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.

Fulltext View|Download

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

Article Metrics:

Article Info

Section: Articles

Language : EN

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

Recent articles

Self-Efficacy Affects Cancer Patients in Solving Problems, Seeking Support and Avoiding Problems as Coping Mechanisms Does Tabletop Exercise Enhance Knowledge and Attitude in Preparing Disaster Drills? Peer Conformity Affects Smoking Behavior among Male Adolescents in a High School in Padang, Indonesia Editorial Back Matter Editorial Front Matter More recent articles

Most cited articles

PSYCHIATRIC CLINICAL PLACEMENT UPON NURSING STUDENTS PERCEIVED KNOWLEDGE IN CARING FOR MENTALLY ILL Correlates of Physical Activity in Asian Adolescents: A Literature Review Dietary Behaviors among Patients with Type 2 Diabetes Mellitus in Yogyakarta, Indonesia Work-Related Fatigue Factors among Hospital Nurses: An Integrative Literature Review Review: Anxiety and Quality of life in Patients with Myocardial Infarction More cited articles

Abu Ruz, M. E., Lennie, T. A., Riegel, B., McKinley, S., Doering, L. V., & Moser, D. K. (2010). Evidence that the brief symptom inventory can be used to measure anxiety quickly and reliably in patients hospitalized for acute myocardial infarction. The Journal of Cardiovascular Nursing, 25(2), 117–123. doi: 10.1097/JCN.0b013e3181b56626
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

Last update:

Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study
Arif Imam Hidayat, Iwan Purnawan, Wahyudi Mulyaningrat, Saryono Saryono, Adiratna Sekar Siwi, Yohanes Andy Rias, Ferry Efendi. Journal of Holistic Nursing, 42 (1), 2024. doi: 10.1177/08980101231180051

Last update: 2024-11-21 18:46:20

No citation recorded.

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

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

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

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION