The effect of listening Quran recitation on the stress and pain of critical patients at ICU
Iwan Purnawan (a*), Eman Sutrisna (b), Arif Imam Hidayat (a), Sidik Awaludin (a), Ridlwan Kamaludin (a), Galih Noor Alivian (a), Ikit Netra Wirakhmi (c)

a) Department of Nursing, Faculty of Health sciences, Jenderal Soedirman University
*iwan.purnawan[at]unsoed.ac.id
b) Faculty of Medicine, Jenderal Soedirman University
c) Department of Nursing, Faculty of Health sciences, Harapan Bangsa University

Abstract

Stress and pain are the key issues that ICU patients need to be handled seriously. Handling using drugs as standard therapy has not been able to overcome optimally as it focuses only on the physical. That is why there needs to be another holistic therapy. One way to do this is to listen to Quran recitation. Objective: This study aims to determine the effect of listening Quran recitation on the stress and pain of critical patients in the ICU. Method: This research was a quasi-experimental design with pre-and post-control group design. The number of respondents was 40, divided into two groups, namely the control group (n = 20) and the treatment group (n = 20). The ICU patient stress was measured using salivary cortisol levels, while the Critical Pain Observation Tool (CPOT) score was used to measure pain. Results: Age and sex were homogeneous in both groups. The paired t-test showed differences in mean salivary cortisol levels before (58.8 + 19) and after intervention (42.4 + 9) in the control group with p-value = 0.010. The Wilcoxon test in the control group showed that the levels of cortisol did not differ significantly with p = 0.85 before (49.6; 14.5-89.3) and after (49.2; 18.7-95.5). The unpaired T-test showed a significant difference in mean decrease in salivary cortisol levels between the control group (12 + 1.9) and the treatment group (47.8 + 1.3) where the p-value was 0.001. Both control and treatment groups experienced a decrease in pain intensity before and after treatment. There was no significant difference between control and treatment groups in the decrease in pain intensity. Conclusion: Listening to the Quran recitation may reduce stress, but not the intensity of pain.

Keywords: Critical care; Stress; Pain; cortisol; ICU; Quran Recitation; Koran

Topic: Disaster, Emergency, Intensive and Critical Care Nursing