No abstract

<p>Pada fase pre operasi, klien mengalami berbagai  stresor yang dapat menyebabkan kecemasan. Kecemasan dapat memberikan efek yang dapat mempengaruhi fungsi fisiologis tubuh yang menyebabkan penundaan operasi dan terhambatnya penyembuhan penyakit pada klien. Penatalaksanaan kecemasan salah satunya dengan relaksasi otot progresif. Terapi ini akan merangsang pengeluaran zat kimia endorphin dan ekefalin serta merangsang  signalotakyang  menyebabkan otot rileks dan meningkatkan aliran darahke otak. Penelitian ini bertujuan untuk mengetahui teknik relaksasi otot progresif terhadap penurunan kecemasan pada pasien pre operasi. Desain penelitian ini adalah <em>pra-eksperimen </em>dengan rancangan<em>one group pretest and post test</em><em>. </em>Sampel penelitian berjumlah 30 orang dengan teknik <em>purposive sampling</em>.Hasil penelitan menunjukkan rata-rata skor kecemasan sebelum terapi relaksasi otot progresif adalah 54.17, dengan standar deviasi 5.427. Sedangkan untuk rata-rata skor kecemasan sesudah terapi relaksasi otot progresif adalah 50,33 dengan standar deviasi 4,999. Analisis uji non parametik menggunakan uji <em>wilcoxon</em> didapatkan hasil ρ<em>value </em>0.000 (ρ<em>value </em>0.000 &lt; α 0.05), maka dapat disimpulkan bahwa ada pengaruh terapi relaksasi otot progresif terhadap tingkat kecemasan pada pasien pre operasi.Diharapkan agar terapi relaksasi otot progresif dapat dimasukkan kedalam program rumah sakit dalam menangani kecemasan pre operasi.</p>

Effect of Lavender Aromatherapy, Progressive Muscle Relaxation and Guided Imagery on Pre Operative Patient Anxiety. An anxious condition of the patient will affect the function of the body before surgery. High anxiety can affect the physiological function of the body which is characterized by an increase in pulse and respiration frequencies, a shift in blood pressure and temperature, relaxation of smooth muscles in the bladder and intestines, cold and moist skin, increased respiration, pupillary dilation, and dry mouth. This condition is very dangerous for the patient's condition so that an operation can be canceled or postponed. Other consequences, the length of patient care will be longer and cause financial problems. The aim of the study was to determine the effectiveness of lavender aromatherapy, progressive relaxation, and guided imagery to reduce preoperative anxiety in patients. The research design used was Quasi-experimental with Pre post-test design or one group before and after. The study population was adult patients who would undergo elective surgery at dr. H. Abdul Moeloek Lampung Province. The large calculation of samples taken using the Sample Size Calculator For Designing Clinical Research for one group before after study for the paired t-test statistical test. By setting Alpha 0.01, Betha 0,100, Effect Size 0,500 and Standard Deviation 1.00 so that the number of samples used is equal to 60 people. The sampling technique uses simple random sampling method. The results of this study concluded that lavender aromatherapy, progressive muscle relaxation, and guided imagery were effective in reducing preoperative anxiety (mean score before intervention 7.67 (SD 7.890), score after intervention 4.05 (SD 5.806)) with ρ value 0.000. Researchers suggest that lavender aromatherapy, progressive relaxation, and guided imagery can be used as standard interventions in preoperative anxiety diagnosis of patients' anxiety by nurses, this therapy should be done several times until the patient will enter the operating room and this therapy can be taught to nursing students as an action to overcome preoperative anxiety.Abstrak: Pengaruh Aromaterapi Lavender, Relaksasi Otot Progresif dan Guided Imagery terhadap Kecemasan Pasien Pre Operatif. Keadaan cemas pasien akan berpengaruh kepada fungsi tubuh menjelang operasi. Kecemasan yang tinggi, dapat mempengaruhi fungsi fisiologis tubuh yang ditandai dengan adanya peningkatan frekuensi nadi dan respirasi, pergeseran tekanan darah dan suhu, relaksasi otot polos pada kandung kemih dan usus, kulit dingin dan lembab, peningkatan respirasi, dilatasi pupil, dan mulut kering. Kondisi ini sangat membahayakan kondisi pasien, sehingga dapat dibatalkan atau ditundanya suatu operasi. Akibat lainnya, perawatan pasien akan semakin lama dan menimbulkan masalah finansial. Tujuan penelitian adalah mengetahui efektifitas aroma terapi lavender, relaksasi progresif dan guided imagery untuk menurunkan kecemasan pasien pre operatif. Desain penelitian yang digunakan adalah Quasi-experimental deng...

Penelitian ini merupakan penelitian kuantitatif dengan desain quasi eksperimen post test only yang bertujuan untuk membuktikan efektifitas pencegahan luka tekan grade I menggunakan VCO dengan pijat pada klien yang berisiko mengalami luka tekan di Unit Bedah, Rumah Sakit AB, Provinsi Lampung. Hasil uji Fisher exact dan regresi logistik berganda menunjukkan adanya perbedaan kejadian luka tekan pada klien yang dirawat menggunakan VCO dengan pijat dibandingkan dengan klien yang dirawat tanpa VCO (p= 0,033; α= 0,05; OR= 0,733; 95% CI 0,540 – 0,995) setelah dikontrol oleh variabel Indeks Massa Tubuh (IMT). Disarankan kepada perawat agar dapat melakukan pijat menggunakan VCO, sebagai salah satu intervensi mandiri keperawatan dalam intervensi pencegahan luka tekan pada klien yang berisiko mengalami luka tekan.

The Differences Influence Psychoreligious Therapy with Classical Music Therapy on Pre Operation Patient in RSUD dr. H. Abdul Moeloek Lampung Province. The surgical procedure for most patients triggers anxiety and fear. Approximately 60-80% of patients who will undergo surgery experience anxiety that needs to be intervened in the category of moderate to severe anxiety (Efendy, 2005 in Faradisi, 2012). This study aims to determine the effect of psychoreligious therapy and classical music therapy on pre operative patient anxiety in RSUDAM Lampung Province in 2016. This research type is quasi-experiment research with non-equivalent control group design. This research was conducted at RSUDAM Lampung Province in September-November 2016 in three surgical wards: the gelatik room (orthopedic surgery), the kutilang room (male general surgery) and the rose room (female general surgery). The population taken were all pre operative patients within the study period. The sampling technique uses a purposive method and the sample size is 80 people divided into 2 groups ie the group which is given the classical music intervention and the group that is given psycho-religious therapy with religious music and murrotal Al Quran surah Arrahman. The data were collected using a survey of Zung Self Anxiety Rating Scale (ZSARS) instruments before and after treatment. Bivariate analysis was performed using independent t-test statistic test by setting Alpha value 0,05 and 95% CI. The results of this study conclude that there are differences of psycho-religious therapy and classical music therapy on pre operative patient's anxiety at RSUDAM Lampung Province 2016 (p-value 0,030) with a decrease of ZSARS score in patients treated with psycho-religious therapy 2,250. Researchers suggested that psycho-religious therapy performed on pre operative patients at RSUDAM Lampung Province and entered into one form of intervention to decrease preoperative anxiety.