Pengaruh Edukasi Pra-anestesia terhadap Tingkat Kecemasan Pasien Dewasa yang Menjalani Operasi Jantung Terbuka

Pre-operative anxiety activates the stress response, causing stimulation of the sympathetic nervous system, which timulates cardiovascular system by increasing the blood catecholamines levels, causing tachycardia, hypertension, ischemia and myocardial infarction. The response may have detrimental effects on the coronary circulation, increasing morbidity and mortality. One of the management is by the provision of information (education) through effective and informative communication with empathy, which are expected to decrease patients’ anxiety level before undergoing anesthesia and surgery. This study aimed to determine the effect of preanesthesia education to the anxiety level in open heart surgery patients in Cipto Mangunkusumo Hospital. This was a quasi-experimental trials of adult open heart surgery patients in Integrated Cardiac Center of Cipto Mangunkusumo Hospital in March 2016. After permission from the medical committee and informed consent were obtained, the anxiety level of 36 subjects was assessed before and after the education using APAIS instrument. Before the education was given, vital signs were measured, continued by education and discussion. There was a significant decrease in the average level of anxiety before education compared with after education (p<0.001). Preanesthesia education lowers the anxiety level in adult open heart surgery patients in Cipto Mangunkusumo Hospital.