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Y Bambang Dwi Atmoko
RSUP Surakarta

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Butterfly Hug and Music Therapy for Preoperative Anxiety in Benign Prostatic Hyperplasia (BPH) Patients: A Case Study Oktavia Murry Armanda; Ita Indraswati; Y Bambang Dwi Atmoko; Ika Kusuma Wardani
KIAN JOURNAL Vol 5 No 2 (2026): KIAN JOURNAL (September 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i2.1016

Abstract

Introduction: Preoperative anxiety is commonly experienced by patients undergoing surgery and may be related to concerns about anesthesia, surgical outcomes, postoperative pain, and possible complications. Non-pharmacological nursing interventions such as the Butterfly Hug technique and music therapy may provide relaxation and emotional support before surgery. Objective: This case study aimed to describe the application of a combination of the Butterfly Hug technique and music therapy and the observed changes in preoperative anxiety among patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). Method: A descriptive case study was conducted in the Central Operating Theater of Surakarta Central General Hospital. Three male patients with BPH who were scheduled for TURP under spinal anesthesia and experienced preoperative anxiety were selected purposively. Anxiety was assessed before and after a single 10–15-minute session using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Changes in blood pressure, pulse rate, and observable behavioral responses were also documented. Result: APAIS scores decreased in all three cases. Mr. J's score decreased from 24 to 14, Mr. S's from 23 to 15, and Mr. H's from 22 to 12. Before the intervention, all three patients were categorized as having severe anxiety. After the intervention, two patients were categorized as having moderate anxiety and one as having mild anxiety. The patients also appeared calmer, showed less facial tension, maintained better eye contact, and asked fewer repeated questions about the procedure. Conclusion: The combination of the Butterfly Hug technique and music therapy was associated with an observed reduction in preoperative anxiety across the three cases. These preliminary findings suggest that the combination may be a feasible non-pharmacological nursing approach for supporting patients with preoperative anxiety; however, the findings cannot establish a causal effect and are not generalizable beyond the cases presented
Application of Blanket Warmer to Increase Body Temperature in Post-Cesarean Hypothermia: A Case Study Rabiatul Adawiya; Ita Indraswati; Y Bambang Dwi Atmoko
KIAN JOURNAL Vol 5 No 2 (2026): KIAN JOURNAL (September 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i2.1029

Abstract

Introduction: Postoperative hypothermia is a common complication caused by the effects of anesthesia, low operating room temperature, and impaired thermoregulation. Untreated hypothermia may increase the risk of shivering, bleeding, surgical site infection, delayed wound healing, and prolonged recovery. One of the non-pharmacological nursing interventions used to manage postoperative hypothermia is the application of a blanket warmer. Objective: To describe the application of a blanket warmer in increasing body temperature among postoperative hypothermic patients in the recovery room of the Central Surgical Installation. Method: This Final Nursing Scientific Project employed a descriptive case study, without a comparison group, involving three postoperative patients with hypothermia in the recovery room. A blanket warmer set at 38°C was applied for 20 minutes. Body temperature was measured before and after the intervention using a digital thermometer, and changes in body temperature were evaluated. Result: All patients showed an increase in body temperature following the intervention, from 35.0°C to 36.1°C in the first case, from 33.6°C to 35.8°C in the second case, and from 35.2°C to 36.0°C in the third case. All patients also reported reduced shivering and cold sensation, resulting in improved comfort during recovery. Conclusion: The application of a blanket warmer for 20 minutes was associated with an increase in body temperature and a reduction in shivering and cold sensation among the postoperative hypothermic patients observed. As this descriptive case study did not include a comparison group, these findings are preliminary; controlled studies with larger samples are needed before the intervention can be recommended as standard practice