The effectiveness of Audiovisual Education and Spiritual Support Intervention on Anxiety Reduction and Hemodynamic Parameter Stabilization in Pre-Esophago Gastro Duodenoscopy (EGD) Patients: A Pre-Intervention Study

Arif Imam Hidayat; Wahyudi Mulyaningrat; Iwan Purnawan; Sidik Awaludin; Galih Noor Alivian; Candra Alfianto; Adiratna Sekar Siwi; Fa-is Walohtae

doi:10.20884/1.job.2024.6.3.14555

Arif Imam Hidayat Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Wahyudi Mulyaningrat Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Iwan Purnawan Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Sidik Awaludin Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Galih Noor Alivian Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto
Candra Alfianto Department of Nursing, Prof. Dr. Margono Soekarjo General Hospital
Adiratna Sekar Siwi Department of Nursing, Faculty of Health, Harapan Bangsa University
Fa-is Walohtae Faculty of Nursing, Princess of Naradhiwas University, Thailand

DOI: https://doi.org/10.20884/1.job.2024.6.3.14555

Abstract

Background: Pre-procedural anxiety in esophagogastroduodenoscopy (EGD) patients can negatively impact cooperation and physiological stability, increasing procedural risks. This study evaluated the AVOGADO intervention, integrating audiovisual education and spiritual support, to reduce anxiety and stabilize hemodynamic parameters.

Methods: A Pre-Intervention Study was conducted on a 45-year-old male with chronic dyspepsia and moderate-to-severe anxiety (HAM-A > 25). The intervention was administered two days prior to the procedure. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A), and hemodynamic parameters, including blood pressure, heart rate, and oxygen saturation, were measured at four time points: three days, two days, one day before, and on the day of the procedure.

Result: Anxiety decreased significantly, with HAM-A scores dropping from 26 (moderate-to-severe) to 10 (mild). Hemodynamic parameters improved, with blood pressure reduced from 150/90 mmHg to 130/82 mmHg and heart rate from 98 bpm to 80 bpm. Oxygen saturation remained stable.

Conclusion: The AVOGADO intervention effectively reduced anxiety and improved physiological stability in a pre-EGD patient. This simple, holistic approach offers promise for broader application in reducing anxiety in medical procedures. Further research with larger samples is recommended.

References

Gross, J. J., & Thompson, R. A. (2007). Handbook of Emotion Regulation. Guilford Press.
Kaminang, G. A., Waleleng, B. J., & Polii, E. B. I. (2016). Profil Endoskopi Gastrointestinal di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari - Agustus 2016. Jurnal E-Clinic (ECl), 4(2), 121–126.
Koenig, H. G. (2012). Spirituality in Patient Care: Why, How, When, and What (3rd ed.). Templeton Foundation Press.
Kristiano, Y. E., Kosasih, C. E., & Nuraeni, A. (2021). Intervensi untuk Menurunkan Kecemasan Keluarga yang Mendampingi Pasien Kritis di Intensive Care Unit: Literature Review. Jurnal Keperawatan, 9(2), 123–135. https://www.researchgate.net/publication/362095208_Intervensi_Untuk_Menurunkan_Kecemasan_Keluarga_Yang_Mendampingi_Pasien_Kritis_Di_Intensive_Care_Unit_Literature_Review
Kurniawan, A., Armiyati, Y., & Astuti, R. (2017). Pengaruh Pendidikan Kesehatan Pre Operasi Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Hernia Di Rsud Kudus. Jurnal Keperawatan, 6(2), 139–148.
Majid, A., Judha, M., & Istianah, U. (2011). Keperawatan Perioperatif. Gosyen Publishing.
Maryunani, A. (2014). Asuhan keperawatan Perioperatif – Pre Operasi (Menjelang Pembedahan). Trans Info Medika.
Nurhayati, E. (2018). Pengaruh Konseling Pre-Prosedur Esofagogastroduodenoskopi (EGD) terhadap Penurunan Kecemasan di Unit Endoskopi RSUD Dr. Soetomo Surabaya. Universitas Muhammadiyah Surabaya.
Priyoto. (2015). Perubahan dalam Perilaku Kesehatan Konsep dan Aplikasi. Graha Ilmu.
Putriyanti, C. E., & Tina, S. A. (2020). Pemberian Media Audiovisual terhadap Perkembangan Anak. Syntax Literate: Jurnal Ilmiah Indonesia, 5(10), 1041–1051. https://media.neliti.com/media/publications/330365-pemberian-media-audiovisual-terhadap-per-e727439e.pdf
Rahmayati, E., & Handayani, R. S. (2016). Perbedaan Pengaruh Terapi Psikoreligius dengan Terapi Musik Klasik terhadap Kecemasan Pasien Pre Operatif di RSUD dr. H. Abdul Moeloek Provinsi Lampung. Jurnal Keperawatan, 4(1), 45–56. https://medika.respati.ac.id/index.php/Medika/article/download/416/pdf
Toğaç, H. K., & Yılmaz, E. (2021). Effects of preoperative individualized audiovisual education on anxiety and comfort in patients undergoing laparoscopic cholecystectomy: randomised controlled study. Patient Education and Counseling, 104(3), 603–610.


Layout Template	Manuscript Template