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"Banyak faktor yang dapat mempengaruhi tingkat kecemasan pasien di ruang rawat ICU, di antaranya pengalaman dirawat di ICU itu sendiri serta lingkungan ICU yang banyak menimbulkan suara dari mesin dan monitor. Selain itu, pasien tidak mampu berkomunikasi secara lisan karena pemasangan endotracheal tube. Ketidakmampuan berkomunikasi ini membuat pasien merasa tidak berdaya, takut, kesepian, dan cemas. Untuk mengurangi dan mencegah kecemasan ini berkembang lebih lanjut adalah dengan menerapkan komunikasi terapeutik pada pasien. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional yang menggunakan purposive sampling dengan 69 responden. Sumber data merupakan data primer yang dikumpulkan peneliti menggunakan kuesioner. Data menggunakan analisa univariat dan bivariat dengan uji chi-square. Hasil penelitian menunjukan gambaran komunikasi terapeutik mayoritas baik (60.9%). Gambaran tingkat kecemasan mayoritras ringan (56.5%). Hasil uji statistic Chi Square di peroleh nilai ? 0,000 (<0,05) artinya ada hubungan antara komunikasi terapeutik dengan tingkat kecemasan pada masa penyepihan ventilator. Komunikasi terapeutik yang diterapkan oleh perawat efektif menurunkan kecemasan pasien dalam masa penyapihan ventilator. Penelitian lebih lanjut dibutuhkan untuk melihat faktor-faktor yang mempengaruhi tingkat kecemasan pasien selama perawatan di ruang ICU.

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Many factors can affect the patient's anxiety level in intensive unit, including the experience of being treated in the ICU itself and the ICU environment which generates a lot of noise from machines and monitors. In addition, the patient was unable to communicate verbally because of the endotracheal tube placement. This inability to communicate makes patients feel helpless, afraid, lonely, and anxious. To reduce and prevent this anxiety from developing further is to apply therapeutic communication to patients. The research to be conducted is a quantitative study with a cross-sectional design using purposive sampling with a total sample of 69 respondents. The data source is primary data collected by researchers using a questionnaire. Data analysis used univariate and bivariate analysis with chi-square. The results showed that the majority of the therapeutic communication images were good (60.9%). The description of the level of anxiety of the majority is mild (56.5%). The results of the Chi Square statistical test obtained ? 0.000 (<0.05) meaning that there is a relationship between therapeutic communication and anxiety levels during ventilator withdrawal. Therapeutic communication implemented by nurses is effective in reducing patient anxiety during ventilator withdrawal. Further research is needed to look at the factors that influence the patient's anxiety level during treatment in the ICU."

"Kecemasan merupakan masalah psikologis yang sering muncul pada penyakit jantung terutama pada pasien dengan sindrom koroner akut. Fokus intervensi pada pasien dengan SKA seharusnya tidak hanya pada pengobatan atau mengatasi gangguan fisik saja akan tetapi harus mempertimbangkan juga aspek psikologisnya. Salah satu penanganannya dengan menggunakan terapi murotal Al-Quran. Tujuan penelitian ini untuk mengidentifikasi pengaruh intervensi terapi murotal Al-Quran terhadap kecemasan pada pasien dengan SKA. Desain penelitian menggunakan quasy experiment pre-post test dengan grup kontrol. eknik pengambilan sampel dengan cara consecutive sampling yang terdiri dari 15 responden sebagai kelompok intervensi dan 15 responden sebagai kelompok kontrol. Terapi murotal Al-Quran diberikan dengan durasi selama 30 menit. Hasil penelitian menunjukkan adanya perbedaan rata-rata skor kecemasan yang signifikan setelah mendapat terapi murotal Al-Quran antara kelompok intervensi dan kelompok kontrol. Perbedaan rata-rata kecemasan pada kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol. Kesimpulannya, terapi murotal Al-Quran secara signifikan dapat menurunkan kecemasan pada pasien dengan SKA. Disarankan agar terapi murotal Al-Quran diterapkan sebagai bagian dari intervensi keperawatan dalam menangani pasien SKA yang mengalami kecemasan.

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Anxiety is a psychological problem that often appears in cardiac disease, specially in patient with acute coronary syndrome. Intervention focus on patients with ACS should not only on treatment of or overcoming physical disorder, but should also consider the psychological aspect. One of the treatment is using Murotal Al-Quran therapy.

The aim of this research is to identify the influence of intervention of murotal Al-Quran therapy on the anxiety of patient with ACS. The research used a quasy experiment pre-post test with control group. The sample was collected using a consecutive sampling, fifteen respondents was assigned for the intervention group and fifteen respondents was assigned for the control group. A therapy of murotal Al-Quran was implemented for 30 minutes.

The result showed that there is a significant difference in average score of anxiety after having the murotal Al-Quran therapy between the intervention group and the control group. The difference in average score of anxiety on the intervention group is higher than the control group. The conclusion, murotal Al-Quran therapy is significantly decrease the anxiety of patients with ACS. It is suggested that murotal Al-Quran therapy is implemented as part of nursing intervention in taking care of patient with ACS who experience anxiety."

"[Latar Belakang: Kecemasan praoperatif mempunyai pengaruh yang signifikan terhadap pembiusan dan pembedahan. Saat ini belum ada instrumen spesifik untuk mengukur kecemasan praoperasi pada populasi Indonesia. Instrumen APAIS merupakan instrumen yang telah digunakan luas di dunia untuk mengukur kecemasan praoperatif. Penerjemahan, validasi dan reliabilitas instrumen APAIS pada populasi Indonesia merupakan tujuan penelitian ini.Metode: Penerjemahan APAIS dilakukan dengan penerjemahan maju dan mundur. Sebanyak 102 pasien yang akan menjalani operasi elektif mengisi instrumen APAIS versi Indonesia satu hari sebelumnya. Validitas konstruksi dinilai dengan metode analisis faktor. Reliabilitas dinilai dengan konsistensi internal Cronbach’s Alpha.Hasil: Sebanyak 102 pasien (42 laki-laki dan 60 perempuan) menjadi subjek penelitian penelitian ini. Analisis faktor dengan rotasi oblique menghasilkan dua skala yaitu skala kecemasan dan kebutuhan informasi. Hasil reliabilitas Cronbach’s Alpha skala kecemasan dan kebutuhan informasi APAIS versi Indonesia cukup tinggi yaitu 0,825 dan 0,863. Pasien dengan kebutuhan informasi tinggi menunjukkan kecemasan praoperatif yang lebih tinggi. Skala APAIS tidak berhubungan dengan jenis kelamin, riwayat operasi, jenis operasi atau jenis anestesi.Simpulan: APAIS versi Indonesia sahih (valid) dan handal (reliable) untuk mengukur kecemasan praoperatif pada populasi Indonesia. Penelitian selanjutnya diperlukan untuk menentukan sensitivitas dan spesifisitas cut off point kecemasan pada populasi Indonesia.;Background: Preoperative anxiety has a significant effect on anesthesia and surgery. Currently there is no specific instrument for measuring preoperative anxiety in Indonesian population. APAIS have been used worldwidely to measure preoperative anxiety. Translation, validation and reliability of instrument APAIS in Indonesian population is the purpose of this study.Methods: The translation was done in forward and backward translation. Total sample 102 patient undergoing elective surgery answered the Indonesian APAIS one day before operation. Construct validity was determined by factor analysis with oblique rotation. The internal consistency was evaluated by Cronbach’s alpha.Results: A total 102 patient (42 men and 60 women) enrolled in this study. The two scales anxiety and need for information could be replicated by factor analysis. High reliability Cronbach’s alpha anxiety and need for information scale Indonesian APAIS respectively 0,825 and 0,863. Patient with high information needs showed higher preoperative anxiety. The APAIS scale are independent of sex, previous surgery, type of operation or type of anesthesia.Conclusion: Indonesian APAIS proved to be reliable and valid instrument to measure preoperative anxiety in Indonesian population. Further research is needed to determine the sensitivity and specificity of Indonesian APAIS to get cut off point anxiety of Indonesian population., Background: Preoperative anxiety has a significant effect on anesthesia and surgery. Currently there is no specific instrument for measuring preoperative anxiety in Indonesian population. APAIS have been used worldwidely to measure preoperative anxiety. Translation, validation and reliability of instrument APAIS in Indonesian population is the purpose of this study.Methods: The translation was done in forward and backward translation. Total sample 102 patient undergoing elective surgery answered the Indonesian APAIS one day before operation. Construct validity was determined by factor analysis with oblique rotation. The internal consistency was evaluated by Cronbach’s alpha.Results: A total 102 patient (42 men and 60 women) enrolled in this study. The two scales anxiety and need for information could be replicated by factor analysis. High reliability Cronbach’s alpha anxiety and need for information scale Indonesian APAIS respectively 0,825 and 0,863. Patient with high information needs showed higher preoperative anxiety. The APAIS scale are independent of sex, previous surgery, type of operation or type of anesthesia.Conclusion: Indonesian APAIS proved to be reliable and valid instrument to measure preoperative anxiety in Indonesian population. Further research is needed to determine the sensitivity and specificity of Indonesian APAIS to get cut off point anxiety of Indonesian population.]"