Abstract

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DAFTAR ISI
HALAMAN JUDUL........................................................................................................
i
HALAMAN PENGESAHAN.........................................................................................
ii
HALAMAN PERSEMBAHAN...................................................................................
iii
HALAMAN PERSEMBAHAN......................................................................................
iv
KATA PENGANTAR.....................................................................................................
v
DAFTAR ISI.................................................................................................................
vi
DAFTAR TABEL...........................................................................................................
vii
DAFTAR GAMBAR.......................................................................................................
viii
DAFTAR BAGAN........................................................................................................
ix
DAFTAR SINGKATAN……………………………………..……………………
x
DAFTAR LAMPIRAN.................................................................................................
xi
INTISARI......................................................................................................................
xii
ABSTRACT.................................................................................................................
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BAB I. PENDAHULUAN
A. Latar Belakang.....................................................................................................
1
B. Rumusan Masalah................................................................................................
7
C. Tujuan Penelitian..............................................................................................
8
D. Manfaat Penelitian............................................................................................
8
E. Penelitian Terkait.....................................................................................................
9
BAB II. TINJAUAN PUSTAKA
A.
Landasan Teori..................................................................................................
12
1. Penyakit Jantung Koroner...............................................................................
12
2. Kateterisasi Jantung ...........................................................................................
16
3. Percutaneous Transluminal Coronary Angioplast (PTCA)................................
24
4. Kecemasan.......................................................................................................
27
5. Psikoedukasi.....................................................................................................
46
v
6. Guided Imagery..................................................................................................
49
B.
Kerangka Teori...................................................................................................
59
C.
Kerangka Konsep ...............................................................................................
60
D.
Hipotesis..............................................................................................................
61
BAB III. METODE PENELITIAN
A. Desain Penelitian..................................................................................................
63
B. Populasi dan Sampel............................................................................................
64
C. Lokasi dan Waktu Penelitian ..............................................................................
66
D. Definisi Operasional.............................................................................................
66
E. Instrumen Penelitian............................................................................................
68
F. Pengumpulan Data...............................................................................................
69
G. Uji Validitas dan Realibilitas...............................................................................
73
H. Tehnik Analisa Data............................................................................................
73
I.
74
Etika Penelitian.....................................................................................................
BAB IV. HASIL PENELITIAN DAN PEMBAHASAN.......................................................
75
A. Hasil Penelitian.................................................................................................
75
B.
85
Pembahasan ...................................................................................................
BAB. V SIMPULAN DAN SARAN......................................................................................
95
A S impulan............................................................................................................
95
B Saran................................................................................................................
96
DAFTAR PUSTAKA............................................................................................................
96
LAMPIRAN.....................................................................................................................
101
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DAFTAR TABEL
Tabel 3.2 Definisi Operasional.................................................................................
Tabel 4.1 Perbandingan tingkat Kecemasan Pasien Prekateterisasi Jantung Sebelum dan
Halaman
66
80
Sesudah Diberikan Guided Imagery
Tabel 4.2 Perbandingan tingkat Kecemasan Pasien Prekateterisasi Jantung Sebelum dan
81
Sesudah Psikoedukasi
Tabel 4.3 Perbandingan tingkat Kecemasan Pasien Prekateterisasi Jantung Sebelum dan
82
Sesudah Protap ruangan.
Tabel 4.4 Perbandingan Tingkat Kecemasan Pasien Prekateterisasi Jantung dan
Sesudah Diberikan Terapi Psikoedukasi, Guided Imagery dan Protap
ruangan.
vii
84
DAFTAR GAMBAR
Gambar 2.1 Potongan Arteri Koroner........................................................................
Halaman
13
Gambar 2.2 Percutaneous transluminal coronary angioplasty......................................
16
Gambar 2.3 Insertion of a coronary artery stent..........................................................
17
Gambar 2.4 Akses masuk kateter jantung..................................................................
18
Gambar 2.5 Rentang Respon Cemas..........................................................................
37
Grafik 4.1 Distribusi Responden Berdasarkan Jenis Kelamin dan Kecemasan
76
Grafik 4.2 Distribusi Responden Berdasarkan Umur dan Kecemasan
77
Grafik 4.3 Distribusi Responden Berdasarkan Pendidikan dan kecemasan
77
Grafik 4.4 Distribusi Responden Berdasarkan Intervensi…………………………….
78
Grafik 4.5 Distribusi Respoden Berdasarkan Kecemasan Sebelum Diberikan Terapi
79
Psikoedukasi,Guided Imagery dan Protap Ruangan
Grafik 4.6Distribusi Responden Sesudah diberikan Terapi Psikoedukasi,Guided
79
Imagery dan Protap Ruangan
Grafik 4.10 Distribusi Penurunan Tingkat Kecemasan Pasien Prekateterisasi Jantung
dan Sesudah Diberikan Terapi Psikoedukasi, Guided Imagery dan Protap
ruangan.
viii
83
DAFTAR BAGAN
Halaman
Bagan
2. 6 Kerangka Teori..........................................................................................
59
Bagan
2. 7 Kerangka Konsep......................................................................................
60
Bagan
2. 8 Alur Penelitian ........................................................................................
72
ix
DAFTAR LAMPIRAN
Lampiran 1surat Permohonan Persetujuan Menjadi Responden........................................
101
Lampiran 2 Surat Permohonan Menjadi Responden ........................................................
102
Lampiran 3 Lembar Penilaian Tingkat Kecemasan.............................................................
103
Lampiran 4 Prosedur Pelaksanaan Psikoedukasi..............................................................
107
Lampiran 5Prosedur Guided Imagery................................................................................
111
Lampiran 6 Surat Persetujuan Menjadi Assisten Penelitian..........................................
113
Lampira 7 Liflet Psikoedukasi.....................................................................................
114
Lampiran 8 Rekapitulasi Data.......................................................................................
115
Lampiran 9 Olah Data SPSS..............................................................................................
116
Lampiran 10 Surat Keterangan Kelayakan Etika Penelitia.................................................
122
Lampiran 11 Ethics Committee Approval..........................................................................
123
Lampiran 12 SPO Pendidikan Kesehatan Pasien dan Keluarga........................................
124
Lampiran 13 Pemberian Pendidikan Kesehatan Pasien/Keluarga Iinter Disipli...........
125
Lampiran 14 Daftar riwayat hidup.................................................................................
126
x
DAFTAR SINGKATAN
WHO
: World Health Organization
NCDS
: non comunicable disease
RISKESDAS : riset kesehatan dasar
EKG
: elektrokardiografi
HARS
: Hamilton Anxety Rating Scale
CAD
: artery coronay disease
ACS
: Acut Coronary Sindroma
CO
: karbonmonoksida
LDL
: Low-density lipoprotein
PTCA
: Percutaneous Transluminal Coronary Angioplasty
GABA
: gamma amino butyric acid
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VAS
: visual analog scale
ASA
: acetylsalicylic acid
AGI
: academi of guided imagery
NIC
: Nursing Intervention and clasification
JCI
: Join Commision International
INTISARI
Latar belakang :Tindakan kateterisasi jantung dapat menimbulkan kecemasan,
kecemasan dapat diturunkan menggunakan psikoedukasi maupun guided imagery.
Psikoedukasi adalah sebuah terapi modalitas yang disampaikan oleh
professional,mengintegrasikan dan mensinergikan antara psikoterapi dan edukasi³¹.
guided imagery, yaitu proses yang menggunakan kekuatan pikiran mengarahkan
tubuh untuk menyembuhkan diri memelihara kesehatan/ relaksasi melalui komunikasi
dalam tubuh melibatkan semua indera.
Tujuan : Menganalisis efektivitas terapi psikoedukasi dan guided imagery terhadap
kecemasan pasien pre kateterisasi jantung di RSUP Dr. Sardjito Yogyakarta.
Metode: Desain penelitian true experiment menggunakan pre and post test with
control group design. Jumlah sampel 35 responden. Penilaian kecemasan dengan
Hamilton Anxiety Scale (HARS) analisa data yang digunakan adalah uji statistik
Wilcoxon, kruskal Wallis dan mann-whitney.
Hasil: hasil uji statistic Wilcoxon P<0.05 menunjukkan bahwa psikoedukasi, guided
imagery dan protap ruangan (edukasi) sama-sama bisa menurun kecemasan pasien pre
kateterisasi, kemudian dari 3 variabel penelitian dilakukan uji Kruskal-Wallis Tes
hasil P>0.05 (0,278) dan lanjutkan uji mann-whitney tes untuk melihat perbandingan
penurunan dua variabel dengan P>0.05 sehingga tidak ada perbedaan penurunan
kecemasan pada 3 intervensi, akan tetapi dari data distribusi didapatkan bahwa guided
imagery dapat menurunkan lebih baik yaitu 3 tingkat dibawahnya.
Kesimpulan: Terjadi penurunan tingkat kecemasan sebelum dan sesudah diberikan
psikoedukasi, guided imagery dan protap ruangan, dengan P< 0,05. Tidak ada
perbedaan penurunan kecemasan setelah terapi psikoedukasi, guided imagery dan
protap ruangan (edukasi) P> 0,05, akan tetapi guided imagery lebih baik dari
keduanya, dapat menurunkan 3 tingkat kecemasan dibawahnya.
Kata Kunci: guided imagery dan psikoedukasi, kecemasan, prekateterisasi jantung.
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ABSTRACT
Background : Cardiac catheterization actions can cause anxiety, anxiety can be
derived using psychoeducation and guided imagery.Psychoeducation is a therapeutic
modality that is delivered by professional , integrate and synergize between
psychotherapy and education³¹. guided imagery , which is a process that uses the
power of the mind directs the body to heal itself maintain health / body relaxation
through communication involves all the senses .
Objective : To analyze the effectiveness of psychoeducation therapy and guided
imagery on anxiety pre cardiac catheterization patients in Dr . Sardjito .
Methods : The study design using a true experiment with pre and post test control
group design . Total sample of 35 respondents . The Hamilton Anxiety Rating Scale
anxiety ( HARS ) data analysis is a statistical test used Wilcoxon , Kruskal-Wallis and
Mann-Whitney .
Results: The results of the statistical Wilcoxon test P> 0.05 indicates that
psychoeducation , guided imagery and standard operating procedure ( education )
are equally able to decrease patient anxiety pre catheterization , then from 3 variable
research conducted Kruskal - Wallis test results P > 0:05 ( 0.278 ) and mann-Whitney
test continue to see a comparison test of two variables decrease with P > 0:05 so
there is no difference in the 3 intervention decreased anxiety , but the distribution of
the data showed that guided imagery can lower the better that is 3 levels below .
Conclusion : There was a decrease in anxiety levels before and after psychoeducation
, guided imagery and standard operating Procedure , with P < 0.05 . There was no
difference decreased anxiety after psychoeducation therapy , guided imagery and
standard operating procedure ( education ) P > 0.05 , but guided imagery is better
than both , can reduce anxiety levels below 3 .
Keywords : guided imagery and psychoeducation , anxiety , heart prekateterisasi .
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