn.2011.01.016
Poudel, R. R., Singh, V. A., & Yasin, N. F. (2020). The Effect of Intra-operative Text Messages in Reducing Anxiety Levels Among Family Members of Patients Undergoing Major Musculoskeletal Tumour Surgery. Indian Journal of Orthopaedics, 54(2), 208–214. https://doi.org/10.1007/s43465-019-00002-8
Radochonska, A., & Radochonski, M. (2001). Role of the Family Determinants in the Development of Anxiety Disorders in Children and Adolescents : a Systemic Perspective.
Sayin, Y., & Aksoy, G. (2012). The Nurse’s Role in Providing Information to Surgical Patients and Family Members in Turkey: A Descriptive Study. AORN Journal, 95(6), 772–787. https://doi.org/10.1016/j.aorn.2011.06.012
Shaw, R., Reid, W., & Parker, Q. (2007). Family Factors in the Development and Management of Anxiety Disorders. PUBLICATIONS OF THE ASTRONOMICAL SOCIETY OF THE PACIFIC, 119(1), 19–29.
Simeone, S., Pucciarelli, G., Perrone, M., Rea, T., Gargiulo, G., Dell’Angelo, G., … Vosa, C. (2017). Comparative Analysis: Implementation of a Pre-operative Educational Intervention to Decrease Anxiety Among Parents of Children With Congenital Heart Disease. Journal of Pediatric Nursing, 35, 144–148. https://doi.org/10.1016/j.pedn.2017.01.008
Stone, A. M., & Lammers, J. C. (2012). The Uncertainty Room: Strategies for Managing Uncertainty in A Surgical Waiting Room. The Permanente Journal, 16(4), 27–30.
Tagadaya, M., Macapobre, R., & Rich, E. R. (2013). The impact of the use of paddle pagers on family member anxiety during theintraoperative period. Journal of Perianesthesia Nursing, 28(6), 377–382. https://doi.org/10.1016/j.jopan.2012.10.009
Trecartin, K., & Carroll, D. L. (2011). Nursing interventions for family members waiting during cardiac procedures. Clinical Nursing Research, 20(3), 263–275. https://doi.org/10.1177/1054773811405520
Trimm, D. R., & Sanford, J. T. (2010). The process of family waiting during surgery. Journal of family nursing, 16(4), 435–461. https://doi.org/10.1177/1074840710385691
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.
