Journal of Health and Nutrition Research Vol.
No.
2, 2025, pg.
569-576, https://doi.
org/10.
56303/jhnresearch.
Journal homepage: https://journalmpci.
com/index.
php/jhnr/index e-ISSN: 2829-9760 The Effect of Reading the Holy Al-Quran on Stress Levels Among Patients with Hypertension Sukron1*.
Indah Sari2.
Aristoteles2.
Joko Tri Wahyudi1.
Nichapatr Phutthikhamin3.
Wulan Rahmadhani4.
Ade Dwi Ameilia1 1 Department of Adult Nursing.
Faculty of Health Science.
Universitas Muhammadiyah Ahmad Dahlan Palembang.
Indonesia 2 Department of Laboratory Technology.
Faculty of Vocation.
Universitas Muhammadiyah Ahmad Dahlan Palembang.
Indonesia 3 Department of Adult Nursing.
Faculty of Nursing.
Khon Kaen University.
Thailand 4 Department of Midwifery.
Universitas Muhammadiyah Gombong.
Indonesia Corresponding Author Email: Sukron_90@yahoo.
Copyright: A2025 The author.
This article is published by Media Publikasi Cendekia Indonesia.
ORIGINAL ARTICLES
ABSTRACT
Submitted: 11 May 2025 The impact of psychological conditions faced by hypertension patients is This can disrupt physical activity and make the condition more serious if nursing intervention is not provided.
Reading the holy Al-Qur'an is one alternative that can reduce stress levels.
It is can reduce stress hormones and increase feelings of relaxation and improve body chemistry so that it can reduce blood pressure and stress levels.
The study aimed to determine the effect of reading the Al-Qur'an on stress levels in hypertension patients.
This study uses quantitative research with a preexperiment research a one group pre-posttest design.
The sampling technique uses purposive sampling, namely respondents with hypertension as many as 63 respondents.
The intervention of reading the Al-QurAoan by choosing a surah that the patient is able to do with a moderate tone of voice.
The instrument uses the Perceived Stress Scale (PSS).
The results of the study showed that, the average score of stress levels before the intervention for the low category was a mean of 21.
56 (SD = 0.
, while the moderate category was the mean score of 38.
17 (SD = 4.
Then the mean score of stress levels after the intervention for the low category was the mean score of 19.
10 (SD = 2.
, and the moderate category was the mean score of 25.
71 (SD = 3.
The Wilcoxon test found that the p-value 001 .
<0.
which means that there is an effect of reading the Qur'an on stress levels in hypertensive patients.
It is hoped that to the Muhammadiyah Hospital Palembang can implement the intervention of reading the Al-QurAoan for patients with hypertension which is useful for reducing the stress level of patients.
Accepted: 2 June 2025 Keywords:
Stress Levels.
Reading the Holy Al-Quran.
Hypertension This work is licensed under a Creative Commons Attribution-NonCommercialShareAlike 4.
0 International License Access this article online Key Messages:
Quick Response Code Reading the Al-Qur'an is one alternative therapy that provides positive impact for the patients and reading the Al-Qur'an is a part of religious that can provide a relaxation response.
Sukron.
Indah Sari.
Aristoteles.
Joko Tri Wahyudi.
Nichapatr Phutthikhamin.
Wulan Rahmadhani.
Ade Dwi Ameilia .
GRAPHICAL ABSTRACT
INTRODUCTION
Indonesia is currently trying to overcome various health problems that occur .
NonCommunicable Diseases (NCD.
are one of the most serious public health challenges in the 21st century .
NCDs are the cause of 71% of deaths worldwide .
One of the contributors to the NCD death rate is heart disease from the death rate in low and middle income countries, including Indonesia.
Based on WHO data, hypertension sufferers are estimated to reach 1 billion in the world, and two-thirds of them are in developing countries .
This figure is increasingly worrying, namely 972 million .
%) adults in the world suffer from hypertension .
Hypertension can cause serious complications if not treated and cared for properly .
Complications that can occur in hypertension patients are caused by several factors including the heart, brain, kidneys, eyes, stroke, excessive sympathetic nerve activity, obesity, unhealthy lifestyle, hereditary factors, and stress, someone who experiences hypertension generally experiences stress in the form of emotional or psychological .
Psychological or emotional stress is stress caused by emotional situational disorders.
One of the factors that triggers hypertension is a psychological condition that experiences pressure, namely stress .
The problem of stress is one of the main studies in the field of mental health that continues to be studied by researchers and scientists .
Stress is a health crisis associated with several diseases, such as cardiovascular disease, anxiety, and depression .
A survey found that about half of Americans have experienced a major stressful event .
Many of them experience behavioral responses related to stress such as increased blood pressure, lack of sleep, loss of appetite and lack of enthusiasm for activity .
The level of stress in society in 23 countries including Indonesia, is generally 84% with the most common triggers being health problems .
%), workload .
%), and financial problems .
%) .
Assesses stress as a condition that burdens or endangers the well-being of sufferers, including physical, psychologicals and social .
Stress is a common symptom experienced by people all over the world, both poor countries, developing countries and even countries with advanced economies and civilizations .
Some stress management techniques that can be done by hypertension patients are: Meditation.
Yoga.
Breathing exercises.
Muscle relaxation.
Laughter therapy .
Therefore, a strategy is needed to quickly and appropriately handle stress disorders, both symptoms and impacts, namely the Islamic approach and the psychological approach.
The selection of these two approaches is based on the https://doi.
org/10.
56303/jhnresearch.
Sukron.
Indah Sari.
Aristoteles.
Joko Tri Wahyudi.
Nichapatr Phutthikhamin.
Wulan Rahmadhani.
Ade Dwi Ameilia .
consideration that the two approaches have a functional relationship with each other .
In the Islamic approach, reading the Al-Qur'an, praying and remembering are an inseparable unity so that doing one of the three approaches can include the other approaches .
Reading the Al-Qur'an is one part of praying that is greatly recommended by moeslim people besides saying tahmid, tahlil, and takbir .
Not all individuals who experience stress have the knowledge and skills to manage the stress they experience so that it can have an impact on decreasing their mental health and happiness which can cause psychosomatic disorders, namely physical illnesses caused by psychological disorders.
Therefore, a strategy is needed to quickly and appropriately handle stress disorders, both symptoms and impacts, namely the Islamic approach and the psychological approach .
Reading the Al-Quran has been previously researched and proven to be effective in helping patients express their emotions in a more adaptive way as well as providing a relaxing effect and can reduce stress .
The research showed that changes in systolic and diastolic blood pressure in the intervention group .
Another research found a significant difference in the average stress level of hypertension patients in the intervention group and the control group .
In this condition, nurses are very important health workers in providing nursing care, especially in preventing psychological problems due to hypertension .
The role of nurses in overcoming stress suffered by hypertension patients is also very important.
Stress that occurs when patients undergo medical procedures that are sometimes very complex and due to the disease felt or suffered by the patient .
And to reduce the level of anxiety, fear and stress can be done with control, communicate and social support.
Communication from nurses is very much needed by patients and families, both verbally and nonverbally .
Through proper communication, it can help ease the burden on patients and help patients in their healing process .
Regarding some of the descriptions above, it can be concluded that hypertension sufferers are increasing, one of the impacts that arise is stress.
Stress can be handled with several interventions, one of which is reading the Al-QurAoan is a part of religious relaxation that can provide a good response.
In addition, the research showed that religious factors can be involved in upgrading life expectancy, decreasing blood pressure, the use of alcohol, cigarettes, drugs, stress, irate, anxiety and improving the quality of life of patients with hypertension, heart disease and The purpose of this study is how the Effect of Reading the Al-QurAoan on Stress Levels in Hypertension Patients.
METHODS
The design used in this study was Pre- Experiment using the One Group Pre-Post test design.
This design does not use a control group, where stress levels are measured before and after being given treatment in the form of reading the Al-QurAoan.
The sample used in this study were hypertension patients at the Internal Medicine Polyclinic.
Muhammadiyah Hospital.
Palembang using the purposive sampling This study was conducted on May 12 - July 21, 2024 with a total of 63 respondents who met the inclusion criteria, namely .
Able to communicate using good language.
Patients are willing to be .
Hypertension patients.
Can read the Al-QurAoan.
The data collection process was carried out on hypertension patients.
After the respondents agreed (Informed Consen.
, the researcher then provided an explanation to the respondents regarding the research procedures including the objectives, benefits, research procedures, time contracts, and requests for Informed Consent.
Time contracts were carried out to avoid respondents dropping out during the study.
Next, the researcher gave the respondents a questionnaire to fill out and then gave the respondents an intervention of reading the Al-QurAoan by choosing a surah that the patient is able to do with a moderate tone of voice for 5-15 minutes which was done once a day, each time it was given at 09:00-11:00 AM and 13:00-15:00 PM, a place provided in a special room away from the crowd that does not have many disturbing sounds, observations were made at the respondents' homes by filling out the questionnaire again after 7 days.
A questionnaire on the characteristics of respondents containing demographic data from respondents, including name, age, gender, education, occupation, religion.
The stress instrument uses the Perceived Stress Scale (PSS).
Validity test on the stress level measurement questionnaire using the Pearson product moment correlation test, the results of the validity test obtained a validity value range of 0.
https://doi.
org/10.
56303/jhnresearch.
Sukron.
Indah Sari.
Aristoteles.
Joko Tri Wahyudi.
Nichapatr Phutthikhamin.
Wulan Rahmadhani.
Ade Dwi Ameilia .
table: 0.
and the reliability test of the reliability value obtained by Cronbach Alpha is 0.
The analysis test used to test reading the Al-QurAoan on stress levels in hypertension patients, the data was processed by computerization and the results of the data were not normally distributed, then the data was transformed 3 times and it was still not normal so the Wilcoxon alternative test was used .
O0.
CODE OF HEALTH ETHICS
This study has also passed an ethical test at Health Polytechnic of Ministry of Health of Palembang with No: 0309/KEPK/Adm2/i/2024.
RESULTS
Table 1 shows that the mean or average age of respondents is 53.
81 years, and the median is 53.
(SD: 6.
, the youngest is 43 years, and the oldest is 71 years.
The results of the frequency distribution of respondents showed that most respondents were female .
3%), with a marital status of married .
2%),
the last education was high school .
7%), not working .
8%).
and had suffered from hypertension > 3 years .
0%).
Table 1.
Frequency Distribution of Respondents According to Age.
Gender.
Marital Status.
Education, and Occupation .
Characteristic Age Mean = 53.
SD = 6.
Min-Max =43 Ae 71, 95% CI 52.
10 Ae 55.
Gender Man Woman Marital status Marry Not married yet Education No school Elementary School Junior High School Senior High School College Work Civil servant Self-employed Businessman Indonesian National Armed Forces Does not work Long-term hypertension <1 years 1-3 years >3 years Total Table 2 showed that.
before the intervention, there was low stress .
3%) and moderate stress .
7%).
After the intervention, the stress of hypertension patients was low stress .
8%) and moderate stress .
2%).
https://doi.
org/10.
56303/jhnresearch.
Sukron.
Indah Sari.
Aristoteles.
Joko Tri Wahyudi.
Nichapatr Phutthikhamin.
Wulan Rahmadhani.
Ade Dwi Ameilia .
Table 2.
The Frequency Distribution Before and After Al-Quran Reading Intervention in Hypertension Patients .
Before After Variables Frequency (%) Frequency (%) Low Stress Moderate Stress Total Table 3.
The Differences Between Average Before and After Given Al-Quran Reading Intervention on Stress Levels in Hypertension Patients .
Variables Stress
Mean
Median Min Max
95% CI
LevelsAo
Value Low
Before reading the Al-QurAoan After reading the Al-QurAoan Low
Moderate Low
2,87
Moderate Table 3 explained that, the average score of stress levels before the intervention for the low category was a mean of 21.
56 (SD = 0.
with a minimum score of 20 and a maximum of 22.
While the moderate category was an average score of 38.
17 (SD = 4.
, with a minimum score of 28 and a maximum Then the average score of stress levels after the intervention for the low category was an average score of 19.
10 (SD = 2.
, a minimum score of 14 and a maximum of 22.
While the moderate category was an average of 25.
71 (SD = 3.
, a minimum score of 18 and a maximum of 32.
The Wilcoxon test found that the p-value was 0.
<0.
which means that there is an effect of reading the Qur'an on stress levels in hypertensive patients.
DISCUSSION