Murattal therapy for reducing chest pain in patient with STEMI in the intensive care unit

Abstract

Cardiovascular disease remains the leading cause of death globally, with an estimated 17.9 million fatalities in 2016 alone. In Indonesia, the prevalence of heart disease has been steadily rising, reflecting a significant public health challenge. Acute Coronary Syndrome (ACS), a group of clinical conditions characterized by chest pain due to myocardial damage, includes myocardial infarction (MI) as a critical component. Effective management of these conditions is crucial to prevent sudden death. Patients experiencing an acute heart attack often present with intense chest pain or discomfort, typically radiating to the neck, left shoulder, arm, back, or epigastrium, described as a sensation of tightening, burning, or crushing. The intensity of this pain can range from mild to severe, and inadequate or delayed treatment can lead to fatal outcomes. This article explores the impact of Qur'anic recitation, specifically Surah Ar-Rahman, as a complementary intervention for reducing pain intensity in patients with ST-Elevation Myocardial Infarction (STEMI) admitted to the ICU of Muntilan Regional Hospital in Magelang district. Over a three-day period, nursing care was provided in the ICU, allowing for direct observation of the patients' condition and progress following the intervention. The results demonstrated a significant reduction in pain intensity, from moderate to mild, following regular exposure to the recitation of Surah Ar-Rahman. The findings suggest that incorporating Qur'anic recitation, particularly Surah Ar-Rahman, as a complementary, non-pharmacological therapy could enhance the pain management process in patients suffering from STEMI. This approach offers a promising avenue for holistic patient care, addressing both the physical and spiritual needs of patients. Future research should focus on expanding the use of complementary therapies in clinical settings, further exploring their efficacy and potential integration into standard care protocols.

Keywords: Cardiovascular disease; supportive therapies; STEMI; complementary therapy; nursing care