Application of Al-Qur'an Murottal Therapy Surah Ar-Rahman in Reducing Anxiety Levels in ST-Elevation Myocardial Infarction (STEMI) Post Primary PCI Patients in ICCU Room

Penulis

  • Zahwah Luthfiyyah Poltekkes Kemenkes Jakarta I
  • Mutarobin Mutarobin Poltekkes Kemenkes Jakarta I https://orcid.org/0009-0003-7410-5489
  • Mumpuni Mumpuni Poltekkes Kemenkes Jakarta I
  • Indah Solihati Poltekkes Kemenkes Jakarta I

DOI:

https://doi.org/10.31983/jnj.v9i1.13092

Kata Kunci:

Murottal, Anxiety, STEMI, PPCI

Abstrak

Background: STEMI is the most severe form of Acute Coronary Syndrome (ACS) that occurs due to complete obstruction of the coronary artery, causing extensive myocardial ischemia and necrosis. Although Primary PCI reperfusion intervention is the main therapy and is effective in reducing mortality, many patients still experience post-operative anxiety. This anxiety can worsen cardiovascular conditions through activation of the sympathetic nervous system and HPA axis, and hinder the patient's recovery process. Therefore, non-pharmacological interventions that are appropriate to the patient's spiritual and cultural values are needed to address such anxiety. Qur'anic murottal therapy, surah Ar-Rahman, to reduce anxiety levels through the effects of relaxation and psychological calmness.

Purpose: To analyze the application of murottal therapy surah Ar-Rahman to the level of anxiety of STEMI patients.

Methods: Uses a case study by applying intervention for 2x in 3 days.

Results: EBN intervention using statistical tests obtained an effect before and after the interventions with a p-value of 0.028, systolic BP with a p-value of 0.005, and diastolic BP with a p-value of 0.005. While HR with a p-value of 0.875.

Conclusion: The application of murottal therapy surah Ar-Rahman proved effective in reducing anxiety levels and stabilizing systolic and diastolic blood pressure in patients with STEMI in the ICCU room. These results support the importance of spiritual-based non-pharmacological interventions in holistic nursing care, particularly to assist the recovery process of patients after PPCI interventions. Nurses are expected to develop competence in providing spiritual healing as part of a comprehensive nursing approach.

Biografi Penulis

Mutarobin Mutarobin, Poltekkes Kemenkes Jakarta I

Nursing Department

Referensi

Akbar, H., & Mountfort, S. (2025). Acute ST-Segment Elevation Myocardial Infarction (STEMI). In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/10987628

Bolognese, L. (2021). Treatment of ST-elevation myocardial infarction: state of the art and new horizons. Giornale Italiano Di Cardiologia (2006), 22(3), 167–180. https://doi.org/10.1714/3557.35334

Damansyah, H., Umar, A., Pakaya, I., & Mohamad, N. A. (2024). Pengaruh Terapi Murottal Terhadap Perubahan Nadi dan Kecemasan Pada Pasien Stemi di Ruangan CVCU RSUD PROF. DR. H. Aloei Saboe. Malahayati Nursing Journal, 6(6), 2366–2373. https://doi.org/10.33024/mnj.v6i6.14898

Hastuti, Y. D., & Mulyani, E. D. (2020). Kecemasan Pasien dengan Penyakit Jantung Koroner Paska Percutaneous Coronary Intervention. Jurnal Perawat Indonesia, 3(3), 167. https://www.researchgate.net/publication/340345002_Kecemasan_Pasien_dengan_Penyakit_Jantung_Koroner_Paska_Percutaneous_Coronary_Intervention

Hudiyawati, D., Aji, P. T., Jumaiyah, W., Syafriati, A., & Tyawarman, A. (2022). Pengaruh Terapi Murotal Al-Qur’an Terhadap Kecemasan Pasien Dengan Prosedur Percutaneous Coronary Intervention. Jurnal Berita Ilmu Keperawatan, 15(1), 8–14. https://doi.org/10.23917/bik.v15i1.17049

Juzar, D. A., & Sungkar, S. (2024). Pedoman Tata Laksana Sindroma Koroner Akut (D. A. Juzar, S. S. Danny, & S. Sungkar (eds.); 5th ed.). Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI). https://www.inaheart.org/storage/guideline/79a8e798c99f99d4af26e724a73e23a1.pdf

Mujtaba, S. F., Sial, J. A., & Karim, M. (2020). Depression and Anxiety in patients undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome. Pakistan Journal of Medical Sciences, 36(5), 1100–1105. https://doi.org/10.12669/pjms.36.5.1749

Novian Mahayu Adiutama, Hera Hijriani, Wawan Kurniawan, Wardah Fauziah, & Chiou - Feng Lin. (2022). Deep Breathing Relaxation Techniques to Lowering Systolic Blood Pressure in the Elderly: Randomized Control Trial. Journal Of Nursing Practice, 5(2), 271–280. https://doi.org/10.30994/jnp.v5i2.213

Riskesdas. (2018). Laporan Nasional Riskesdas. Kementrian Kesehatan RI, 53(9), 1689–1699.

Sarwo Edi, D. (2021). Penerapan Terapi Murattal al- Qur’an Terhadap Tigkat Kecemasan Pada Pasien Gagal Jantung. Jurnal Cendikia Muda, 1(4), 416. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/download/233/144

Singh, A., Museedi, A. S., & Grossman, S. A. (2025). Acute Coronary Syndrome. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/30885071

Smeltzer, S. C. O. (2018). Buku Ajar Keperawatan Medikal Bedah Brunner Suddarth Edisi 12 (12th ed.). EGC.

Sri Wahyuningsih, I., Sukartini, T., Dewi, Y. S., Amal, A. I., & Kismana, M. L. (2024). The effect of murottal auditory therapy on anxiety and comfort levels in patients with cardiovascular disease. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2023.11816

Sulistyowati, Y., & Daniel Hasibuan, M. T. (2021). Pengaruh Terapi Relaksasi Audio Murottal Al-Qur’an Terhadap Perubahan Tingkat Kecemasan Pada Pasien Yang Di Rawat Di Ruangan ICU Rumah Sakit Aminah. Indonesian Trust Health Journal, 4(2), 487–490. https://doi.org/10.37104/ithj.v4i2.82

Timmis, A., Vardas, P., Townsend, N., Torbica, A., Katus, H., De Smedt, D., Gale, C. P., Maggioni, A. P., Petersen, S. E., Huculeci, R., Kazakiewicz, D., de Benito Rubio, V., Ignatiuk, B., Raisi-Estabragh, Z., Pawlak, A., Karagiannidis, E., Treskes, R., Gaita, D., Beltrame, J. F., … Atlas Writing Group, E. S. of C. (2022). European Society of Cardiology: Cardiovascular Disease Statistics 2021. European Heart Journal, 43(8), 716–799. https://doi.org/10.1093/eurheartj/ehab892

Torabizadeh, C., Rousta, S., Gholamzadeh, S., Kojouri, J., Jamali, K., & Parvizi, M. M. (2021). Efficacy of education delivery through multimedia and text messaging on the psychological parameters of patients scheduled for coronary angiography: a single-blind randomized controlled clinical trial. BMC Cardiovascular Disorders, 21(1), 3. https://doi.org/10.1186/s12872-020-01820-7

Wei, J., Rooks, C., Ramadan, R., Shah, A. J., Bremner, J. D., Quyyumi, A. A., Kutner, M., & Vaccarino, V. (2024). Meta-analysis of mental stress-induced myocardial ischemia and subsequent cardiac events in patients with coronary artery disease. The American Journal of Cardiology, 114(2), 187–192. https://doi.org/10.1016/j.amjcard.2014.04.022

WHO. (2023). Cardiovascular Disease. World Health Organization. https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1

Zhang, S., Zhong, Y., Wang, L., Yin, X., Li, Y., Liu, Y., Dai, Q., Tong, A., Li, D., Zhang, L., Li, P., Zhang, G., Huang, R., Liu, J., Zhao, L., Yu, J., Zhang, X., Yang, L., Cai, J., … STEP Study Group. (2022). Anxiety, home blood pressure monitoring, and cardiovascular events among older hypertension patients during the COVID-19 pandemic. Hypertension Research : Official Journal of the Japanese Society of Hypertension, 45(5), 856–865. https://doi.org/10.1038/s41440-022-00852-0

Zhang, Z., Wei, X., Wei, J., Wang, Y., & Luo, C. (2023). Does anxiety cause angina recurrence after percutaneous coronary intervention in patients with STEMI? Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1283182

Unduhan

Diterbitkan

2025-06-30

Terbitan

Vol 9 No 1 (2025): JUNE 2025

Bagian

Articles

Lisensi

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