Kefektifan Guided Imagery Menurunkan Distres Psikologis Dan Skor Kecemasan Pasien Tindakan Bronkoskopi
Penulis Utama
:
Alfi Luthfiani
NIM / NIP
:
S572008001
×<p xss=removed><b><i>ABSTRACT</i></b></p><p xss=removed><b><i> </i></b></p><p xss=removed><b><i>THE EFFECTIVENESS OF GUIDED IMAGERY IN REDUCING PSYCHOLOGICAL DISTRESS AND ANXIETY SCORES IN PATIENTS UNDERGOING BRONCHOSCOPY</i></b></p><p xss=removed><b><i> </i></b></p><p xss=removed><b>Alfi Luthfiani</b><span xss=removed><b><sup>1</sup></b></span><b>, Aris Sudiyanto</b><span xss=removed><b><sup>2</sup></b></span><b>, Budhi Hami Seno</b><span xss=removed><b><sup>2</sup></b></span><b>, Yusup Subagio Sutanto</b><span xss=removed><b><sup>3</sup></b></span></p><p xss=removed><span xss=removed><i><sup>1</sup></i></span><i>Psychiatry Resident, Faculty of Medicine, Sebelas Maret University / Dr. Moewardi General Hospital</i></p><p xss=removed><span xss=removed><i><sup>2</sup></i></span><i>Teaching Staff, Department of Psychiatry, Faculty of Medicine, Sebelas Maret University / Dr. Moewardi General Hospital</i></p><p xss=removed><span xss=removed><i><sup>2</sup></i></span><i>Teaching Staff, Department of Pulmonology and Respiratory Medicine, Faculty of Medicine Sebelas Maret University / Dr. Moewardi General Hospital</i></p><p xss=removed><i> </i></p><p xss=removed><b><i>Introduction: </i></b><i>Bronchoscopy is considered the gold standard diagnostic tool and is crucial in diagnosing pulmonary neoplasms and interstitial lung diseases. However, the procedure is often perceived as uncomfortable by nearly 60% of patients due to topical anesthesia, leading to discomfort, anxiety, and pain, primarily due to experienced side effects. This condition also instills anxiety and fear experienced before the procedure. Non-pharmacological therapy utilizing relaxation methods can alleviate stress, one of which is guided imagery, proven to reduce pre-procedural anxiety. As bronchoscopy serves as a referral, research is warranted to ascertain the effectiveness of guided imagery in reducing anxiety and psychological distress before bronchoscopy.</i></p><p xss=removed><b><i>Method: </i></b><i>This study employed a double-blind randomized controlled trial design, dividing 36 patients scheduled for bronchoscopy into two groups: control and intervention. For intervention group, 20-minute MP3 audio recording is applied twice a day in 3 days before bronchoscopy. Instruments used to measure anxiety symptoms included the APAIS questionnaire (Amsterdam Preoperative Anxiety and Information Scale) and VAS-A (Visual Analogue Scale for Anxiety), while psychological distress was assessed using the Kessler-10 scale. Assessments were conducted upon hospital entry, before bronchoscopy, and after bronchoscopy</i><b><i>.</i></b></p><p xss=removed><b><i>Results: </i></b><i>Statistical analysis revealed that guided imagery significantly and substantially (Cohen’s d > 0.8) reduced APAIS levels from hospital entry to before bronchoscopy (p < 0> 0.8) in reducing anxiety levels from inpatient entry to before bronchoscopy (p < 0> 0.8) from hospital entry to before bronchoscopy (p < 0><b><i>.</i></b></p><p xss=removed><b><i>Conclusion: </i></b><i>Guided imagery proves to be an effective intervention in reducing psychological distress and anxiety score in patients undergoing bronchoscopy.</i></p><p xss=removed><b><i>Keywords: </i></b><i>guided imagery, anxiety, psychological distress, bronchoscopy, randomized controlled trial.</i></p>
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Penulis Utama
:
Alfi Luthfiani
Penulis Tambahan
:
1. - 2.
NIM / NIP
:
S572008001
Tahun
:
2024
Judul
:
Kefektifan Guided Imagery Menurunkan Distres Psikologis Dan Skor Kecemasan Pasien Tindakan Bronkoskopi