Update Artikelilmiah: 51523

MADIA YUNI ARDANI

NIM

Judul Artikel

Abstrak (Bhs. Indonesia)

Latar Belakang: Kecemasan pada pasien bedah jantung dapat mempengaruhi kondisi hemodinamik yang berpotensi meningkatkan resiko komplikasi pascaoperasi. Kecemasan memicu pelepasan hormon stress yang dapat menganggu aliran darah dan memperburuk kondisi jantung. Meskipun terapi eduksi preoperasi, reposisi nyaman, observasi rutin telah diterapkan, hasilnya masih menunjukkan keterbatasan. Oleh karena itu, perlu adanya penambahan intervensi berupa bantal hangat aromaterapi lavender dan musik natural sound yang terintegrasi dengan sistem IoT sehingga dapat dimonitoring secara real-time. 
Tujuan: Mengetahui pengaruh bantal hangat aromaterapi lavender dan musik natural sound terhadap skor kecemasan dan hemodinamik pada pasien preoperasi bedah jantung.
Metodologi: Penelitian ini menggunakan dua tahap. Tahap pertama adalah pengembangan Lavasound dengan metode R&D. Tahap kedua menggunakan metode True-Eksperimental pre-post with control group. Teknik sampling menggunakan consecutive sampling yaitu sebayak 52 responden. Kecemasan diukur menggunakan Amsterdam Preoperative Anxiety and Infornation Scale (APAIS) dan hemodinamik menggunakkan lembar observasi. Analisis data yang digunakan yaitu analisis univariat dan bivariat dengan paired t-test, independent t-test, Wilcoxon Signed-Rank-Test, dan Mann-Whitney U-Test.
Hasil Penelitian: Lavasound memiliki validitas tinggi (I-CVI=1.00), dan reliabilitas sangat baik (ICC=0.936). Uji usability menunjukkan bahwa lavasound sangat layak untuk digunakan. Hasil penelitian tahap dua bahwa lavasound secara signifikan menurunkan kecemasan dan hemodinamik (nadi dan RR) pada kelompok intervensi dan kontrol, diperoleh nilai p=0.049, p= 0.07, dan p=0.002 Kesimpulan: Lavasound memberikan pengaruh yang signifikan dalam menurunkan skor kecemasan dan hemodinamik (nadi dan RR) dibandingkan terapi golden standar.

Abtrak (Bhs. Inggris)

Background: Anxiety in cardiac surgery patients can affect hemodynamic conditions, potentially increasing the risk of postoperative complications. Anxiety triggers the release of stress hormones that can disrupt blood flow and worsen heart conditions. Although preoperative education therapy, comfortable repositioning, and routine observation have been implemented, the results still show limitations. Therefore, there is a need for additional interventions in the form of lavender aromatherapy, warm pillows, and natural sounds integrated with an IoT system so that they can be monitored in real time.

Purpose: To analyze the effect of lavender aromatherapy, warm pillows, and natural sounds on anxiety scores and hemodynamics in preoperative cardiac surgery patients.

Methodology: This study used two stages. The first stage was the development of Lavasound using the R&D method. The second stage used the True-Experimental pre-post with control group method. The sampling technique used was consecutive sampling with 52 respondents. Anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and hemodynamics using an observation sheet. The data analysis used univariate and bivariate analysis with paired t-tests, independent t-tests, Wilcoxon Signed-Rank-Test, and Mann-Whitney U-Test.

Results: Lavasound has high validity (I-CVI=1.00) and excellent reliability (ICC=0.936). Usability testing shows that Lavasound is highly suitable for use. The results of the second stage of the study showed that Lavasound significantly reduced anxiety and hemodynamics (pulse and RR) in the intervention and control groups, with p-values of 0.049, 0.07, and 0.002 (p < α, α = 0.05).

Conclusion: Lavasound has a significant effect in reducing anxiety scores and hemodynamics (pulse rate and RR) compared to the gold standard therapy.

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