The Relationship Between Nurses’ Therapeutic Communication and Patient Anxiety Levels in the Emergency Unit: A Cross-Sectional Study
DOI:
https://doi.org/10.69606/jps.v3i02.256Keywords:
Emergency, Therapeutic Communication, Anxiety LevelAbstract
Background: The Emergency Unit is the starting point for emergency patients who need first aid. Entering the emergency room can cause anxiety in patients. The anxiety felt by patients can worsen the patient's condition while the patient is receiving treatment. Aims: To identify the relationship between nurses' therapeutic communication and patient anxiety levels in the emergency room. Method: Quantitative research design with a cross-sectional approach, as many as 40 respondents through purposive sampling, anxiety level questionnaire using the Depression, Anxiety and Stress Scale - 21 (DASS-21). Data analysis using Spearman Rank correlation. Result: The majority of respondents had mild anxiety as many as 13 people (32.5%). There is a significant relationship between nurses' therapeutic communication and patient anxiety levels (p value <0.005), with a correlation coefficient of -0.975. This value shows a very strong and negative relationship between therapeutic communication and anxiety levels. the better the therapeutic communication provided by nurses, the lower the patient's anxiety level tends to be. Discussion: Therapeutic communication by nurses plays an important role in reducing patient anxiety. Empathetic, clear, and supportive communication can help patients feel calmer and safer in emergency situations. Therapeutic communication training for nurses in the ER needs to be improved as part of efforts to improve the quality of care and patient comfort.
References
Afandi, A. T., Putri, P., Darmawan, T. C., & Ardiana, A. (2023). Komunikasi terapeutik perawat dengan tingkat kecemasan pasien dalam tatanan manajemen di rumah sakit. Jurnal Keperawatan, 12(1), 56–63. https://doi.org/10.47560/kep.v12i1.478
Afiani, N., & Qodir, A. (2020). Pasien gawat darurat yang mendapatkan komunikasi buruk beresiko 12 kali mengalami kecemasan. Conference on Innovation and Application of Science and Technology (CIASTECH 2020), Ciastech, 963–972.
Aklima, Indimeilia, & Halimuddin. (2021). Tingkat kecemasan pasien triage kuning dan hijau di instalasi gawat darurat. JIM FKep, V(1), 116–124
Almokhtar A. Adwas, J.M. Jbireal, & Azab Elsayed Azab. (2019). Anxiety: insights into signs, symptoms, etiology, pathophysiology, and treatment. East African Scholars Journal of Medical Sciences, 02(10), 580–580.
Berna, C., Favre-Bulle, A., Bonzon, A., Gross, N., Gonthier, A., Gerhard-Donnet, H., Taffé, P., & Hugli, O. (2023). Is positive communication sufficient to modulate procedural pain and anxiety in the emergency department? a randomized controlled trial. Psychosomatic Medicine, 85(9), 772–777. https://doi.org/10.1097/PSY.0000000000001246
Damayanti, N Khafiturohmah 2023, 'Hubungan karakteristik responden dengan tingkat kecemasan pasien di instalasi gawat darurat', Repository.Unissula.Ac.Id,Http://Repository.Unissula.Ac.Id/Id/Eprint/30038
Daud, I., Julianto, J., Aprilia, H., & Nasyir, M. (2023). hubungan response time dengan tingkat kecemasan pasien pada ruang IGD Rumah Sakit. Nursing Update: Jurnal Ilmiah Ilmu Keperawatan P-ISSN: 2085-5931 e-ISSN: 2623-2871, 14(3), 541–545.
Gay, L. R., Mills, G. E., & Airasian, P. (2011). Educational research: competencies for analysis and applications (10th ed.). Boston, MA: Pearson.
Hakim, M. A., & Aristawati, N. V. (2023). mengukur depresi, kecemasan, dan stres pada kelompok dewasa awal di indonesia: uji validitas dan reliabilitas konstruk DASS-21. Jurnal Psikologi Ulayat, 10(2), 232–250. https://doi.org/10.24854/jpu553
Huda, I. F. F., Andoko, & Elliya, R. (2022). Hubungan komunikasi terapeutik dengan tingkat kecemasan pasien. Journal of Mental Health Concerns, 1(1), 9–17. https://doi.org/10.56922/mhc.v1i1.119
Isnaeni, & Suara, M. (2020). gambaran tingkat kecemasan pasien di instalasi gawat darurat. Jurnal Keperawatan, 7(2), 1037–1050. https://doi.org/10.35790/jkp.v7i2.24472
Novita, R., Nugroho, S. A., & Handoko, Y. T. (2020). Hubungan komunikasi terapeutik dengan tingkat kecemasan pasien baru di ruang UGD puskesmas tamanan bondowoso. Jurnal Keperawatan Profesional, 8(2), 35–52. https://doi.org/10.33650/jkp.v8i2.1431
Juniyarti, J., & Huzaifah, Z. (2023). Hubungan komunikasi terapeutik dengan tingkat kecemasan pasien yang akan dilakukan pemasangan infus. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 14(02), 376–380. https://doi.org/10.34305/jikbh.v14i02.623
Kim, S., Chang, H., Kim, T., & Cha, W. C. (2023). Patient anxiety and communication experience in the emergency department: a mobile, web-based, mixed-methods study on patient isolation during the covid-19 pandemic. Journal of Korean Medical Science, 38(39), 1–15. https://doi.org/10.3346/jkms.2023.38.e303
Mawaddah, N., & Handrianto, W. (2023). therapeutic communication with patients in the emergency room hospital. Jurnal Kegawatdaruratan Medis Indonesia, 2(1), 1–12. https://doi.org/10.58545/jkmi.v2i1.43
Nurdin, Amandaty, S. P., Islaeli, Ramadania, W. O., & Islamiyah. (2024). Cross Sectional: faktor analisis tingkat kecemasan pasien di ruang instalasi gawat darurat. Health Information: Jurnal Penelitian, 16(2). https://doi.org/DOI: https://doi.org/10.36990/hijp.v16i2.1523
Prawesty, L.T., Suryanto., & Kusumaningrum, B. R. (2022) Hubungan komunikasi terapeutik perawat dengan skor kecemasan pada pasien suspect covid-19 di igd incovit rsud dr. saiful anwar malang. Sarjana thesis, Universitas Brawijaya.https://repository.ub.ac.id/id/eprint/198934/
Rezkiki, F., Putama, A., & Febrina, C. (2023). Komunikasi terapeutik perawat komunitas dalam meningkatkan manajemen diri pasien hipertensi. Nurse: Journal of Nursing and Health Science, 2(1), 63–72. https://doi.org/10.15408/nurse.v2i1.32317
Rizki, L., Mayang Sari, S., & Rasyid, T. A. (2021). Penerapan komunikasi terapeutik perawat pada saat tindakan keperawatan. Jurnal Keperawatan Hang Tuah, 1(1), 31–44. https://doi.org/10.25311/jkh.vol1.iss1.316
Rosely, B. S. (2025). Faktor-faktor yang mempengaruhi kecemasan pada pasien kategori p2label kuning di igd rsud bangil. Jurnal Kesehatan Indonesia Peduli, 01(01), 41–56. https://ojs.gelcipnus.org/index.php/jkip/article/view/41/51
Syarif, M.f. (2023). Hubungan komunikasi terapeutik perawat dengan tingkat kecemasan pasien rawat inap di rumah sakit Rawa lumbu. e-repository. stikesmedistra. http://e-repository.stikesmedistra-indonesia.ac.id/xmlui/handle/123456789/2060
WHO. (2023). Anxiety disorder. https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Reny Deswita, Zulia Putri Perdani, Nuraini, Rachmat Juniarto

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.



