Asuhan Keperawatan dengan Fokus Intervensi Terapi Audio Murottal Al-Qur'an pada Pasien dengan Kecemasan di Ruang ICCU RS Siti Khodijah Sepanjang

Latar Belakang: Pasien yang menjalani perawatan di Intensive Cardiac Care Unit (ICCU) rentan mengalami kecemasan akibat kondisi lingkungan perawatan yang dipenuhi alat monitoring, suara alarm medis, tindakan invasif, pembatasan aktivitas, perubahan peran, serta kondisi penyakit yang mengancam kehidupan sehingga menimbulkan perasaan takut, khawatir, tidak berdaya, dan ketidaknyamanan. Kecemasan yang tidak ditangani dapat memengaruhi kondisi fisiologis, psikologis, kemampuan beradaptasi, serta proses penyembuhan pasien. Salah satu intervensi keperawatan nonfarmakologis yang dapat digunakan adalah terapi audio murottal Al-Qur’an Surah Ar-Rahman.
Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan pendekatan asuhan keperawatan pada dua pasien dengan kecemasan di ruang ICCU RS Siti Khodijah Sepanjang. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dokumentasi, dan pengukuran tingkat kecemasan menggunakan Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Intervensi terapi audio murottal Al-Qur’an Surah Ar-Rahman diberikan selama 15–20 menit selama tiga hari sebagai bagian dari intervensi Reduksi Ansietas.
Hasil: Sebelum intervensi, Ny. B memiliki skor HADS-A 19 yang menunjukkan ansietas berat, sedangkan Tn. K memiliki skor 13 yang menunjukkan ansietas sedang. Setelah intervensi, skor HADS-A Ny. B menurun menjadi 8 (ansietas ringan), sedangkan skor Tn. K menurun menjadi 6 (tidak cemas). Kedua pasien juga menunjukkan respons lebih tenang, rileks, kooperatif, mampu mengungkapkan perasaan, dan lebih mudah menerima kondisi penyakit serta rencana pengobatan.
Kesimpulan: Terapi audio murottal Al-Qur’an Surah Ar-Rahman dalam intervensi Reduksi Ansietas membantu menurunkan tingkat kecemasan pada kedua pasien. Terapi ini dapat menjadi intervensi nonfarmakologis yang aman, mudah diterapkan, dan mendukung asuhan keperawatan.

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Background: Patients receiving care in the Intensive Cardiac Care Unit (ICCU) are susceptible to anxiety due to the care environment, which is filled with monitoring equipment and medical alarm sounds, as well as invasive procedures, activity restrictions, changes in roles, and life-threatening medical conditions, resulting in feelings of fear, worry, helplessness, and discomfort. Untreated anxiety can affect patients’ physiological and psychological conditions, ability to adapt, and recovery process. One non-pharmacological nursing intervention that can be used is Qur’anic murottal audio therapy using Surah Ar-Rahman.
Methods: This study employed a descriptive case study design with a nursing care approach involving two patients with anxiety in the ICCU at Siti Khodijah Sepanjang Hospital. Data were collected through interviews, observation, physical examination, documentation, and measurement of anxiety levels using the Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Qur’anic murottal audio therapy using Surah Ar-Rahman was administered for 15–20 minutes over three days as part of the Anxiety Reduction intervention.
Results: Before the intervention, Mrs. B had a HADS-A score of 19, indicating severe anxiety, whereas Mr. K had a score of 13, indicating moderate anxiety. After the intervention, Mrs. B’s HADS-A score decreased to 8 (mild anxiety), whereas Mr. K’s score decreased to 6 (no anxiety). Both patients also showed calmer and more relaxed responses, were cooperative, were able to express their feelings, and were better able to accept their medical conditions and treatment plans.
Conclusion: Qur’anic murottal audio therapy using Surah Ar-Rahman as part of the Anxiety Reduction intervention helped reduce anxiety levels in both patients. This therapy can serve as a safe and easily implemented non-pharmacological intervention that supports nursing care.