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Appendectomy is a surgical procedure performed to cut the inflamed appendix tissue. The appendectomy procedure can cause anxiety for appendicitis patients before the operation. If the coping usually used is not able to control anxiety, it can have an impact on increasing vital signs and delaying the operation. The aim of this research is to determine the factors related to the anxiety level of pre-operative appendectomy patients in the operating room at RSU Bhakti Asih Tangerang in 2024. The research method is quantitative research with a cross- sectional approach. The research sample was 56 patients using purposive sampling technique. The instrument used in this research was the Amsterdam Preoperative Anxiety and Information Scale (APAIS) surgical anxiety questionnaire in the operating room at RSU Bhakti Asih, Tangerang City. The data were analyzed using the statistical tests used, namely the bivariate test, namely Chi-Square and the multivariate test, namely the Backward logistic regression method. The results of the research show that there are three independent variables on the dependent variable. It shows that there is one dominant variable which has p > 0.05, namely the nurse support variable which can be seen from the OR value of 0.016 times (p < 0.007; 95% CI 0.016-0.521) which means that respondents who support from nurses, the risk will be 16 times greater and can prevent the occurrence of anxiety levels Pre-Appendectomy in the Surgical Room at RSU Bhakti Asih Tangerang, Year 2024. Conclusion, there is a relationship between the analysis of factors related to the level of anxiety of pre-operative appendectomy patients in the operating room at RSU Bhakti Asih Tangerang.    

Objective: The study aimed to assess the adjuvant role of dexamethasone in multimodal analgesia to control postoperative pain for various laparoscopic surgical procedures.  Methods: From January to April 2023, a study was conducted at Baghdad Teaching Hospital involving 80 patients prepared for various laparoscopic procedures, classified as ASA grades I and II. The participants were divided into groups (A and B) of 40 patients. There were no significant differences between the groups regarding gender distribution, age, BMI, ASA grade, anesthesia duration, and surgical procedure duration. Group A comprises patients administered dexamethasone 8 mg intravenously one hour before the induction of anesthesia, whereas Group B patients received a normal saline (placebo). The analgesic effect was assessed by measuring the VAS score for each group at 1, 3, 6, and 24 hours post-discharge from the recovery room. The study also evaluated the necessity for potent analgesics among the study population in each group. Results: The study findings indicate that dexamethasone significantly reduces postoperative pain, as evidenced by lower VAS scores in patients administering dexamethasone compared to those receiving a placebo, especially at 6 and 24 hours post-transfer from the recovery room. Additionally, patients administering a placebo exhibit a significant demand for potent analgesia in contrast to the group receiving dexamethasone. Conclusion: The study indicated that a single-dose injection of dexamethasone 8 mg administered preoperatively for various laparoscopic procedures significantly decreases postoperative pain. Effective pain management promotes early recovery and shortens hospital stays, reducing staff stress and providing financial benefits to the institution. We recommend using dexamethasone as a safe and effective medication for alleviating postoperative pain.

According to WHO in 2020, the incidence of fractures was reported, with more than 13 million cases and a prevalence rate of 2.7%. Based on medical record data from RSUD dr. Soeselo, Tegal Regency, in 2023 the number of femoral neck fracture patients will be 129 people (1.34%). Femoral neck fractures usually require operative therapy rather than conservative therapy. The aim of this scientific paper is to provide nursing care to preoperative patients with femoral neck fractures at RSUD dr. Soeselo, Tegal Regency. The results of the assessment showed that the patient experienced pain in the upper right thigh, traction weighing 5 kg was applied. Nursing problems in this final scientific work include acute pain, anxiety and impaired physical mobility.

Surgery is a way of making incisions in the patient's body. Symptoms that appear before surgery are anxiety. To reduce feelings of anxiety, family support is needed. The support provided by the family can provide feelings of joy, security and comfort. The aim of this study was to determine the relationship between family support and anxiety levels in pre-operative patients in the Surgical Inpatient Room at RSD Gunung Jati Cirebon. This research is a type of quantitative research. The sampling technique used was purposive sampling with a total sample of 69 patients. Data were collected using family support questionnaires and anxiety levels, data analysis used the Spearman rank test. The research results showed that almost all respondents had high family support with 58 patients 84.1%, and most respondents had mild levels of anxiety, 49 patients 71,0%. The Spearman rank test obtained a p-value of 0.000, which means the hypothesis was accepted. From this research, it can be concluded that there is a relationship between family support and the level of anxiety in pre-operative patients in the surgical inpatient room at Gunung Jati Hospital, Cirebon City. The results of this research can be used as input before taking action requiring family support to reduce the patient's preoperative anxiety level.    

Urinary Tract Stones (Urolithiasis) are a pathological condition due to hard masses such as stones that form along the urinary tract and can cause pain, bleeding, or infection in the urinary tract. The formation of stones is caused by urine being saturated with salts that can form stones or because the urine lacks materials that can inhibit stone formation, lack of urine production, and other idiopathic conditions. To find out the results of applying five finger hypnosis therapy to reduce anxiety levels in pre-operative ureteral stone patients in the Mawar Room at RSUD dr. Soehadi Prijonegoro Sragen. The type of research used is descriptive quantitative with survey methods. The research results showed that after being given 5 finger hypnosis to patients Mr.S and Mrs. K both respondents experienced a decrease in anxiety to mild anxiety level where Mr.S's anxiety level was 43 while Mrs. K anxiety level 44. Solid 5 finger hypnosis reduces anxiety levels in preoperative patients

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

Preoperative anxiety in patients undergoing cesarean section is a common condition that can negatively impact both physical and psychological well-being before delivery. Anxiety management education is a crucial strategy to help patients manage stress, enhance mental preparedness, and reduce the risk of complications caused by excessive anxiety. This study aims to evaluate the effectiveness of anxiety management education in reducing preoperative anxiety levels in cesarean section patients. The method used involves an educational intervention through a cognitive-based and relaxation approach, including breathing techniques and preoperative counseling. The results indicate that this education significantly reduces patients' anxiety levels, as evidenced by the difference in scores before and after the intervention. Therefore, anxiety management education programs should be implemented as part of maternal healthcare services to improve maternal well-being before undergoing a cesarean section.