Abstract
Endoscopic examination is used to diagnose abnormalities of internal organs including the digestive tract, oral cavity, and abdominal cavity, which can make patients feel anxious. Anxiety arises when there is a threat of loss of control, feelings of loss of function, failure of knowledge, and feelings of isolation. Purpose of this study was to determine the relationship between anxiety and coping mechanisms of pre endoscopy patients at BMC Mayapada Hospital. Method used cross sectional. The population in this study were endoscopy patients at BMC Mayapada Hospital from May to July 2023, totaling 50 patients. Sampling using accidental sampling technique and obtained a sample size of 50 respondents. Data analysis techniques using univariate analysis and bivariate analysis. Result Respondents were dominated by patients with the late adult age category (36-45 years), as many as 21 patients, then female gender, as many as 28 patients, an undergraduate educational background of 24 patients, and as many as 35 patients worked as employees. In the coping mechanism variable, 31 people (62%) solved problems with problem focused coping strategies and 19 people (23%) with emotional focused coping strategies. In the anxiety variable, 26 respondents (52%) experienced mild stress, 13 people (26%) moderate stress, and 11 people (22%) severe stress. The p-value of 0.013 <0.05, the correlation coefficient of 0.839 is positive or unidirectional and lies in the interval 0.75 - 0.99 (very strong). Conclusion that there is a significant and very strong relationship between anxiety and coping mechanisms of pre endoscopy patients at BMC Mayapada Hospital. Researchers recommend that nurses provide psychological assistance to patients and families regarding coping strategies.
References
Agustian, H., Makmun, D., & Soejono, C. (2017). Endoscopic findings of the upper gastrointestinal tract in elderly dyspepsia patients at Cipto Mangunkusumo Hospital [Original title in Indonesian]. Jurnal Penyakit Dalam Indonesia, 2(2), 87. https://doi.org/10.7454/jpdi.v2i2.70
Anna, Budi, & Keliat, Akemat. (2009). Professional mental health nursing practice model [Original title in Indonesian]. EGC.
Annisa, D. F., & Ifdil. (2016). The concept of anxiety in the elderly [Original title in Indonesian]. Konselor, 5(2), 93–99.
Athiyyah, A. F., et al. (2012). The role of endoscopic procedures in diagnosing digestive disorders in children [Original title in Indonesian]. Jurnal Ners, 7. Surabaya: Dr. Soetomo General Hospital.
Barbara Kozier, Glenora Erb, Audrey Berman, & Shrilee J. Synder. (2014). Fundamentals of nursing (7th ed., Vol. 1; D. W. Widiarti, E. A. Mardella, N. B. Subekti, & L. H. Lenny, Eds.). EGC Medical Book Publisher.
Department of Internal Medicine, Faculty of Medicine, University of Indonesia. Gastrointestinal endoscopy center (PESC). [cited 2022 Dec 26]. Available from: http://www.internafkui.or.id/index.php?page=centerofexcellent.view&id=2
Ersos, F., Tores, A. B., Aydogan, G., Bektas, H., Ozcan, O., & Arikan, S. (2013). Assessment of anxiety levels in patients during elective upper gastrointestinal endoscopy and colonoscopy. The Turkish Journal of Gastroenterology, 21(1), 29–33.
Feist, J., & Feist, G. J. (2016). Theories of personality (M. Astriani, Ed.; Handrianto, Trans.). Salemba Humanika.
Ghufron, N. M., & Trisnawati, R. (2014). Psychological theories [Original title in Indonesian]. Ar-Ruzz Media.
Hajiani, E., Hashemi, J., & Sayyah, J. (2018). Comparison of the effect and side-effects of sedation with propofol versus midazolam plus pethidine in patients undergoing endoscopy in Imam Khomeini Hospital, Ahvaz. Original Paper, Ahvaz, Iran. https://doi.org/10.5114/pg.2018.78288
Halawa, A., & Safi’i, I. (2014). Comparison of coping mechanisms in the elderly regarding the aging process between those living in nursing homes and those living with family in Lakarsantri Village, Surabaya [Original title in Indonesian]. *E-Journal of Nursing Science, 3*(2), 12–20.
Harini, N. (2013). Color therapy for reducing anxiety [Original title in Indonesian]. Jurnal Ilmiah Psikologi Terapan, 1(2), 291–303.
Hudak, C. M., & Gallo, B. M. (1997). Critical care nursing (Monica, Trans.). EGC.
Kusumawati, F., & Hartono, Y. (2014). Mental health nursing textbook [Original title in Indonesian]. Salemba Medika.
Lauriola, M., et al. (2019). Intolerance of uncertainty and anxiety-related dispositions predict pain during upper endoscopy. Frontiers in Psychology, 10, 1112. https://doi.org/10.3389/fpsyg.2019.01112
Liu, Y. Y., Liu, Y. Q., & Petrini, M. A. (2018). Effect of information on patient coping style on pre-gastroscopy anxiety. Gastroenterology Nursing, 41(5), 392–399.
Lubis, et al. (2015). Stress coping in working students [Original title in Indonesian]. Jurnal DIVERSITA, 1(2), 48–57.
Maliany, I., & Sano, A. (2020). Problems faced by single parents in Jorong Kandang Harimau, Kenagarian Sijunjung, and their implications for counseling services [Original title in Indonesian]. Jurnal Ilmiah Konseling, 2(1), 76–82.
McEntire, J., Sahota, J., Hydes, T., & Trebble, T. M. (2013). An evaluation of patient attitudes to colonoscopy and the importance of endoscopist interaction and the endoscopy environment to satisfaction and value. Scandinavian Journal of Gastroenterology, 48(3), 366–373. https://doi.org/10.3109/00365521.2012.763174
Nasir, A., & Muhith, A. (2016). Fundamentals of mental health nursing: Introduction and theory [Original title in Indonesian]. Salemba Medika.
Notoatmodjo, S. (2014). Health research methodology [Original title in Indonesian]. Rineka Cipta.
Permana, Z., & Khairani, M. (2017). Differences in competitive anxiety among Aceh PON athletes based on type of sport [Original title in Indonesian]. Jurnal Ilmiah Psikologi Terapan, 5(1), 97–106.
Priyanto, & Lestari. (2014). Gastrointestinal endoscopy (J. E. Septiarso, Ed.). Salemba Medika.
Purnawinadi, I. G. (2012). Spiritual nursing intervention and stress levels in congestive heart failure patients at Prof. Dr. Kandou Hospital, Manado [Original title in Indonesian]. JKU, 1(1).
Rubbyana, Urifah. (2012). The relationship between coping strategies and quality of life in schizophrenic patients with symptom remission [Original title in Indonesian]. Jurnal Psikologi Klinis dan Kesehatan Mental, 1(2).
Saputra, T. F. (2014). The relationship between self-confidence and match anxiety in SKOI students in Samarinda [Original title in Indonesian]. Jurnal Psikoborneo, 2(4), 262–267.
Sierra, G., et al. (2013). Anxiety in gastroscopies: Comparison of two nursing interventions in endoscopy without sedation. Enfermeria Global, Barcelona, Spain.
Siswanto, Susila, & Suyanto. (2014). Health and medical research methodology [Original title in Indonesian]. Bursa Ilmu.
Stuart, G. W., & Laraia, M. T. (2013). Principles and practice of psychiatric nursing (7th ed.). Mosby.
Sugiyono. (2018). Mixed methods research methodology [Original title in Indonesian]. CV Alfabeta.
Taluta, Y. P., & Hamel. (2014). The relationship between anxiety levels and coping mechanisms in type II diabetes mellitus patients at the internal medicine polyclinic of Tobelo Regional Hospital, North Halmahera [Original title in Indonesian]. *E-Journal of Nursing, 2*(1), 1–9.
Toulasik, A., & Riri, M. (2013). Description of anxiety levels in patients undergoing gastrointestinal endoscopic procedures at Gatot Subroto Army Central Hospital, Jakarta [Original title in Indonesian]. Journal of the Faculty of Nursing, University of Indonesia, Depok.
Vargo, J. J., et al. (2017). Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: An analysis of 1.38 million procedures. Gastrointestinal Endoscopy, 85(1), 101–108.

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