The Effectiveness of Murottal Al-Qur’an Therapy by Surah Ar-Rahman toward Anxiety of Crhonic Kidney Disease (CKD) which is being Hemodialysis at Gambiran Hospital Kediri

Abstract

Chronic kidney disease is a decrease in the function of kidney which is caused by a process of irreversible damage, thus requiring hemodialysis therapy as a replacement therapy for the function of kidney. Hemodialysis patients often experience psychosocial problem. It is an anxiety. This research aims to analyze the effectiveness of Murottal Al-Qur'an therapy by surah Ar-Rahman toward anxiety of Chronic Kidney Disease (CKD) which is being hemodialysis. The research was conducted at Gambiran Hospital Kediri. The research used Quasi Experimental with a control group pretest-posttest design approach with samples using simple random sampling of 58 respondents. Paired sample t-test was used to analyze the data by a value of α = 0.05. Statistical test results obtained a decrease in the treatment group of anxiety 9.01 with a significance value of anxiety 0,000, while the decrease in the control group of anxiety 22.41 with a significance value of anxiety 0,000. Murottal Al-Qur'an is a good distraction as a diversion, because it can cause the release of endorphins naturally and balance brainwave so that the listeners are able to get a positive response in the form of comfort that can help reducing an anxiety in the event of chronic kidney disease which faces hemodialysis.

Murottal Qur'an on Anxiety and Sleep Quality of Patients Undergoing Dialysis: Scoping Review

“…Positive responses were seen in respondents who experienced chronic kidney disease who underwent hemodialysis, such as looking calm while closing their eyes and enjoying the sound of surah Ar -Rahman. This shows that the respondent is in a pleasant condition and has good hearing and anxiety that was previously very severe can be reduced (Suhita, Arini and Kardjati, 2019).…”

“…This anxiety can be reduced when the patient is not nervous, does not feel tense and restless, the patient feels comfortable, the patient does not ask any more questions about the hemodialysis process and the patient does not feel cold sweat (Suhita, Arini and Kardjati, 2019) . Reducing anxiety with stimulation can increase the natural release of endorphins and balance brain waves so that listeners get a positive response in the form of relaxation or calm and comfort and have an effect on reducing perceived anxiety (Yudha, Ludiana Ludiana and Sari, 2021).…”

Psychotherapies for chronic kidney disease patients with hemodialysis: A systematic review of randomized control trials and quasi-experiments

“…In four small randomized studies, including hemodialysis patients, the cognitive behavioral therapy group considerably improved their depression [ 2 , 9 , 11 , 12 ]. The patients who underwent cognitive behavioral therapy experienced improvements in their sleep issues, general psychological health, and decreased oxidative stress and inflammation [ 24 , 25 ]. Cognitive behavioral therapy, along with physical activity, might help dialysis patients’ anxiety.…”

“…This indicated that the patient is comfortable, focused, and able to control their anxiety. Listening to the calming murottal might stimulate the brain to release more endorphins, which reduces perceived anxiety and normalizes brainwaves [ 24 ].…”

“…All patients in the intervention group had clinically depression or anxiety and received psychotherapy. The CKD patients were treated with cognitive behavioral therapy in four studies [13][14][15][16]: one study with diaphragmatic breathing relaxation [17], one study with hypnotherapy [18], one study with the psychological intervention [19], one study with a psychosocial intervention called Kidney Optimal Health Program (KOHP) [20], one study with mindfulness meditation [21], one study with spiritual therapy [22], and three studies with murottal Al-Qur'an therapy [23][24][25] (Table 1). The control group involved standard care, endurance-resistance training, non-directed counselling, education about CKD, kidney diet, and fluid intake.…”