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Patterns and Mechanisms of Social Support in Reducing Preoperative Anxiety: A Scoping Review Nurfadillah Nurfadillah; Sri Wahyuningsih; Andi Fitrah Ramadhanty; Nurhidayat Tanam Hadi Kisworo
Gema Wiralodra Vol. 16 No. 3 (2025): Gema Wiralodra
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/gw.v16i3.872

Abstract

Preoperative anxiety is a common psychological problem experienced by surgical patients and may affect both physical and psychological readiness prior to surgery. Various nursing interventions and forms of social support have been developed to reduce preoperative anxiety; however, the scientific evidence regarding their patterns and underlying mechanisms remains fragmented. This study aimed to map the forms of social support, nursing interventions, and mechanisms involved in reducing preoperative anxiety among surgical patients. A scoping review methodology was employed, involving a literature search across four electronic databases. Articles that met the inclusion criteria were analyzed and mapped using a charting table covering study objectives, types of interventions or social support, underlying mechanisms, and reported outcomes. A total of 20 articles were included in this review. The findings indicate that informational support through preoperative education, emotional and professional support from healthcare providers, and non-pharmacological interventions such as breathing relaxation techniques and spiritual approaches play a significant role in reducing preoperative anxiety. The identified mechanisms include reduced uncertainty, enhanced psychological coping, and regulation of physiological stress responses. This scoping review highlights the importance of a holistic nursing approach in preoperative care and provides a foundation for the development of evidence-based interventions to improve the quality of care for surgical patients.
Edukasi Manajemen Pre Anestesi pada Pasien yang Akan Menjalani Prosedur Bedah di Rumah Sakit Andi Fitrah Ramadhanty; M Akbar Ali Polanunu; Nurfadillah Nurfadillah; Nurhidayat Tamam Hadi Kisworo; Muhammad Arif Rahman; Muh Nur Ihsan Rasyid; Subair Subair
Jurnal Pengabdian Masyarakat Kesosi Vol. 9 No. 2 (2026): Juli: Jurnal Abdimas KESOSI
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/abdimas.v9i2.598

Abstract

Surgical procedures are medical interventions that require optimal anesthesia preparation to ensure patient safety and comfort during and after surgery. Patients' limited understanding of pre-anesthesia management often gives rise to preoperative anxiety and non-adherence to preoperative instructions, such as fasting before surgery and providing a complete medical history, which can increase the risk of anesthesia-related complications. This community service activity aimed to provide education to patients undergoing surgical procedures on pre-anesthesia management in order to improve their knowledge, compliance, and physical and psychological readiness. The activity was carried out at RSU Wisata UIT, targeting preoperative patients along with their accompanying family members, using lecture methods, question-and-answer discussions, and educational media (leaflets and PowerPoint slides), which began and ended with the administration of questionnaires (pre-test and post-test) to measure changes in participants' anxiety levels. The results showed a decrease in patients' anxiety levels after the education was provided, indicating that pre-anesthesia education intervention is effective in preparing patients for surgical procedures. This activity is expected to serve as a model for a sustainable intervention in efforts to improve the quality of anesthesia nursing care and patient safety in hospitals.