Update Artikelilmiah: 8476

HISNA ADILLA

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Abstrak (Bhs. Indonesia)

Latar Belakang: Pembedahan adalah pengobatan menggunakan teknik invasif dengan membuka bagian tubuh melalui sayatan yang diakhiri dengan penutupan dan penjahitan luka. Saat pra bedah, biasanya pasien cemas dan terjadi perubahan respon fisiologis seperti tekanan darah naik, nadi meningkat dan RR cepat atau pendek. Salah satu manajemen kecemasan pra bedah non farmakologi adalah distraksi pendengaran terhadap murottal Al-qur’an. 
Tujuan:Penelitian ini bertujuan untuk mengevaluasi pengaruh terapi murottal terhadap penurunan kecemasan pada pasien pra bedah mayor di RSUD Banyumas.
Metode:Penelitian ini merupakan penelitian quasi eksperimental dengan rancangan penelitian pretest-posttest with control group design. Penelitian ini selama 2 hari, dilakukan pada sore hari dan pagi hari sebelum melakukan operasi. Sampel penelitian sebanyak 40 responden yang diambil dengan menggunakan purposive sampling, yaitu 20 responden kelompok perlakuan dan 20 responden kelompok kontrol. Sampel yang memenuhi kriteria inklusi, kemudian kelompok perlakuan di periksa pemeriksaan fisiologis seperti tekanan darah, nadi dan RR untuk hasil pre-test sore hari. Hasil post-test diambil di hari ke 2 pada pagi hari sebelum operasi, setelah dilakukan perlakuan murottal surat yusuf 50-60dB, selama 30 menit. Kelompok kontrol yang memenuhi kriteria inklusi lalu di periksa pemeriksaan fisiologis seperti tekanan darah, nadi dan RR untuk pre-test sore hari dan post-test diambil pada hari ke 2 pagi hari sebelum operasi. Instrumen yang digunakan adalah lembar karakteristik responden seperti usia, jenis kelamin, pendidikan, pekerjaan, pemeriksaan fisiologis (tekanan darah, denyut nadi dan RR) dan skor kecemasan NRS-A.
Hasil:Hasil analisis menunjukan bahwa ada pengaruh yang signifikan terapi Murottal terhadap penurunan kecemasan pada pasien pra bedah mayor kelompok perlakuan dengan uji wilcoxon diketahui bahwa nilai (z=-3,976 ; p=0.000).Hasil perbedaan respon fisiologis RR (t=8,246 ; p=0,602),  Nadi (U= 118,000 ; z=-5,324 ; p=0,000) dan MAP (U= 4,500 ; z= -2,235 ; p=0,025).
Kesimpulan:Pada dasarnya, ada pengaruh yang signifikan terapi Murottal terhadap penurunan kecemasan pada pasien pra bedah mayor, hal ini juga dapat dipengaruhi oleh karakteristik responden seperti usia, jenis kelamin, pendidikan, pekerjaan dan respon fisiologis seperti tekanan darah, denyut nadi dan RR.

Abtrak (Bhs. Inggris)

Background: Surgery is medication using invasive technique to open the body trough incision, that ended by wound closure and suturing. When the pre-surgical, patients are usually anxious and their physiological responses change such as increased blood pressure, increased pulse and respiratory rate is fast or short. One of the non-pharmacological managements for pre-surgical anxiety is auditory distraction with murrotal Al-Quran.
Purpose: The aim of the study was to evaluate the effect of murottal therapy to decreasing the anxiety level in pre-surgical patients at Banyumas hospital. 
Method: The research was quasi experiment by using pretest-posttest with control group design. This research conducted during 2 days on the morning and afternoon before surgery.The research samples were 40 respondents by using purposive sampling method, which divided into 20 respondents as treatment group and 20 respondents as control group. The samples who suit into inclusion criteria, then treatment group was doing physiological check such as blood pressure, artery pulse and respiratory rate, and the pre-test was taken on the afternoon. The post-test results were taken on the second day in the morning before surgery after murrotal theraphy Surat Yusuf during 30 minutes with sound intensity 50-60 dB and anxiety score was recorded. The group control who suit into inclusion criteria were checked physiologically such as blood pressure, pulse and respiratory rate, the pre-test was doing at the first day on the afternoon and the post-test was taken at the second day on the morning before surgery. The research instruments used respondent characteristics form consists of age, gender, educational background, job, physiological check (blood pressure, artery pulse and respiratory rate) and NRS-A anxiety score.
Result: The analysis results showed that there was significant effect of murrotal theraphy to decreased anxiety inthe treatment group of major pre-surgical patients after murottal theraphy, it’s known byWilcoxon test (z=-3,976 ; p=0.000). The differences result of the physiological responses were respiratory rate (t=8,246 ; p=0,602), artery pulse (U= 118,000 ; z=-5,324 ; p=0,000) and MAP (U= 4,500 ; z= -2,235 ; p=0,025).
Conclusion: Basically, there was significant effect of murrotal therapy to decreased anxiety on the major pre-surgical patients. It’s also effected by the characteristics of the respondents such as age, gender, educational background, job, physiological check (blood pressure, artery pulse and respiratory rate).

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