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Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia

Jurnal Kesehatan Masyarakat · Vol. 21 No. 2 (2025) · hlm. 402–410

DOI
10.15294/kemas.v21i2.27115
ISSN
2355-3596, 1858-1196
Terbit
2025-10-03
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Postoperative nausea and vomiting (PONV) are common complications after general anesthesia, negatively impacting patient comfort, recovery, and hospital stay. While many factors contribute to PONV, psychological aspects such as preoperative anxiety are often underestimated despite their influence on postoperative outcomes. This study aimed to analyze the relationship between preoperative anxiety levels and the incidence of PONV in patients undergoing surgery under general anesthesia. Using a cross-sectional design, 45 elective surgical patients were assessed for anxiety using the Hamilton Anxiety Rating Scale (HARS), and PONV incidence was recorded within 24 hours post-surgery. Chi-square analysis revealed a significant association between anxiety levels and PONV occurrence (p = 0.002). Among patients with moderate to severe anxiety, 73.3% experienced PONV, compared to only 26.7% among those with mild anxiety. These findings indicate that higher preoperative anxiety increases the risk of PONV. Therefore, integrating psychological assessment and anxiety management into perioperative care is crucial to reducing postoperative complications and improving anesthetic outcomes through a more holistic patient care approach.

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25 penulis · 70 tautan kepenulisan bersama · 14 lintas organisasi

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  • Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW
  • Jenderal Soedirman University
  • Universitas Gadjah Mada
  • University of Brawijaya
  • Universitas Nahdlatul Ulama Surabaya
  • Sekolah Tinggi Ilmu Kesehatan Buleleng
  • Politeknik Negeri Semarang
  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
  • Afiliasi tidak diketahui
  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Annes Rindy PermanaInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW26
Suryanto SuryantoInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW16
Agus Budi PrasetyoInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW6
Ircham SaifudinInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW6
Suryanto SuryantoInstitut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW4
Damairia Hayu ParmasariJenderal Soedirman University2
Junun SartohadiUniversitas Gadjah Mada1
Mudrajat KuncoroUniversitas Gadjah Mada1
Achmad DjunaediUniversitas Gadjah Mada1
, SudaryonoAfiliasi tidak diketahui1
Ahsan AhsanUniversity of Brawijaya1
Nur HidaayahUniversitas Nahdlatul Ulama Surabaya1
Lilik SupriatiUniversity of Brawijaya1
Renny NovaUniversity of Brawijaya1
I Dewa Ayu RismayantiSekolah Tinggi Ilmu Kesehatan Buleleng1
Heryanto .Afiliasi tidak diketahui1
Nur UlfahJenderal Soedirman University1
Windri Lesmana RubaiJenderal Soedirman University1
Danang IsnubrotoPoliteknik Negeri Semarang1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia</dc:title>
	<dc:creator xml:lang="en">Rekso Negoro, Widigdo</dc:creator>
	<dc:creator xml:lang="en">Sintara, Sindu</dc:creator>
	<dc:creator xml:lang="en">Rindy Permana, Annes</dc:creator>
	<dc:creator xml:lang="en">Rodli, Muhammad</dc:creator>
	<dc:creator xml:lang="en">Priyonggo, Reko</dc:creator>
	<dc:creator xml:lang="en">Suryanto</dc:creator>
	<dc:subject xml:lang="en">preoperative anxiety</dc:subject>
	<dc:subject xml:lang="en">postoperative nausea and vomiting (PONV)</dc:subject>
	<dc:subject xml:lang="en">general anesthesia</dc:subject>
	<dc:description xml:lang="en">Postoperative nausea and vomiting (PONV) are common complications after general anesthesia, negatively impacting patient comfort, recovery, and hospital stay. While many factors contribute to PONV, psychological aspects such as preoperative anxiety are often underestimated despite their influence on postoperative outcomes. This study aimed to analyze the relationship between preoperative anxiety levels and the incidence of PONV in patients undergoing surgery under general anesthesia. Using a cross-sectional design, 45 elective surgical patients were assessed for anxiety using the Hamilton Anxiety Rating Scale (HARS), and PONV incidence was recorded within 24 hours post-surgery. Chi-square analysis revealed a significant association between anxiety levels and PONV occurrence (p = 0.002). Among patients with moderate to severe anxiety, 73.3% experienced PONV, compared to only 26.7% among those with mild anxiety. These findings indicate that higher preoperative anxiety increases the risk of PONV. Therefore, integrating psychological assessment and anxiety management into perioperative care is crucial to reducing postoperative complications and improving anesthetic outcomes through a more holistic patient care approach.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2025-10-03</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/27115</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i2.27115</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 2 (2025); 402-410</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/27115/6294</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>