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All Journal Majalah Kedokteran Gigi Indonesia Adi Husada Nursing Journal
Lisetiawati, Lisetiawati
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Dentistry Nursing Public Health

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A relationship between preoperative anxiety and postoperative pain in odontectomy patients under general anesthesia at Moewardi Regional General Hospital Mursyid, Farhandika; Septiawan, Debree; Lisetiawati, Lisetiawati
Majalah Kedokteran Gigi Indonesia Vol 10, No 3 (2024): December
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.95909

Abstract

Odontectomy is a surgical procedure to extract impacted teeth and also commonly performed to address dental and oral health issues. One symptom observed prior to the procedure is anxiety that may cause patients to avoid dental care. One effect attributed to preoperative anxiety in odontectomy patients includes a decrease in pain control, encompassing postoperative pain, possibly through Hypothalamic-Pituitary-Adrenal (HPA) axis. Postoperative pain itself is a complex issue requiring effective management to ensure good healing. This study aimed to determine the relationship between preoperative anxiety and postoperative pain in odontectomy patients under general anesthesia at Moewardi General Hospital and to measure the relationship between preoperative anxiety and postoperative pain intensity in patients undergoing odontectomy under general anesthesia at Moewardi General Hospital. This was a cross-sectional study of which the data were obtained through interviews. A total of 30 samples were selectedfrom the Dental and Oral Outpatient Clinic at Moewardi General Hospital scheduled for odontectomy under general anesthesia from December 2022 to January 2023. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire and Visual Analogue Score for Pain were used respectively to measure preoperative anxiety and postoperative pain. Statistical analysis of the relationship was conducted using the Pearson Correlation Test to assess the strength of the relationship. The average preoperative anxiety level was 17.17 and the postoperative pain intensity was 3.93 with the correlation coefficient of 0.587 (p < 0.05), indicating that the relationship fell within moderate and significant category. Preoperative anxiety exhibited a moderate and significant correlation with postoperative pain in odontectomy patients under general anesthesia.
Relationship Between Coping Strategies and Anxiety Levels Among Hemodialysis Patients with Chronic Kidney Disease: A Cross-Sectional Study at Moewardi Hospital Perdana, Dennada Bagus Putra; Septiawan, Debree; Lisetiawati, Lisetiawati
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.655

Abstract

Anxiety is the most common psychopathological response among patients with chronic kidney disease (CKD). Coping strategies play a key role in helping individuals adapt to stressful conditions, yet no prior research has examined their relationship with anxiety levels among CKD patients undergoing hemodialysis at Moewardi Regional General Hospital, Surakarta. This observational cross-sectional study involved 37 CKD patients. Coping strategies were assessed using the Brief-COPE questionnaire, while anxiety levels were measured using the HADS-A instrument. Data were analyzed using Spearman’s rho correlation and the Mann–Whitney test with a significance level of 0.05. Most participants were male (67.6%), elderly (29.7%), married (75.7%), and had undergone hemodialysis for ≥5 years (51.4%). The analysis revealed a very strong inverse correlation between coping strategies and anxiety levels (ρ = –0.793; p = 0.000). Significant differences were also found between patients using adaptive versus maladaptive coping strategies (p = 0.000). These findings indicate a significant association between coping strategies and anxiety severity in CKD patients receiving hemodialysis at Moewardi Regional General Hospital, Surakarta.
Co-Authors Mursyid, Farhandika Perdana, Dennada Bagus Putra Septiawan, Debree