Murottal therapy to reduce anxiety in patient with appendicitis

Abstract

Preoperative anxiety is common among patients and can hinder recovery. At Tidar Magelang Regional Hospital, many appendicitis patients experience moderate to severe anxiety. Murottal therapy, a non-pharmacological option, has emerged as an effective and spiritually valuable intervention that is easy to apply. The recitation of the holy verses of the Quran aids in relaxation and reduces anxiety, making it a worthy subject for study as an evidence-based nursing intervention. This research utilized a descriptive case study method, focusing on a 43-year-old female patient with appendicitis and preoperative anxiety at Tidar Magelang Regional Hospital. Data were collected through assessment, the Hamilton Anxiety Rating Scale (HARS), observation, interviews, and documentation. Murottal therapy was administered for three consecutive days, with each session lasting approximately 15 minutes. The case was patient Ms. J presented with preoperative anxiety, reporting restlessness, paleness, and difficulty sleeping. A nursing diagnosis was established, and murottal therapy was provided for three days. Evaluation using HARS revealed a decrease in anxiety. Vital signs improved, and the patient's expressions indicated increased comfort and readiness for surgery. Murottal therapy effectively reduced preoperative anxiety, as demonstrated by stable vital signs and increased relaxation. The success of this intervention was supported by both the patient and her family. These findings highlight the importance of incorporating a spiritual approach into nursing care. Murottal therapy is effective in reducing anxiety in patients undergoing appendicitis surgery, while also enhancing comfort and mental readiness. This intervention is a valuable addition to spiritually-based complementary nursing care.

Keywords: Anxiety, appendectomy, appendicitis, nursing, surgical nursing