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Anxiety is an emotional response to uncertainty or threats that cause feelings of anxiety, worry, excessive tension, which are continuous and can interfere with the patient's process of action and healing, therefore it is necessary to have good and correct therapeutic communication, to build a relationship of mutual trust, empathy, support and help the patient in problem solving. This study aims to identify the Relationship between Nurse Therapeutic Communication and Anxiety Level in Preoperative Patients at Santa Elisabeth Hospital Medan in 2024. The research design uses correlational with a cross sectional approach, purposive sampling technique with a sample of 64 respondents. The instruments used were the nurse therapeutic communication questionnaire and the anxiety questionnaire. The results of the study showed that the majority of therapeutic communication among nurses in the inpatient room of Santa Elisabeth Hospital Medan was in the good category as many as 34 respondents (53.1%), and the level of anxiety of preoperative patients was majority in the medium category as many as 30 respondents (46.9%). The spearman rank statistical test on SPSS obtained a P-Value = 0.000 which means that there is a relationship between the therapeutic communication of nurses and the level of patient anxiety at Santa Elisabeth Hospital Medan. It is expected that the nurses in Pauline's room will further improve therapeutic communication to pre-operative patients.

Patients undergoing surgery often experience preoperative anxiety due to concerns about the outcome, pain, and the risk of complications. Uncontrolled anxiety can affect the patient's physiological and psychological condition and slow the recovery process. One non-pharmacological effort that can be used to reduce anxiety is the finger-holding relaxation technique, a simple method that can help balance emotions and provide a sense of calm. To determine the effect of the finger-holding relaxation technique on changes in preoperative anxiety levels in patients at Batang Regional General Hospital. Method: This study used a descriptive case study approach. The respondents were four patients who were about to undergo surgery and were experiencing anxiety. The intervention was conducted for approximately 15 minutes using the finger-holding relaxation technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). All respondents experienced a decrease in anxiety levels after the intervention. The average reduction in anxiety scores was 7.25 points. Before the intervention, two patients experienced severe anxiety and two patients experienced moderate anxiety. After the intervention, two patients experienced mild anxiety and two others experienced a decrease to moderate levels. This indicates that finger-holding therapy has a positive effect on reducing preoperative anxiety in patients. The finger-holding relaxation technique has been proven effective in reducing preoperative anxiety in patients. This intervention can be used as a simple, safe, and easy-to-implement non-pharmacological therapy alternative for nurses to improve patient psychological comfort.

The surgery often causes anxiety, which has an impact on physical and psychological conditions of preoperative patients. The data from WHO shows that 50% patients all over the world experienced anxiety, where 5-25% patients are between 5 and 20 years old, and 50% patients are 55 years old. Pre-operational anxiety reaches 534 million patients. Many factors affect anxiety in patients, including family support. This study aims to acknowledge the correlation between family support and anxiety of post-surgery patients in Meuraxa Regional General Hospital, Banda Aceh. This study employs an analytical correlational method with a cross-sectional approach by involving 51 patients selected using an accidental sampling technique. A family support questionnaire is adopted from Nurwulan, with a Cronbach's alpha 0.856. The questionnaire of anxiety using the APAIS scale of Cronbach's alpha 0.825. Univariate and bivariate analysis using the chi-square test. The results indicate that among 51 respondents, the level of anxiety is in a medium state, as 26 respondents (51.0%), family support is in the high category, 47 respondents (92.2%), with a P-value 0.026 (P-value < 0.05). In conclusion, there is a significant relationship between family support and preoperative anxiety at Meuraxa General Hospital Banda Aceh. Families are expected to continuously provide emotional, informational, instrumental, and appraisal support so that patients feel calmer, are able to reduce excessive anxiety, and are better prepared to undergo surgery.

Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients

Preoperative anxiety is one of the psychological problems that patients often experience and can affect physiological stability, response to anesthesia, and the postoperative recovery process. High levels of anxiety in patients leading up to surgery can have negative impacts, both physically and emotionally. One of the interventions that can be done to reduce anxiety is therapeutic communication by nurses. Therapeutic communication has an important role in creating a relationship of mutual trust, providing a sense of security, and helping patients understand the medical procedures to be undertaken. However, there are still conditions where therapeutic communication has not been implemented optimally. This study aims to determine the relationship between nurses' therapeutic communication and the level of anxiety of preoperative patients at RSI Pekajangan. The study used a quantitative approach with a correlational design and involved 72 respondents who were selected through purposive sampling techniques. The research instruments included a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data analysis was carried out using the Spearman Rank test. The results showed that most respondents rated therapeutic communication in the categories of good (81.9%) and moderate anxiety (72.2%). Statistical tests showed a significant relationship between nurses' therapeutic communication and preoperative patients' anxiety levels (p = 0.027) and moderate correlation strength (r = -0.260). The conclusion of this study confirms that therapeutic communication plays a role in lowering patients' anxiety, so it is recommended that nurses improve therapeutic communication skills as part of pre-surgical interventions.

Surgical procedures, including laparoscopic surgery, may cause preoperative anxiety arising from fear of the surgery process, uncertain outcomes, and postoperative pain. This anxiety can affect anesthesia and recovery aspects. The purpose of this study was to determine the effect of Murottal recitation of Surah Ar-Rahman on anxiety in preoperative laparoscopy patients. This study employed a quasi-experimental design with a pretest–posttest control group. A total of 40 respondents were recruited using total sampling. Data were collected through questionnaires. Data analysis was conducted using the Wilcoxon test for within-group differences and the Mann-Whitney test for between-group differences. The majority of respondents in both intervention and control groups were late elderly, employed, male, and had no history of illness. Before therapy, anxiety levels in both groups were predominantly moderate. After therapy, most respondents in the intervention group experienced mild anxiety, whereas in the control group most remained in the moderate category. Statistical analysis showed a significant effect of Murottal recitation of Surah Ar-Rahman on reducing anxiety, both in the intervention group (Z = -5,477; p = 0.000) and the control group (Z = -2.000; p = 0.046). Overall, Murottal recitation of Surah Ar-Rahman was proven to be significantly effective in reducing respondents’ anxiety levels (Z = -4,534; p = 0.000). It is recommended that families play an active role in supporting anxiety reduction in patients undergoing surgery, for example, by suggesting or facilitating the patients to listen to Murottal recitation of Surah Ar-Rahman.

Preoperative anxiety is common for patients, especially those who will undergo spinal anesthesia. The level of anxiety can vary, from mild anxiety to panic attacks, which can potentially affect the outcome of surgery and the recovery process. To overcome this problem, rose aromatherapy with a diffuser offers a non-pharmacological solution. A study was conducted in the Operating Room of PKU Muhammadiyah Gamping Hospital to determine the effect of rose aromatherapy on the level of anxiety of pre-operative patients with spinal anesthesia. This study used a pre-experimental one group pretest posttest design, which showed that rose aromatherapy can significantly reduce anxiety levels in patients who will undergo surgery with spinal anesthesia. This study involved 30 respondents selected through a purposive sampling technique. Data were collected using a questionnaire and analyzed statistically using the Wilcoxon Signed Rank Test. The results of the analysis showed a significance value of 0.000, which means that there is a significant effect of giving rose aromatherapy on the level of patient anxiety. In other words, the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Conclusion, rose aromatherapy is proven to be effective in reducing pre-operative anxiety in patients with spinal anesthesia at PKU Muhammadiyah Gamping Hospital. This study is expected to be an additional reference for future research and provide valuable information for health workers in pre-operative anxiety intervention efforts.

The implementation of the Enhanced Recovery After Cesarean Surgery (ERACS) method as an innovation in the Sectio Cesarea (SC) surgical procedure aims to accelerate recovery, minimize pain, and improve patient comfort. Although it has been clinically proven, there is still limited research exploring patients' subjective experiences with this method, particularly in eastern Indonesia. This study aims to explore in depth the physical, emotional, psychological experiences, as well as perceptions of service and patient expectations after undergoing SC with the ERACS method at Banggai Laut General Hospital. The study employs a qualitative approach with a phenomenological study design. Data were collected through in-depth interviews with purposively selected informants and analyzed using Braun & Clarke's thematic analysis technique. The results showed that patients experienced rapid physical recovery, minimal pain, and were able to mobilize early. Emotionally, patients felt calm and stable, supported by good communication with medical staff and family support. However, information about the ERACS procedure before surgery was still perceived as lacking detail. Patients also hope that this method continues to be implemented with improvements in educational aspects and financial support from BPJS. Patients' experiences with the ERACS method are generally very positive and reflect the success of this approach not only clinically but also in creating a more comfortable, efficient, and humane childbirth experience. This study recommends enhancing preoperative education, postoperative monitoring, and more inclusive financial support systems.

This study is based on the phenomenon of anxiety that patients almost always experience before undergoing surgery, which generally arises due to limited information regarding the upcoming medical procedure. Anxiety is understood as a psychological response closely related to stress and can be influenced by various factors, including the patient's education level. Education plays a crucial role in increasing a person's general knowledge, particularly in understanding medical theories, procedures, and risks, thus enabling patients to make better decisions and reducing anxiety. In the context of spinal anesthesia, knowledge about the preparation, procedure, and side effects of anesthesia can help patients feel more mentally prepared. The main objective of this study was to analyze the relationship between education level and anxiety levels in patients undergoing spinal anesthesia. This study used a quantitative approach with a cross-sectional correlation design and involved 49 respondents selected through a purposive sampling technique. The data collection instrument used the APAIS questionnaire, while data analysis was performed using the Spearman Rho test. The results showed that respondents were predominantly aged 36–45 years (40.8%), predominantly female (53%), with the majority undergoing general surgery (49%), and having an ASA II health status (63%). In terms of education, the majority of respondents were high school graduates (67.1%), while the highest anxiety level was in the moderate category (83.7%). Spearman's Rho analysis yielded a p-value of 0.039 < 0.05, thus accepting the alternative hypothesis (Ha). Therefore, it can be concluded that there is a significant relationship between education level and preoperative patient anxiety during spinal anesthesia procedures. This finding confirms that increasing knowledge through education plays a significant role in reducing anxiety before medical procedures.

Preoperative anxiety is a common issue that can affect both the physical and psychological condition of patients before undergoing surgery. One non-pharmacological intervention that can be applied to reduce anxiety is the five-finger hypnosis therapy.Evaluating the effectiveness of five-finger hypnosis therapy in reducing anxiety levels in preoperative patients at Siloam Silampari Hospital, Lubuklinggau.Using a case study approach with the application of evidence-based nursing practice in nursing care for three preoperative patients experiencing anxiety. Data were collected through nursing assessments and measured using the Hamilton Anxiety Rating Scale (HARS) to determine anxiety levels. The intervention was carried out over three days following standard operating procedures (SOP).The study results indicate that five-finger hypnosis therapy is effective in reducing anxiety levels in preoperative patients. The HARS scores gradually decreased, with all patients improving from severe anxiety to mild anxiety and eventually showing no clinically significant anxiety by the third day of the intervention. A more significant impact was observed after the second and third days of intervention, suggesting that this therapy is more effective when applied repeatedly and consistently.