The effect of mindfulness intervention on anxiety among patients with coronary heart disease prior to cardiac catheterization
DOI: https://doi.org/10.33024/minh.v8i11.1975
Anxiety Coronary Heart Patients Mindfulness Pre-Cardiac Catheterization
Abstract
Background: Cardiovascular disease remains a leading global health burden, with Coronary Heart Disease (CHD) accounting for nearly half of cases. Cardiac catheterization, widely performed in Indonesia, is vital for diagnosis and treatment but often provokes significant anxiety, potentially affecting hemodynamic stability. Mindfulness-based interventions have shown effectiveness in reducing psychological distress, enhancing emotional regulation, and improving patient resilience. However, evidence on their application in Indonesian pre-catheterization patients is limited, underscoring the need for context-specific research to optimize holistic care.
Purpose: To examine the effect of mindfulness intervention in reducing anxiety prior to cardiac catheterization.
Method: A quasi-experimental non-equivalent control group design was employed to examine mindfulness therapy effects among coronary heart disease patients scheduled for cardiac catheterization at Tarakan Hospital, Jakarta. A purposive sample of 32 respondents (16 intervention, 16 control) was analyzed using univariate, t-tests, and ANCOVA, with validity, reliability, homogeneity, and normality tests ensuring methodological rigor.
Results: In the intervention group, the mean anxiety score dropped from 24.94 before treatment to 16.44 afterward, with statistical testing producing a p‑value of 0.000, signifying a significant impact of mindfulness. Likewise, the control group showed a reduction in average anxiety scores from 25.13 pre‑treatment to 20.88 post‑treatment, and analysis also yielded a p‑value of 0.000, indicating a significant change in anxiety levels within this group.
Conclusion: Mindfulness intervention proved to be effective in reducing anxiety among patients with coronary heart disease prior to cardiac catheterization.
Downloads
References
Andarmoyo, S., & Nurhayati, T. (2014). Laki-laki dan riwayat keluarga dengan penyakit jantung koroner (PJK) beresiko terhadap kejadian PJK. FLORENCE, 7(1), 11-20.
Anggraeni, N. P. D. A., & Saudia, B. E. P. (2021). Gambaran Tingkat Kecemasan dan Kadar Hormon Kortisol Ibu Nifas: Anxiety and Cortisol Levels among Postpartum Mother's. Jurnal Bidan Cerdas, 3(2), 55-63.
Ariyanti, N., Agushybana, F., & Widodo, A. P. (2023). The Benefits of Electronic Medical Records Reviewed from Economic, Clinical, and Clinical Information Benefits in Hospitals. Jurnal kesehatan komunitas (Journal of community health), 9(1), 190-197.
Ayu, A. W., & Muflihatin, S. K. (2020). Hubungan antara Tingkat Pengetahuan dengan Kecemasan Pasien yang akan Menjalani Kateterisasi Jantung di RSUD Abdul Wahab Sjahranie Samarinda. Borneo Studies and Research, 2(1), 1-7.
Davris, W., Mailani, F., & Muliantino, M. R. (2023). Edukasi kesehatan terhadap kecemasan pasien pra-kateterisasi dengan diagnostik jantung koroner. Jik Jurnal Ilmu Kesehatan, 7(2), 287-295.
Dhamayanti, T. P., & Yudiarso, A. (2020). The effectiveness of mindfulness therapy for anxiety: a review of meta analysis. Psikodimensia: Kajian Ilmiah Psikologi, 19(2), 174-183.
Dwidiyanti, M., Fahmi, A. Y., Wahyu, H. E., Wiguna, R. I., & Munif, B. (2019). The art of mindfulness spiritual Islam.
Fadilah, N. N., & Munandar, D. R. (2020). Analisis tingkat kecemasan matematis siswa SMP. Prosiding Sesiomadika, 2(1b).
Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285-292.
Global Burden of Disease Study. (2020). Global, regional, and national disability-adjusted life-Years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease study 2015.
Hutagalung, R. U., Susilaningsih, F. S., & Mardiyah, A. (2014). Kualitas hidup pasien pascaintervensi koroner perkutan. Jurnal Keperawatan Padjadjaran, 2(1).
Hutajulu, S. H., Prabandari, Y. S., Bintoro, B. S., Wiranata, J. A., Widiastuti, M., Suryani, N. D., & Allsop, M. J. (2022). Delays in the presentation and diagnosis of women with breast cancer in Yogyakarta, Indonesia: A retrospective observational study. PloS one, 17(1), e0262468.
Jumayanti, J., Wicaksana, A. L., & Akhmad Budi Sunaryo, E. Y. (2020). Kualitas hidup pasien dengan penyakit kardiovaskular di Yogyakarta. Jurnal Kesehatan, 13(1), 1-12.
Kartikasari, N. (2019). Hubungan antara literasi kesehatan mental dan stigma diri terhadap intensi mencari bantuan pada dewasa awal (Doctoral dissertation, Universitas Airlangga).
Listiana, D. (2019). Faktor-faktor yang berhubungan dengan tingkat kecemasan pre kateterisasi jantung pasien SKA. CHMK Nursing Scientific Journal, 3(1), 23-34.
McConville, J., McAleer, R., & Hahne, A. (2017). Mindfulness training for health profession students—the effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: a systematic review of randomized and non-randomized controlled trials. Explore, 13(1), 26-45.
Mulyana, B., Sonia, S., Sukarno, A., Pamungkas, R. A., Erwin, E., Nuraeni, N., & Wariani, W. (2023). Hubungan Kecemasan dengan Kepuasan Keluarga Pasien dengan Penyakit Jantung di High Care Unit Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita. Indonesian Journal of Nursing Health Science, 8(1), 72-78.
Nursanti, I., Muhdiana, D., & Anggraini, D. (2020). Development of Aging Treatment Model to improve self-management of menopause women: An effort to achieve SDGS goal. Enfermería Clínica, 30, 70-73.
Pamungkas, A. (2018). The effect of English language anxiety on speaking performance of English department students. RETAIN: Journal of Research in English Language Teaching, 6(3).
Pan, W. L., Gau, M. L., Lee, T. Y., Jou, H. J., Liu, C. Y., & Wen, T. K. (2019). Mindfulness-based programme on the psychological health of pregnant women. Women and Birth, 32(1), e102-e109.
Praptiwi, W. S., & Jadmiko, A. W. (2017). Gambaran Tingkat Depresi Pada Penderita Congestive Heart Failure (CHF) Di Poliklinik Jantung Rumah Sakit Umum Pusat Dokter Soeradji Tirtonegoro Klaten (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Potter, P., & Perry, A. (2015). Nursing Fundamental Textbooks: Concepts, Processes & Practices (Vol. I). Jakarta: EGC.
Putri, A. W., Wibhawa, B., & Gutama, A. S. (2015). Kesehatan mental masyarakat Indonesia (pengetahuan, dan keterbukaan masyarakat terhadap gangguan kesehatan mental). Prosiding Penelitian Dan Pengabdian Kepada Masyarakat, 2(2), 252-258.
Romadhoni, R. W., & Widiatie, W. (2020). Pengaruh terapi mindfulness terhadap tingkat stres remaja di panti asuhan Al-Hasan Watugaluh Diwek Jombang. Jurnal EDUNursing, 4(2), 77-86.
Santosa, W. N., & Baharuddin, B. (2020). Penyakit jantung koroner dan antioksidan. KELUWIH: Jurnal Kesehatan Dan Kedokteran, 1(2), 95-100.
Sari, D. K., Nababan, R., & Daulay, W. (2023). Pengaruh Meditasi Mindfullness terhadap Perubahan Cemas. Jurnal Kesehatan, 12(1), 19-25.
Sastroasmoro, S., & Ismael, S. (2014). Dasar-dasar metodologi penelitian klinis.
Sriati, A., Hernawaty, T., Khaerera, A., Aulia, F., Yolanda, Y., Rahmawati, S., & Yuda, N. P. (2022). Intervensi Mindfulness Untuk Menurunkan Kecemasan Pada Pasien Penyakit Kronis: Narrative Review. Jurnal Cakrawala Ilmiah, 2(3), 953-962.
Sugiyono, P. D. (2017). Metode penelitian bisnis: pendekatan kuantitatif, kualitatif, kombinasi, dan R&D. Penerbit CV. Alfabeta: Bandung, 225(87), 48-61.
Sulastini, S., & Fitria, N. (2016). Hubungan karakteristik pasien dengan kecemasan pada pasien gagal jantung kongestif di ruang rawat inap RSU Dr. Slamet Garut. Jurnal Medika Cendikia, 3(01), 9-16.
Sutrisno, S., & Astrid, M. (2019). Faktor-faktor yang berhubungan dengan tingkat kecemasan pasien yang akan menjalani tindakan kateterisasi jantung. Carolus Journal of Nursing, 1(2), 138-151.
Sylvia, P., & Wilson, L. M. (2005). Patofisiologi Konsep Klinis Proses penyakit. EGC, Ja. arta.
Tampubolon, B., Purnamawati, D., Jumaiyah, W., & Rayasari, F. (2021). Pengalaman Penyintas Stroke Laki-Laki dan Perempuan Selama Recovery di Poliklinik Rumah Sakit Umum Tingkat II Dustira Bandung. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 12(4), 445-450.
Wu, R., Liu, L. L., Zhu, H., Su, W. J., Cao, Z. Y., Zhong, S. Y., & Jiang, C. L. (2019). Brief mindfulness meditation improves emotion processing. Frontiers in neuroscience, 13, 482990.
Ziyaeifard, M., Zahedmehr, A., Ferasatkish, R., Faritous, Z., Alavi, M., Alebouyeh, M. R., & Yousefi, Z. (2017). Effects of lavender oil inhalation on anxiety and pain in patients undergoing coronary angiography. Iranian Heart Journal, 18(1), 44-50.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Desi Rusiana Alfiani, Irna Nursanti, Wati Jumaiyah, hayatun naimah, Dedi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
