Effect of interactive visual education (EduVit) on anxiety in patients undergoing cardiac surgery
DOI: https://doi.org/10.56922/mhc.v4i7.2505
Anxiety Cardiac Surgery Interactive Visual Education Preoperative Care
Abstract
Background: Anxiety is a common psychological issue experienced by patients undergoing cardiac surgery, which can significantly impact mental preparedness and the recovery process. Interactive Visual Education (EduVit) is a non-pharmacological intervention designed to reduce preoperative anxiety levels.
Purpose: To determine the effect of interactive visual education (Eduvit) on reducing anxiety levels in patients undergoing cardiac surgery.
Method: A one-group pretest–posttest approach within a quasi-experimental framework was adopted for this research. The sample consisted of 40 preoperative cardiac surgery patients at a central referral hospital in Central Java, selected using a total sampling technique. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZAS) both before and after the EduVit intervention.
Results: Anxiety levels differed significantly across the two study phases (Marginal Homogeneity test, $p < 0.001$), demonstrating the effectiveness of the intervention.
Conclusion: Interactive Visual Education is effective in reducing anxiety levels among preoperative cardiac surgery patients and is recommended as a standard nursing intervention.
Keywords: Anxiety; Cardiac Surgery; Interactive Visual Education; Preoperative Care.
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References
Aardoom, J. J., Hilt, A. D., Woudenberg, T., Chavannes, N. H., & Atsma, D. E. (2022). A preoperative virtual reality app for patients scheduled for cardiac catheterization: pre–post questionnaire study examining feasibility, usability, and acceptability. JMIR cardio, 6(1), e29473.
Akbari, A. (2025). The effects of preoperative education on postoperative outcomes in cardiac surgery patients.
Aktas, Y. Y., Uğur, H. G., & Orak, O. S. (2020). Discharge education intervention to reduce anxiety and depression in cardiac surgery patients: a randomized controlled study. Journal of PeriAnesthesia Nursing, 35(2), 185-192.
Amilia, Y. (2024). Pengaruh pendidikan kesehatan menggunakan video dalam menurunkan tingkat kecemasan pada pasien pre operasi hernia. Jurnal Keperawatan Muhammadiyah, 9(3).
Arif, T., Fauziyah, M. N., & Astuti, E. S. (2022). Pengaruh pemberian edukasi persiapan pre operatif melalui multimedia video terhadap tingkat kecemasan pada pasien pre operasi elektif. Jurnal Ilmiah Kesehatan Media Husada, 11(2), 174-181.
Bashir, Z. S., Misquith, C., Has, P., & Bukhari, S. M. (2024). The effectiveness of virtual reality on anxiety and pain management in patients undergoing cardiac procedures: a systematic review and meta-analysis. Cureus, 16(4).
El Mathari, S., Kuitert, L., Boulidam, N., Shehadeh, S., Klautz, R. J., de Lind van Wijngaarden, R., & Kluin, J. (2024). Evaluating virtual reality patient education in cardiac surgery: impact on preoperative anxiety and postoperative patient satisfaction. Journal of Clinical Medicine, 13(21), 6567.
Frans-Rensen, S. A., Slond, F., Liesdek, O. C., de Heer, L. M., Suyker, W. J., Jaarsma, T., & Weldam, S. W. (2022). Patients' voices in the development of pre-surgical patient education using virtual reality: A qualitative study. PEC innovation, 1, 100015.
Gea, W. P., & Hulu, M. P. S. (2024). Mengatasi Kecemasan dalam Perspektif Jean Paul Sartre. Bersatu: Jurnal Pendidikan Bhinneka Tunggal Ika, 2(4), 1-12.
Hardiono, E., Arisdiani, T., & Asyrofi, A. (2024). Edukasi Audiovisual Untuk Mengurangi Kecemasan Pada Pasien Pre-Operasi Di Rs Qim Batang. Jurnal Pengabdian Masyarakat, 1(8), 16-20.
Kwon, H., Lee, J., Park, Y. S., Oh, S. H., & Kim, J. (2023). Effects of preoperative education using virtual reality on preoperative anxiety and information desire: a randomized clinical trial. Journal of Clinical Monitoring and Computing, 37(5), 1401-1407.
Lestari, F. F., & Kosim, K. (2024). Manajemen Pengkajian Kecemasan Pada Pasien Pra Operasi Di Bedah Umum. SENTRI: Jurnal Riset Ilmiah, 3(3), 1409-1418.
Ng, S. X., Wang, W., Shen, Q., Toh, Z. A., & He, H. G. (2022). The effectiveness of preoperative education interventions on improving perioperative outcomes of adult patients undergoing cardiac surgery: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 21(6), 521-536.
Pradono, J., Hapsari, D., Supardi, S., & Budiarto, W. (2018). Panduan manajemen penelitian kuantitatif.
Ramba, E., Tania, E., & Citraningtyas, T. (2024). Kecemasan Preoperasi pada Pasien yang Akan Menjalani Operasi Appendiktomi. JURNAL MEDSCIENTIAE Учредители: Universitas Kristen Krida Wacana, 3(3), 375-380.
Santoso, F. P., & Hardiyani, T. (2025). Pengaruh Video Edukasi Terhadap Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea dengan Teknik Spinal Anestesi. Jurnal Penelitian Ilmiah Multidisipliner, 2(02), 1452-1461.
Subramaniam, T., Dearani, J. A., Stulak, J. M., Lahr, B., Lee, A., & Miller, J. D. (2025). A randomized, controlled trial of in-hospital use of virtual reality to reduce preoperative anxiety prior to cardiac surgery. In Mayo Clinic Proceedings (Vol. 100, No. 2, pp. 220-234). Elsevier.
Suhesti, S., Kasron, K., & Dewi Prasetyani, D. P. (2024). Efektivitas Pelatihan Kegawatdaruratan Jantung Terhadap Pengetahuan Dan Keterampilan Mahasiswa Keperawatan Dalam Penanganan Kegawatdaruratan Jantung Lanjut Di Institusi Ambulan Gawat Darurat 118 (Doctoral dissertation, Universitas Al-Irsyad Cilacap).
Ubjaan, N. P., Burhan, A., & Dewi, F. K. (2025). Perbedaan edukasi spinal anestesi menggunakan video dan booklet terhadap tingkat kecemasan pasien pre anestesi spinal. Holistik Jurnal Kesehatan, 19(10), 3116-3122.
van Rijn, M. M., de Heer, L. M., Nieuwenhuis-Wendt, J., van der Kaaij, N. P., Moolenaar, E. G., van der Ham, D. H., & Weldam, S. W. (2024). Use of virtual reality in preoperative education of cardiac surgery patients–A feasibility study. Patient Education and Counseling, 129, 108394.
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