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hospitalization. Spirituality can affect the process of
healing and self-reinforcement or coping of the
patient in the face of his illness.
Putri, S. (2013) mentions spirituality as one's
belief in the existence of God, and this belief becomes
a source of strength during illness and thus affects his
beliefs about the causes of illness, the process of
healing illness and choosing the person who will care
for him
According to Nursalam (2014) the anxiety
experience of each individual varies and depends on
the situation and interpersonal relationships. There
are two precipitation factors that affect anxiety that is
internal factors and external factors. External factors
include the threat of self-integrity including
physiological inadequacies to basic needs due to
physical illness and trauma.
Respondents with low spiritual level showed the
majority felt the severe anxiety as much as 6
respondents (66,70%), felt very heavy anxiety
counted 3 respondents (33,30%). According to Basofi
(2016) religious approach becomes one form of
coping in the face of anxiety. In this case spiritual life
has an important role, someone who is grateful for the
favors will feel more sincere in the face of life.
Researchers analyzing religious activities can
result in an increase in serotonin levels that affect
spiritual awareness by generating fun / excitement.
Pleasure and happiness brings the effects of
relaxation, so relaxation can suppress anxiety that
arises feeling relaxed. Researchers analyze mild
anxiety that occurs in patients with high spiritual
levels due to several factors that can affect a person's
spiritual culture, life experience, and religious
practice.
One's spirituality is also influenced by life
experience. A person's positive and negative life
experiences can affect a person's spirituality and are
also influenced by how one perceives spiritually the
experience. Hamid (2008) states events in a person's
life are regarded as a trial God gives humans to test
their faith
According to Iswara (2016) severe anxiety greatly
reduces the field of individual perception. Individuals
will tend to focus on something detailed and specific
and do not think about anything else. All behaviors
are shown to reduce tension. Individuals need a lot of
referrals so they can focus on other areas.
From the observation of the researchers that
respondents with severe anxiety have a low spiritual
level associated with spiritual support.
Spiritual support serves as the shaper of individual
coping mechanisms against life-threatening
situations, in this case a reference to healing (Riley et
al., 1998). The spiritual role in coping mechanisms is
as a spirit or motivation for life. The coping
mechanism that is formed depends very much on the
personality of the person and the extent to which the
pressure of a condition it faces.
Dr. Ramelan Hospital Surabaya has also provided
spiritual guidance on a regular basis. This is
illustrated by reminding of the prayer times
announced through the speakers in each treatment
room. The role of nurses in providing nursing care
holistically includes physiological, psychological,
sociocultural, and spiritual dimensions is very
important. Such spiritual support as bringing
religious leaders to the faith of the believer, giving
privacy to prayer, giving the patient the opportunity
to interact with others, family or friends
5 CONCLUSIONS
Based on the findings of the study, it was concluded
that the role of nurses is very important in providing
nursing care holistically, especially on the fulfillment
of spiritual needs For further research it is necessary
to note the gender homogeneity of the respondents so
that the results obtained are more representative and
also with the larger number of samples in addition to
the length of treatment is also an influential factor.
Subsequent research can be done by comparing
spiritual levels in hospital-based patients with
religious values with other private hospitals
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Good, J. J. (2010) Integration of Spirituality and Cognitive-
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Hamid (2008) Asuhan Keperawatan Kesehatan Jiwa.
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Hamid, A. Y. S. (2009) Asuhan Keperawatan Kesehatan
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The Relationship of Spiritual Level and Patient Anxiety in the General Ward
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