Edukasi dan Implementasi Terapi Guided Imagery untuk Menurunkan Kecemasan Pra-Anestesi pada Pasien Sectio Caesarea
DOI:
https://doi.org/10.58192/karunia.v5i3.5470Keywords:
Anxiety, Cesarean Section, Guided Imagery, Health Education, Pre-AnesthesiaAbstract
Pre-anesthetic anxiety is a common problem among patients undergoing cesarean section and may be accompanied by physiological responses such as increased blood pressure and heart rate. This community service project aims to reduce pre-anesthetic anxiety through education and the implementation of guided imagery therapy for cesarean section patients at Fatimah Islamic Hospital in Cilacap. The activity involved 35 participants and was conducted from May 26 to June 8, 2026. The stages of the activity included participant identification; education regarding the surgical procedure, anesthesia, and guided imagery; anxiety assessment using the Visual Facial Anxiety Scale (VFAS); the implementation of guided imagery using an audio guide for 5–7 minutes; and a follow-up assessment. Data were analyzed descriptively using frequency distributions, percentages, and the mean difference in anxiety scores. Before the intervention, 19 participants (54.3%) experienced severe anxiety, 14 participants (40.0%) experienced moderate anxiety, and 2 participants (5.7%) experienced mild anxiety. After the intervention, no participants had severe anxiety; 18 participants (51.4%) had moderate anxiety, 14 participants (40.0%) had mild anxiety, and 3 participants (8.6%) had no anxiety. The average decrease in anxiety scores was 3.40 ± 0.736 points. Physiological responses also showed improvement: 27 participants (77.1%) had normal blood pressure after the intervention, and all participants (100%) had a normal heart rate. The results of this study indicate that education combined with guided imagery can be used as a simple, safe, and practical nonpharmacological intervention to help reduce pre-anesthesia anxiety in patients undergoing cesarean section.
References
Abd, F. R., Abdulnasser Nattouf, A., & Kadhim Ab, H. T. A. (2024). Preoperative anxiety and associated factors among women undergoing cesarean section: A cross-sectional study. International Journal of Body, Mind and Culture, 11(6), 170–181. https://doi.org/10.61838/rmdn.ijbmc.11.6.20
Anamagh, M. A., Kouhpayeh, M. S., Khezri, S., Goli, R., Faraji, N., Anzali, B. C., Maroofi, H., Eskandari, N., & Ghahremanzad, F. (2024). The effect of guided imagery on perioperative anxiety in hospitalized adult patients: A systematic review of randomized controlled trials. Surgery in Practice and Science, 18, 100255. https://doi.org/10.1016/j.sipas.2024.100255
Azizah, A. N., & Rosidah, I. (2025). Effectiveness of mini video education on anxiety in section caesarea patients undergoing spinal anesthesia. Journal Indonesian Anesthesiology Nursing (JIAN), 1(2), 1–9. https://doi.org/10.31101/jian.v1i2.4076
Barnea, E. R., Inversetti, A., & Di Simone, N. (2023). FIGO good practice recommendations for cesarean delivery: Prep-for-Labor triage to minimize risks and maximize favorable outcomes. International Journal of Gynecology & Obstetrics, 163(S2), 57–67. https://doi.org/10.1002/ijgo.15115
Chen, I., Opiyo, N., Tavender, E., Mortazhejri, S., Rader, T., Petkovic, J., Yogasingam, S., Taljaard, M., Agarwal, S., Laopaiboon, M., Wasiak, J., Khunpradit, S., Lumbiganon, P., Gruen, R. L., & Betran, A. P. (2018). Non-clinical interventions for reducing unnecessary caesarean section. Cochrane Database of Systematic Reviews, 2018(9), Article CD005528. https://doi.org/10.1002/14651858.CD005528.pub3
Fatrida, D., & Tanjung, A. I. (2023). Faktor-faktor yang mempengaruhi kecemasan pasien pra operasi sectio caesarea. Jurnal Kesehatan Terapan, 10(1), 29–43. https://doi.org/10.54816/jk.v10i1.57174
Fentie, Y., Yetneberk, T., & Gelaw, M. (2022). Preoperative anxiety and its associated factors among women undergoing elective caesarean delivery: A cross-sectional study. BMC Pregnancy and Childbirth, 22(1), 1–7. https://doi.org/10.1186/s12884-022-04979-3
Fish, B. (2020). Pengaruh pemberian teknik relaksasi guided imagery terhadap tingkat kecemasan pada pasien pre operasi sectio caesarea. Jurnal Penelitian Perawat Profesional, 6(2), 1–9. https://doi.org/10.37287/jppp.v6i2.2255
Hastanti, H., Budiono, B., & Febriyana, N. (2021). Primigravida memiliki kecemasan yang lebih saat kehamilan. Indonesian Midwifery and Health Sciences Journal, 3(2), 167–178. https://doi.org/10.20473/imhsj.v3i2.2019.167-178
Journal, N. (2025). The effectiveness of Benson relaxation therapy and guided imagery therapy on anxiety of pre-operative sectio caesarea patients at the regional general hospital in 2024. 10(1), 13–19. https://doi.org/10.32668/jkep.v10i1.1936
Kisielewska, W., Kościółek, M., Kowalczyk, W., Mitura, B., Mitura, L., Rogula, S., Leszczyński, P. K., Antosik, K., & Mitura, K. (2025). Decreasing preoperative anxiety in patients with newly available multimodal approaches—A narrative review. Journal of Clinical Medicine, 14(9), 1–19. https://doi.org/10.3390/jcm14092940
Sari, D. Y., Novitasari, D., & Kurniawan, W. E. (2025). Implementasi guided imagery terhadap penurunan tingkat kecemasan pada pasien pre operasi dengan spinal anestesi. 5(6), 2501–2508. https://doi.org/10.54082/jamsi.2137
Sari, N. L. O., Yudono, D. T., & Novitasari, D. (2023). Pengaruh pemberian terapi guided imagery terhadap kecemasan pada pasien pre operasi sectio caesarea. Jurnal Penelitian Perawat Profesional, 6(2), 675–682. https://doi.org/10.37287/jppp.v6i2.2255
Susanti, N. M. D., & Utama, R. P. (2022). Status paritas dengan tingkat kecemasan pada ibu pre operasi sectio caesarea. Jurnal Ilmiah Kesehatan Sandi Husada, 11(2), 297–307. https://doi.org/10.35816/jiskh.v11i2.752
Vanteemar S. Sreeraj, S., Uvais, N. A., Mohanty, S., Kumar, S., & Department. (2023). Indian nursing students' attitudes toward mental illness and persons with mental illness. Industrial Psychiatry Journal, 195–201. https://doi.org/10.4103/ipj.ipj
Yumul, R., Elvir-Lazo, O. L., White, P. F., Zhang, X., Ishak, W. W., & Chernobylsky, D. (2024). Validation of an emoji-based Visual Facial Anxiety Scale (VFAS) for assessing preoperative anxiety: A comparison to the “gold standard” State-Trait Anxiety Inventory (STAI-S) scale. Journal of Surgical Research, 7(4), 483–489. https://doi.org/10.26502/jsr.10020399
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
