Therapeutic communication is an integral part of the nursing process. Every early
stage to stage therapeutic communication skills assessment, so that messages can be received by the patient easily and that the goals can be achieved with good, effective communication is required. Anxiety is something that is abstract and cannot be seen by the eyes of our senses. Anxiety affect our daily behavior - days, difficulty concentrating, irritability, restlessness, changes hemodynamic, unnatural behavior is a clinical manifestation of anxiety (Marhiyanto B, 1990). Intensive Care Unit (ICU) is a multi-function service discipline that cannot be separated at the hospital, so that the position, function and role of services that will determine the success and the level of quality of services a hospital. As for some specific ICU components, namely: patients hospitalized in critical condition, the design of the rooms and special facilities, high-tech equipment, services performed by professionals and experienced staff and is able to use sophisticated equipment. As a nurse in the ICU are required to have knowledge and skills that are higher when compared to nurses in other care units in hospitals, thus continuously have to improve. Human resources through continuing education (therapeutic communication), seminars, trainings, courses / training, research, to always be ready with the development of science and technology in the field of health, knowledge and skills in the field is indispensable in order to achieve optimal service outcomes, given the level of more complex work (Hudak and Gallo, 1995). One way to overcome anxiety is the provision of therapeutic communication. Therapeutic communication including interpersonal communication with the starting point of mutual understanding between nurses provide patients with the aim of helping patients to clarify and reduce the burden and mind and is expected to eliminate the anxiety in connection with the patient should be admitted to the ICU. Patients were treated in the ICU Hospital Dr Soedjono average - average number of 40 people a month (note medic Dr Soedjono hospital, 2006). Patients in the conscious state (Compos mentis) who were treated in the ICU many are experiencing anxiety. Preliminary studies conducted by researchers at January 1, 2007 until the date of January 31, 2007 in the ICU were 50 patients admitted in the ICU (intensive care unit registers record) researchers took sampling 34 respondents showed 5 respondents or 15.7% had moderate anxiety, 13 respondents or 38.2% had severe anxiety, and 16 respondents, or 47.1% had a severe anxiety / panic (measured by means of instrument HRS-A). Many factors cause, among other things: the design of the room other than the usual care, should be installed sound
monitoring tools make sense of fear, must themselves cannot wait for the family, pictured maintenance costs are expensive, especially if being next to someone died.