Murotal 1.pdf

Advances in Health Science Research, volume 6 2nd Sari Mulia International Conference on Health and Sciences (SMICHS 2017)

Murottal Therapy To Anxiety Levels Of Patients Pre-Operative At Sari Mulia Hospital Banjarmasin R. Topan Aditya Rahman1* 1* Academy of Midwifery Sari Mulia Banjarmsin Indonesia [email protected] , Mohdari2 1 School of Economical Science Nasional Banjarmasin Indonesia [email protected] Aditya Prasetyo3 School of Health Science Sari Mulia, Banjarmasin Indonesia [email protected] 2

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 22 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 [2].

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 [3].

important role in every surgery, both before

When anxiety does not get an accurate

and after surgery [1]. Surgery on its execution

treatment, it is possible that this adds to the anxiety of patients undergoing surgery and

Copyright © 2017, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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will lead to incompetence and understanding

not desired, while 4 patients (33.33%) 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 [4].

for sleep and 2 patients (16.66%) 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 2016, which amounted

health, among others: contains elements of

to 218 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

22 samples, so that the samples were

at Sari Mulia Banjarmasin General Hospital

accurately numbered 22 people who will

on November 25 to December 1, 2016 by

undergo surgery with the technique of taking

observation and discussion of 12 patients who

Purposive Sampling sample. The data were

will undergo surgery obtained varying data, 6

collected using a questionnaire published by

patients (50%) 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

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Advances in Health Science Research, volume 6

distribution, frequency, and percentage of

Table 3 states that of the 22 respondents, the

each variable studied.

highest number of patient appraisers were the

b. Bivariate Analysis

general operations of 12 respondents (54.5%),

This

analysis

is

conducted

on two

and the lowest patient appraisers were obgyn

variables that are suspected to be related

surgery i.e. 2 respondents (9.1%).

(testing the hypothesis) i.e. knowing the

Table 4 Frequency Distribution of Level of Anxiety Before the Murottal Therapy

relationship of independent variables with

No.

Categories

dependent variable through Wilcoxon test.

1.

Severe anxiety

0

0%

2.

Highly anxiety

14

63,6%

3.

Mediocre anxiety

6

27,3%

4.

Mild anxiety

2

9,1%

5.

No anxiety

III.

RESULTS

Table 1. Distribution of respondents’ characteristics based on the gender of the pre-operation

Frequency

%

0

0

22

100%

Total

No.

Genders

Frequency

%

1.

Males

15

68,2%

2.

Females

7

31,8%

respondents based on anxiety level prior to

22

100%

murottal therapy, the most anxiety level is

Total

Based on table 4 on the characteristics of

Table 1 shows that of 22 respondents, the highest number of male patients was 15 respondents (68.2%), and the least were women (7,8%).

respondents (63.3%), moderate anxiety ie 6 respondents (27.3%), and not anxious ie 2 respondents (9.1%).

Table 2 Distribution of Respondents Based on the Ages of preoperation

Table 5 Frequency Distribution of Level of Anxiety After the Therapy

No.

Ages

Frequency

%

1.

18-30 years

9

40,9%

2.

31-42 years

10

3.

severe anxiety which amounted to 14

No

Operation Types

Frequency

%

45,5%

1

Severe anxiety

0

0

3

13,6%

2

Highly anxiety

1

4,5

22

100%

3

Moderate anxiety

14

63,6

4

Mild anxiety

5

22,7

5

No anxiety

2

9,1

Total

22

100

43-55 years Total

Table 2 states that of the 22 respondents, the highest number of patients were 31-42 years old, 10 respondents (45.5%), and the lowest patient rating was 43-55 years old, 3

From table 5 on the characteristics of

respondents (13.6%).

respondents based on the level of anxiety after

Table 3 Distribution of Respondents Based on Operation Type

No

Operation

Frequency

the murottal therapy, the level of highly

%

anxiety that is 1 respondent (4.5%), moderate

Types 1

General

12

54,5

anxiety that is 14 respondents (63.6%), mild

2

Obgyn

2

9,1

anxiety that is 5 respondents (22,7%), and not

3

Oncology

4

18,2

4

Urology

4

18,2

22

100

Total

anxious i.e. 2 respondents (9.1%).

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Advances in Health Science Research, volume 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

1

Severe

0 (0%)

0 (0%)

patients also experience severe anxiety due to

2

Highly

14 (63,6)

1 (4,5)

undergoing surgery for the first time. This is

3

Moderate

6 (27,3)

14 (63,6)

consistent with the research conducted by

4

Mild

2 (9,1)

5 (22,7)

5

No anxiety

0 (0%)

2 (9,1)

22 (100)

22 (100)

Total P Value

0,000

α

≤ 0,05

Pailese, A., Cecconi, M., Moreale, R., & Skrap, M. (2012) 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 0,000. 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 ≤ 0.05 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

2. The level of anxiety of the patient after the murottal therapy.

1. 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 4.7 ie severe anxiety that is 1

Qur'a mostly on the level of severe anxiety

respondent

can be seen in table 4.6 that is as many as 14

moderate anxiety that is 14 respondents or

people or 63.6%. This is caused by the fear of

63,6% mild anxiety 5 or 22.7%, and

lung disease in patients who will undergo

respondents experienced no anxiety ie 2

surgery, it is proved when the researchers give

respondents, or 9.1%. This happens because

a questionnaire before murottal therapy Al-

the provision of murrotal therapy Al-Qur'an

4.5%,

for

respondents

with

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Advances in Health Science Research, volume 6

effective to patients who will undergo

14 respondents with moderate anxiety level

surgery. The likelihood of this happening is

14 respondents 63,6%.

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 = 0,000

The condition of the patients after

means p-value smaller than α or p ≤ 0.05 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, 2002) cited from research

experienced severe anxiety initially amounted

(Faridisi, 2013) states that listening to

to 14 respondents or (63.6%) to 1 respondent

murottal chants of the Qur'an can reduce

with severe anxiety or (4.5%), 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, 10]. In line with the research

(27.3%) to 14 respondents or (63.6%). As for

conducted (Mustamir, 2009 in Mayrani &

the mild anxiety also experienced an increase

Hartati, 2013) states that listening to murottal

that initially amounted to 2 respondents or

chants of the Qur'an with a slow tempo that

(9.1%) to 5 respondents or (22.7%), and

along with the heartbeat that can stimulate the

respondents with no anxiety experienced an

hypothalamus to release hormone endorphins,

initial increase in 0 respondents or (0%) to 2

a hormone that can make people feel happy.

respondents or (9.1%). 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 4.8 that is as

and decreases anxiety [11].

much as 22 respondents or 100% of the

3. Effect of murottal therapy on the

number of respondents. The respondents who

anxiety level of preoperative patients

did not experience anxiety reduction were 1

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 14 respondents or 63.6% to

depression. At a young age of approximately

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Advances in Health Science Research, volume 6

22 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

(2012). [8]

increase the level of O2 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 [15].

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,

2006

in

also

not

maximized

In

this

because

study

the

also,

Siswantinah, 2011). [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 [12].

With P value of 0,000 ≤ 0,05.

According

to

Arwani's

research,

between

murottal

therapy

on

Iis

Sriningsih (2013) says that the influence of

V.

CONCLUSION

aromatherapy positively impacts the decrease

There is influence murottal therapy

in anxiety levels, [13] the same is pointed out

prior to the anxiety level of preoperative

by Savitri Wenny and Nani Fidayanti, (2016),

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 [14]. Similarly, the provision of murottal therapy of the Qur'an given directly

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Advances in Health Science Research, volume 6

terhadap

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