Pengalaman Pasien yang Pertama Kali Akan Menjalani Operasi di RSUD dr. R. Goeteng Taroenadibrata Purbalingga

Tisya Noor Qomara Putri, Eza Kemal Firdaus, Linda Yanti

Abstract

The primary research issue explored in this thesis is the psychological and emotional challenges faced by patients undergoing surgery for the first time. These challenges include anxiety, fear, and concerns regarding the surgical procedure, potential pain, and the overall experience in the operating room. The objective of this study is to understand the experiences of first-time surgery patients and identify the factors influencing their preoperative psychological state.  This research adopts a qualitative methodology with a phenomenological approach, aiming to delve into the personal experiences and perceptions of individuals related to a specific phenomenon—in this case, the patients’ preoperative experience. This approach involves collecting descriptive data through interviews and observations to gain a deep insight into participants’ lived experiences.  The study reveals that preoperative preparedness is shaped by several key factors. Mental preparation is crucial in reducing anxiety and fostering cooperation during surgery. Physiological preparation ensures the patient’s physical readiness. Psychological preparation, including health education, helps alleviate stress for both the patient and their family, minimizes the risk of postoperative complications, and improves overall outcomes.  The research concludes that preoperative experiences are largely influenced by emotional factors such as anxiety and curiosity. Additionally, family support plays a critical role in the patient’s recovery. The study recommends enhancing psychological preparation through health education to reduce stress and improve outcomes, emphasizing the significance of involving the family in decision-making and providing support throughout the process.

Keywords

Patient Experience, Family Support, Dr. R. Goeteng Taroenadibrata Purbalingga Regional Hospital

Full Text:

PDF

References

Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. International Journal of Surgery Open, 25, 6–16. https://doi.org/10.1016/j.ijso.2020.05.010

Abraham, J., Meng, A., Siraco, S., Kannampallil, T., Politi, M. C., Baumann, A. A., Lenze, E. J., & Avidan, M. S. (2020). A Qualitative Study of Perioperative Depression and Anxiety in Older Adults. American Journal of Geriatric Psychiatry, 28(10), 1107–1118. https://doi.org/10.1016/j.jagp.2020.02.010

Al-Doghaither, A. H., Abdelrhman, B. M., Wahid Saeed, A. A., & Magzoub, M. E. M. A. (2003). Factors influencing patient choice of hospitals in Riyadh, Saudi Arabia. Journal of The Royal Society for the Promotion of Health, 123(2), 105–109. https://doi.org/10.1177/146642400312300215

Arfasa, N., Nega Kassa, R., & Girma Legesse, T. (2022). Preoperative anxiety and its associated factors among patients undergoing cardiac catheterization at saint peter Specialized Hospital and Addis Cardiac Center, Addis Ababa, Ethiopia. International Journal of Africa Nursing Sciences, 17(May), 100430. https://doi.org/10.1016/j.ijans.2022.100430

Astuti, A., Abiyoga, A., & Safitri, K. H. (2021). Gambaran Karakteristik, Pengetahuan, Dan Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea Di Instalasi Bedah Sentral. Jurnal Keperawatan Wiyata, 2(2), 11. https://doi.org/10.35728/jkw.v2i2.363

Bado, B. (2021). Model Pendekatan Kualitatif: Telaah Dalam Metode Penelitian Ilmiah. In Pengantar Metode Kualitatif.

Bedaso, A., Mekonnen, N., & Duko, B. (2022). Prevalence and factors associated with preoperative anxiety among patients undergoing surgery in low-income and middle-income countries: A systematic review and meta-analysis. BMJ Open, 12(3), 1–10. https://doi.org/10.1136/bmjopen-2021-058187

Chauhan, V., Sharma, A., & Sagar, M. (2021). Exploring patient choice in India: A study on hospital selection. International Journal of Healthcare Management, 14(2), 610–620. https://doi.org/10.1080/20479700.2019.1679520

Che, X., Chen, W., Wu, X., & Lin, P. (2023). Factors associated with hospital choice of Chinese patients: A meta-analysis. Medicine (United States), 102(4), E32699. https://doi.org/10.1097/MD.0000000000032699

Creswell, J. W., & Creswell, J. D. (2018). Research Design Qualitative, Quantitative, and Mixed Methods Approaches.

Dijkstra, B. M., Felten-Barentsz, K. M., van der Valk, M. J. M., van der Hoeven, J. G., Schoonhoven, L., & Vloet, L. C. M. (2023). Exploring patients’ and relatives’ needs and perceptions regarding family participation in essential care in the intensive care unit: A qualitative study. Intensive and Critical Care Nursing, 79(August), 103525. https://doi.org/10.1016/j.iccn.2023.103525

Dinas Kesehatan Provinsi Jawa Tengah. (2019). Profil Kesehatan Provinsi Jateng Tahun 2019. Dinas Kesehatan Provinsi Jawa Tengah, 3511351(24), 61.

Dreuning, K. M., Haverman, L., Bosschieter, P. F., van Looij, M. A., van Heurn, L. E., & Derikx, J. P. (2023). Age-specific and family-centered information modalities to prepare children at home for day-care surgery. Journal of Pediatric Surgery, 58(3), 510–517. https://doi.org/10.1016/j.jpedsurg.2022.08.023

Febriyanti, F., Sutresna, I. N., & Prihandini, C. W. (2020). Pengaruh Komunikasi Terapeutik Perawat Terhadap Tingkat Kecemasan Pada Pasien Pra Operasi. Journal Center of Research Publication in Midwifery and Nursing, 4(1), 35–39. https://doi.org/10.36474/caring.v4i1.131

Fiantika, F. R., Wasil, M., Jumiyati, S., Honesti, L., Wahyuni, S., Mouw, E., Jonata, Mashudi, I., Hasanah, N., Maharani, A., Ambarwati, K., Noflidaputri, R., Nuryami, & Waris, L. (2022). Metodologi Penelitian Kualitatif. In Metodologi Penelitian Kualitatif. In Rake Sarasin (Issue Maret). https://scholar.google.com/citations?user=O-B3eJYAAAAJ&hl=en

Firdaus, E. K., Hardiyani, T., Dos Santos Silva, J. F., & Amir, H. (2023). What are the reasons for choosing traditional medicine over conventional medicine? A qualitative study. Gaceta Medica de Caracas, 131(100), S27–S33. https://doi.org/10.47307/GMC.2023.131.s1.6

Firdaus, E. K., Widyawati, W., & Effendy, C. (2021). Experience of Patients With Chronic Diseases in Complementary Medicine and Integrative Health Seeking Behaviors. International Journal of Nursing and Midwifery Science (Ijnms), 5(1), 40–48. https://doi.org/10.29082/ijnms/2021/vol5/iss1/340

Garjito, B. (2021). Hubungan Dukungan Keluarga terhadap Tingkat Kecemasan Pasien Pre Anestesi di Rumah Sakit Daerah Mangusada. Bali Health Published Journal, 3(1), 36–47. https://doi.org/10.47859/bhpj.v3i1.12

Handayani, S., Hafiddudin, M., Untari, I., & Septiyaningsih, T. (2024). The Relationship between Family Support and the Anxiety Level of Pre-Elective Surgery Patients at PKU Muhammadiyah Karanganyar Hospital Hubungan Dukungan Keluarga dengan Tingkat Kecemasan Pasien Pre Operasi Elektif di RS PKU Muhammadiyah Karanganyar. 165–172.

Harahap, N. (2020). Penelitian Kualitatif.

Ilmu, J., & Jikk, K. (2024). Efektivitas Terapi Doodling Dalam Menurunkan Tingkat Gangguan Psikologis Pada Pasien Pre Operasi. 1, 13–21.

Kurniawan, A., Kurnia, E., & Triyoga, A. (2018). Pengetahuan Pasien Pre Operasi Dalam Persiapan Pembedahan. Jurnal Penelitian Keperawatan, 4(2). https://doi.org/10.32660/jurnal.v4i2.325

Lenaini, I. (2021). Teknik Pengambilan Sampel Purposive Dan Snowball Sampling. HISTORIS: Jurnal Kajian, Penelitian & Pengembangan Pendidikan Sejarah, 6(1), 33–39. http://journal.ummat.ac.id/index.php/historis

Lestari, B., Wahyuningtyas, E. S., & Kamal, S. (2022). The Effect of Health Education with Javanese Videos on the Anxiety of Preoperative Surgical Major Patients Bekti. Konsorsium LPPM PTMA, 1–3.

Liang, Z., Xu, M., Liu, G., Zhou, Y., & Howard, P. (2022). Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals. BMC Medical Ethics, 23(1), 1–13. https://doi.org/10.1186/s12910-022-00777-w

Luengo, T. D., Rivas, A. B., Loureido, E., & Vargas, E. (2023). Reducing preoperative anxiety in parents of surgical patients. Heliyon, 9(5). https://doi.org/10.1016/j.heliyon.2023.e15920

Masahida, R. W. (2021). Faktor-faktor Yang Mempengaruhi Kecemasan Pre Operasi Pada Pasien Dengan Anestesi Di Rumah Sakit Umum Daerah Bendan Pekalongan. 2, 12–36.

Muhamad Iksan Ramadhansyah, O., Sukmaningtyas, W., Netra, I. W., & Studi Keperawatan Anestesiologi Program Sarjana Terapan Fakultas Kesehatan Universitas Harapan Bangsa, P. (2023). http://bajangjournal.com/index.php/JCI Gambaran Kecemasan Pasien Pre Operasi TURP (Transurethal Resection Of The Prostate) Dengan Spinal Anestesi Menggunakan Terapi Murottal Di RSUD Cilacap. JCI Jurnal Cakrawala Ilmiah, 3(2), 601–612. http://bajangjournal.com/index.php/JCI

Mulugeta, H., Ayana, M., Sintayehu, M., Dessie, G., & Zewdu, T. (2018). Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiology, 18(1), 1–9. https://doi.org/10.1186/s12871-018-0619-0

Musyaffa, A., Wirakhmi, I. N., & Sumarni, T. (2023). Gambaran Tingkat Kecemasan Pada Pasien Pre Operasi. Jurnal Penelitian Perawat Profesional,

Nasurulloh, A., Asiandi, Elsanti, D., & H, D. Y. (2023). Faktor Faktor Penyebab Penundaan Operasi Elektif Di Instalasi Bedah Sentral Rsud Banyumas. 2(1), 41–55.

Nielsen, S., Ringborg, C. H., Schandl, A., & Lagergren, P. (2021). A qualitative study exploring patient’s experiences of oesophageal cancer surgery, through their personal advice to future patients. European Journal of Oncology Nursing, 54(December 2020), 101983. https://doi.org/10.1016/j.ejon.2021.101983

Palumbo, R., Annarumma, C., Manna, R., Musella, M., & Adinolfi, P. (2019). Improving quality by involving patient. The role of health literacy in influencing patients’ behaviors. International Journal of Healthcare Management, 0(0), 1–9. https://doi.org/10.1080/20479700.2019.1620458

Ramesh, C., Nayak, B. S., Pai, V. B., George, A., George, L. S., & Devi, E. S. (2017). Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study. International Journal of Africa Nursing Sciences, 7, 31–36. https://doi.org/10.1016/j.ijans.2017.06.003

Samad. (2022). Analisa Persiapan Pasien Sebelum Menjalani Operasi Di Ruang Rawat Inap RSPTN Universitas Hasanuddin Makassar.

Sari, I. D. A. H. (2019). Hubungan Tindakan Persiapan Perawatan Pre Operasi Dengan Tingkat Kecemasan Pasien Di Ruang Rawat Inap Bedah RST dr. Soedjono Magelang. Skripsi, 1–48. file:///D:/SEMESTER 4/perioperatif/jurnal esay/2.pdf

Seidelman, J. L., Mantyh, C. R., & Anderson, D. J. (2023). Surgical Site Infection Prevention: A Review. Jama, 329(3), 244–252. https://doi.org/10.1001/jama.2022.24075

Shidqi, M. (2023). Dampak Psikologis Bagi Pasien Yang Pertama Sekali Menjalani Operasi Mayor.

Singh, S., Lakshmi, V., Somu, G., & Kamath, R. (2022). Determinants of Hospital Choice among Patients and Perceptions of the Same among Hospital Employees in a Tertiary Care Corporate Hospital in Mumbai, India. The Open Public Health Journal, 15(1), 1–17. https://doi.org/10.2174/18749445-v15-e221205-2022-126

Sitinjak, M. P., Dewi, D. A. M. S., & Sidemen, I. G. P. S. (2022). Gambaran Tingkat Kecemasan Pasien Pre Operasi Pembedahan Ortopedi di Rumah Sakit Umum Pusat Saglah. E-Jurnal Medika Udayana, 11(2), 25. https://doi.org/10.24843/mu.2022.v11.i02.p05

Summergrad, P. (1994). Medical psychiatry units and the roles of the inpatient psychiatric service in the general hospital. General Hospital Psychiatry, 16(1), 20–31. https://doi.org/10.1016/0163-8343(94)90083-3

Syapitri, H., Amila, & Aritonang, J. (2020). Buku Ajar Metodologi Penelitian Kesehatan.

WHO. (2020). Basic Documents: 49th edition.

Yayla, F., & Askero?lu, A. (2022). Experiences of Patients Undergoing Emergency Surgery in Covid-19 Pandemic: A Qualitative Study. Journal of Patient Experience, 9, 1–9. https://doi.org/10.1177/23743735221092602

Young, K., Bowers, A., & Bradford, N. (2021). Families’ experiences of child and adolescent brain tumor: A systematic review and synthesis of qualitative research. Psycho-Oncology, 30(10), 1643–1662. https://doi.org/10.1002/pon.5745

Zhu, Y., Xu, B. Y., Low, S. G., & Low, L. L. (2023). Association of Social Support with Rehabilitation Outcome among Older Adults with Hip Fracture Surgery: A Prospective Cohort Study at Post-Acute Care Facility in Asia. Journal of the American Medical Directors Association, 24(10), 1490–1496. https://doi.org/10.1016/j.jamda.2023.03.034

Refbacks

  • There are currently no refbacks.