The Effect of Self-Affirmation on Anxiety Levels in Preoperative Patients
DOI:
https://doi.org/10.65310/t4t3ep78Keywords:
Anxiety, Preoperative patients, Pretest-posttest, Psychological techniques, Self-affirmation.Abstract
Anxiety is a common psychological response experienced by preoperative patients, arising from concerns about surgical outcomes, pain, potential complications, and fear of death. This condition can affect both physiological and psychological stability and may hinder the recovery process. One simple intervention to reduce anxiety is self-affirmation, a cognitive-behavioral approach that utilizes positive statements. This study aims to analyze the effect of self-affirmation on anxiety levels among preoperative patients in the Mawar ward of RSUD Kajen. The study employed a pre-experimental method with a pretest-posttest design. A total of 60 respondents were selected using purposive sampling. The instruments used included a standard operating procedure (SOP) for self-affirmation and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon test. The results showed that all respondents experienced moderate anxiety before the intervention, which decreased after self-affirmation to mild anxiety (16.7%) and moderate anxiety (83.3%). Statistical analysis indicated that all respondents experienced a reduction in anxiety (negative rank = 60) with a p-value of 0.000 (p < 0.05). It is concluded that self-affirmation is effective in reducing anxiety among preoperative patients.
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Barus, M., Saigalingging, V. Y., & Sembiring, R. A. (2024). Gambaran kecemasan pasien bedah pre operasi di Rumah Sakit Santa Elisabeth Medan tahun 2022. Innovative: Journal of Social Science Research, 4, 3201–3210. https://doi.org/10.31004/innovative.v4i1.8110
Darmayanti, S. B., & Dewi, A. (2020). Hubungan tingkat kecemasan preoperatif dengan karakteristik pasien di kamar operasi RSI Siti Rahmah. Baiturrahmah Medical Journal, 27. http://repository.unbrah.ac.id/id/eprint/345
Darojah, L., Kartika, I., Sari, P. D., & Triwidiyantari. (2023). Implementasi teknik afirmasi dalam mengatasi kecemasan menghadapi persalinan di UPTD Puskesmas Rawat Inap Cisitu Kabupaten Sumedang. Jurnal EduNursing, 1(1).
Fatmawati, L., & Pawestri, P. (2021). Penurunan tingkat kecemasan pada pasien pre operasi sectio caesarea dengan terapi murotal dan edukasi pre operasi. Holistic Nursing Care Approach, 1(1), 25. https://doi.org/10.26714/hnca.v1i1.8263
Fortunada, Y., Febtrina, R., & Maulinda, D. (2024). The effectiveness of self-affirmation techniques against clinical practice anxiety in nurse professional student at STIKes Payung Negeri Pekanbaru. Indonesian Nursing Journal of Education and Clinic (INJEC). https://doi.org/10.24990/injec.v9i1.554
Hastuti, W. (2024). Deskripsi tingkat kecemasan pada pasien pra-operasi. Journal of Holistics and Health Sciences, 6(2), 249–256. https://doi.org/10.35473/jhhs.v6i2.502
Hatimah, S. H., Ningsih, R., & Syahleman, R. (2022). Hubungan pengetahuan dengan kecemasan pada pasien pre operasi di ruang Meranti RSUD Sultan Imanuddin Pangkalan Bun. Jurnal Borneo Cendekia, 6(1).
Himawan, R., & Suwandi, E. W. (2021). Effectiveness of positive affirmation in reducing anxiety in pre-operating patients at Kudus General Hospital. International Conference on Public Health Solo, 17(10), 334–338. https://doi.org/10.26911/ICPHepidemiology.FP.08.2021.12
Irwan, M., & Risnah. (2022). Efek afirmasi positif terhadap penurunan nyeri pasien post operasi: Tinjauan literatur. Journal of Health Education and Literacy, 5(1), 8–18. https://doi.org/10.31605/j-healt.v5i1.1497
Nuraini, R., & Ari, O. W. (2023). Analisis faktor-faktor yang berhubungan dengan tingkat kecemasan pada pasien pre operasi. Jurnal Kesehatan Akper Kesdam II Sriwijaya Palembang, 12(1).
Rasmanah, M., Nahdah, F., Alizah, P. N., & Wahyuni, A. S. (2025). Analisis doa sebagai metode afirmasi positif untuk menumbuhkan harapan pada penderita gangguan kecemasan. Peshum: Jurnal Pendidikan, Sosial dan Humaniora, 4(6), 10066–10073. https://doi.org/10.31503/madah.v17i1.1234
Rusli, R. F., & Indawati, E. (2023). Faktor-faktor yang mempengaruhi tingkat kecemasan pada pasien pre operasi di ruang Shasta RSUD Kabupaten Bekasi tahun 2023. Innovative: Journal of Social Science Research, 3, 9238–9249. https://j-innovative.org/index.php/Innovative/article/view/3231
Sari, R. P., Silawati, V., & Azzahroh, P. (2022). The effectiveness of positive affirmations combination of face acupressure and aromatherapy against anxiety in preoperative sectio cesarean patients at Sentosa Hospital Bogor. Science Midwifery, 10(3), 2164–2170.
Sitinjak, M. P., Ayu, D., Shintya, M., Putu, I. G., & Sidemen, S. (2022). Gambaran tingkat kecemasan pasien pre operasi pembedahan ortopedi di Rumah Sakit Umum Pusat Sanglah. Jurnal Medika Udayana, 11(2), 25–29.
Souisa, C. L., Tahu, S. K., & Batubara, S. O. (2026). Faktor-faktor yang memengaruhi tingkat kecemasan pasien pre operasi sectio caesarea di ruang operasi RSUPP Betun Kabupaten Malaka. Jurnal Keperawatan Muhammadiyah, 11(1), 180–186.
Talakuan, Y. T., Wibowo, T. H., & Sukmatingtyas, W. (2026). Hubungan self-efficacy dengan tingkat kecemasan pasien pre operasi spinal anestesi di Rumah Sakit Emanuel Banjarnegara. Jurnal Ilmiah Wahana Pendidikan, 12, 147–157.
Taufik, & Hidayat, F. (2026). Efektivitas leaflet promosi kesehatan terhadap kecemasan pasien preoperasi laparotomi. Jurnal ‘Aisyiyah Medika, 11, 180–189.
Windiarti, S. E., Windiyanto, B., & Budiati. (2024). Penerapan afirmasi positif dan hipnotis 5 jari pada gangguan psikososial kecemasan lansia. Jurnal LINK, 20(2), 102–106. https://doi.org/10.31983/link.v20i2.12340
World Health Organization. (2025). Safe surgery. https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery
Wulansari, M. E., Sugiarto, A., Erawati, E., Ari, D., & Widigdo, M. (2025). Pengaruh kombinasi expressive writing therapy dan afirmasi positif terhadap kecemasan pada pasien hemodialisis. Kewinus: Jurnal Keperawatan dan Kesehatan, 2(1), 101–117.
Yildirim, M., Akbal, S., & Turkoglu, M. (2023). The effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery: A randomized study. Applied Nursing Research, 72, 151687. https://doi.org/10.1016/j.apnr.2023.151687
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