Correlation Between Anxiety and Blood Pressure in Patient With Pre-operative Laparoscopy: A Cross-sectional Study
Main Article Content
Abstract
Introduction: Laparoscopy surgery is a minimally invasive procedure that utilizes a laparoscope to visualize the abdominal cavity, providing benefits such as faster diagnosis, shorter hospitalization, and reduced morbidity. However, changes in blood pressure, particularly in the pre-operative phase, are common and can impact patient outcomes. Additionally, pre-operative anxiety, which affects a significant portion of patients, can further contribute to blood pressure variability and complicate the surgical process. This study aims to determine the relationship between anxiety and blood pressure patients. Methods: This study uses a quantitative design with a cross-sectional method. The sample size in the study amounted to 100 respondents using the total sampling technique. Anxiety was measured using APAIS, while blood pressure was measured using a bedside monitor that had been calibrated 10 minutes after respondents arrived at the Operating Room. Data analysis was carried out using the Person Product-Moment test. Results: This study found that there was a significant relationship between anxiety and blood pressure in pre-laparoscopic surgery patients at Tarakan Hospital, Jakarta, with a p-value of 0.001 (p-value < 0.05) and r = 0.728[Igp2.1][Igp2.2]. Conclusion: The anxiety felt will increase blood pressure in the patient. Interventions to lower anxiety in pre-laparoscopic patients need to be performed.
Downloads
Article Details
References
Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 14th Edition. Philadelphia: Wolters Kluwer; 2018.
Ietto G, Amico F, Pettinato G, Iori V, Carcano G. Laparoscopy in Emergency: Why Not? Advantages of Laparoscopy in Major Emergency: A Review. Life. 2021 Sep 3;11(9):917. https://doi.org/ 10.3390/life11090917
Lewis SL, Dirksen SR, Heitkemper MM, Bucher L, Harding MM. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 9th ed. Canada: Elsevier; 2014.
Iqbal M. Hubungan Antara Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pra Operasi Di Rumah Sakit Bhayangkara Banda Aceh [Internet]. [Bali]: Institut Teknologi Dan Kesehatan Bali; 2021. Available from: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://repository.itekes-bali.ac.id/medias/journal/M._IQBAL_EDITING_PALING_BARUUUU.pdf
Meng L, Yu W, Wang T, Zhang L, Heerdt PM, Gelb AW. Blood Pressure Targets in Perioperative Care: Provisional Considerations Based on a Comprehensive Literature Review. Hypertension. 2018 Oct;72(4):806–17. https://doi.org/10.1161/HYPERTENSIONAHA.118.1168
Chung YH, Jeong YS, Martin GL, Choi MS, Kang YJ, Lee M, et al. Prediction of blood pressure changes associated with abdominal pressure changes during robotic laparoscopic low abdominal surgery using deep learning. Ahuja S, editor. PLOS ONE. 2022 Jun 6;17(6):e0269468.https://doi.org/10.1371/journal. pone.0269468
Lizano-Díez I, Poteet S, Burniol-Garcia A, Cerezales M. The burden of perioperative hypertension/hypotension: A systematic review. Farag E, editor. PLOS ONE. 2022 Feb 9;17(2):e0263737. https://doi.org/ 10.1371/journal.pone.0263737
Asiri S, Duff J, Currie J, Guilhermino M. Prevalence of pre-operative anxiety among adult patients undergoing elective surgery: A prospective observational single-centre study. J Perioper Nurs [Internet]. 2024 Aug 27 [cited 2025 Apr 5];37(3). Available from: https://www.journal.acorn.org.au/jpn/vol37/iss3/2.https://doi.org/10.26550/2209-1092.1270
Yuliastuti E, Enikmawati A, Ikawati L. Gambaran Kecemasan Pasien Pra-operasi dengan Peningkatan Tekanan Darah. Din Kesehat J KEBIDANAN DAN KEPERAWATAN. 2023;14(2):181–92. https://doi.org/10.33859/dksm.v1412.922
Tadesse M, Ahmed S, Regassa T, Girma T, Mohammed A. The hemodynamic impacts of preoperative anxiety among patients undergoing elective surgery: An institution-based prospective cohort study. Int J Surg Open. 2022 Jun;43:100490. https://doi.org/10.1016/j.ijso.2022.100490
Perdana A, Firdaus MF, Kapuangan C. Uji Validasi Konstruksi dan Reliabilitas Instrumen The Amsterdam Preoperative Anxiety and Information Scale (APAIS) Versi Indonesia. Crit Care. 2015;31(1).
Gunawan D. APAIS (Amsterdam Preoperative anxiety and Information Scale), Skrining ansietas pada pasien Pre-operasi [Internet]. 2022. Available from: https://keslan.kemkes.go.id/view_artikel/354/apais-amsterdam-preoperative-anxiety-and-information-scale-skrining-ansietas-pada-pasien-pre-operasi
Vitale B, Aryani DF, Yantho E, Hayati AN. Keterampilan Keperawaran Berorientasi NCLEX_RN. 1st ed. Erlangga; 2018.
Barreiro P. Relationship Between Anxiety Rate With The Improvement Of Blood Pressure In Patients Of Elektif Properation Are Surgery. 2020;2(3). https://doi.org/10.54783/ijsoc.v2i3.127
Khasanah DA, Junaedi MP, ’Amaliyah MN, Triandari L, Nelissa D, Wagner I. Hubungan Tingkat Kecemasan dan Tekanan Darah Pada Karyawan Universitas Panca Bhakti. FISIO MU Physiother Evid. 2023 Jun 7;4(2):176–80.https://10.23917/fisiomu.v4i2.22155
Msoma RAGH, Khamis RH, Rwanyuma LP, Akoko LO, Mkulo AZ, Msinde P. Prevalence of Pre-Operative Anxiety and Predictors among Elective Surgical Patients and Their Pre-Operative Hemodynamic Changes at Muhimbili National Hospital. Open J Med Psychol. 2023;12(02):55–70. https://doi.org/10.4236/ojmp.2023.122003
al’Absi M, Arnett DK. Adrenocortical responses to psychological stress and risk for hypertension. Biomed Pharmacother. 2000 Jun;54(5):234–44. https://doi.org/10.1016/S0753-3322(00)80065-7
Mucci N, Giorgi G, De Pasquale Ceratti S, Fiz-Pérez J, Mucci F, Arcangeli G. Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults. Front Psychol [Internet]. 2016 Oct 28 [cited 2025 Apr 5];7. Available from: http://journal.frontiersin.org/article/10.3389/fpsyg.2016.01682/full.doi: 10.3389/fpsyg.2016.01682
Rosas C, Pirzada A, Durazo-Arvizu R, Gallo LC, Talavera GA, Elfassy T, et al. Associations of Anxiety Symptoms With 6-Year Blood Pressure Changes and Incident Hypertension: Results From the Hispanic Community Health Study/Study of Latinos. Ann Behav Med. 2024;58(7). DOI: 10.1093/abm/kaae026
Hirokawa K, Ohira T, Nagayoshi M, Kajiura M, Imano H, Kitamura A, et al. Occupational status and job stress in relation to cardiovascular stress reactivity in Japanese workers. Prev Med Rep. 2016 Dec;4:61–7. http://dx.doi.org/10.1016/j.pmedr.2016.05.010
Jönsson P, Österberg K, Wallergård M, Hansen ÅM, Garde AH, Johansson G, et al. Exhaustion-related changes in cardiovascular and cortisol reactivity to acute psychosocial stress. Physiol Behav. 2015 Nov;151:327–37. https://doi.org/10.1016/j.physbeh.2015.07.020