Perioperative is a surgical process that begins pre surgery (surgery), surgery (intraoperative), and postoperative (postoperative). While undergoing a preoperative course the patient will experience anxiety. One way to reduce anxiety levels by giving the dhikr therapy has a relaxing effect. The purpose of this study was to determine the effect of dhikr therapy on the level of anxiety inpreoperative patients in the surgical ward of the general regional Pemangkat hospital in 2019. This research used quantitative research with the pre experiment method, and pre and post test without control group approach. The method of selecting samples in this study uses Non Probability Sampling with Conseutive Sampling techniques. The sampling technique using one questionnaire, namely the APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire, which was conducted 2 times, namely 1 pre and 1 post. The number of samples in this study were 33 respondents from preoperative patients. The data analysis in this study used Paired T test.The results of the study with the effect of dhikr therapy on the anxiety level of preoperative patients were produce a P value of 0.00 with a significance value of 0.05. So the value of P < 0.05 which means that Ha accepted. The conclusion of this study found that the Dhikr therapy have positive effect to reduce the levelof anxiety in preoperative patients in the surgical ward of the general regional Pemangkat hospital in 2019. For the nursing profession, to the hospital for the respondent institutions, for further research. Hopefully this research has been done can be put to good use for the delivery of health services in the future.
Pre-surgical anxiety is an anticipative response to an experience regarded by clients as a threat to their life and bodily integrity. Spiritual therapy is an alternative treatment used by the religious through prayer and dzikir. This study aims to determine the effectiveness of spiritual therapies on the level of patient anxiety in preoperative patients. This research used a pre-experiment with a post-test-only design. Fifty respondents were taken by total sampling and divided into two groups (intervention and control group); each group consisted of 25 patients. The research was conducted from September to October 2020 at the University of Muhammadiyah Malang hospital. The dependent variable was anxiety level, measured by SAS (Zung self-rating anxiety scale) questionnaire. The data were analyzed with Mann Whitney Test using SPSS software version 23. The intervention group had mild anxiety at 52%, while the control group had 80%. The statistical test obtained a p-value of 0.016 < 0.05 and an effect size of 0.34 (moderate). This means that there is a difference in anxiety levels between the two groups. Spiritual therapies can enhance emotional intelligence, interpret its condition, and be aware of anything in favor of Allah SWT to improve coping and lower the level of anxiety. The nurse may provide spiritual intervention to pre-surgery patients to reduce their level of anxiety. Keywords: anxiety, spiritual therapy, pre-operation, dzikir
Aim: Stroke is a major health burden that causes adult mortality and disability. Cognitive impairment is common after stroke, and this condition can affect the patient's quality of life and independence. In this study, we investigated the association between stroke recurrence frequency and cognitive function. Methods: The study design was a cross-sectional study. A purposive sampling technique was used to collect data on a total of 69 stroke patients from the University of Muhammadiyah Malang (UMM) Hospital. The inclusion criteria were stroke patients who experienced recurrence, were conscious, and able to communicate at least verbally. The determination of the number of samples was made using G*Power software with an effect size of 0.35, p-value of 0.05, and power of 80%. Data was collected using a sociodemographic questionnaire and mini-mental state examination. Data were analyzed using descriptive statistics and Spearman's rho correlation due to the violated normal distribution assumption. Results: The mean age of the participants was 61.91 (12.65) years, and 84.10% of them had ischemic stroke. The highest incidence of stroke recurrence was the first recurrence (63%), and the majority of respondents had moderate cognitive impairment (52.18%). There is an association between stroke recurrence and cognitive function, with a low correlation (p = 0.017, r = -0.29). Conclusions:The results of this study demonstrate that cognitive function will be decreased by stroke recurrence. Healthcare teams should develop strategies and intervention protocols to improve patient compliance in controlling factors that can cause stroke recurrence, so that cognitive function decline can be minimized.
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