ANALISIS ASUHAN KEPERAWATAN DENGAN PENERAPAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP TINGKAT ANSIETAS PADA PASIEN PREOPERATIF NEFROLITIASIS DI INSTALASI BEDAH SENTRAL

Sofia Eka Lestari, . (2025) ANALISIS ASUHAN KEPERAWATAN DENGAN PENERAPAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP TINGKAT ANSIETAS PADA PASIEN PREOPERATIF NEFROLITIASIS DI INSTALASI BEDAH SENTRAL. Karya Ilmiah Akhir thesis, Universitas Pembangunan Nasional Veteran Jakarta.

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Abstract

Preoperative anxiety is a common psychological response experienced by patients prior to undergoing surgical procedures and can influence physiological stability as well as emotional readiness. In patients with nephrolithiasis, invasive procedures such as ureterorenoscopy (URS) or DJ stent insertion frequently trigger anxiety related to postoperative pain, potential complications, the anesthesia process, and uncertainty regarding surgical outcomes. To alleviate such anxiety, relaxation techniques are utilized as non-pharmacological approaches that support physical and psychological comfort. One widely implemented technique is Progressive Muscle Relaxation (PMR), which has been shown to reduce preoperative anxiety through sequential muscle contraction and relaxation, thereby decreasing sympathetic activity and promoting a relaxation response. In this case study, PMR was administered for 15 minutes to two nephrolithiasis patients in the preoperative phase, with anxiety levels assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). In the primary managed patient, the initial anxiety score of 19 (severe anxiety) decreased to 10 (moderate anxiety). In the resume patient, the initial score of 14 (moderate anxiety) decreased to 8 (mild anxiety). These improvements were accompanied by stabilized vital signs and more adaptive behavioral responses. The findings indicate that PMR is effective in reducing preoperative anxiety and may be recommended as part of evidence-based nursing practice within perioperative nursing care.

Item Type: Thesis (Karya Ilmiah Akhir)
Additional Information: [No.Panggil: 2420721190] [Pembimbing: Mareta Dea Rosaline] [Penguji 1: Hesti Rahayu] [Penguji 2: Cut Sarida Pompey]
Uncontrolled Keywords: Amsterdam Preoperative Anxiety and Information Scale (APAIS), Nephrolithiasis, Preoperative Anxiety, Progressive Muscle Relaxation (PMR), Surgery
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
R Medicine > RT Nursing
Divisions: Fakultas Ilmu Kesehatan > Program Studi Pendidikan Profesi Ners
Depositing User: SOFIA EKA LESTARI
Date Deposited: 10 Apr 2026 08:39
Last Modified: 10 Apr 2026 08:39
URI: http://repository.upnvj.ac.id/id/eprint/49259

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