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Penerapan Kombinasi Terapi Butterfly Hug dan Meditasi Mindfulness Terhadap Kecemasan Pasien Pre Operasi Apendisitis di Instalasi Bedah Sentral (IBS) Rumah Sakit Umum Pusat Surakarta

Journal of Health, Medical, and Psychological Studies July 30, 2026 DOI: 10.65310/rm82bd59 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population One preoperative appendicitis patient at the Central Surgical Installation of Surakarta General Hospital
Interventions Butterfly hug therapy Mindfulness meditation
Measures Amsterdam Preoperative Anxiety and Information Scale (APAIS)
Topics Meditation
Key findings Combined butterfly hug therapy and mindfulness meditation reduced preoperative anxiety from severe (APAIS score 26) to moderate (score 20) in one appendicitis patient, with accompanying improvements in vital signs and subjective complaints.

Abstract

Appendicitis is one of the leading causes of acute abdominal emergencies requiring prompt surgical intervention. The preoperative period frequently induces anxiety due to concerns about surgery, anesthesia, and postoperative outcomes, potentially affecting physiological stability and surgical readiness. This study aimed to evaluate the effect of combined butterfly hug therapy and mindfulness meditation on anxiety levels in preoperative appendicitis patients. An empirical case study was conducted involving one preoperative appendicitis patient at the Central Surgical Installation of Surakarta General Hospital. Data were collected through interviews, observation, medical record documentation, and anxiety assessment using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention. The anxiety score decreased from 26 (severe anxiety) to 20 (moderate anxiety), accompanied by improvements in blood pressure, pulse rate, respiratory rate, and subjective anxiety complaints. These findings suggest that the combination of butterfly hug therapy and mindfulness meditation may serve as a practical nonpharmacological nursing intervention to reduce preoperative anxiety in appendicitis patients.

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Other case reports and case series on meditation, most cited first.

Study Year Design Participants
Brain sources of EEG gamma frequency during volitionally meditation-induced, altered states of consciousness, and experience of the self Advanced meditator 2001 Case study n = 1
Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study Adult alcohol-dependent graduates of an intensive outpatient program 2008 Prospective case series n = 19
How does it feel to lack a sense of boundaries? A case study of a long-term mindfulness meditator. A single long-term mindfulness practitioner (S) with 40 years of practice in... 2015 Qualitative case study n = 1
Loving‐kindness meditation to enhance recovery from negative symptoms of schizophrenia Individuals suffering from schizophrenia-spectrum disorders with persistent negative... 2009 Case study
Mindfulness-Based Cognitive Therapy for Problem Gambling A female problem gambler 2011 Case study n = 1

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