Penerapan telehealth pada gangguan psikologis pasien perioperatif: a literature review
DOI: https://doi.org/10.56922/mhc.v4i2.1187
Gangguan Psikologis Perioperatif Telehealth Telenursing
Abstract
Background: Patients undergoing surgery often experience stress and anxiety, which can increase complications and hinder recovery. Effective management of psychological factors is key to improving outcomes. Preoperative anxiety is inversely correlated with the amount of information patients receive, but easily accessible personalized support is limited.
Purpose: To determine the existing evidence regarding the practice of telehealth, especially telenursing in perioperative patients.
Methode: A literature review with a rapid review approach. The strategy in this literature review is with PCC which is used to develop guiding questions: Population (P): surgical patients; Concept (C): telehealth; Context (C): outcomes in the peri-operative period. The study search was conducted with 3 databases namely Pubmed, EBSCO, Proquest and Google Scholar Search Engine.
Result: Result in this study literature search, 21 articles were found that matched the search. 5 articles were found that met the inclusion criteria. The telehealth interventions found were 4 interventions through telenursing that could significantly reduce stress, anxiety and depression in perioperative patients.
Conclusion: Telehealth, especially telenursing, can reduce stress reactions, anxiety, and depression in perioperative patients and helping patients feel more prepared and less anxious.
Keywords: Psychological Disorder; Perioperative; Telehealth; Telenursing.
Pendahuluan: Pasien yang menjalani pembedahan sering mengalami stres dan kecemasan, yang dapat meningkatkan komplikasi dan menghambat pemulihan. Manajemen faktor psikologis yang efektif adalah kunci untuk meningkatkan hasil. Kecemasan sebelum operasi berkorelasi terbalik dengan jumlah informasi yang diterima pasien, tetapi dukungan pribadi yang mudah diakses masih terbatas.
Tujuan: Untuk mengetahui bukti yang ada mengenai praktik telehealth, khususnya telenursing pada pasien perioperatif.
Metode: Tinjauan literatur dengan pendekatan kajian cepat. Strategi dalam tinjauan literatur ini adalah dengan PCC yang digunakan untuk mengembangkan pertanyaan-pertanyaan pemandu: Populasi (P): pasien bedah; Konsep (C): telehealth; Konteks (C): hasil pada periode perioperatif. Pencarian studi dilakukan dengan 3 database yaitu Pubmed, EBSCO, Proquest dan Mesin Pencari Google Scholar.
Hasil: Hasil dari pencarian literatur penelitian ini, ditemukan 21 artikel yang sesuai dengan pencarian. Ditemukan 5 artikel yang memenuhi kriteria inklusi. Intervensi telehealth yang ditemukan sebanyak 4 intervensi melalui telenursing yang secara signifikan dapat menurunkan stres, kecemasan dan depresi pada pasien perioperatif.
Simpulan: Telehealth khususnya telenursing dapat menurunkan reaksi stress, kecemasan, dan depresi pada pasien perioperatif. Sehingga membantu pasien merasa lebih siap dan tidak terlalu cemas.
Kata Kunci: Gangguan Psikologis; Perioperatif; Telehealth; Telenursing.
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References
Ahmidati, A., Herawati, T., & Waluyo, A. (2023). Upaya Persiapan Pulang Pada Pasien Fraktur Ekstremitas Bawah Melalui Edukasi Berbasis Aplikasi Seluler: Literature Review. PREPOTIF: Jurnal Kesehatan Masyarakat, 7(1), 67-275.
Azni, A. Y. (2020). Penerapan Telenursing Pada Klien Dengan Skizoferenia. Jurnal Kesehatan, 9(2), 22-32.
Bikmoradi, A., Omidvar, S., Roshanaei, G., Khatiban, M., & Harorani, M. (2023). The impact of telenursing on level of depression, stress and anxiety in discharged patients after coronary artery bypass graft surgery: A randomized clinical trial. Journal of Vascular Nursing, 41(3), 89-94.
DeGouveia, W. M., Salem, H. S., Chen, Z., Tarazi, J. M., Ehiorobo, J. O., Vakharia, R. M., & Mont, M. A. (2022). Increased In-Hospital Lengths of Stay, Readmission Rates, Complications, and Costs in Patients Who Have Depressive Disorders Following Primary Total Hip Arthroplasty. Surgical technology international, 40, 335-340.
Eberhart, L., Aust, H., Schuster, M., Sturm, T., Gehling, M., Euteneuer, F., & Rüsch, D. (2020). Preoperative anxiety in adults-a cross-sectional study on specific fears and risk factors. BMC psychiatry, 20(1), 140.
Efendi, J. R. (2024). Effectiveness of telehealth use in improving the psychological health and quality of life on elderly at home: Efektivitas penggunaan telehealth dalam meningkatkan kesehatan psikologis dan kualitas hidup pada lansia di rumah. Journal of Health and Cardiovascular Nursing, 4(1), 64-76.
Kaynar, A. M., Lin, C., Sanchez, A. G., Lavage, D. R., Monroe, A., Zharichenko, N., & Chelly, J. E. (2023). SuRxgWell: study protocol for a randomized controlled trial of telemedicine-based digital cognitive behavioral intervention for high anxiety and depression among patients undergoing elective hip and knee arthroplasty surgery. Trials, 24(1), 715.
Kondylakis, H., Giglioli, I. A. C., Katehakis, D., Aldemir, H., Zikas, P., Papagiannakis, G., & Kouroubali, A. (2025). Stress reduction in perioperative care: feasibility randomized controlled trial. Journal of medical Internet research, 27, e54049.
Nilsson, O., Stenman, M., Letterstål, A., & Hultgren, R. (2021). A randomized clinical trial of an eHealth intervention on anxiety in patients undergoing abdominal aortic aneurysm surgery. British Journal of Surgery, 108(8), 917-924.
Ozbek, M. N. (2024). The Effect of Preoperative Tele-nursing Counseling on Anxiety and Patient Satisfaction in Day Surgery: A Randomized Controlled Trial. Journal of PeriAnesthesia Nursing.
Portz, J. D., Bayliss, E. A., Bull, S., Boxer, R. S., Bekelman, D. B., Gleason, K., & Czaja, S. (2019). Using the technology acceptance model to explore user experience, intent to use, and use behavior of a patient portal among older adults with multiple chronic conditions: descriptive qualitative study. Journal of medical Internet research, 21(4), e11604.
Purnamayanti, N. K. D., Nurhayati, C., Sari, N. A., Kamaryati, N. P., Daryaswanti, P. I., Ping, M. F., & Wirawan, A. A. (2023). Pengantar Keperawatan Medikal Bedah: Konsep dan Praktik. PT. Sonpedia Publishing Indonesia.
Raafi, V. A., Saryono, S., & Sari, Y. (2021). Implementasi Telehealth pada pasien Diabetes melitus saat pandemi Covid-19: Tinjauan sistematis. NURSCOPE: Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 7(1), 53-60.
Salmani, F. (2024). Designing and implementing a telenursing on anxiety and satisfaction with care in selected endoscopy patients. Iranian Journal of Nursing Research, 19(5), 83-95.
Strijbos, R. M., Hinnen, J. W., van den Haak, R. F., Verhoeven, B. A., & Koning, O. H. (2018). Inadequate health literacy in patients with arterial vascular disease. European Journal of Vascular and Endovascular Surgery, 56(2), 239-245.
Suara, E., & Retnaningsih, D. (2022). Telemedicine dan Telenursing untuk Manajemen Pasien Rawat Jalan Selama Pandemi COVID-19: A Literatur Review. Jurnal Manajemen Asuhan Keperawatan, 6(2), 60-67.
Tadesse, M., Ahmed, S., Regassa, T., Girma, T., Hailu, S., Mohammed, A., & Mohammed, S. (2022). Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study. Annals of medicine and surgery, 73, 103190.
Toffoletto, M. C., & Tello, J. D. A. (2020). Tele enfermagem no cuidado, educação e gestão na América Latina eo Caribe: revisão integrativa. Revista Brasileira de Enfermagem, 73, e20190317.
Utami, S. W. (2023). Pemanfaatan Telehealth Pada Pasien Kanker Ginekologi: Studi Literatur. Jurnal Cakrawala Ilmiah, 3(3), 819-826.
Visser, M. A., Howard, K. J., & Ellis, H. B. (2019). The influence of major depressive disorder at both the preoperative and postoperative evaluations for total knee arthroplasty outcomes. Pain Medicine, 20(4), 826-833.
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