The Effect of Dhikr Therapy on the Cardiac Chest Pain of Acute Coronary Syndrome (ACS) Patients

Destiya Dwi Pangestika; Yanny Trisyani; Aan Nuraeni

doi:10.14710/nmjn.v10i2.25638

DOI: https://doi.org/10.14710/nmjn.v10i2.25638

The Effect of Dhikr Therapy on the Cardiac Chest Pain of Acute Coronary Syndrome (ACS) Patients

*Destiya Dwi Pangestika - Universitas Muhammadiyah Purwokerto, Indonesia

Yanny Trisyani - Universitas Padjadjaran, Indonesia

Aan Nuraeni - Universitas Padjadjaran, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN25638,
    author = {Destiya Pangestika and Yanny Trisyani and Aan Nuraeni},
    title = {The Effect of Dhikr Therapy on the Cardiac Chest Pain of Acute Coronary Syndrome (ACS) Patients},
    journal = {Nurse Media Journal of Nursing},
  volume = {10},
    number = {2},
    year = {2020},
    keywords = {Acute coronary syndrome; cardiac chest pain; Emergency Department (EDs)},
    abstract = {  Background:  Cardiac chest pain is a typical complaint experienced by patients with Acute Coronary Syndrome (ACS) in Emergency Departments (EDs). Pharmacological therapy is one major intervention used to reduce cardiac chest pain due to ACS. However, this therapy does not optimally and completely reduce cardiac chest pain; therefore, additional therapy is greatly required.   Purpose:  This study aimed to examine the effect of  Dhikr  therapy as one of the additional therapies for the cardiac chest pain experienced by patients with ACS in EDs.   Methods:  This quasi-experimental research was conducted using a pretest-posttest control group design. As many as 52 patients with ACS were recruited using a consecutive sampling technique and then equally divided to the intervention and control group. The intervention group received both pharmacological and  Dhikr  therapy approximately for 17 minutes, while the control group only received the pharmacological therapy based on the hospital’s protocol. The Numeric Pain Rating Scale (NPRS) was used to measure the intensity of cardiac chest pain, and both paired and independent t-tests were utilized to analyze the data.   Results:  The results showed that there was a significant difference in pain reduction in both groups ( p =0.000), although the decrease in the intervention group was higher than that in the control group. Furthermore, the pain reduction was significantly different between groups ( p =0.021)   Conclusion:   Dhikr  combined with the pharmacological therapy reduced the intensity of cardiac chest pain in ACS patients better than the use of pharmacological therapy alone. Therefore, this study recommends the combination of pharmacological and  Dhikr  therapy for patients with ACS. },
   issn = {2406-8799},   pages = {200--210}  doi = {10.14710/nmjn.v10i2.25638},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/25638}
}

Citation Format:

Abstract

Background: Cardiac chest pain is a typical complaint experienced by patients with Acute Coronary Syndrome (ACS) in Emergency Departments (EDs). Pharmacological therapy is one major intervention used to reduce cardiac chest pain due to ACS. However, this therapy does not optimally and completely reduce cardiac chest pain; therefore, additional therapy is greatly required.

Purpose: This study aimed to examine the effect of Dhikr therapy as one of the additional therapies for the cardiac chest pain experienced by patients with ACS in EDs.

Methods: This quasi-experimental research was conducted using a pretest-posttest control group design. As many as 52 patients with ACS were recruited using a consecutive sampling technique and then equally divided to the intervention and control group. The intervention group received both pharmacological and Dhikr therapy approximately for 17 minutes, while the control group only received the pharmacological therapy based on the hospital’s protocol. The Numeric Pain Rating Scale (NPRS) was used to measure the intensity of cardiac chest pain, and both paired and independent t-tests were utilized to analyze the data.

Results: The results showed that there was a significant difference in pain reduction in both groups (p=0.000), although the decrease in the intervention group was higher than that in the control group. Furthermore, the pain reduction was significantly different between groups (p=0.021)

Conclusion: Dhikr combined with the pharmacological therapy reduced the intensity of cardiac chest pain in ACS patients better than the use of pharmacological therapy alone. Therefore, this study recommends the combination of pharmacological and Dhikr therapy for patients with ACS.

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Keywords: Acute coronary syndrome; cardiac chest pain; Emergency Department (EDs)

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In Vol 10, No 2 (2020): (August 2020)

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Abuatiq, A. (2015). Spiritual Care for Critical Care Patients. International Journal of Nursing and Clinical Practice, 2, 128. doi: 10.15344/2394-4978/2015/128
AbuRuz, M. E. (2018). Persistent anxiety and in-hospital complications after acute coronary syndrome. International Journal of Health Sciences, 12(2). Retrieved from https://ijhs.org.sa/index.php/journal/article/view/2380
Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of Pain Research, 11, 851–856. doi: 10.2147/JPR.S158847
Association of Indonesian Cardiovascular Specialists. (2018). Pedoman tatalaksana sindrom koroner akut [The guideline of acute coronary syndrome] (4th ed.). Jakarta: Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Accessed on July 31, 2020. Retrieved from http://www.inaheart.org/guidelines/page/8
Beiranvand, S., Noparast, M., Eslamizade, N., Saeedikia, S. (2014). The effects of religion and spirituality on postoperative pain, hemodynamics functioning and anxiety after cesarean section. Acta Medica Iranica, 52(12), 909-915. Retrieved from https://acta.tums.ac.ir/index.php/acta/article/view/4507
Boden, W. E., Padala, S. K., Cabral, K. P., Buschmann, I. R., & Sidhu, M. S. (2015). Role of short-acting nitroglycerin in the management of ischemic heart disease. Drug Design, Development and Therapy, 9, 4793–4805. doi: 10.2147/DDDT.S79116
Chan, M. Y., Du, X., Eccleston, D., Ma, C., Mohanan, P. P., Ogita, M., ..., Jeong, Y.H. (2016). Acute coronary syndrome in the Asia-Pacific region. International Journal of Cardiology, 202, 861–869. doi: 10.1016/j.ijcard.2015.04.073
Dai, X., Busby-Whitehead, J., ALexander, K. P. (2016). Acute coronary syndrome in the older adults. Journal of Geriatric Cardiology, 13, 101-108. doi: 10.11909/j.issn.1671-5411.2016.02.012
DeJongh, B., Birkeland, K., & Brenner, M. (2015). Managing comorbidities in patients with chronic heart failure: First, do no harm. American Journal of Cardiovascular Drugs, 15(3), 171–184. doi: 10.1007/s40256-015-0115-6
Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity rating scales. Pain, 152(10), 2399–2404. doi: 10.1016/j.pain.2011.07.005
Gale, C. P., Cattle, B. A., Woolston, A., Baxter, P. D., West, T. H., Simms, A. D., ... & West, R. M. (2012). Resolving inequalities in care? Reduced mortality in the elderly after acute coronary syndromes. The Myocardial Ischaemia National Audit Project 2003-2010. European Heart Journal, 33(5), 630–639. doi: 10.1093/eurheartj/ehr381
Haryani, A., Arifudin, A., & Nurhayati, N. (2015). Prayer and dhikr as spiritual-related interventions for reducing post-surgery pain intensity in moslem patients. International Journal of Research in Medical Sciences, S30–S35. doi: 10.18203/2320-6012.ijrms20151517
Herawati, T., Keliat, B. A., & Waluyo, A. (2019). Perceptions of self-care readiness among STEMI patients following primary PCI. Enfermería Clínica, 29, 820–825. doi: 10.1016/j.enfcli.2019.04.123
Kim, Y., Soffler, M., Paradise, S., Naftilan, M., Jelani, Q.U.A., Dziura, J., ..., Safdar, B. (2016). Depression and anxiety are associated with high rates of recurrent chest pain. Journal of the American College of Cardiology, 67(13), 581. doi: 10.1016/S0735-1097(16)30582-4
Malik, M. A., Khan, S. A., Safdar, S., & Taseer, I.U.H. (2013). Chest pain as a presenting complaint in patients with acute myocardial infarction (AMI). Pakistan Journal of Medical Sciences, 29(2). doi: 10.12669/pjms.292.2921
McCance, K. L., Huether, S. E. (2010). Pathophysiology: The biologic basis for disease in adults and children. Canada: Mosby Elsevier
Mccarthy, C. P., Mullins, K. V., Sidhu, S. S., Schulman, S. P., & Mcevoy, J. W. (2016). The on- and off-target effects of morphine in acute coronary syndrome: A narrative review. American Heart Journal, 176, 114–121. doi: 10.1016/j.ahj.2016.04.004
Meneghetti, C. C., Guidolin, B. L., Zimmermann, P. R., & Sfoggia, A. (2017). Screening for symptoms of anxiety and depression in patients admitted to a university hospital with acute coronary syndrome. Trends in Psychiatry and Psychotherapy, 39(1), 12–18. doi: 10.1590/2237-6089-2016-0004
Ministry of Health the Republic of Indonesia. (2018). Pusat data dan informasi Kementerian Kesehatan RI: Situasi kesehatan jantung [Data and information center health of Ministry Republic of Indonesia: Heart health situation]. Jakarta: Kementerian Kesehatan RI. Accessed on June 24, 2020. Retrieved from https://pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-info-datin.html
Nasiri, M., Fayazi, S., Ghaderi, M., Naseri, M., & Adarvishi, S. (2014). The effect of reciting the word “Allah” on pain severity after coronary artery bypass graft surgery: A Randomized Clinical Trial Study in Iran. Anesthesiology and Pain Medicine, 4(5). doi: 10.5812/aapm.23149
O’Donnell, A., & Glasgow, B. (2011). The autonomic nervous system. The New Zealand Medical Student Journal, 13, 11-13. Retrieved from http://www.nzmsj.com
O’Keefe-McCarthy, S., McGillion, M., J. Victor, C., Rizza, S., & McFetridge-Durdle, J. (2017). Nociceptive and neuropathic pain qualities in men and women with acute coronary syndromes: A complex pain presentation. Open Journal of Nursing, 7(3), 331–344. doi: 10.4236/ojn.2017.73027
Roth, G. A., Johnson, C., Abajobir, A., Abd-Allah, F., Abera, S.F., Abyu, G., ..., Murray, C. (2017). Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Journal of the American College of Cardiology, 70(1), 1–25. doi: 10.1016/j.jacc.2017.04.052
Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (Eds.). (2010). Brunner & Suddarth’s textbook of medical-surgical nursing. New York: Lippincott Williams & Wilkins
Sukarni, S., Mardiyono, M., & Parwati, M. D. W. (2014). 4T zikr in anxiety reduction in acute coronary syndrome patients. Jurnal Riset Kesehatan, 3(2), 567–575. doi: 10.31983/jrk.v3i2.225
Sulistyawati, R., Probosuseno, & Setiyarini, S. (2019). Dhikr therapy for reducing anxiety in cancer patients. Asia-Pacific Journal of Oncology Nursing, 6(4), 411. doi: 10.4103/apjon.apjon_33_19
Wahyuni, S., Soejoenoes, A., Putra, S. T., & Syukur, M. A. (2018). Spiritual dhikr reduces stress and depression symptom on primigravidas. Pakistan Journal of Medical and Health Sciences, 12(3), 1368-1371. Retrieved from https://www.researchgate.net/publication/329865147_Spiritual_dhikr_reduces_stress_and_depression_symptom_on_primigravidas/link/5c898f1945851564fadc8e60/download
Wick, J. Y. (2016). Benefits of morphine for myocardial infarction treatment. June 23,2016. Retrieved from https://www.pharmacytimes.com/news/benefits-of-morphine-for-myocardial-infarction-treatment

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The Effect of Dhikr Therapy on the Cardiac Chest Pain of Acute Coronary Syndrome (ACS) Patients

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