The Influence of Smart Visual Education Based on Dorothea Orem's Self-Care Theory on Anxiety Levels

  • Nur Ismail Faculty of Nursing, Universitas Airlangga
  • Joni Haryanto Faculty of Nursing, Universitas Airlangga
  • Anna Surgean Veterini Faculty of Medicine, Universitas Airlangga
Keywords: anxiety level, SAB regional anesthesia, selfcare dorothea orem, smart education


Anxiety is a feeling of discomfort, worry, fear, and tension. This response is a physiological response to external or internal stimuli that can cause behavioral, emotional, cognitive, and physical symptoms. Anxiety in patients starts from the moment the patient receives a surgery schedule. If the patient continues to feel anxious while the operation is in progress, this can disrupt the operation process because a tense patient can increase the heart rate which can affect the patient's blood pressure and breathing. This study aims to determine the effect of educational videos on anxiety in surgical patients. The research uses a quantitative research design with a quasi-experimental research design (pretest-posttest with control group design). There were 66 street children as respondents consisting of 33 control group respondents and 33 treatment group respondents. Respondents were determined using affordable population techniques. The independent variable is smart visual education based on Dorothea Orem's self-care theory and the dependent variable is anxiety level. Data was collected using a questionnaire and analyzed using the independent t-test with a significance level of p<0.05. The instrument used was the Amsterdam Preoperative Anxiety and Information Scale (APAIS) Questionnaire. There is a significant relationship between respondents' anxiety levels in the pretest and posttest results (p=0.000) in both the control group and the treatment group. However, there was no significant difference in the delta of respondents' anxiety levels in both the control and treatment groups. Smart visual education based on Dorothea Orem's self-care theory influences reducing the anxiety level of patients who will undergo surgery with SAB regional anesthesia.


Apriansyah, A., Romadoni, S., & Andrianovita, D. (2015). The relationship between the level of pre-operative anxiety with the degree of pain in post-sectio caesaria patients. Jurnal Keperawatan Sriwijaya, 2(1), 1–9.

Arwani, Sriningsih, I., & Hartono, R. (2013). Pengaruh Pemberian Aromaterapi Terhadap Tingkat Kecemasan Pasien Sebelum Operasi dengan Anestesi Spinal di RS Tugu Semarang. Jurnal Keperawatan Jiwa, 01, 129–134.

Bailey, L. (2010). Strategies for decreasing patient anxiety in the perioperative setting. AORN Journal, 92(4), 445–460.

Baran, O., Mordeniz, C., Arar, M. C., & Günkaya, M. (2020). The Effect of Video Information on Preoperative Anxiety Levels in Patients Undergoing Total Knee Replacement. Journal of Academic Research in Medicine, 10(2), 122–128.

Cakmak, M., Kose, I., Zinzircioglu, C., Karaman, Y., Tekgul, Z. T., Pektas, S., Balik, Y., Gonullu, M., & Bozkurt, P. S. (2018). Effect of video-based education on anxiety and satisfaction of patients undergoing spinal anesthesia. Brazilian Journal of Anesthesiology, 68(3), 274–279.

Direktorat Jenderal Pelayanan Kesehatan. (2022). Pandangan Studi Terkait Seft (Spiritual Emotional Freedom Technique) dalam Menurunkan Kecemasan Pasien Sebelum Operasi. Kementerian Kesehatan RI.

Fajriani, R. A. (2019). Pemberian Edukasi Pre Operasi Melalui Audio Visual Hernioplasty Di Ruang Instalasi Bedah Sentral RS Ken Saras Kabupaten Semarang. Poltekes Kemenkes Semarang, 18, 1–6.

Găină, M. A., Szalontay, A. S., Ștefănescu, G., Bălan, G. G., Ghiciuc, C. M., Boloș, A., Găină, A. M., & Ștefănescu, C. (2022). State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain. Journal of Clinical Medicine, 11(6), 1–18.

Guo, P., East, L., & Arthur, A. (2012). A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. International Journal of Nursing Studies, 49(2), 129–137.

Hawari, D., Tingkat, G., Pada, K., Pre, P., Medan, P., & Medan, P. (2019). Gambaran Tingkat Kecemasan Pada Pasien Pre Oprasi di Ruang Bedah Rsud Dr . Pirngadi Medan Tahun 2019 Pebriana Pane Jurusan Keperawatan Poltekes Kemenkes Medan Abstrak.

Mayestika, P., & Hasmira, M. H. (2021). Artikel Penelitian. Jurnal Perspektif, 4(4), 519.

Mustofa, S., Sriyono, S., & Veterini, A. S. (2023). Kontrol Edukasi Video Visual Smartphone Berbasis Selfcare. Journal of Telenursing (JOTING), 5(2684–8988), 190–200.

Orliaguet, G., Baugnon, T., Duracher, C., & Jacquelet, E. (2017). Annonce d’une complication aux parents. Anesthésie & Réanimation, 3(6), 531–537.

Ramesh, C., Nayak, B. S., Pai, V. B., George, A., George, L. S., & Devi, E. S. (2017). Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – a cross-sectional study. International Journal of Africa Nursing Sciences, 7, 31–36.

Sert, Z. S. (2020). Effect of video information on anxiety level in women undergoing endometrial biopsy. Journal of Contemporary Medicine, 10(4), 505–509.

Tj, H. T., Nancye, P. M., & Wibowo, D. A. T. (2022). Hubungan Perilaku Caring Perawat Dengan Tingkat Kecemasan Pasien Pre Operasi Orthopedi Spinal Anestesi di Instalasi Bedah Rumah Sakit William Boothsurabaya.

Tulgar, S., Boga, I., Piroglu, M., Ates, N., Bombaci, E., Can, T., Selvi, O., Tas, Z., & Kose, H. (2017). Preoperative anxiety before spinal anesthesia: Does internet-based visual information/multimedia research decrease anxiety and information desire? A prospective multicentered study. Anesthesia: Essays and Researches.

Ulfah, S. (2021). Pengaruh Pendidikan Kesehatan Dengan Media Video Terhadap Penurunan Kecemasan Pasien Pre Operasi Bedah Di Rsud Muntilan Kabupaten Magelang. 6.

Waryanuarita, I., Induniasih, I., & Olfah, Y. (2018). Pengaruh Pemberian Terapi Musik Terhadap Kecemasan Pasien Pre General Anestesi Di Rs Pku Muhammadiyah Yogyakarta. Caring : Jurnal Keperawatan, 7(2), 60–65.

Woldegerima, Y. B., Fitwi, G. L., Yimer, H. T., & Hailekiros, A. G. (2018). Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. International Journal of Surgery Open, 10(January 2018), 21–29.

How to Cite
Ismail, N., Haryanto, J., & Veterini, A. (2024). The Influence of Smart Visual Education Based on Dorothea Orem’s Self-Care Theory on Anxiety Levels. Indonesian Journal of Global Health Research, 6(1), 255-262.