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Autonomy in cardiac patients: A concept analysis Ardani, Madia Yuni; Awaludin, Sidik
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.971

Abstract

Background: Autonomy is a crucial aspect of cardiac patient care, which involves complex medical decisions and necessitates the patient's active participation. The appropriate application of the principles of autonomy can enhance the quality of care and patient satisfaction in managing chronic heart disease. Purpose: To refine the concept of autonomy, analyze it in depth, and formulate an operational definition. Methods: The analysis approach is based on the Avant concept, which was obtained from online databases namely Science Direct, PubMed, and Google Scholar using keywords “Autonomy Concept” AND “Heart”. Results: The concept analysis identified key attributes, including independent decision-making, independence, freedom, and the ability to think logically. Conclusion: The analysis reveals that the independence of heart patients is influenced by their understanding of their health status, the role of their family, and the role of medical personnel in providing accurate and precise information.
The Effect of Music Therapy on Anxiety Levels in General Surgery Preoperative Patients: A Systematic Review Ardani, Madia Yuni; Awaludin, Sidik
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5252

Abstract

Anxiety is a condition commonly experienced on the eve of surgery and has the potential to impact the condition and outcome of surgery negatively. Management strategies include pharmacological and non-pharmacological approaches, such as music therapy. Music The aim is to be a complementary alternative to pharmacological treatments to reduce patient anxiety. This systematic review analyzes nonpharmacological therapies used in the application of music therapy to general surgery patients with anxiety at the preoperative stage. The method uses articles published from 2014-2024 sourced from Science Direct, Pubmed, Cochrane Library, and Google Scholar databases. Article assessment was carried out using instruments from the Joana Briggs Institute. The result is based on seven articles that have been reviewed related to music therapy management to minimize anxiety scores owned by patients before undergoing surgical operations at the preoperative stage. Some articles explain that duration, type of music selection (natural sound), Turkish classical music, classical music from the West, jazz music, and religious music can reduce anxiety scores, maintain hemodynamic status, and maintain normal cortisol levels. In conclusion, music therapy is recommended as a nonpharmacologic method for anxiety management in preoperative patients.