Hubungan antara Tingkat Kecemasan dengan Peningkatan Tekanan Darah pada Pasien Pra Operasi Virectomy
Abstract
Anxiety is a common psychological response in preoperative patients, including those undergoing vitrectomy, and it can affect physiological conditions such as increased blood pressure. Unstable blood pressure before surgery may delay the procedure and influence the need for anesthetic drugs. This study aimed to determine the relationship between anxiety levels and increased blood pressure in preoperative vitrectomy patients at the Baitul Ma’ruf inpatient ward of Sultan Agung Islamic Hospital Semarang. This research employed a quantitative design with a cross-sectional approach involving 100 respondents selected through total sampling during July–August 2025. Anxiety levels were measured using the Zung Self Rating Anxiety Scale, while blood pressure was measured using a calibrated digital sphygmomanometer at 24 hours and 3 hours before surgery. Data were analyzed using Spearman’s Rank correlation test. The results showed that most respondents experienced mild anxiety (65%) and mild increases in blood pressure (77%), with a p-value < 0.001 and a correlation coefficient of 0.574, indicating a significant relationship with moderate correlation strength. It can be concluded that anxiety is significantly associated with increased blood pressure in preoperative vitrectomy patients, highlighting the importance of nursing interventions to manage preoperative anxiety in order to stabilize blood pressure and prevent complications or surgical delays.
References
Almar. (2024). Hubungan Pengetahuan dengan Tingkat Kecemasan pada Pasien Pre Operasi di Rumah Sakit Elim Rantepao Tahun 2024. Jurnal Ilmiah Kesehatan Promotif.
Anwar. (2024). Hubungan Usia dengan Tingkat Kecemasan pada Pasien Bedah Elektif Dewasa. Jurnal Keperawatan Malang (JKM), 09(01), 28–36. https://doi.org/10.36916/jkm
Embarwati. (2023a). c. Jurnal Ilmiah Sultan Agung, 2963–2730.
Embarwati. (2023b). Faktor - Faktor Yang Berhubungan Dengan Kecemasan Pasien Pre Operasi Vitrektomi Di Rsi Sultan Agung Semarang. Jurnal Ilmiah Sultan Agung, 363–372.
Enikmawati. (2023). Gambaran Kecemasan Pasien Pra-Operasi dengan Peningkatan Tekanan Darah. Jurnal Kebidanan Dan Keperawatan, 14(2). https://doi.org/10.33859/dksm.v14i2.922
Inayati. (2017). Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Praoperasi Elektif Diruang Bedah. Jurnal Wacana Kesehatan, 2(1), 31. https://doi.org/10.52822/jwk.v2i1.43
Iqbal. (2021). Hubungan antara tingkat kecemasan dengan peningkatan tekanan darah pasien pra operasi di RS Bhayangkara Banda Aceh. Pharmacognosy Magazine, 75(17), 399–405.
Marbun. (2023). Faktor-Faktor Yang Berhubungan Dengan Kecemasan Pasien Pre Operasi di Rumah Sakit Umum St. Lucia Siborong-Borong. Jurnal Cakrawala Ilmiah, 3(2), 677–692.
Musyaffa. (2023). Gambaran Tingkat Kecemasan Pada Pasien Pre Operasi. Jurnal Penelitian Perawat Profesional, 6(3), 939–948. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
Patel. (2024). Vitrectomy for diabetic retinopathy: A review of indications, techniques, outcomes, and complications. Taiwan Journal of Ophthalmology, March. https://doi.org/10.4103/tjo.tjo-d-23-00108
Putra. (2022). Manajemen Anestesi Perioperatif. GALENICAL : Jurnal Kedokteran Dan Kesehatan Mahasiswa Malikussaleh, 1(2), 82. https://doi.org/10.29103/jkkmm.v1i2.8098
Rahmawati, I. R., Widyawati, I. Y., & Hidayati, L. (2014). Kenyamanan pasien pre operasi di ruang rawat inap bedah marwah rsu haji surabaya. Critical, Medical & Surgical Nursing
Riantini. (2022). Gambaran tingkat pengetahuan pasien pra anestesi terhadap prosedur anestesi. Skripsi.
Santi. (2020). Pengaruh Kombinasi Dzikir dan Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pada Ibu Pre Operasi Sectio Caesaria di RS PKU Muhammadiayah Gaamping Yogyakarta. Unisa, 1–25.
Saputra. (2023). Hubungan Tingkat Kecemasan Dengan Tekanan Darah Pada Pasien Pre Operasi Dengan Spinal Anestesi. Jurnal Penelitian Perawat Profesional, 4(November), 1377–1386.
Sari. (2022). Pengaruh Relaksasi Benson Terhadap Pasien Pre Operasi Di RSUD Kab Tangerang. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 2(2), 45–54. http://journal.amikveteran.ac.id/index.php/jikki/article/view/697/526
Sugiartha. (2021). Gambaran Kecemasan Pada Pasien Pra-Operasi Di Rsud Buleleng. Coping: Community of Publishing in Nursing, 9(3), 305. https://doi.org/10.24843/coping.2021.v09.i03.p09
Sumboko. (2020). Jurnal Penelitian Perawat Profesional Pencegahan Tetanus. British Medical Journal, 2(5474), 1333–1336.
Syuhada. (2021). Tekanan Intraokular Pre Dan Pasca Operasi Ablasio Retina Di Rumah Sakit Pertamina Bintang Amin Bandar Lampung. Jurnal Medika Malahayati, 5(2), 117–123. https://doi.org/10.33024/jmm.v5i2.4129
Widayanti. (2021). Tingkat Kecemasan Pasien Pre Operasi di Salah Satu Rumah Sakit Swasta di Yogyakarta. Carolus Journal of Nursing, 47(4), 124–134. https://doi.org/10.31857/s013116462104007x
WHO. (2019). Global Tuberculosis Report 2019. Retrievedfromhttps://www.who.int/tb/publications/global_report/en/
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