nd Sari Mulia International Conference on Health and Sciences (SMICHS 7) Murottal Therapy To Anxiety Levels Of Patients Pre-Operative At Sari Mulia Hospital Banjarmasin R. Topan Aditya Rahman* * Academy of Midwifery Sari Mulia Banjarmsin Indonesia r_topan_aditya@akbidsarimulia.ac.id, Mohdari School of Economical Science Nasional Banjarmasin Indonesia Mohdari@gmail.com Aditya Prasetyo School of Health Science Sari Mulia, Banjarmasin Indonesia aditya_prasetyo@gmail.com ABSTRACT Objective: This is to analyze the effect of murottal therapy to anxiety levels of patient preoperative in the Installation Central Surgical (ICS) General Hospital Sari Mulia Banjarmasin. Methods: This research uses quantitative research Quasi-experimental design with the one-group pretest-posttest design. The sampling technique used purposive sampling with a sample size of patients pre-operation. Collecting data was using questionnaires. The data were analyzed using Wilcoxon test statistic Results: There is a significant association between murottal therapy to anxiety levels of patients preoperative in the Installation Central Surgical (ICS) General Hospital Sari Mulia Banjarmasin. Conclusion: Murottal therapy is an important thing to do when someone gets ill or will have the surgery. Murottal therapy can decrease or release the anxiety levels in patients. Keywords: Anxiety Levels, Installation Central Surgical, Murottal, Patient, Preoperative. I. INTRODUCTION may cause anxiety, which is associated with Surgery or surgery is a difficult pain, disability, and can also lead to death []. experience. Some bad possibilities may occur, Before surgery there is often an such as exaggerated responses to anxiety anxiety problem that is a patient's emotional experienced by families and patients. The reaction. This is in response to patient anxiety experienced is usually associated with anticipation of an experience that is perceived a foreign threat, a threat to life safety in as a threat to the role in the patient's life, body connection with the surgery. Nurses have an integrity and even life []. important role in every surgery, both before When anxiety does not get an accurate and after surgery []. Surgery on its execution treatment, it is possible that this adds to the anxiety of patients undergoing surgery and Copyright 7, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/./). 69
will lead to incompetence and understanding not desired, while patients (.) in of events during treatment and surgical categorize anxious medium and lightweight procedures, as well as disrupt the healing and because recovery process. Therefore, communication surgery, the patient stated that he was afraid is indispensable in nursing actions to reduce to even restless that the patient still can rest anxiety levels of patients []. for sleep and patients (6.66) stated not previously had undergone SC Many nursing actions to deal with too worried because patients are grateful his anxiety, pain, one music therapy that can illness can heal and every night patient read reduce the level of anxiety in patients. In pray. addition to music therapy rebates Murottal Based on the above background, Al-Qur'an can also reduce anxiety. Murottal is conducted research on murrotal therapy to a recording of Quranic letters cast by a Qori '. pre-operative patient's anxiety level in the Surat Al-Qur'an is like a sound wave that has center of central surgery at Sari Mulia a certain strength and wave, spread in the General Hospital Banjarmasin. body and then become a vibration that can affect the function of the motion of cells that II. inside the brain and make inner comfort in the METHODS smooth. The cells affected by the recitation of This research is a quantitative research with the Qur'an will make the neurons stable again. Quasi-Experimental, with pretest-posttest one The Qur'an has several benefits because it group design. The population of pre-operative contains some aspects that can affect the patients in December 6, which amounted health, among others: contains elements of to 8 patients and a sample of preoperative meditation, autosuggestion, and relaxation patients taken according to the sample [5]. formula according to [6], obtained a total of Introduction conducted by researchers samples, so that the samples were at Sari Mulia Banjarmasin General Hospital accurately numbered people who will on November 5 to December, 6 by undergo surgery with the technique of taking observation and discussion of patients who Purposive Sampling sample. The data were will undergo surgery obtained varying data, 6 collected using a questionnaire published by patients (5) are categorized as anxious, the Hamilton Ratting Scale For Anxiety (HRS-A) patient stated that he was worried and afraid, [7]. for fear that if the surgery was first The methods are as presented below: experienced a failure, the patient also stated a. Univariate Analysis that the night is restless and difficult to sleep Univariate analysis was performed on each due to bad thinking afraid of things that are variable from the research result to know the 6
distribution, frequency, and percentage of Table states that of the respondents, the each variable studied. highest number of patient appraisers were the b. Bivariate Analysis general operations of respondents (5.5), This analysis is conducted on two and the lowest patient appraisers were obgyn variables that are suspected to be related surgery i.e. respondents (9.). (testing the hypothesis) i.e. knowing the Table Distribution of Level of Anxiety Before the Murottal Therapy relationship of independent variables with No. Categories dependent variable through Wilcoxon test.. Severe anxiety. Highly anxiety 6,6. Mediocre anxiety 6 7,. Mild anxiety 9, 5. No anxiety III. RESULTS Table. Distribution of respondents characteristics based on the gender of the pre-operation No. Genders. Males 5 68,. Females 7,8 respondents based on anxiety level prior to murottal therapy, the most anxiety level is Based on table on the characteristics of Table shows that of respondents, the highest number of male patients was 5 respondents (68.), and the least were women (7,8). respondents (6.), moderate anxiety ie 6 respondents (7.), and not anxious ie respondents (9.). Table Distribution of Respondents Based on the Ages of preoperation Table 5 Distribution of Level of Anxiety After the Therapy No. Ages. 8- years 9,9. - years. severe anxiety which amounted to No Operation Types 5,5 Severe anxiety,6 Highly anxiety,5 Moderate anxiety 6,6 Mild anxiety 5,7 5 No anxiety 9, -55 years Table states that of the respondents, the highest number of patients were - years old, respondents (5.5), and the lowest patient rating was -55 years old, From table 5 on the characteristics of respondents (.6). respondents based on the level of anxiety after Table Distribution of Respondents Based on Operation Type No Operation the murottal therapy, the level of highly anxiety that is respondent (.5), moderate Types General 5,5 anxiety that is respondents (6.6), mild Obgyn 9, anxiety that is 5 respondents (,7), and not Oncology 8, Urology 8, anxious i.e. respondents (9.). 6
Table 6 Analysis of the Influence of Murottal Therapy on the Level of Anxiety No Level of Anxiety Before the After the therapy Therapy Qur'an and the results of fill out the questionnaire most patients feel afraid and anxious when going through surgery. Most Severe () () patients also experience severe anxiety due to Highly (6,6) (,5) undergoing surgery for the first time. This is Moderate 6 (7,) (6,6) consistent with the research conducted by Mild (9,) 5 (,7) 5 No anxiety () (9,) () () P Value, α,5 Pailese, A., Cecconi, M., Moreale, R., & Skrap, M. () who stated that those who experience first-hand operations first on certain parts of the body will experience higher anxiety [8]. Based on table 6, it was found that the anxiety The experience of surgery is an level of respondents before and after murottal experience that significantly affects the therapy is very significant. This is seen from patient's pre-surgical matters. Anxiety greatly the significant value of P value of,. This affects the field of perception and makes the indicates that the value is smaller than the patient unable to think about anything else. value of α is.5 where in that case p α This is aligned in the opinion [7], suggesting then the hypothesis is accepted which means that severe anxiety can be triggered by there is an influence between murottal therapy behavioral responses with excessive anxiety, to the anxiety level of preoperative patients in worry, the installation room of Central Surgery (IBS) imagined in dreams. While the physiological General Hospital of Sari Mulia Banjarmasin. response triggered the rise of the pulse, bad premonition, anxiety, even shortness of breath, even headache. IV. DISCUSSION. The level of anxiety of the patient after the murottal therapy.. The level of anxiety of the patient before the murottal therapy. Level of anxiety in pre-operation patients after the murottal therapy of Al-Qur'a The anxiety level of pre-operative mostly on the level of severe anxiety can be patients before the murottal therapy of Al- seen in table.7 ie severe anxiety that is Qur'a mostly on the level of severe anxiety respondent can be seen in table.6 that is as many as moderate anxiety that is respondents or people or 6.6. This is caused by the fear of 6,6 mild anxiety 5 or.7, and lung disease in patients who will undergo respondents experienced no anxiety ie surgery, it is proved when the researchers give respondents, or 9.. This happens because a questionnaire before murottal therapy Al- the provision of murrotal therapy Al-Qur'an.5, for respondents with 6
effective to patients who will undergo respondents with moderate anxiety level surgery. The likelihood of this happening is respondents 6,6. due to the patient obtaining calm in the heart From the results of statistical tests to face the surgery to be followed by the using the test Wilcoxon sign rank test, murottal therapy of Al-Qur'an. obtained the value of p-value of =, The condition of the patients after means p-value smaller than α or p.5 then, being given the murottal therapy of the Qur'an in this case, stated that there is influence of seems calmer, the patient is more able to think murottal therapy before the pre-operative positively, even after the murottal therapy of anxiety level in the room the central surgery the Qur'an they say that the surgery action installation will be done solely for the cure of his illness. General Hospital. This is indicated by the of Sari Mulia Banjarmasin This is evidenced by opinion (Kate decrease in anxiety of respondents who and Mucci, ) cited from research experienced severe anxiety initially amounted (Faridisi, ) states that listening to to respondents or (6.6) to respondent murottal chants of the Qur'an can reduce with severe anxiety or (.5), while for anxiety, listening to murottal chants of the moderate anxiety also experienced an increase Qur'an can make the heart to be calm and that initially amounted to 6 respondents or calm [9, ]. In line with the research (7.) to respondents or (6.6). As for conducted (Mustamir, 9 in Mayrani & the mild anxiety also experienced an increase Hartati, ) states that listening to murottal that initially amounted to respondents or chants of the Qur'an with a slow tempo that (9.) to 5 respondents or (.7), and along with the heartbeat that can stimulate the respondents with no anxiety experienced an hypothalamus to release hormone endorphins, initial increase in respondents or () to a hormone that can make people feel happy. respondents or (9.). In this study, on all The relaxation arising from the murottal respondents conducted murottal therapy Al- chanting of the Qur'an gives rise to serenity Qur'an that can be seen in table.8 that is as and decreases anxiety []. much as respondents or of the. Effect of murottal therapy on the number of respondents. The respondents who anxiety level of preoperative patients did not experience anxiety reduction were who will undergo surgery at IBS Sari respondent with severe anxiety this happened Mulia Hospital Banjarmasin because of experience undergoing surgery for There was a significant change in the first time, that those who experience first preoperative patient anxiety level before and experience surgery especially on the certain after Koranic murottal therapy from severe body part, will experience anxiety even higher anxiety level of respondents or 6.6 to depression. At a young age of approximately 6
years is also a factor of anxiety does not can also decrease the anxiety level of this decrease, the fear of excessive loss of life thing because someone who listens to makes someone more afraid to undergo lmurottal can increase the concentration and surgery, in accordance with research Pailese, feel comfortable and calm so as to facilitate A., Cecconi, M., Moreale, R., & Skrap, M. someone to regulate the breathing so that will (). [8] increase the level of O in the blood so that Murottal therapy Al-Qur'an is a relaxation therapy, where therapy is like a sound wave the metabolism in the body becomes stable and anxiety decreases [5]. that has the power to make people who listen Limitations in this study are primary data to it feel relaxed even calm after listening. and second secondary data support, this study The sense of calm can also arouse the is confidence of someone who will undergo respondents who ate the average operation did surgery, especially Muslims. In accordance not fit the limits of specific inclusion with characteristics. research (As Syuyuti, 6 in also not maximized In this because study the also, Siswantinah, ). [5] In addition to unfortunately, did not use the control group so murottal therapy the Qur'an music therapy can can not compare between the given therapy also decrease anxiety, can even speed up and not given therapy, in this study did not healing. Music therapy can also be used not discuss the more specific age factors about only Muslims, but all religious people can anxiety, only in general and overall course. So also use music therapy as one of the therapy it can be concluded that there is a significant lowering anxiety. In this therapy music is a influence facilitator to make a person's state become preoperative patient anxiety level in the relaxed and comfortable so that the work of installation room of Central Surgery (IBS) the parasympathetic nervous system will work Sari Mulia General Hospital Banjarmasin. more dominant []. With P value of,,5. According to Arwani's research, between murottal therapy on Iis Sriningsih () says that the influence of V. CONCLUSION aromatherapy positively impacts the decrease There is influence murottal therapy in anxiety levels, [] the same is pointed out prior to the anxiety level of preoperative by Savitri Wenny and Nani Fidayanti, (6), patients in the central surgery installation Sari saying that music therapy also positively Mulia Banjarmasin General Hospital. affects patients' who will undergo surgery, this is due to aromatherapy and music therapy gave directly []. Similarly, the provision of murottal therapy of the Qur'an given directly 6
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