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All Journal Jurnal Ilmiah Multidisiplin (JUKIM)
Heru Purnawan Jati Wibowo
Universitas Muhammadiyah Purwokerto
Computer Science & IT Economics, Econometrics & Finance Social Sciences

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The Effect of Supportive Educational Intervention on Anxiety Levels in Preoperative Patients Undergoing Spinal Anesthesia Muhammad Nurfakhir Aliffarhani; Rully Annisa; Heru Purnawan Jati Wibowo; Marta Tania Gabriel Ching Cing
Jurnal Ilmiah Multidisiplin Vol. 5 No. 02 (2026): Maret: Jurnal Ilmiah Multidisiplin
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukim.v5i02.2610

Abstract

Surgical treatment is an invasive medical procedure that requires anesthesia to reduce pain caused by surgical incisions. Surgical intervention and anesthesia may act as psychological stressors that increase anxiety in patients before surgery. Preoperative anxiety can negatively affect patient comfort and readiness for surgery. One nonpharmacological approach to reduce anxiety is supportive education, which aims to improve patient understanding through structured teaching, guidance, emotional support, and the creation of a supportive learning environment. Methods: This study used a quantitative approach with a preexperimental one group pretest and posttest design. The study population consisted of patients undergoing surgery with spinal anesthesia at a tertiary military hospital in Purwokerto. Participants were selected using purposive sampling. Anxiety levels were measured using a preoperative anxiety assesment instrument consisting of six statements rated on a five point Likert scale. Results: Statistical analysis using the Wilcoxon signed rank test showed a significant difference in anxiety levels before and after the supportive education intervention, with a negative test statistic value and a probability value below the significant threshold. Conclusion: Supportive education was effective in reducing anxiety levels among patients undergoing surgery with spinal anesthesia.
Development of Pre-Anesthesia Documentation in Electronic Medical Record Anesthesia (AREME) Try Budi Wilogo; Marta Tania Gabriel Ching Cing; Heru Purnawan Jati Wibowo; Rully Annisa
Jurnal Ilmiah Multidisiplin Vol. 5 No. 02 (2026): Maret: Jurnal Ilmiah Multidisiplin
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukim.v5i02.2615

Abstract

Anesthesia Care Nursing Documentation (ASKAN) is a record that contains the actions performed by an anesthesiologist on a patient. In the existing Electronic Medical Record Anesthesia (AREME) application, documentation is limited to intra-anesthesia. This does not align with the guidelines in the Anesthesia Care Nursing Documentation (ASKAN) manual. This study aims to develop the AREME application by adding pre-anesthesia documentation, in accordance with the guidelines outlined in the ASKAN manual. The research method used is Research and Development (R&D) with the Waterfall software development method, which includes the stages of Requirement, Design, Implementation, Verification, and Maintenance. The results of this study produced a new interface and pre-anesthesia documentation in the AREME application, in accordance with the guidelines in the ASKAN manual. System testing was conducted using Black Box Testing with Use Case testing techniques, and the results showed that all system functions operate according to the specified requirements. Therefore, this study successfully developed pre-anesthesia documentation in the web-based Electronic Medical Record Anesthesia (AREME) application.
Co-Authors Marta Tania Gabriel Ching Cing Muhammad Nurfakhir Aliffarhani Rully Annisa Try Budi Wilogo