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Spiritual experience related to anxiety level in pre operational cesarean section patients

  • Chilyatiz Zahroh ,
  • Fin Safitri Widyagarini ,
  • Erika Martining Wardani ,
  • I Ketut Sudiana ,
  • Ah. Yusuf ,


Introduction: Anxiety is a common thing experienced by women who will undergo cesarean section surgery. The level of anxiety and the ability to manage anxiety are not the same for everyone, so efforts are needed to manage anxiety so that there is no delay in surgery. The purpose of this study was to explain the relationship between spiritual experiences and the level of anxiety in patients with preoperative cesarean section.

Methods: The design of this research was correlational analytic with cross sectional approach. The population of this study were mothers who underwent preoperative cesarean section as many as 32 people and with the purposive sampling technique obtained a sample of 30 respondents. The variables measured were spiritual experience and level of anxiety. Data were collected using DSES and HARS instruments. Data analysis using chi square test.

Result: The results showed that 90% of respondents with negative spiritual experiences were in moderate anxiety. The results of the chi square test obtained p = 0.002 which means that spiritual experience is significantly related to the level of anxiety of preoperative cesarean section patients.

Conclusion: Nurses have a role in managing the anxiety of preoperative cesarean section patients. Efforts that can be made are with a spiritual approach so as to create calm for preoperative section patients.


  1. Ashar H, Kusrini I. Determinant of the Increased Sectio Caesarean Labor Rates of Indonesia in 2017. 2020;22(Ishr 2019):268–72.
  2. Ningsih NJ setia, Rahmadhani W. the Role of Early Mobilization on Wound Healing After Sectio Caesarean. J Sex Reprod Heal Sci. 2022;1(1):7.
  3. Ahsan. Faktor-faktor yang mempengaruhi kecemasan pre Kabupaten Malang. Ejournal Umm [Internet]. 2017;8(1):1–12. Available from:
  4. Amurwani FS, Rofi’i M. Faktor Penyebab Penundaan Operasi Elektif di Rumah Sakit Pemerintah di Semarang. J Ilmu Keperawatan Med Bedah. 2018;1(1):17.
  5. Arwati IGADS, Manangkot MV, Yanti NLPE. Hubungan Tingkat Spiritualitas Dengan Tingkat Kecemasan pada Keluarga Pasien. Community Publ Nurs. 2020;8(April):47–54.
  6. Putra ida BGS, Wandia M, Harkitasari S. Indikasi Tindakan Sectio Caesarea di RSUD Sanjiwani Gianyar Tahun 2017-2019. Aesculapius Med J. 2021;1(1):63–4.
  7. Lestari MD, Putra KWR, Dimyati D. Level of Anxiety of Pregnant Mother in Facing Sectio Caesarean Operations in Dkt Sidoarjo Hospital. Nurse Heal J Keperawatan. 2019;8(1):23–7.
  8. Zuhana N, Prafitri LD, Ersila W. Descriptive Analysis Of Maternal Anxiety Before Sectio Caesarean Surgery. Str J Ilm Kesehat. 2020;9(2):1329–37.
  9. Sukartini T, Hidayati L, Khoirunisa N. Knowledge, Family and Social Support, Self Efficacy and Self-Care Behaviour in Pulmonary Tuberculosis Patients. J Keperawatan Soedirman. 2019;14(2).
  10. Yusuf A, Sulaihah S, Nihayati HE, Suhron M, Hari Basuki N, Mundakir, et al. The role of families caring for people with mental disorders through family resilience at East Java, Indonesia: Structural equation modeling analysis. Syst Rev Pharm. 2020;11(9):52–9.
  11. Underwood LG. The daily spiritual experience scale: Overview and results. Religions. 2011;2(1):29–50.
  12. HAMILTON M. the Assessment of Anxiety States By Rating. Br J Med Psychol. 1959;32(1):50–5.
  13. Murgia C, Notarnicola I, Rocco G, Stievano A. Spirituality in nursing: A concept analysis. Nurs Ethics. 2020;27(5):1327–43.
  14. Gijsberts MJHE, Liefbroer AI, Otten R, Olsman E. Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature. Med Sci (Basel, Switzerland). 2019;7(2):15–7.
  15. Zahroh C, Khamida, Anggraini R, Yusuf A, Sudiana IK. Indian Journal of Public Health Research & Development. Indian J Public Health. 2020;11(1):1–8.
  16. Karyati S, Hanafi M, Taufiq. Application of Tahmid Spiritual Therapy to Reduce the Anxiety Level of Pre Sectio Caesarean Patients in Islamic Hospital Sultan Hadlirin Jepara. Proc 1st Paris Van Java Int Semin Heal Econ Soc Sci Humanit (PVJ-ISHESSH 2020). 2021;535:458–60.
  17. Alam RI, Jama F, Nurlian S. The Effect of Finger grip Relaxation on Decreasing Anxiety of Pre-Sectio Caesarean Patients at RSIA Masyita Makassar. Orig Res Int J Nurs Heal Serv [Internet]. 2022;5(1):56–62. Available from:
  18. Soetrisno, Cahyanto EB, Mulyani S, Nugraheni A, Nurinasari H, Tjiang RE. The cortisol level, depression anxiety stress Score, and quality of life in patient with advance stage cervical cancer after two years of psychorative intervention. Bali Med J. 2020;9(1):6–12.
  19. Zahroh C, Yusuf A, Ketut Sudiana I, Taat Putra S. Effect of Nursing Terapeutic Communication (Spiritual Approach) Onperception, Cortisol and HSP70 Family Members with High Risk of TB Infection. J Eng Appl Sci. 2019;15(1):279–82.
  20. Oktafia R, Indriastuti NA, Kusuma AN. Association between spiritual well-being and anxiety among high-risk pregnant women. Bali Med J. 2021;10(3 Special Issue):1375–8.
  21. Hidayat A, Emilia O, Dewi FST, Sumarni. Spiritual emotional freedom technique (Seft) improved autonomic nervous activity in Primipara. Bali Med J. 2021;10(1):361–5.
  22. Darma S., P., Rosmaharani, S. and Nahariani P. HUBUNGAN PEMENUHAN KEBUTUHAN SPIRITUAL DENGAN TINGKAT KECEMASAN PASIEN PRA OPERASI: The Correlation Of Spiritual Need Fulfillment With Pre Operative Patient’s Anxiety Level. J Ilm Keperawatan (Scientific J Nursing). 2017;3;2(2):67–74.
  23. Silva GCN, Reis DC Dos, Miranda TPS, Melo RNR, Coutinho MAP, Paschoal GDS, et al. Religious/spiritual coping and spiritual distress in people with cancer. Rev Bras Enferm. 2019;72(6):1534–40.
  24. Chehrazi M, Faramarzi M, Abdollahi S, Esfandiari M, Shafie rizi S. Health promotion behaviours of pregnant women and spiritual well-being: Mediatory role of pregnancy stress, anxiety and coping ways. Nurs Open. 2021;8(6):3558–65.

How to Cite

Chilyatiz Zahroh, Fin Safitri Widyagarini, Erika Martining Wardani, I Ketut Sudiana, & Yusuf, A. (2023). Spiritual experience related to anxiety level in pre operational cesarean section patients. Bali Medical Journal, 12(3), 2864–2867.




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Chilyatiz Zahroh
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Fin Safitri Widyagarini
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Erika Martining Wardani
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I Ketut Sudiana
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Ah. Yusuf
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