The Application of a Combined Therapy of the “Butterfly Hug” and Mindfulness Meditation to Reduce Anxiety in Preoperative Appendicitis Patients at the Central Surgical Unit (IBS) of Surakarta Central General Hospital
DOI:
https://doi.org/10.65310/rm82bd59Keywords:
Anxiety, Appendicitis, Butterfly Hug, Mindfulness Meditation, Preoperative.Abstract
Appendicitis is one of the leading causes of acute abdominal emergencies requiring prompt surgical intervention. The preoperative period frequently induces anxiety due to concerns about surgery, anesthesia, and postoperative outcomes, potentially affecting physiological stability and surgical readiness. This study aimed to evaluate the effect of combined butterfly hug therapy and mindfulness meditation on anxiety levels in preoperative appendicitis patients. An empirical case study was conducted involving one preoperative appendicitis patient at the Central Surgical Installation of Surakarta General Hospital. Data were collected through interviews, observation, medical record documentation, and anxiety assessment using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention. The anxiety score decreased from 26 (severe anxiety) to 20 (moderate anxiety), accompanied by improvements in blood pressure, pulse rate, respiratory rate, and subjective anxiety complaints. These findings suggest that the combination of butterfly hug therapy and mindfulness meditation may serve as a practical nonpharmacological nursing intervention to reduce preoperative anxiety in appendicitis patients.
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Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. International Journal of Surgery Open, 25, 6-16. Https://Doi.Org/10.31871/Wjrr.8.2.17
Astuti, Nur Aulia Putri. (2024). Butterfly Hug Sebagai Teknik Relaksasi: Metode Efektif Untuk Mengurangi Kecemasan Remaja. Konseling: Jurnal Ilmiah Penelitian dan Penerapannya, 5(4), 133-37. Https://Doi.Org/10.31960/Konseling.V5i4.2530
Aulia, A. W. Z., Yuliastuti, E., & Suyatno, S. (2024). Pengaruh Terapi Butterfly Hug terhadap Tingkat Kecemasan pada Remaja. ASJN (Aisyiyah Surakarta Journal of Nursing), 5(1), 1–8. https://doi.org/10.30787/asjn.v5i1.1514
Ferede, Y. A., Bizunch, Y. B., Workie, M. M., & Admass, B. A. (2022). Prevalence And Associated Factors of Preoperative Anxiety Among Obstetric Patients Who Underwent Cesarean Section: A Cross-Sectional Study. Annals of Medicine and Surgery, 74(2022). Https://Doi.Org/10.1016/J.Amsu.22.103272
Jovanovic, K., Kalezic, N., Sipetic Grujicic, S., Zivaljevic, V., Jovanovic, M., Savic, M., Bukumiric, Z., Dragas, M., Sladojevic, M., Trailovic, R., Koncar, I., & Davidovic, L. (2022). Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) in Serbia. Brain and Behavior, 12(2). https://doi.org/10.1002/brb3.2462
Lidya Putri, L. (2023). Pengaruh Metode Self Healing Dengan Tehnik Butterfly Hug Terhadap Kecemasan Pasien Pre Operasi Sectio Caesarea Di RSUD Ibu Fatmawati Soekarano Surakarta (Doctoral dissertation, Universitas Kusuma Husada Surakarta). https://eprints.ukh.ac.id/id/eprint/4238/
Meri, A. (2017). Evaluasi Penggunaan Analgetik Pada Pasien Pasca Laparatomi Apendisitis Perforasi di Bangsal Bedah RSUP Dr. M. Djamil Padang (Doctoral Dissertation, Universitas Andalas) Http://Scholar.Unand.Ac.Id/Id/Eprint/24662
Pieter, H. Z. (2019). Pengantar Psikologi Dalam Keperawatan. Kencana.
Porges, S. W. (2019). The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe. W. W. Norton & Company.
Pujiati, L., & Matondang, E. R. S. (2025). Efektivitas Butterfly Hug dalam Mengurangi Kecemasan Preoperatif pada Ibu Hamil yang Menjalani Sectio Caesarea Terencana Di Rumah Sakit, Indonesia. Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences), 14(1), 111-119. https://doi.org/10.35328/keperawatan.v14i1.2924
Putri, Sri Burhani, Dan Miftahul Jannah. (2019). The Effect of Logotherapy on Depression Ii Breast Cancer Patients Under Chemotherapy. World Journal of Research and Review (WJRR), 8(2), 30-32. Https://Doi.Org/10.31871/Wjrr.8.2.17
Putri, S. B., Berliana, P., Anita Darmayanti, A. D., & Nadia Purnama Dewi, P. D. N. (2022). Hubungan Tingkat Kecemasan Preoperatif Dengan Karakteristik Pasien Di Kamar Operasi Rsi Siti Rahmah. Baiturrahmah Medical Journal, 1(2), 11-25. https://Jurnal.Unbrah.Ac.Id/Index.Php/Index/Index
Risnah, R., Irwan, M. (2023). Teori dan Model Keperawatan. CV Trans Info Media.
Sari, D. K. ., Nababan, R. H. ., & Daulay, W. . (2023). Pengaruh Meditasi Mindfullness terhadap Perubahan Cemas The Effect of Mindfullness Meditation on Anxiety Changes. Jurnal Kesehatan, 12(1), 19–25. https://doi.org/10.46815/jk.v12i1.118
Susantyo, A. H., Pratiwi, C. J., & Soemah, E. N. (2024). Pengaruh Teknik Relaksasi Meditasi Mindfulness Terhadap Perubahan Kecemasan Pada Pasien Pre Operasi Di Rspal Dr. Ramelan Surabaya (Doctoral dissertation, Perpustakaan Universitas Bina Sehat). https://Repositori.Stikes-Ppni.Ac.Id/Handle/123456789/3018
Swarjana, I. K. (2022). Konsep Pengetahuan, Sikap, Perilaku, Persepsi, Stress, Kecemasan, Nyeri, Dukungan Sosial, Kepatuhan, Motivasi, Kepuasan, Pandemi Covid 19, Askes Layanan Kesehatan-Lengkap Dengan Konsep Teori, Car Mengukur Variabel Dan Contoh Kuesioner. Yogyakarta: Andi.
Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., ... & Posner, M. I. (2020). Short- term meditation training improves attention and self-regulation. Proceedings of the Sciences, 104(43), 17152-17156. National Academy of https://doi.org/10.1073/pnas.0707678104
Yusuf, A. H., Fitryasari, R., & Nihayati, H. E. (2015). Buku ajar keperawatan kesehatan jiwa.
Wulandari, I. S. M., & Manalu, N. V. (2021). Perilaku Caring Perawat Dan Dukungan Keluarga Terhadap Kecemasan Pre Operasi. Syntax Literate: Jurnal Ilmiah Indonesia, 6(8), 3841-3853. Https://Doi.Org/10.36418/Syntax-Literate. V6i8.3762
Zulfa, D. (2025). Pengaruh kombinasi terapi butterfly hug dan meditasi mindfulness terhadap tingkat kecemasan pada pasien preoperatif di RSUD Hajjah Andi Depu (Doctoral dissertation, Universitas Sulawesi Barat). https://repository.unsulbar.ac.id/id/eprint/2128/
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