The Impact of Murottal Recitation and Guided Imagery Therapy on Anxiety Reduction in Pregnant Women with Preeclampsia
Main Article Content
Abstract
Background: Preeclampsia is one of the leading causes of morbidity and mortality in pregnant women, contributing to increased maternal mortality rates. One factor that exacerbates this condition is anxiety, which triggers the production of stress hormones such as adrenaline and cortisol, weakens the immune system, and increases the risk of various diseases such as hypertension, heart disorders, and gastrointestinal problems.
Objective: This research aims to determine the effect of murottal therapy and guided imagery in reducing anxiety in pregnant women with preeclampsia.
Method: The study design used a quasi-experimental method with a total of 30 participants divided into two groups, each consisting of 15 individuals. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). The therapy involved guided imagery for 30 minutes, followed by a 20–30-minute rest period, and then Quranic recitation therapy for 30 minutes.
Results: Before receiving murottal therapy, the highest anxiety category was mild anxiety with 10 participants, while in the guided imagery therapy group, the highest category was moderate anxiety with 12 participants. After undergoing murottal and guided imagery therapies, the most prevalent anxiety category changed to no anxiety, with 10 participants in the murottal group and 9 participants in the guided imagery group The results of the paired t-test on Murottal therapy showed a p-value of 0.000<0.05, the guided imagery treatment had a p-value of 0.000<0.05 and the results of the independent t-test between the murrotal treatment group and guided imagery had a p-value of 0.000< 0.05.
Conclusion: Statistical analysis using paired t-tests and independent t-tests showed that both methods were effective in reducing anxiety (p < 0.05), but guided imagery was more effective, as indicated by a higher average reduction in anxiety (13.67). Therefore, this study recommends guided imagery as the primary intervention and Quran recitation as an alternative for addressing anxiety in pregnant women with preeclampsia.
Article Details
References
Aji, P. T., Rizkasari, E., & Pujiyanto, P. (2022). Pengaruh Terapi Guided Imagery terhadap Perubahan Tekanan Darah pada Penderita Hipertensi di Wilayah Puskesmas Jayengan Surakarta. ASJN (Aisyiyah Surakarta Journal of Nursing), 3(2), 69–75. https://doi.org/10.30787/asjn.v3i2.896
Cong, X., Wang, J., Yang, L., Cui, L., Hua, Y., & Gong, P. (2025). Pregnancy stress in women at high risk of preeclampsia with their anxiety, depression, self-management capacity: a cross-sectional study. Frontiers in Psychology, 16(May), 1–11. https://doi.org/10.3389/fpsyg.2025.1537858
Islamiaty, A., S, S., & Agus, A. I. (2023). Pengaruh Terapi Murottal terhadap PenurunanKecemasan Pasien Pre Sectio Caesarea RSIA Sitti Khadijah 1. Window of Nursing Journal, 2(2), 192–201.
Kementrian Kesehatan. (2020). Angka Kematian Ibu/AKI (Maternal Mortality Rate/MMR) Hasil Long Form SP2020 Menurut Provinsi, 2020 - Tabel Statistik - Badan Pusat Statistik Indonesia. https://www.bps.go.id/id/statistics-table/1/MjIxOSMx/angka-kematian-ibu-aki--maternal-mortality-rate-mmr---hasil-long-form-sp2020-menurut-provinsi--2020.html
Meinawati, L., & Khairoh, M. (2023). Terapi Murottal Terhadap Penurunan Kecemasan Pada Ibu Hamil Dengan Preeklampsia. Journal of Health Educational Science And Technology, 6(1), 55–64. https://doi.org/10.25139/htc.v6i1.5324
Mulyani, T., Kusumasari, R., Kurniati, F., Riyadi, M., & Hikmawati, A. (2024). Penerapan Terapi Musik Klasik pada Ibu Hamil Trimester III dengan Masalah Keperawatan Ansietas. Nursing Science Journal (NSJ), 5,Nomor2(Penerapan Terapi Musik Klasik Pada Ibu Hamil Trimester Iii Dengan Masalah Keperawatan Ansietas), 150–157.
Rahmawati, I., Fernalia, F., & Safitria, A. (2022). Pengaruh Terapi Musik Klasik Terhadap Kecemasan Pada Pasien Pra Operasi Di Rsud Dr. M. Yunus Bengkulu. Jurnal Kesehatan Medika Udayana, 6(2), 111–122. https://doi.org/10.47859/jmu.v6i2.163
Saddam, M., Saharuddin, S., Yunus, P., Fitriani, R., & Galib, M. (2023). Analisis Korelasi antara Kecemasan dan Kejadian Preeklamsia pada Ibu Hamil. UMI Medical Journal, 8(1), 35–45. https://doi.org/10.33096/umj.v8i1.166
Saputri, R., & Rahayu, D. A. (2020). Penurunan Resiko Bunuh Diri Dengan Terapi Relaksasi Guided Imagery Pada Pasien Depresi Berat. Ners Muda, 1(3), 165. https://doi.org/10.26714/nm.v1i3.6212
Suhermi, & Karuniawati, N. (2024). Efektivitas penerapan terapi guide imagery terhadap penurunan kecemasan pasien pre operasi sectio caesarea. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 14(3), 75–82. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1979/1260
WHO. (2023). Kenya News Agency (2023). Kisumu medics front for early diagnosis of preeclampsia to reduce deaths. Kenya News Agency. Retrieved from https://www.kenyanews.go.ke/kisumu-medics-front-for-early-diagnosis-of-preeclampsia-to-reduce-deaths. In WHO, Geneva. https://www.who.int/publications/i/item/9789240068759
Xiao, X., Chen, W., & Zhang, X. (2023). The Effect and Mechanisms of Music Therapy on the Autonomic Nervous System and Brain Networks of Patients of Minimal ConsciousStres: A Randomized Controlled Trial. Frontiers in Neuroscience. https://doi.org/10.3389/finins.2023.1182181