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This quasi-experimental study aims to evaluate the effect of combined autogenic relaxation and Surah Ar-Rahman murottal therapy on anxiety, sleep quality, and hemodynamic parameters in hemodialysis patients. A pretest-posttest control group design will be used involving 76 participants undergoing routine hemodialysis. Participants will be assigned to an intervention group receiving structured autogenic relaxation followed by murottal therapy and a control group receiving standard care with music listening. Anxiety, sleep quality, and hemodynamic parameters will be measured at baseline and after a 6-week intervention period. The findings are expected to support the use of non-pharmacological and spiritual-based interventions in improving psychological and physiological outcomes in hemodialysis patients.
This study applies a quasi-experimental pretest-posttest control group design. The intervention group receives structured autogenic relaxation followed by Surah Ar-Rahman murottal therapy for 10-15 minutes per session, twice weekly for six weeks. The control group receives standard hemodialysis care with music listening. Anxiety, sleep quality, and hemodynamic parameters are assessed before and after the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autogenic Relaxation and Murottal Therapy Surah Ar-Rahman | Experimental | Participants in this group receive structured autogenic relaxation followed by Surah Ar-Rahman murottal therapy during hemodialysis sessions. The intervention is administered twice weekly for six weeks, with each session lasting 10-15 minutes. The procedure is conducted by trained nurses under researcher supervision in a quiet and comfortable environment. |
|
| Standard Care | Active Comparator | listening to dangdut music for 10 to 15 minutes within 6 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Autogenic Relaxation and Surah Ar-Rahman Murottal Therapy | Behavioral | A structured non-pharmacological intervention consisting of autogenic relaxation techniques including breathing regulation, muscle relaxation, and self-suggestion, followed by listening to Surah Ar-Rahman murottal recitation using earphones. Each session lasts 10-15 minutes and is conducted twice weekly for six weeks during routine hemodialysis. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety | Change in anxiety level measured using the Zung Self-Rating Anxiety Scale (ZSAS; range 20-80), where higher scores indicate greater anxiety, from baseline to after completion of the 6-week intervention. | Baseline and after completion of the 6-week intervention |
| Sleep Quality | Change in sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI; range 0-21), where higher scores indicate poorer sleep quality, from baseline to after completion of the 6-week intervention. | Baseline and after completion of the 6-week intervention. |
| Blood Presure | Change in systolic blood pressure (mmHg), measured using a calibrated digital sphygmomanometer, from baseline to after completion of the 6-week intervention. | Baseline and after completion of the 6-week intervention |
| Heart Rate | Change in heart rate (beats per minute, bpm), measured using a digital bedside patient monitor, from baseline to after completion of the 6-week intervention. | Baseline and after completion of the 6-week intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dyan Kurniasari, S.Kep.,Ns | Contact | +628122593391 | j218240018@student.ums.ac.id |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Indriati Hospital | Sukoharjo | Central Java | 57552 | Indonesia |
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| Label | URL |
|---|---|
| Anxiety reduction in chronic kidney disease (CKD) patients undergoing hemodialysis through acupressure and Quranic recitation interventions | View source |
| Penerapan Mindfulness Terhadap Kecemasan Pada Pasien Penyakit Ginjal Kronik (PGK) Yang Menjalankan Hemodialisa Di RSUD Kota Bogor. | View source |
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| ID | Term |
|---|---|
| D007676 | Kidney Failure, Chronic |
| D001008 | Anxiety Disorders |
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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This study uses a parallel assignment quasi-experimental pretest-posttest control group design. Participants are assigned into two groups: an intervention group receiving structured autogenic relaxation combined with Surah Ar-Rahman murottal therapy, and a control group receiving standard hemodialysis care with music listening. Both groups undergo baseline (pretest) and post-intervention (posttest) assessments of anxiety, sleep quality, and hemodynamic parameters. The intervention is administered twice weekly for six weeks.
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| listening to dangdut music | Other | listening to dangdut music for 10 to 15 minutes within 6 weeks |
|
| Assessment of prevalence of anxiety in adult population and development of anxiety scale | View source |
| Prevalence of poor sleep quality and associated factors among hypertensive patients | View source |
| A comparison of ultra-brief cognitive defusion and positive self-affirmation | View source |
| Implementasi Hamilton Anxiety Rating Scale. JICON, 10(1), 55-64 | View source |
| Metode dzikir dalam penurunan tingkat kecemasan pasien gagal ginjal kronik. | View source |
| Kualitas tidur dan perubahan tekanan darah pada lansia. | View source |
| Prevalence and risk factors for anxiety symptoms in CKD. General Hospital Psychiatry, 69, 27-40 | View source |
| Autogenic relaxation, movement, and affirmation (RIMA) therapy. Babali Nursing Research, 3(3), 212-220. | View source |
| Pengaruh terapi relaksasi otot progresif terhadap kecemasan pasien gagal ginjal kronik | View source |
| Insomnia and poor sleep in CKD: A systematic review. Kidney Medicine, 4(5), 100458 | View source |
| Chronic Kidney Disease | View source |
| Pengaruh terapi distraksi MUROTTAL Al-Qur'an terhadap ansietas pasien CKD | View source |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |