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Abstract
Treatment in the intensive care unit with the patie
nt in a coma can cause worry which will cause
discomfort
so that the family experiences anxiety. With the p
resence of good caring nurses, the anxiety felt by
the family
can be reduced. Health problems are often faced b
y the community and are the cause of death now.
These are
usually chronic diseases. Patients with chronic
disease conditions require care and treatmen
t with a
multifactorial and comprehensive approach. The ai
m of this research is to determine the relationship
between
length of stay and the anxiety level of the patien
t's family in the High Care Unit (HCU) of Dr. Re
ksodiwiryo
Hospital Padang in 2023. This type of research is
quantitative with a cross sectional approach, This
research
was conducted from January - August 2023. T
he population was 110 with a sample of 43 re
spondents,
purposive sampling technique, data collection u
sing the HARS questionnaire, analyzed univari
ately and
bivariately. Based on the research results, it was f
ound that the majority of respondents had a length
of stay of
≥ 5 days (51.2%) and their families experienced
moderate anxiety (41.9%). After carrying out the
Pearson
Chi-Square statistical test, the P value was 0.034 (
p value ≤0.05). This research can be concluded th
at there is
a relationship between length of stay and the level
of anxiety of families treated in the high care unit (
HCU) of
Dr. Reksodiwiryo Hospital, Padang. analyzed uni
variately and bivariately. Based on the research
results, it
was found that the majority of respondents had
a length of stay of ≥ 5 days (51.2%) and thei
r families
experienced moderate anxiety (41.9%). After carryi
ng out the Pearson Chi-Square statistical test, the
P value
was 0.034 (p value ≤0.05). This research can be c
oncluded that there is a relationship between lengt
h of stay
and the level of anxiety of families treated in the
high care unit (HCU) of Dr. Reksodiwiryo Hospita
l, Padang.
analyzed univariately and bivariately. Based o
n the research results, it was found that the
majority of
respondents had a length of stay of ≥ 5days(51.2
%) andtheir familiesexperiencedmoderateanxi
ety(41.9%).
After carrying out the Pearson Chi-Square statistic
al test, the P value was 0.034 (p value ≤0.05). Thi
s research
can be concluded that there is a relationship betw
een length of stay and the level of anxiety of famili
es treated
in the high care unit (HCU) of Dr. Reksodiwiryo
Hospital, Padang.
The he
IN alth problems t
T hat people ofte
R n face
O and are the
causes of dea
D th today are
U usually
C chronic diseas
TI es. Most chro
nic diseases
O
do not
N
cause death directly, but result in patients feeling in the family that is being treated, which means that
very sick for a long time (Widiyanti, 2020). Patients the longer the patient is treated, the more anxiety
with chronic disease conditions require care and the patient's family members will increase (Saragih,
treatment with a multifactorial approach and carried & Suparmi, 2017).
out comprehensively (Hariyono, 2021). The condition of the patient being treated in
During critical nursing, care in an intensive the intensive care unit will affect the length of the
care unit with the patient in a coma can cause patient's treatment period. The length of treatment
anxiety which will cause discomfort so that the for patients in the intensive care unit varies greatly.
family experiences anxiety, the patient and family Based on the Barber-Johnson chart (International
members have different emotional mental burdens. Standard), the average length of stay for clients is 5
The fast-paced atmosphere and busy HCU activities days (Amelia et al, 2020). Based on the standard
cause families to have difficulty communicating length of stay for patients in the HCU Room at TK
with patients, nurses and other staff, so that the Hospital. III Dr. Reksodiwiryo Padang average 4.69
patient's condition is not easily known by the days or 5 days, (TK. III Hospital Dr. Reksodiwiryo
family. Situations like this make families Padang, 2023).
experience anxiety (Sudarsih, 2022). Based on a preliminary study conducted by
Anxiety is a subjective feeling of mental researchers on December 29 2022, by interviewing
calmness that is disturbing as a general reaction to 10 families of patients treated in the High Care Unit
the inability to overcome a problem or a lack of (HCU) of TK Hospital. III Dr. Reksodiwiryo
feeling safe. These uncertain feelings are generally Padang. It was found that 8 patients' families said
unpleasant which will later lead to physiological they were anxious, of which 2 people said they felt
and psychological changes. The emotional tense, tired and anxious, 2 people felt afraid and
reactions commonly experienced by patient uneasy in the hospital, 2 people felt they didn't get
families in the intensive care unit are anxiety, anger, enough rest and couldn't get enough sleep, 2 people
grief, hope, love, depression, helplessness, also said they were anxious, no calm/often paces
loneliness or loyalty (Kristiani & Dini, 2017). around, and is afraid of what will be done to the
family being cared for. Of the 10 patient families
According to Carpenito in Mubarrok et al
interviewed, 4 of the patient's families said their
(2021), anxiety that occurs in the patient's family
family had been treated for 5 days. 2 of the patient's
can also be influenced by the length of time a
families said they had been treated for > 7 days. 3
person is treated. Patients treated in the HCU arrive
patients' families said they were treated < 5 days,
suddenly and unplanned, the illness is critical and
Based on the background above,
the severity of the disease causes long treatment
researchers are interested in examining the
which is associated with worry and anxiety. The
relationship between length of stay and the anxiety
length of treatment required for a patient to undergo
level of the families of patients treated in the High
treatment at the hospital is calculated from the time
they are admitted to the hospital until they are Care Unit (HCU) of TK Hospital. III Dr.
discharged from the hospital, whether they recover Reksodiwiryo Padang in 2023.
or die.
Length of Stay (LOS) or length of stay is RESEARCH METHODS
the number of days a patient is treated in hospital, This type of research is quantitative with a
from the day of admission to the day of discharge cross sectional approach. This research was
or going home and LOS is used by hospitals as an conducted in the High Care Unit (HCU) of the Tk
indicator of service. LOS shows how many days a hospital. III Dr. Reksodiwiryo Padang City in 2023,
patient is hospitalized during one treatment period the population in this research were all families of
(Hosizah & Maryati, 2018). patients treated in the High Care Unit (HCU) in the
The length of stay for patients treated in the
last 3 months, namely 110 people. Sampling in this
intensive care unit generally comes as planned or
not. The severity of the disease and the critical study used purposive sampling, the population was
condition of the patient means that patient care in calculated using the Slovin formula, the number of
the intensive care unit requires a long time which is respondents was 43 respondents.Dataobtained
associated with anxiety. The length of treatment directly from the respondent by giving a
days will have an influence on the family that is questionnaire directly to the respondent which
caring for it, such as it can cause feelings of anxiety includes the variables studied (length of stay and
Based on Characteristics.
cost factors. A long length of stay indicates that
Respondent Characteristics the disease tends to get worse or that there are
Gender f %
Man
complications or other comorbidities. Patients
Woman with a short length of stay can indicate several
Last education 32 44.4% factors, namely that the patient's condition can
elementary school
JUNIOR HIGH SCHOOL improve within 24 hours or, on the contrary, die.
SENIOR HIGH SCHOOL According to assumptionsResearchers say
Work 7 16.3%
that the longer the length of stay, the disease
Doesn't work
IRT tends to be worse or there are other
Self-employed complications. This is influenced by the
Private
2 4.7% condition of the patient. The longer the patient is
treated in the HCU, this means that the patient is
Based on Table 1, it can be seen thatOf the 43 not yet stable and requires special treatment and
respondents, the results showed that more than complete equipment so that the patient cannot be
half were female, namely 32 respondents transferred to normal room
(74.4%). More than half of the 22 respondents
(51.2%) had at least elementary school 2.
education. Meanwhile, more than half of the
32 (74.4%) are housewives.
Anxiety Level f %
REFERENCE
Hariyono. (2021). Peningkatan Kualitas Hidup