The Relationship of Providing Information with Anxiety Levels in

Preoperative Patients in Kenanga I and Melati III Rooms

RSUD Dr. Pirngadi Medan in 2019
Khairunnisa Lubis
Poltekkes Kemenkes RI Medan Department of
Nursing Email: khairunlubid1828@gmail.com
Abstract
Pre operation means a state / time before surgery is performed. Pre surgery is the phase that begins when the
decision to undergo surgery or surgery is made and ends when the patient is transferred to the operating table. Based
on data obtained from the World Health Organization (WHO) 2011-2012, the number of patients with surgery has
increased significantly from year to year. The purpose of this study was to determine the relationship between the
provision of information and the level of anxiety in preoperative patients in Kenanga I and Melati III Hospital Dr.
Pirngadi Medan. This research method is descriptive with cross sectional design, population 974 respondents,
sampling using accidental sampling technique with a sample size of 42 respondents, using observation sheets and
questionnaires. Based on the results of the study, it was found that the majority of respondents who received less
information were 24 people (57.1%) and the majority of respondents experienced moderate anxiety as many as 22
people (52.4%). The results of the research that was carried out on 42 respondents obtained the conclusion in this
study that the provision of information with anxiety levels obtained p value = 0.001 (p <0.05) with a 95%
confidence level. This shows statistically that there is a significant relationship between providing information with
the level of anxiety in preoperative patients. The results of the research that was carried out on 42 respondents
obtained the conclusion in this study that the provision of information with anxiety levels obtained p value = 0.001
(p <0.05) with a 95% confidence level. This shows statistically that there is a significant relationship between
providing information with the level of anxiety in preoperative patients. The results of the research that was carried
out on 42 respondents obtained the conclusion in this study that the provision of information with anxiety levels
obtained p value = 0.001 (p <0.05) with a 95% confidence level. This shows statistically that there is a significant
relationship between providing information with the level of anxiety in preoperative patients.
Keywords : Provision of Information, Level of Anxiety, Pre Operation.

PRELIMINARY in the category done immediately. This anxious

Surgery is a form of therapeutic effort that can
threaten the integrity of a person's body and soul. The
planned operation can elicit both physiological and
psychological responses in the patient. The
psychological response that usually occurs in
preoperative patients is anxiety (Rohmawati, 2012).
Based on data obtained from the World Health
Organization (WHO) 2011-2012, the number of
patients with surgery has reached a very significant
rate from year to year. It was recorded that in 2011
there were 140 million patients in all hospitals in the
world, while in 2012 the data had increased by
148 million people. Based on WHO data in 2007, the
United States analyzed data from 35,539 surgery
patients admitted to the intensive care unit between
October 10, 2003 and September 30, 2006, of 8,922
patients (25.1%) had psychiatric conditions and 2,473
patients (7%). ) experiencing anxiety before surgery
(Hasanah, 2017).
Treatment actions that cause a lot of anxiety,
namely surgery which is a very frightening
experience, both for health people themselves and for
ordinary people, especially those that are not planned
if the surgery is carried out including
prepare yourself physically and mentally to face the
reaction will continue if the client has never received
or lacks information related to the disease and the
actions that will be taken against him. Carbonel
(2004) says that everyone has experienced periods of
anxiety, especially patients who are going to undergo
surgery. Anxiety is a clear clinical symptom seen in
patients with medical management. Carpenito (2006)
says that 90% of preoperative patients experience
anxiety (Nuraeni 2015).
According to Solehati and Kosasih (2018) anxiety
is a universal human experience, an unpleasant
response, full of worry, an unexpressed and
undirected fear because a source of threat or thoughts
of something that will come is unclear and
unidentified.
The results of the research by Rohmawati (2012)
that patients who experience mild anxiety are likely
due to the fact that the patient has received complete
information about the results of the examination and
the reasons for surgery and the possibilities that occur
if the operation is not performed, so that the patient
can consider the benefits obtained if the patient is not.
performed surgery. The patient can
surgery that will be performed so that you experience mild
anxiety. Patients who experience moderate and severe measurement of anxiety using the HRS-A (Hamilton
anxiety may be caused by the patient not getting Rating Scale For Anxiety) measurement tool.
detailed information about his health condition and
the operation to be performed. The patient feels the RESULTS AND DISCUSSION
operation is a threat to his integrity.
The results of Nuraeni's (2015) study show that a 1. Univariate Analysis
person's low level of knowledge increases the The form of univariate analysis depends on the
patient's anxiety level. The anxiety experienced by type of data. In general, this analysis only produces
the operation was good, the anxiety when going to the frequency distribution and presentation of each
undergo surgery was lower than that of people who variable.
had poor knowledge. This is understandable because Table 1.1
the pre-surgical information provided by the officer Frequency Distribution of Respondents in
aims to rectify the patient's inaccurate perception or Preoperative Patients Based on Information
understanding of the operation. Giving in Kenanga I and Melati III Rooms
Based on the prevalence of data obtained at RSUD Dr. Pirngadi Medan
Dr.Pirngadi Hospital in Medan from January to
December 2018, in Kenanga I room totaled 538
patients and Melati III amounted to 436 patients who No. Giving Frequency %
Information
would undergo surgery.
1 Enough 18 42.9
Based on the description above, the researcher is
2 Less 24 57.1
interested in conducting research on "The
Total 42 100.0
Relationship of Providing Information to
Preoperative Patients with Anxiety Levels in
Kenanga I and Melati III Rooms at Dr. Pirngadi From table 1.1 above, it is found that the majority
Medan in 2019 ". of respondents who received less information were
24 people (57.1%).
RESEARCH METHODS
Table 1.2
The type of research used in this research is Frequency Distribution of Respondents in
analytic, which is to find the relationship between the Preoperative Patients by Level of Anxiety in
independent variable and the dependent variable. This Kenanga I and Melati III Rooms
research uses a cross-sectional design, which is a RSUD Dr. Pirngadi Medan
study to study the dynamics of the correlation
between risk factors and effects, by approaching, No Anxiety Level Frequenc %
observing, or collecting. data at once at a time (point . y
time approach). This means that each subject is 1 Light 3 7.1
observed only once and the measurement of the 2 Moderate 22 52.4
subject variable is carried out during the examination 3 No worries 17 40.5
(Notoatmodjo, 2012). The location of this research Total 42 100.0
will be conducted in the Kenanga I and Melati III
rooms at the Dr Pirngadi Hospital, Medan City. Based on Table 1.2 above, it was found that the
The population in this study were all preoperative majority of respondents experienced moderate
patients undergoing treatment at RSUD Dr. Pirngadi anxiety as many as 22 people (52.4%).
Medan. It is known that the number of patients who
will undergo surgery is 974 people in 2018. And the 2. Bivariate Analysis
sample size in this study was 42 people using the Bivariate analysis was carried out on two
Slovin formula. variables that were thought to be related or correlated
In this study the researchers used a different using the chi-square (x2) statistical test, which was to
questionnaire, the questionnaire for providing see the relationship between providing information
information used standard operational procedures for and anxiety levels in preoperative patients, as shown
providing information before surgery and the in the table below:
questionnaire for the level of anxiety researchers
used. Table 1.3
Frequency Distribution of Respondents Based on
Providing Information with Anxiety Levels in
Preoperative Patients in Kenanga I and Melati III
Rooms
RSUD Dr. Pirngadi Medan
 Anxiety level
Giving
Light % Modera
Information te
Enough 1 2.4 4 9.5
Less 2 4.8 18
Total 3 7.1 22
Based on Table 1.3 above, the results of the chi-
square analysis (Pearson Chi-Square) provide
information with the level of anxiety, the p value =
0.001 (p <0.05) with a confidence level of 95
%. This shows statistically that there is a significant
relationship between providing information with the
level of anxiety in preoperative patients.
DISCUSSION
1. Provision of Information
Provision of information is all information
provided by nurses or other medical personnel to
patients about the preparation and basic procedures
for surgery.
The results showed that the majority of
respondents who received less information were 24
people (57.1%). These results are in line with
research by Nuraeni (2015) that 23 adult surgical
patients out of 71 respondents with less knowledge
(32.4%). These results indicate that the surgical
patient is agedadults are almost half of that
respondents less
knowledgeable about preoperative information.
According to Baradero, Dayrit and Siswandi (2008),
the benefit of pre-surgical information provision is to
meet individual needs for knowledgesurgery,
increasing the safety of the patient , and pulse increases and
increase psychological and physiological comfort,
meanwhile according to Wiramiharja (2004) in
Nuraeni (2015) people who have knowledge about
preoperative information well,
anxiety when going to undergo surgery is lower than
that of people who have poor knowledge. This is
understandable because the pre-surgical information
provided by the officer aims to straighten the patient's
perception or understanding
less precise about surgery.
Therefore, the researchers assumed that the lack
of information was due to the pre-surgical standard
operational procedures regarding the provision of
insufficient information by nurses and other medical
personnel to patients. Providing information about a
good preoperative procedure is needed before the
patient will be done
Based on the results of the chi-square analysis
(Pearson Chi-Square) providing information with
anxiety levels obtained p value = 0.0001 (p <0.05)
with a confidence level of 95%. This shows
statistically that there is a significant relationship
% No % Total % p value
worrie
s
13 31.0 18 42.9
0.001
42.9 4 9.5 24 57.1
52.4 17 40.5 42 100.0
surgery, so that patients who previously did not know
any information about pre surgery became aware and
were even able to control their minds to remain calm
in the face of surgery. Based on the research
conducted, there was no Standard Operating
Procedure on Giving Pre Operations in the Room.
2. Anxiety Level
Anxiety is a natural disorder characterized by
deep and continuous feelings of fear or worry, does
not experience disturbances in assessing reality,
personality is still intact, behavior can be disturbed,
but is still within normal limits. (Jaya, 2017)
The results showed that the majority of
respondents experienced moderate anxiety as many
as 22 people (52.4%), while this result is in line with
Nuraeni (2015), namely patients in the Cideres
Hospital Surgery room in 2015 out of 71 respondents
as many as 37 people (52.1%) experienced moderate
anxiety levels. These results indicate that most adult
surgical patients have moderate anxiety. Meanwhile,
according to Jaya (2017), usually in anxiety, patients
experience internal obstaclespay attention to certain
things, however could
do or pay attention to those things when asked, have
enough difficulty concentrating, difficulty in adapting
and analyzing, changes in voice or tone, breathing
tremor.
Therefore, researchers assume that most patients
who will undergo surgery experience anxiety because
they are worried about the condition of the disease,
worry that they will not recover, worry about the
failure of the operation, there is no experience, lack
of information from the hospital or other people, and
the type of surgery performed is high risk. against
death.
3. Relationship of Providing Information with
Anxiety Level in Preoperative Patients
Based on the results of the study, it was found that
the majority of respondents who received less
information were 24 people (57.1%) and the majority
of respondents experienced moderate anxiety as
many as 22 people (52.4%).
between providing information with the level of anxiety
in preoperative patients.
The results of this study are in line with Sawitri and
Sudaryanto (2008) with the title "The Effect of
Providing Pre-Surgical Information on Anxiety Levels
in Major Pre-Surgical Patients at the Orthopedic
Ward, Kustati Hospital, Surakarta." major
preoperative patients.
According to the researchers' assumptions,
providing information to preoperative patients is very
important in determining the level of anxiety in
patients who will be operated on, with preoperative
information explanations will help reduce bad
perceptions of surgery so that patients understand the
actions to be performed on them. All information
provided will affect the patient's mindset on anxiety,
therefore the importance of information before
surgery because surgery affects the safety or recovery
of preoperative patients.
CONCLUSION AND
CONCLUSION
1. Provision of information to patients with
preoperative results obtained is that the majority
of respondents received less information as many
as 24 people.
2. Anxiety in preoperative patients was mostly in the
medium anxiety category as many as 22 people.
3. The results showed that there was a significant
relationship between providing information with
the level of anxiety in preoperative patients.
SUGGESTION
1. For the Hospital
The results of this study can provide information
and evaluation of nursing in Dr. Pirngadi Medan
in providing information with the level of anxiety
in preoperative patients so that in the future it can
improve the quality of higher quality services by
adding information-giving procedures.
2. For Hospital Nurses
Because there is a relationship between the
provision of information and the level of anxiety
in preoperative patients, it is recommended that
every hospital nurse before the patient performs
agar surgery
provide good information to patients in order to
minimize the level of anxiety in patients who will
perform surgery.
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