Penerapan Spiritual Mindfulness Kombinasi Self-Regulation dalam Menurunkan Kecemasan, Frekuensi Pernapasan, dan Saturasi Oksigen Pasien di Ruang Perawatan Intensif

Latar Belakang: Pasien yang dirawat di ruang perawatan intensif (ICU/ICCU/HCU) sering mengalami tingkat kecemasan yang tinggi akibat kondisi kritis, lingkungan penuh alat medis, suara bising monitor, serta keterbatasan komunikasi dengan keluarga. Kecemasan yang tidak diatasi dapat mempengaruhi stabilitas tanda-tanda vital seperti frekuensi pernapasan dan saturasi oksigen. Upaya intervensi non-farmakologis melalui spiritual mindfulness dan self-regulation dapat menjadi pendekatan perlindungan holistik yang efektif. Tujuan: Mengetahui pengaruh penerapan spiritual mindfulness kombinasi self-regulation terhadap tingkat kecemasan, respiration rate, dan saturasi oksigen pasien di ruang perawatan intensif RSUD Haji Provinsi Jawa Timur. Metode: Penelitian ini menggunakan desain pra-eksperimen dengan rancangan one group pretest-posttest. Sampel berjumlah 15 pasien yang memenuhi kriteria inklusi. Data dikumpulkan melalui observasi langsung dan kuesioner. Analisis menggunakan Paired T-Test dan Wilcoxon Signed Rank Test. Hasil: Hasil penelitian menunjukkan adanya penurunan tingkat kecemasan yang signifikan (p = 0,000; effect size = 12,63), penurunan frekuensi napas yang bermakna (p = 0,000; effect size = 2,171), serta perubahan saturasi oksigen yang signifikan secara statistik (p = 0,001; effect size = 0,547) setelah diberikan intervensi spiritual mindfulness kombinasi self-regulation selama 3 hari berturut-turut. Kesimpulan: Penerapan spiritual mindfulness kombinasi self-regulation terbukti efektif menurunkan tingkat kecemasan dan membantu menstabilkan tanda vital pasien di ruang perawatan intensif. Intervensi ini dapat diterapkan sebagai terapi komplementer dalam praktik perawatan intensif.

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Background: Patients treated in intensive care units (ICU/ICCU/HCU) often experience high levels of anxiety due to critical conditions, environments full of medical equipment, noisy monitors, and limited communication with family. Untreated anxiety can affect the stability of vital signs such as respiratory rate and oxygen saturation. Non-pharmacological intervention efforts through spiritual mindfulness and self-regulation can be an effective holistic protection approach. Objective: To determine the effect of the application of spiritual mindfulness combined with self-regulation on the level of anxiety, respiration rate, and oxygen saturation of patients in the intensive care unit of Haji Regional Hospital, East Java Province. Method: This study used a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 15 patients who met the inclusion criteria. Data were collected through direct observation and questionnaires. Analysis used the Paired T-Test and Wilcoxon Signed Rank Test. Results: The results of the study showed a significant decrease in anxiety levels (p = 0.000; effect size = 12.63), a significant decrease in respiratory frequency (p = 0.000; effect size = 2.171), and a statistically significant change in oxygen saturation (p = 0.001; effect size = 0.547) after being given a spiritual mindfulness combined with self-regulation intervention for 3 consecutive days. Conclusion: The application of spiritual mindfulness combined with self-regulation has been proven to be effective in reducing anxiety levels and helping stabilize patient vital signs in the intensive care unit. This intervention can be applied as a complementary therapy in intensive care practice.