The effect of murottal auditory therapy on anxiety and comfort levels in patients with cardiovascular disease
https://doi.org/10.4081/hls.2023.11816
Accepted: 6 November 2023
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Patients with cardiovascular disease often experience anxiety and discomfort, which can negatively affect their outcomes. The purpose of this study was to examine the effect of murottal auditory therapy on anxiety and comfort levels in hospitalized patients with cardiovascular disease. This quasi-experimental study included 45 patients in both the intervention and control groups, selected through purposive sampling. Participants met criteria such as consciousness, effective communication skills, Muslim faith, and no hearing impairments. Anxiety was assessed using the Zung Self-Rating Anxiety Scale, while comfort was evaluated with the General Comfort Questionnaire. The Mc Nemar test was employed to determine the effect of the intervention. The findings indicate that a substantial number of patients in the intervention group reported mild anxiety (91.1%) and increased comfort (95.6%) following murottal therapy. Significant differences in anxiety and comfort levels were observed between the control and intervention groups, with p-values of 0.004 and 0.000, respectively. In conclusion, murottal auditory therapy, specifically Surah Ar-Rahman, effectively reduces anxiety and enhances comfort among patients with cardiovascular disease. These results underscore the potential of murottal auditory therapy as a complementary approach to expedite patients' recovery during treatment.
Maharani A, Id S, Praveen D, Id DO. Cardiovascular disease risk factor prevalence and estimated 10-year cardiovascular risk scores in Indonesia : The SMARThealth Extend study. 2019;1–13. DOI: https://doi.org/10.1371/journal.pone.0215219
Sun C, Jia M, Wu H, Yang Q, Wang Q, Wang L, et al. The effect of comfort care based on the collaborative care model on the compliance and self-care ability of patients with coronary heart disease. Ann Palliat Med. 2021;10(1):501–8. DOI: https://doi.org/10.21037/apm-20-2520
Israfil I, Yusuf A, Efendi F, Lutfa I, Sriwahyuningsih I. Factors Associated with Behavior in the Prevention of Cardiovascular Complications in Hypertensive Patients in Indonesia: A Systematic Review. J Heal Res. 2023;37:24–31.
Kurniawati ND, Nursalam N, Suharto S. Development of the Mind-Body-Spiritual Nursing Care Model ( MBS ) for Coronary Heart Disease Patients. Ners. 2018;13(2). DOI: https://doi.org/10.20473/jn.v13i2.6607
Duan. Analysis of the comprehensive nursing care effect for patients with coronary heart disease undergoing selective coronary angiography and stent implantation by radial artery. Chinese Community Dr. 2018;
Widiyanti P, Rahmandani A. Correlation between Perceptions of Family Support and Anxiety Levels of Heart Disease Sufferers. J Empati. 2020;10:107–13. DOI: https://doi.org/10.14710/empati.2020.27697
Bradt J, Dileo C, Magill L, Teague A. Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev. 2016;2016(8):12–4. DOI: https://doi.org/10.1002/14651858.CD006911.pub3
Astuti A, Nursalam N, Hidayati L. The Comfort of Post Orthopedic Surgery’s Client Given Murottal Al-Qur’an. In: Atlantis Press. 2017. p. 71–4. DOI: https://doi.org/10.2991/inc-17.2017.24
Samudera WS, Efendi F, Indarwati R. Effect of Physical Exercise on Insulin Sensitivity and the Modifiable Cardiovascular Risk Factors of Patients with T2DM: A Systematic Review. J Ners. 2020;15(1 Special Issue):518–30. DOI: https://doi.org/10.20473/jn.v15i1Sp.20521
Faizah R, Efendi F, Suprajitno S. The effects of foot exercise with audiovisual and group support foot exercises to diabetes mellitus patients. J Diabetes Metab Disord. 2021;20(1):377–82. DOI: https://doi.org/10.1007/s40200-021-00756-9
Alligood MR. Nursing Theorists and Their Work. 9th ed. Elsevier; 2018.
Kolcaba, K., & Steiner R. Empirical Evidence for the Holistic of Nature. J Holist Nurs. 2000;18(1):46–62. DOI: https://doi.org/10.1177/089801010001800106
Kurniawati ND, Nursalam . Mind-Body-Spiritual Care for Coronary Heart Disease Patients - A Systematic Review. 2019;(Inc):394–405. DOI: https://doi.org/10.5220/0008325803940405
Fatima Ruby, Sabeen Rahim NS. Impact of Murottal and Muscle Relaxation Therapy on Anxiety, Depression Levels, and Quality of Sleep. Pakistan J Humanit Soc Sci Res. 2022;01(05):73–84. DOI: https://doi.org/10.37605/pjhssr.v5i1.335
Kamal, N.F., Mahmood, N.H., Zakaria N. Modeling Brain Activities during Reading Working Memory Task: Comparison between Reciting Quran and Reading Book. In: Procedia Social and Behavioral Sciences. 2013. p. 83–9. DOI: https://doi.org/10.1016/j.sbspro.2013.10.207
Alhouseini AMRA, Al-Shaikhli IF, Rahman AW bin A, Alarabi K, Dzulkifli MA. Stress Assessment While Listening To Quran Recitation. In: International Conference on Computer Assisted System in Health. Kuala Lumpur, Malaysia; 2014. DOI: https://doi.org/10.1109/CASH.2014.14
Basri M, Nor M, Airini N, Fariza N. Physiological and Psychological Effects of Listening To Holy Quran Recitation in the Intensive Care Unit Patients : A Systematic Review. 2019;18(1):145–55. DOI: https://doi.org/10.31436/imjm.v18i1.224
Setyowati A, Chung M huey, Yusuf A. among adolescents : Indonesian version of the Zung self-rating us e m er ci al om m er ly us e al on. 2019;10:3–6.
Artanti ER, Nurjannah I. Validity and Reliability Of Shortened General Comfort Questionnaire. Belitung Nurs J. 2018;4(4):366–72. DOI: https://doi.org/10.33546/bnj.437
Faradilla L, Hidayah N, Yasmina A. The Effect of Murrotal Al-Qur’an Therapy to Clinical Improvement of Children With Autism Spectrum Disorder. Homeostatis. 2020;3(3):371–8.
Hajiri F, Pujiastuti S, Siswanto J. Murrotal Therapy with Accupressure on Anxiety Levels and Blood Glucosa Levels in Patient With Coronary Heart Disease. J Keperawatan Silampari. 2019;2(2):146–59. DOI: https://doi.org/10.31539/jks.v2i2.507
Wirakhmi IN. The Effect of Al Kahf Murotal Therapy on Pain in Post-Caesar Section at Wijaya Kusuma Hospital, Purwokerto. In: Seminar Nasional Penelitian dan Pengabdian Masyarakat. 2021. p. 558–64.
Campbell A, Huffman JC. Anxiety disorders and cardiovascular disease. 2017;18(11):1–20. DOI: https://doi.org/10.1007/s11920-016-0739-5
Nural N, Alkan S. Identifying the Factors Affecting Comfort and the Comfort Levels of Patients Hospitalized in the Coronary Care Unit. Holist Nurs Pract. 2018;32(1):35–42. DOI: https://doi.org/10.1097/HNP.0000000000000245
Tavakoli F, Kazemi-Zahrani H, Sadeghi M. The effectiveness of dialectical behavior therapy on adherence to treatment and self-caring behavior in patients with coronary heart disease. ARYA Atheroscler. 2019;15(6):281–7.
Ciric-Zdravkovic S V., Zikic O V., Stanojevic DM, Petrovic-Nagorni SM. Anxiety in patients with acute coronary syndromes. Eur J Psychiatry. 2014;28(3):165–71. DOI: https://doi.org/10.4321/S0213-61632014000300004
Meyer T, Hussein S, Lange HW, Herrmann-lingen C. Anxiety is associated with a reduction in both mortality and major adverse cardiovascular events five years after coronary stenting. 2015;
Elisabeth J, Jonge D, Jonge D. Prognostic Association of Anxiety Post Myocardial Infarction With Mortality and New Cardiac Events : A Meta-Analysis. 2010;
Syukur H. A. Zikir Menyembuhkan Kanker. Jakarta: Emir Cakrawala Islam; 2016. 109–111 p.
Moeini M, Sharifi S, Zandiyeh Z. Does Islamic spiritual program lead to successful aging? A randomized clinical trial. J Educ Health Promot. 2016;5(1):2. DOI: https://doi.org/10.4103/2277-9531.184561
Dewi YS, Hargono R, Tristiana RD. Recovery Self Efficacy , Coping Strategy , Adversity Quotient and Resilience among Iintensive Care Unit Nurses in Indonesia. 2019;(May 2020). DOI: https://doi.org/10.5958/0976-5506.2019.03158.9
Hamlin AS, Robertson TM. Pain and Complementary Therapies. Vol. 29, Critical Care Nursing Clinics of North America. Elsevier Inc; 2017. p. 449–60. DOI: https://doi.org/10.1016/j.cnc.2017.08.005
Sherwood L. Fundamentals of Human Physiology. In: USA: Brooks/Cole. 4th ed. 2011.
Trisnawati E, Azizah I Al, Jenie IM. Al-Qur’an Murottal Therapy to Reduce Cardiovascular Reactivity to Handgrip in Hypertensive Pre-Elderly Subjects. In: Proceedings of the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020). 2021. p. 365–70. DOI: https://doi.org/10.2991/ahsr.k.210115.076
Sabry W, Vohra A. Role of Islam in the Management of Psychiatric disorders. Indian J Psychiatry. 2013;55(2):205–14. DOI: https://doi.org/10.4103/0019-5545.105534
Shekha MS, Hassan AO, Othman SA. Effects of Quran Listening and Music on Electroencephalogram Brain Waves. Egypt Soc Exp Biol [Internet]. 2013;9(1):1–7. Available from: http://www.egyseb.org
Zulkurnaini NA, Kadir RSSA, Murat ZH, Isa RM. The comparison between listening to Al-Quran and listening to classical music on the brainwave signal for the alpha band. In: International Conference on Intelligent Systems Modelling and Simulation. 2012. p. 181–6. DOI: https://doi.org/10.1109/ISMS.2012.60
Herdiana Y, Ta’adi, Djamil M. The effectiveness of resitation al-qur’an intervention and deep berathing exercise on improving vital sign and anxiety level among congestive heart faolure (CHF) Patients. Int J Nurs Heal Serv. 2020;4(1):9–16.
Babamohamadi H, Stotodehasi N, Koenig H. The Effect of Holy Qur ’ an Recitation on Depressive Symptoms in Hemodialysis Patients : A Randomized. J Relig Health. 2017;56(1):345–54. DOI: https://doi.org/10.1007/s10943-016-0281-0
Babaii A, Abbasinia M, Fakhreddin Hejazi S, Reza S, Tabaei S, Dehghani F. The Effect of Listening to the Voice of Quran on Anxiety before Cardiac Catheterization: A Randomized Controlled Trial. Heal Spiritual Med Ethics. 2015;2(2):8–14.
Twistiandayani R, Prabowo A. Listening Therapy to Murottal Al-Quran Surah Al-Fatihah and Surat Ar-Rahman on Anxiety Stress and Depression in Patients CKD Stage V Who Undergoing Hemodialysis. J Ners Community. 2021;12(1):95–104.
Mansouri A, Azizollah A, Shahraki Vahed A, Sabouri AR, Lakzaei H, Arbabisarjou A. Investigating Aid Effect of Holy Quran Sound on Blood Pressure, Pulse, Respiration and O2 Sat in ICU Patients. Int J Sci Study. 2017;5(7):218–22. DOI: https://doi.org/10.15562/bmj.v7i1.849
Musthofa, Yuswanto TJA, Hamarno R. The Effectiveness of Murottal Al-Qur’an, Religious and Spiritual Lectures on the Level of Anxiety in Coronary Heart Patients. J Vokasi Kesehat. 2022;8(1).
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Downloads
Citations
