The Relationship Between Therapeutic Communication by Anesthesia Practitioners and Pre-Anesthesia Anxiety Levels Among Patients

Achmad Safi’i; Anis  Prabowo; Sulastri Sulastri

doi:10.37899/journallamedihealtico.v7i4.5126

Achmad Safi’i Mahasiswa Program Sarjana terapan Keperawatan Anestesi Universitas Muhammadiyah PKU Surakarta, Indonesia
Anis Prabowo Dosen Program Sarjana terapan Keperawatan Anestesi Universitas Muhammadiyah PKU Surakarta, Indonesia
Sulastri Dosen Program Sarjana terapan Keperawatan Anestesi Universitas Muhammadiyah PKU Surakarta, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v7i4.5126

Keywords: Therapeutic Communication, Anxiety, Nurse Anesthetist, Pre-Anesthesia

Abstract

Anesthesia and surgical procedures often cause anxiety in pre-anesthesia patients. Anxiety may affect both the physiological and psychological condition of patients before surgery. One of the efforts to reduce patient anxiety is through therapeutic communication performed by nurse anesthetists. To determine the relationship between therapeutic communication of nurse anesthetists and pre-anesthesia anxiety levels in patients at RS TK IV 03.07.04 Guntur Garut. This study used a quantitative research design with a cross-sectional approach. A total of 52 respondents were selected using purposive sampling technique. Data were collected using a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. Data were analyzed using Spearman rho test. The results showed that most therapeutic communication by nurse anesthetists was categorized as good in 30 respondents (57.7%). Most patients experienced mild anxiety, with 23 respondents (44.2%). Spearman rho test results showed a p-value of 0.000 (<0.05) with a correlation coefficient of -0.847, indicating a significant relationship with a very strong negative correlation. There is a relationship between therapeutic communication of nurse anesthetists and pre-anesthesia anxiety levels in patients at RS TK IV 03.07.04 Guntur Garut. The better the therapeutic communication provided by nurse anesthetists, the lower the anxiety level of pre-anesthesia patients.

References

Ali, S., Farooq, I., Khan, S. Q., Moheet, I. A., Al-Jandan, B. A., & Al-Khalifa, K. S. (2015). Self-reported anxiety of dental procedures among dental students and its relation to gender and level of education. Journal of Taibah University Medical Sciences, 10(4), 449-453. https://doi.org/10.1016/j.jtumed.2015.06.002

Ali, Z., Ahsan, Z., Liaqat, N., & Din, I. U. (2024). Bridging the gap: evaluation of preoperative patients’ education by comparing expectations and real-perioperative surgical experiences: a mixed-methods descriptive cross-sectional study. BMC health services research, 24(1), 964. https://doi.org/10.1186/s12913-024-11388-z

Alqahtani, M. A. S., Althobaiti, B. S. S., Alanazi, H. M. M., Alkahtani, R. Z., Al-Munyif, A. N. A., Alassaf, D. M., ... & Alenezi, K. S. (2024). The Impact Of Nursing Support On Reducing Dental Anxiety Among Pediatric Patients Undergoing Dental Procedures: A Comprehensive Analysis. Cultura: International Journal of Philosophy of Culture and Axiology, 21(3s), 182-201.

Amoah, V. M. K., Anokye, R., Boakye, D. S., Acheampong, E., Budu-Ainooson, A., Okyere, E., ... & Afriyie, J. O. (2019). A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC nursing, 18(1), 4. https://doi.org/10.1186/s12912-019-0328-0

Aust, H., Eberhart, L., Sturm, T., Schuster, M., Nestoriuc, Y., Brehm, F., & Rüsch, D. (2018). A cross-sectional study on preoperative anxiety in adults. Journal of psychosomatic research, 111, 133-139. https://doi.org/10.1016/j.jpsychores.2018.05.012

Baldwin, C., Pickering, G., & Dale, G. (2023). Knowledge and self-efficacy of youth to take action on climate change. Environmental Education Research, 29(11), 1597-1616. https://doi.org/10.1080/13504622.2022.2121381

Bilgin, A., Öcalan, S., & Kovancı, M. S. (2025). Intensive care nurses’ pain management experiences within the framework of the biopsychosocial-spiritual model in Türkiye: a qualitative approach. Journal of Religion and Health, 64(2), 948-964. https://doi.org/10.1007/s10943-025-02251-4

Burns-Nader, S., & Hernandez-Reif, M. (2016). Facilitating play for hospitalized children through child life services. Children's health care, 45(1), 1-21. https://doi.org/10.1080/02739615.2014.948161

Colgan, D. D., Eddy, A., Aulet-Leon, M., Green, K., Peters, B., Shangraw, R., ... & Oken, B. (2024). Compassion, communication, and the perception of control: a mixed methods study to investigate patients’ perspectives on clinical practices for alleviating distress and promoting empowerment during awake craniotomies. British journal of neurosurgery, 38(4), 911-922. https://doi.org/10.1080/02688697.2021.2005773

Delewi, R., Vlastra, W., Rohling, W. J., Wagenaar, T. C., Zwemstra, M., Meesterman, M. G., ... & Henriques, J. P. (2017). Anxiety levels of patients undergoing coronary procedures in the catheterization laboratory. International Journal of Cardiology, 228, 926-930. https://doi.org/10.1016/j.ijcard.2016.11.043

Hernández-Palazón, J., Fuentes-García, D., Falcón-Araña, L., Roca-Calvo, M. J., Burguillos-López, S., Doménech-Asensi, P., & Jara-Rubio, R. (2018). Assessment of preoperative anxiety in cardiac surgery patients lacking a history of anxiety: contributing factors and postoperative morbidity. Journal of cardiothoracic and vascular anesthesia, 32(1), 236-244. https://doi.org/10.1053/j.jvca.2017.04.044

Jackson, M., & McLernon, M. (2025). Beyond the chair: approaching dental care for survivors of trauma: Beyond the chair: approaching dental care for survivors of trauma. British Dental Journal, 238(11), 858-862. https://doi.org/10.1038/s41415-025-8488-7

Kharod, U., Panchal, N. N., Varma, J., & Sutaria, K. (2022). Effect of pre-operative communication using anaesthesia information sheet on pre-operative anxiety of patients undergoing elective surgery—A randomised controlled study. Indian Journal of Anaesthesia, 66(8), 559. https://doi.org/10.4103/ija.ija_32_22

Mahajan, A., Esper, S. A., Cole, D. J., & Fleisher, L. A. (2021). Anesthesiologists’ role in value-based perioperative care and healthcare transformation. Anesthesiology, 134(4), 526-540. https://doi.org/10.1097/ALN.0000000000003717

Mahyuvi, T., Masqurotin, M., & Rumpiati, R. (2023). Therapeutic communication with patient anxiety levels during operation preparation: a cross-sectional study. International Journal of Nursing and Health Services (IJNHS), 6(4), 257-265. https://doi.org/10.35654/ijnhs.v6i4.716

Mawaddah, N., & Handrianto, W. (2023). Therapeutic Communication With Patients In The Emergency Room Hospital. Jurnal Kegawatdaruratan Medis Indonesia, 2(1), 1-12. https://doi.org/10.58545/jkmi.v2i1.43

Mazzeo, A. T., La Monaca, E., Di Leo, R., Vita, G., & Santamaria, L. B. (2011). Heart rate variability: a diagnostic and prognostic tool in anesthesia and intensive care. Acta Anaesthesiologica Scandinavica, 55(7), 797-811. https://doi.org/10.1111/j.1399-6576.2011.02466.x

Modabber, M., Campbell, K. M., McMurtry, C. M., Taddio, A., & Dempster, L. J. (2022). Children’s perceptions of dental experiences and ways to improve them. Children, 9(11), 1657. https://doi.org/10.3390/children9111657

Musarofah, U., Retnaningsih, D., & Wirawati, M. K. (2025). Hubungan komunikasi terapeutik perawat dengan tingkat kecemasan pasien pre operasi di RSI Pekajangan. Jurnal Ilmu Kesehatan Umum (Vitamin), 3(4), 258–275. https://doi.org/10.61132/vitamin.v3i4.1786

Mutia, L., Novitasari, D., & Burhan, A. (2024). The Relationship Between Pre-Anesthesia Anxiety and the Incidence of Post-Operative Nausea and Vomiting (PONV) in Patients Undergoing General Anesthesia at Islamic Hospital Purwokerto. Java Nursing Journal, 2(1), 93-102.

Peng, F., Peng, T., Yang, Q., Liu, M., Chen, G., & Wang, M. (2020). Preoperative communication with anesthetists via anesthesia service platform (ASP) helps alleviate patients’ preoperative anxiety. Scientific Reports, 10(1), 18708. https://doi.org/10.1038/s41598-020-74697-3

Pereira, L., Figueiredo-Braga, M., & Carvalho, I. P. (2016). Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient education and counseling, 99(5), 733-738. https://doi.org/10.1016/j.pec.2015.11.016

Petrescu, M. D., Popa, F., & Purcărea, V. L. (2022). How could perioperative anxiety be addressed via surgical team communication approaches? Findings from a scoping review. Hospital practice, 50(3), 159-169. https://doi.org/10.1080/21548331.2022.2059979

Pintasari, P., Suryani, R. L., & Rahmawati, A. N. (2025). Edukasi Video Operating Room Tour Guna Mengurangi Kecemasan Pada Pasien Pre Anestesi Di RSUD dr. Soedirman Kebumen. Jurnal Pengabdian Masyarakat-PIMAS, 4(3), 207-213. https://doi.org/10.35960/pimas.v4i3.1879

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Fundamentals of nursing (10th ed.). Elsevier.

Putri, A. S. A., & Toga, E. (2026). Combined Butterfly Hug and Religious Music Therapy on Reducing Preoperative Anxiety. Professional Health Journal, 8(1), 577-589. https://doi.org/10.54832/phj.v8i1.1525

Rahmawati, D., Handayani, R. N., & Adriyani, F. H. N. (2025). Pemberian Edukasi Puasa Sebelum Tindakan Operasi Dalam Upaya Meningkatkan Pengetahuan Pasien Pre Operasi Di Rsud Dr. R. Goeteng Taroenadibrata. Jurnal Pengabdian Masyarakat Bhinneka, 3(4), 1139-1145. https://doi.org/10.58266/jpmb.v3i4.343

Salazar Maya, Á. M. (2022). Nursing care during the perioperative within the surgical context. Investigacion y educacion en enfermeria, 40(2).

Salzmann, S., Euteneuer, F., Kampmann, S., Rienmüller, S., & Rüsch, D. (2023). Preoperative anxiety and need for support–A qualitative analysis in 1000 patients. Patient Education and Counseling, 115, 107864. https://doi.org/10.1016/j.pec.2023.107864

Saragih, H., Derang, I., Sembiring, F., & Sitohang, R. B. (2025). The Relationship of Nurse Therapeutic Communication with Anxiety Level in Preoperative Patients at Santa Elisabeth Hospital Medan. Jurnal Ventilator, 3(4), 125-139. https://doi.org/10.59680/ventilator.v3i4.2126

Silverman, J., Kurtz, S., & Draper, J. (2016). Skills for communicating with patients (3rd ed.). CRC Press.

Stuart, G. W. (2012). Principles and practice of psychiatric nursing-e-book: principles and practice of psychiatric nursing-e-book. Elsevier Health Sciences.

Tamunobelema, D. M. S., & Uruaka, C. I. (2023). General anaesthetic agents and their implication on the cardiovascular system: a systematic review. Saudi J Med Pharm Sci, 9(3), 171-184.

Thota, R. S., Ramkiran, S., & Iyer, S. (2024). The crucial and integral role of an anaesthesiologist as a palliative physician: A holistic approach to patient care and comfort. Journal of Onco-Anaesthesiology and Perioperative Medicine, 1(3), 135-136.

Tollinche, L. E., Walters, C. B., Radix, A., Long, M., Galante, L., Goldstein, Z. G., ... & Yeoh, C. (2018). The perioperative care of the transgender patient. Anesthesia and analgesia, 127(2), 359. https://doi.org/10.1213/ANE.0000000000003371

Williams, J. B., & McCarthy, R. J. (2020). Anxiety and postoperative outcomes. Current Opinion in Anaesthesiology, 31(3), 292–298. https://doi.org/10.1097/ACO.0000000000000587

Wiratama, P. J. F. (2021). Penatalaksanaan Non Farmakologi Pada Pasien Pra Operasi Yang Mengalami Kecemasan Di Rsud Kabupaten Buleleng (Studi Kasus). Institute Kesehatan Dan Teknologi Bali, 2(7).