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Background: Pre-operation is the initial stage to prepare the patient as much as possible, more than two-thirds of patients waiting for surgery experience anxiety because it is their first time undergoing spinal anesthesia surgery. As a result of the patient's intense preoperative anxiety, there is a possibility that the operation cannot be carried out. The way to overcome anxiety is through deep breathing relaxation techniques. Objective: To determine the effect of deep breathing relaxation on anxiety in preoperative patients. Research methods: This research uses quantitative research design using Quasy Experiment, namely an experimental design carried out without randomization. This research was conducted at PKU Muhammadiyah Gombong Hospital in the operating room in February 2024. This population consisted of 42 patients in one month with a research sample of 30 respondents. This research instrument uses the APAIS questionnaire. This research technique uses purposive sampling. Results: The data that can be generated when using the deep breathing relaxation technique is 30 respondents using the pre test-post test technique. During the pre-test, those experiencing moderate anxiety amounted to 40.0%, severe anxiety amounted to 40.0%, the most severe anxiety/panic amounted to 20.0%. At the time of the post test, those experiencing mild anxiety were 66.7%, and those experiencing moderate anxiety were 33.3%. Conclusion: When the observation was carried out, there was a decrease in the level of anxiety, so that the respondent's anxiety had reduced.

Post-spinal anesthesia nausea and vomiting (PSANV) are common side effects that can affect patient comfort and recovery after surgery. This condition often disrupts the recovery process and may extend the post-operative care period. One non-pharmacological method that can help reduce nausea and vomiting is deep breathing techniques. This study aims to evaluate the effectiveness of deep breathing techniques in reducing the incidence of nausea and vomiting after spinal anesthesia. The method used in this study is a pre-test and post-test design, with an intervention consisting of deep breathing exercises for patients undergoing surgery with spinal anesthesia. A pre-test was conducted before the intervention to assess the incidence of nausea and vomiting in patients. After patients practiced deep breathing exercises for a certain period, a post-test was performed to evaluate changes in the frequency of nausea and vomiting post-operation. The results showed a significant reduction in the frequency of nausea and vomiting after patients practiced deep breathing techniques. This technique has proven to be a simple, safe, and effective method to enhance post-operative comfort. Therefore, the implementation of deep breathing techniques can be recommended as part of post-spinal anesthesia management in healthcare facilities to improve patient recovery quality.