Abstract :
Operasi merupakan tindakan medis invasif yang sering
menimbulkan kecemasan pada pasien praoperatif. Kecemasan ini dapat
berdampak negatif terhadap kondisi fisiologis maupun psikologis pasien
serta berpengaruh pada jalannya prosedur pembedahan. Salah satu
intervensi nonfarmakologis yang efektif dalam menurunkan kecemasan
adalah komunikasi terapeutik oleh perawat.
Tujuan: Mengetahui peran komunikasi terapeutik perawat terhadap tingkat
kecemasan pasien praoperatif di ruang OK RSUP Dr. Tadjuddin Chalid
Makassar.
Metode: Studi kasus dilakukan pada pasien praoperatif dengan diagnosa
medis batu ureter yang menjalani tindakan ureteroskopi. Data diperoleh
melalui pengkajian subjektif, observasi tanda objektif, intervensi
keperawatan berupa komunikasi terapeutik dan teknik relaksasi, serta
evaluasi dengan pendekatan SOAP.
Hasil: Pasien menunjukkan tanda-tanda ansietas seperti rasa cemas,
gelisah, dan tegang. Setelah dilakukan komunikasi terapeutik berupa
pendampingan, pemberian informasi prosedur operasi, pendekatan
empatik, serta latihan relaksasi napas dalam, tingkat kecemasan pasien
berkurang. Pasien merasa lebih tenang, mampu memahami informasi, dan
kondisi emosionalnya lebih stabil.
Kesimpulan: Komunikasi terapeutik berperan penting dalam menurunkan
tingkat kecemasan pasien praoperatif. Intervensi ini dapat meningkatkan
kenyamanan psikologis pasien, mempersiapkan pasien menghadapi
operasi, serta mendukung kualitas pelayanan keperawatan perioperatif.
Surgery is an invasive medical procedure that often triggers
preoperative anxiety. This condition may negatively affect both physiological
and psychological states of patients and influence the surgical process. One
of the effective non-pharmacological interventions to reduce anxiety is
therapeutic communication provided by nurses.
Objective: To determine the role of nurses’ therapeutic communication in
reducing the level of preoperative anxiety among patients in the operating
room of RSUP Dr. Tadjuddin Chalid Makassar.
Method: A case study was conducted on a preoperative patient diagnosed
with ureteral stone who underwent ureteroscopy. Data were collected
through subjective assessment, observation of objective signs, nursing
interventions involving therapeutic communication and relaxation
techniques, and evaluation using the SOAP approach.
Result: The patient showed signs of anxiety such as worry, restlessness,
and tension. After therapeutic communication interventions, including
companionship, providing clear information about the surgical procedure,
empathetic approaches, and deep breathing relaxation techniques, the
patient’s anxiety decreased. The patient reported feeling calmer, better
understood the information, and demonstrated more stable emotional
conditions.
Conclusion: Therapeutic communication plays an important role in
reducing preoperative anxiety. This intervention enhances patients’
psychological comfort, prepares them for surgery, and supports the quality
of perioperative nursing care.