Autogenic Relaxation and Murottal Therapy in Hemodialysis Patients

The Effectiveness of Autogenic Relaxation and Surah Ar-Rahman Murottal Therapy on Anxiety, Sleep Quality, and Hemodynamic Parameters in Hemodialysis Patients

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.

Inclusion Criteria:

1. Patients diagnosed with stage V chronic kidney disease.
2. Undergoing scheduled hemodialysis at least twice a week for 6 weeks.
3. Outpatients and aged 18-65 years.
4. Muslim.
5. Cooperative and able to communicate verbally.
6. Willing to be a respondent by signing an informed consent form.

Exclusion Criteria:

1. Having a severe heart condition or an unstable critical condition.
2. Having a severe psychiatric disorder (schizophrenia, major depression).
3. Having a cognitive, hearing, or speech disorder that impedes communication.
4. Taking antidepressants, anxiolytics, or neuroleptics that may affect psychological measurement results.