The Relationship of Anxiety Level and Increased Blood Pressure In Preoperative Patients With General Anesthesia

Authors

  • priya hirna pritama universitas Harapan Bangsa
  • Madyo Maryoto Universitas Harapan Bangsa
  • Roro Lintang Suryani Universitas Harapan Bangsa
  • Eza Kemal Firdaus Universitas Harapan Bangsa https://orcid.org/0000-0001-9111-211X

Keywords:

Anxiety, Blood Pressure, General Anesthesia ,, Preoperative Care, Surgical Outcomes

Abstract

Background: Preoperative anxiety, particularly among patients undergoing general anesthesia can significantly impact physiological responses, including blood pressure. General anesthesia often induces higher anxiety levels compared to spinal anesthesia due to the loss of consciousness and associated risks. This research aims to investigate the relationship between preoperative anxiety levels and blood pressure increase in patients undergoing general anesthesia.

Methods: A descriptive quantitative study with an analytic correlational approach was conducted. The cross-sectional study included 86 preoperative patients selected using incidental sampling. Data collection involved the APAIS questionnaire for anxiety and a sphygmomanometer for blood pressure measurements. Due to the non-normal data distribution, data were analyzed using Spearman's rho test.

Results: Among the 86 respondents, 64% were male, and the majority (32.6%) were aged 45-55. Most respondents were self-employed (22.1%) and had higher education (38.4%). Anxiety was prevalent, with 40.7% experiencing severe anxiety and 82.6% having high blood pressure. Spearman's rho test indicated a significant correlation between anxiety levels and increased blood pressure (p<0.05). In addition, in the Sperman Rho test between anxiety levels and blood pressure there is a correlation value of 1,000 and 0.441 which shows that there is a strong relationship between anxiety levels and increased blood pressure, where the more positive the correlation value, the stronger the relationship between the two variables.

Conclusions: There is a significant relationship between preoperative anxiety and increased blood pressure in patients undergoing general anesthesia. The findings highlight the need for effective anxiety management to mitigate hypertensive risks during surgery.

References

American Society of Anesthesiologists. (2019). Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia. American Society of Anesthesiologists. https://www.asahq.org/standards-and-practice-parameters/statement-on-continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedation-analgesia

Astuti, A., Abiyoga, A., & Safitri, KH (2021). Description of Characteristics, Knowledge, and Level of Anxiety Preoperative Sectio Caesarea Patient in the Installation Central Surgery. Journal Nursing Wiyata, 2(2), 11. https://doi.org/10.35728/jkw.v2i2.363

Swinging. (2019). Connection Self -Efficacy with Anxiety in Preoperative Patients at Level III Baladhika Husana Hospital, Jember. Jember University Digital Respository, 1–177.

Enawati, S., & Erli, A. (2022). The Relationship of Anxiety aand Increased Blood Pressure In Preoperative Patients With Close Fractures. 2022-11-16, 2, 87–95. https://doi.org/DOI:10.55606/jikki.v2i3.737

Farrell, M. (2016). Smelter and Bare's Textbook of Medical-Surgical Nursing (Fourth Australian and New Zealand edition, Vol. 2). https://zlib.pub/book/smelter-and-bares-textbook-of-medical-surgical-nursing-7hjk75tolqv0

Fitriani, L., Kusumajaya , H., & Agustiani , S. (2023). Related Factors with Level of Anxiety Preoperative Patient in Inpatient Room Surgery. Journal Study Nurse Professional, 5(2), 573–578. https://doi.org/10.37287/jppp.v5i2.1504

Hudia, PC, Anggraini, RB, & Permatasari , I. (2023). P-ISSN 2746-5497; e-ISSN 2746-5500 http://jurnal.globalhealthsciencegroup.com/index.php/IJNHS. 4(2).

Iqbal, M. (2021). Relationship between Anxiety Levels with Enhancement Blood Pressure in Patients Pre Operation at Bhayangkara Hospital Banda Aceh. Institute Bali Health Technology.

Mancia, G., Rosei, E.A., Azizi, M., Burnier, M., Clement, D.L., Coca, A., de Simone, G., Dominiczak, A., Kahan, T., Mahfoud, F., Redon, J., Ruilope, L., Zanchetti, A., Kerins, M., Kjeldsen, S.E., Kreutz, R., Laurent, S., Lip, GYH, McManus, R., … Desormais, I. (2018) . 2018 ESC/ESH Guidelines for the management of arterial hypertension. 08-25-2018, 39(33), 3021–3104. https://doi.org/10.1093/eurheartj/ehy339

Mukarromah, A. (2023). Influence Giving boiled water from bay leaves Decline Blood Pressure in Elderly Women in Subanagara Village Ward Purbaratu West Java 2022. National University.

Muliana. (2019). Relationship to Anxiety Level with Enhancement Blood Pressure in Preoperative Patients Benignaprostate Hyperplasia (BPH) at RSUD Prof. Dr. Margono Soekarjo. Viva Medika: Journal of Health, Midwifery and Nursing, 9(16), 42–52.

Putri Nabillah, D., Susanto, A., & Mixrova, S. (2023). The Relationship between Anxiety Levels and Blood Pressure in Preoperative Patients with General Anesthesia In Cilacap Hospital. Journal Malang Nursing (JKM), 8(2), 387–396. https://doi.org/10.36916/jkm.v8i2.226

Rahmayati, E., Silaban, RN, & Fatonah, S. (2018). Influence Support Spiritual on Anxiety Levels in Pre- Operation Patients. Journal of Health, 9(1), 138. https://doi.org/10.26630/jk.v9i1.778

Saputri, GAR, Nofita, N., & Tiwi, TS (2022). Rationality of Use Of Anesthesia In The Sectio Cesarea Surgery In The Central Surgery Installation Of The Pertamina Bintang Amin Hospital, Lampung, 2019. Malahayati Pharmacy Journal, 4(2), 194–204. https://doi.org/10.33024/jfm.v4i2.5306

Word Health Organization. (2023). Hypertension. 03-16-2023. https://www.who.int/news-room/fact-sheets/detail/hypertension

Christine, zainumi, Cut Meliza, Tasrif Hamdi, & Albar, H. F. (2021). Relationship between Anxiety at the Pre-Anesthesia Visit and Blood Pressure before Anesthesia Action at the University of North Sumatra Hospital. 10.

Amalia, M., Suryani, R. L., & Putranti, D. P. (2022). Overview of Anxiety Levels in Preoperative Patients with General Anesthesia at Jatiwinangun Purwokerto Hospital. National Seminar on Research and Community Service (SNPPKM), 104-109.

Priyonggo, R., Negoro, W. R., & Winanda, D. (2024). Analysis Of Anxiety Factors In Preoperative Laparatomy Patients With General Anesthesia At Itsk Dr. Soepraoen Malang. Tambusai Health Journal, 5(2), 4820-4829.

Saputra, J., Yudono, D. T., Novitasari, D., & Sebayang, S. M. (2024). Relationship between Anxiety Level and Blood Pressure in Preoperative Patients with Spinal Anesthesia at Rsud Dr. Soedirman Kebumen. Scientific Journal of Wahana Pendidikan, 10(9), 1-23.

Uskenat, M. (2022). Differences in Anxiety Levels in Preoperative Patients with General Anesthesia Before and After Being Given Muscle Relaxation. 30, 1-8

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Published

2024-08-07

How to Cite

pritama, priya hirna, Maryoto, M., Suryani, R. L., & firdaus, eza. (2024). The Relationship of Anxiety Level and Increased Blood Pressure In Preoperative Patients With General Anesthesia. Development Nursing Research, 1(1), 26–32. Retrieved from https://eism.web.id/index.php/DNR/article/view/16