Leaflet-based preoperative education, knowledge, and anxiety among patients undergoing spinal anesthesia
DOI: https://doi.org/10.56922/mhc.v5i3.3544
Anxiety Knowledge Leaflet Education Preoperative Spinal Anesthesia
Abstract
Background: Patients undergoing spinal anesthesia are at risk of experiencing anxiety because they remain conscious throughout the surgical procedure. A lack of understanding regarding medical procedures may trigger fear and stress responses that affect both the physiological and psychological conditions of patients. Uncontrolled anxiety may disrupt hemodynamic stability and delay recovery. Limited information can also reduce patient cooperation during treatment. Preoperative education is therefore needed to improve patient knowledge and reduce anxiety, one of which can be delivered through leaflets/leaflet-based education that presents information in a concise, clear, and easily understandable format.
Purpose: To examine the effect of leaflet-based preoperative education on patients' knowledge and anxiety levels among individuals undergoing surgery with spinal anesthesia.
Method: A quantitative pre-experimental design with a one-group pretest–posttest approach. A purposive sampling technique was used to recruit 68 respondents. Data were collected using a knowledge questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analysed using the Wilcoxon signed-rank test with a significance level of α = 0.05.
Results: The findings demonstrated an increase in patients' knowledge and a decrease in anxiety levels following leaflet-based preoperative education. Before the intervention, most respondents had poor knowledge and moderate to severe anxiety levels. After the intervention, respondents showed improved knowledge and reduced anxiety levels. The Wilcoxon signed-rank test yielded a statistically significant difference in both knowledge and anxiety scores before and after the intervention (p < 0.001).
Conclusion: Leaflet-based preoperative education significantly improves patients' knowledge and reduces anxiety levels among individuals undergoing spinal anesthesia.
Keywords: Anxiety; Knowledge; Leaflet Education; Preoperative; Spinal Anesthesia.
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References
Arinitwe, R., Willson, A., Batenhorst, S., & Cartledge, P. T. (2020). Using a Global Health Media Project video to increase knowledge and confidence in the mothers of admitted neonates in Rwanda: a prospective interventional study. Journal of Tropical Pediatrics, 66(2), 136-143.
Bagheri, M., Salari, E., Malaijerdi, R., & Nazari, S. (2023). Investigating the Effect of Implementing a Web-Based Educational Program on Fathers’ Involvement in Infant Care 0 to 6 Months. Iranian Journal of Nursing and Midwifery Research, 28(2), 174-178.
Haryanti, F., Lusmilasari, L., Madyaningrum, E., Hasanah, N. N., & Amiatun, A. N. (2023). Enhancing maternal toddler parenting competence through nurturing care videos. MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 21(3), 79-84.
Hasanah, N. N., Amiatun, A. N., Lusmilasari, L., & Haryanti, F. (2025). Effect of Nurturing Care Video Education on Mother's Knowledge and Attitude in Toddler Parenting: A Quasi-experimental Study. Malaysian Journal of Medicine and Health Sciences, 21(1), 83-90.
Kristiani, A. D., Setiani, F. A. R., & Mahayanti, A. (2024). Faktor-Faktor Kecemasan Pasien Pre Operasi Sectio Caesarea Di Instalasii Kamar Bedah Rumah Sakit Swasta Yogyakarta.
Lestari, E. N., Murdiyanto, J., & Setyowati, A. (2025). Pengaruh Edukasi Menggunakan Leaflet Terhadap Tingkat Kecemasan Pasien Pre Operasi Dengan Spinal. Jurnal Kesehatan Republik Indonesia, 2(7), 235-241.
Ma'sum, M. S., Laiyinah, S., & Fhatonah, N. (2025). Pengaruh Tingkat Pengetahuan Terhadap Perilaku Masyarakat Dalam Menjual Obat Di Warung Kec. Tigaraksa. Jurnal Farmasi SYIFA, 3(1), 1-5.
Merkouris, E., Brasinika, A., Patsiavoura, M., Siniosoglou, C., Tsiptsios, D., Triantafyllis, A. S., & Tsamakis, K. (2025). Molecular basis of anxiety: a comprehensive review of 2014–2024 clinical and preclinical studies. International Journal of Molecular Sciences, 26(11), 5417.
Nabhani, N., Sulastri, S., & Setyorini, W. (2024). Pengaruh Edukasi Anestesi Media Lembar Balik terhadap Kecemasan pada Pre Sectio Caesarea. Quantum Wellness: Jurnal Ilmu Kesehatan, 1(1), 75-89.
Prasetyo, B. A. (2019). Hubungan Pengetahuan Dengan Kecemasan Pada Pasien Pra Operasi Katarak Di Rumah Sakit Mitra Husada Kabupaten Pringsewu Provinsi Lampung.
Rahayu, A. (2024). Pengaruh Dzikir Terhadap Tingkat Kecemasan pada Pasien Abortus Pra Kuretase Di RSUD Al Ihsan Provinsi Jawa Barat (Doctoral dissertation, Universitas' Aisyiyah Bandung).
Riantini, N. M. I. (2022). Gambaran tingkat pengetahuan pasien pra anestesi terhadap prosedur anestesi. Skripsi.
Sari, D. V., Khalsiah, K., Fatmawati, F., Ahmady, D., Sari, M., & Ardilla, A. (2024). Developing Mothers' Knowledge about Weaning Food in Infants Aged 6-24 Months through Video. Babali Nursing Research, 5(3), 591-599.
Shalahuddin, I., Salsabila, S., Rukmasari, E. A., Rosidin, U., Eriyani, T., Pebrianti, S., & Maulana, I. (2025). The Impact of Health Promotion Using Leaflet Media on Mothers’ Knowledge of the Early Stimulation of Toddlers’ Development and Growth. Journal of Multidisciplinary Healthcare, 113-122.
Sulastri, J., & Gautama, M. I. (2025). Artikel Penelitian. Jurnal Perspektif, 8(1), 10-19.
Sutantri, F., Rosidah, I., & Dewi, R. K. (2024). Pengaruh Pemberian Humidifier Aromaterapi Lavender Terhadap Kecemasan Pre Operasi Bedah Abdomen Padapasien General Anestesi Di Pku Muhammadiyah BantuL. The Shine Cahaya Dunia D-III Keperawatan, 9(02), 14-31.
Wahyuni, S. (2020). The Effect of Using Tutorial Video Learning Media on Mothers’ knowledge and Skills In Giving Prenatal Stimulation. Malaysian Journal of Medical Research (MJMR), 4(4), 55-61.
Wika, A. T., Asrina, A., Mahmud, N. U., Yusriani, Y., Idris, F. P., & Sumiaty, S. (2026). Effectiveness of an Interactive Educational Video on Exclusive Breastfeeding Knowledge Among Pregnant Women in Indonesia: A Quasi-Experimental Study. An Idea Health Journal, 6(01), 79-85.
Yadav, A., Rai, N., Devi, S., Singh, D., Singh, P., & Dixit, P. (2025). Effectiveness of Video-Assisted Planned Teaching Intervention on Knowledge Regarding Weaning Among Mothers. Journal of Family Medicine and Primary Care, 14(6), 2301-2306.
Zulkifli, W. N., & Tjahningrum, S. (2026). Peran Komunikasi Terapeutik Perawat Terhadap Tingkat Kecemasan Pasien Praoperatif Di Ruang Ok Rsup Dr. Tadjuddin Chalid. Jurnal Kesehatan, 3(10), 671-680.
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