“SAYA SUDAH MENJELASKAN, TAPI MEREKA MASIH CEMAS”: FENOMENOLOGI PENGALAMAN PERAWAT DALAM EDUKASI PASIEN PRAOPERASI JANTUNG
DOI:
https://doi.org/10.51544/jmkm.v10i2.6476Keywords:
fenomenologi, edukasi praoperasi, kecemasan pasien, perawat, operasi jantung terbukaAbstract
Latar belakang: Pasien yang akan menjalani operasi jantung terbuka sering kali mengalami kecemasan tinggi meskipun telah mendapatkan edukasi praoperasi dari perawat. Edukasi yang disampaikan secara verbal sering belum cukup membantu pasien memahami dan menerima proses tindakan medis yang kompleks.
Tujuan: Penelitian ini bertujuan mengeksplorasi pengalaman perawat dalam memberikan edukasi praoperasi kepada pasien jantung terbuka dan memahami makna di balik fenomena kecemasan pasien meskipun sudah diberikan penjelasan.
Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi deskriptif. Partisipan terdiri dari enam perawat yang memiliki pengalaman memberikan edukasi praoperasi jantung terbuka (CABG). Pengumpulan data dilakukan melalui wawancara mendalam semi terstruktur dan dianalisis menggunakan metode analisis Colaizzi.
Hasil: Analisis menghasilkan empat tema utama: (1) keterbatasan komunikasi verbal dalam menenangkan pasien, (2) pentingnya media visual dalam membantu pemahaman pasien, (3) perawat sebagai pendamping emosional, dan (4) kebutuhan inovasi dalam edukasi praoperasi.
Kesimpulan: Edukasi praoperasi yang efektif membutuhkan pendekatan yang tidak hanya informatif tetapi juga empatik dan visual. Perawat memiliki peran penting sebagai komunikator terapeutik yang mampu menghadirkan rasa aman melalui penyampaian edukasi yang humanis dan kontekstual.
Downloads
References
Lai VKW, Ho KM, Wong WT, Leung P, Gomersall CD, Underwood MJ, et al. Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: A randomised controlled trial. BMJ Qual Saf. 2021;30(3):228–35. doi: 10.1136/BMJQS-2019-010667
YASIN M, ARSHAD M, NIGAR Z, TASNEEM S, JABEEN R. EFFECTIVENESS OF PRE-OPERATIVE NURSING INTERVENTION PROGRAM ON ANXIETY AND PERCEIVED CONTROL PROGRAM IN PATIENT UNDERGOING CARDIAC SURGERY. Biological and Clinical Sciences Research Journal. 2024;2024(1):1300. doi: 10.54112/BCSRJ.V2024I1.1300
Bagheri S, Dadashpouromrani Z, Setoodeh G, Shirazi ZH, Amiri A, Ghobadimoghaddam R. Impact of psycho-educational interventions on patients undergoing Coronary Artery Bypass Grafting Surgery. J Cardiothorac Surg. 2025;20(1). doi: 10.1186/S13019-025-03461-3
Darville-Beneby R, Lomanowska AM, Yu HC, Jobin P, Rosenbloom BN, Gabriel G, et al. The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review. Canadian Journal of Pain. 2023;7(2). doi: 10.1080/24740527.2023.2266751
Hussein Mahmoud F, Ahmed Ammar S, Hussein Mahmoud B. Effect of Implementing Nursing Educational Program on Reducing Postoperative Complications for Patients after Intracranial Surgery. Egyptian Journal of Health Care. 2023;14(4):647–58. doi: 10.21608/EJHC.2023.330167
Brodersen F, Wagner J, Uzunoglu FG, Petersen-Ewert C. Impact of Preoperative Patient Education on Postoperative Recovery in Abdominal Surgery: A Systematic Review. World J Surg. 2023;47(4):937–47. doi: 10.1007/S00268-022-06884-4
Nyberg J, Henriksson M, Wall A, Vestberg T, Westerlund M, Walser M, et al. Anxiety severity and cognitive function in primary care patients with anxiety disorder: a cross-sectional study. BMC Psychiatry. 2021;21(1). doi: 10.1186/S12888-021-03618-Z
Girotti M, Bulin SE, Carreno FR. Effects of chronic stress on cognitive function – From neurobiology to intervention. Neurobiol Stress. 2024;33. doi: 10.1016/J.YNSTR.2024.100670
Morava A, Shirzad A, Van Riesen J, Elshawish N, Ahn J, Prapavessis H. Acute stress negatively impacts on-task behavior and lecture comprehension. PLoS One. 2024;19(2 February). doi: 10.1371/JOURNAL.PONE.0297711
Stuart GW. Principles and Practice of Psychiatric Nursing . 10th ed. Elsevier; 2016.
Karalar M, Demirbas A, Gercek O, Topal K, Keles I. Impact of Preoperative Video-Based Education on Anxiety Levels in Patients with Renal Stones Scheduled for Flexible Ureteroscopic Lithotripsy: A Comparative Study Using APAIS and STAI. Medical Science Monitor. 2023;29. doi: 10.12659/MSM.941351
Khan AA, Ali A, Khan AS, Shafi Y, Masud M, Irfan F, et al. Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled trial. Ann Med. 2023;55(1):1234–43. doi: 10.1080/07853890.2023.2191000
Kulakaç N, Ustuner Top F. The Effect of Audio-Visual Methods on Preoperative Anxiety in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Child Youth Care Forum. 2025;54(5):1071–89. doi: 10.1007/S10566-024-09849-X
Degirmentepe RB, Akca YM, Akman OS, Cimen HI, Gul D, Bozkurt M, et al. The impact of video-animated information on anxiety, satisfaction, and pain perception in patients undergoing ESWL: a randomized controlled study. Urolithiasis. 2025;53(1). doi: 10.1007/S00240-025-01757-6
Purnamasari V, Aisyah Nur Azizah, Nia Handayani. Virtual educational video tour of the central surgical installation reduce anxiety of preoperative patients. International Journal of Health Science and Technology. 2024;6(1):9–16. doi: 10.31101/IJHST.V6I1.3419
Putri RA, Handayani S, Kurniawan D. Pengaruh edukasi audiovisual terhadap tingkat kecemasan pasien praoperasi. Jurnal Keperawatan Klinis dan Komunitas. 2022;5(1):45–53.
Sari N, Nugroho A. Efektivitas video edukasi praoperasi terhadap kesiapan pasien bedah mayor. Jurnal Kesehatan. 2021;14(3):210–8.
Jeon JY, Kim DH, Kang K. Effect of audiovisual media-based nursing information on environmental stress, anxiety, and uncertainty in patients undergoing open-heart surgery. Medicine (United States). 2023;102(8):E33001. doi: 10.1097/MD.0000000000033001
Sadeghi N, Salari N, Jalali R. Effect of multimedia education on anxiety and pain in patients undergoing laparoscopic cholecystectomy: a Solomon four-group randomized controlled trial. Sci Rep. 2025;15(1). doi: 10.1038/S41598-024-77207-X
Zetra Irawan A, Lintang Suryani R, Utami T. EFFECT OF AUDIO VISUAL HEALTH EDUCATION ON THE ANXIETY LEVEL OF PRE-OPERATIVE PATIENTS WITH SPINAL ANESTHESIA AT HJ. ANNA LASMANAH BANJARNEGARA HOSPITAL. Java Nursing Journal. 2023;1(2):111–22. doi: 10.61716/JNJ.V1I2.11
Schooley B, Singh A, Neşet Hikmet, Brookshire R, Patel N. Integrated digital patient education at the bedside for patients with chronic conditions: Observational study. JMIR Mhealth Uhealth. 2020;8(12). doi: 10.2196/22947
Van Den Heuvel SF, Jonker P, Hoeks SE, Ismail SY, Stolker RJ, Korstanje JWH. The effect of stand-alone and additional preoperative video education on patients’ knowledge of anaesthesia: A randomised controlled trial. Eur J Anaesthesiol. 2025;42(4):313–23. doi: 10.1097/EJA.0000000000002109
Grab M, Hundertmark F, Thierfelder N, Fairchild M, Mela P, Hagl C, et al. New perspectives in patient education for cardiac surgery using 3D-printing and virtual reality. Front Cardiovasc Med. 2023;10. doi: 10.3389/FCVM.2023.1092007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Siti Suryani Asmara

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.










.png)


