Journal of Applied Holistic Nursing Science, e-ISSN 3090-1316 Vol.
No.
June 2025 https://doi.
org/10.
70920/jahns.
Original Research/Systematic Review The Effect of Religious Instrumental Music Therapy on Anxiety in Breast Cancer Patients Chyntia Ramadhana Fahira1.
Idrawati Bahar1.
Tasman1 Ministry of Health Polytechnic of Health Padang.
Indonesia
ABSTRACT
Background: Anxiety is a vague and uneasy feeling caused by discomfort or fear accompanied by a response.
Anxiety in breast cancer patients is a psychological disorder due to facing uncertainty, worries about the effects of cancer treatment, and fear of disease progression which may lead to death.
This study aimed to determine the effect of instrumental music therapy on anxiety levels in breast cancer .
a mama.
patients undergoing chemotherapy at Dr.
Djamil Hospital.
Padang Methods: This research used a pre-experimental design with a one-group pre-test post-test design.
Anxiety levels were measured using the HARS questionnaire.
Samples were selected using a purposive sampling technique, and data were analyzed using the T-test.
ARTICLE HISTORY
Received : 6-6-2025
Accepted: 12-6-2025
KEYWORDS
Anxiety.
Music therapy.
Breast
CONTACT
Idrawati Bahar dosenidrawati2023@gmail.
Ministry of Health Polytechnic of Health Padang.
Indonesia Results: The results showed that the average anxiety score before the intervention was 26.
79, and after the intervention, it There was a significant difference in anxiety scores before and after the intervention with a p-value = 0.
< .
, indicating a significant effect of the intervention.
Conclusion: In conclusion, instrumental music therapy had an effect on reducing anxiety in breast cancer patients undergoing It is recommended that nurses in chemotherapy wards consider instrumental music therapy as a nonpharmacological intervention to help reduce anxiety levels in patients undergoing chemotherapy Cite this as: Chyntia Ramadhana Fahira.
Idrawati Bahar.
Tasman .
The Effect of Religious Instrumental Music Therapy on Anxiety in Breast Cancer Patients.
Journal of Applied Holistic Nursing Science,1.
https://doi.
org/10.
70920/jahns.
INTRODUCTION
Anxiety is a vague and uneasy feeling caused by discomfort or fear accompanied by a response .
he source is often unspecified or unknown to the individua.
, with a sense of fear that something bad may happen due to anticipation of danger or threat (Stuart, 2.
Anxiety in breast cancer patients is a psychological disorder caused by the uncertainty they face, concerns about the side effects of cancer treatment, and fear of cancer progression which may result in death.
In certain situations, they may experience anger, fear, sadness, depression, and mood changes.
Anxiety disorders are common and frequently occur in chronic conditions, marked by a lack of interest, mood changes, and continuous loss of pleasure and motivation.
Therefore, appropriate interventions are needed to address anxiety (Roddis et al.
, 2020.
Nurlina et al.
, 2.
https://jurnal.
cendikiajenius-ind.
id/index.
php/JAHNS | 85 Journal of Applied Holistic Nursing Science (JAHNS), e-ISSN 3090-1316 Vol.
No.
June 2025 Therapies to reduce anxiety in breast cancer patients can include pharmacological and non-pharmacological treatments.
Pharmacological therapy involves the use of medications such as antidepressants and anti-anxiety drugs (Vildayanti et al.
, 2.
Non-pharmacological therapy refers to treatment methods that do not involve medication, such as mind-body techniques to relax the body, including meditation, guided imagery, music therapy, humor, laughter, and aromatherapy.
These non-pharmacological methods are generally safe, readily available, and can be practiced at home or in various environments, including acute care settings (Fajri et al.
, 2.
Music therapy is a type of non-pharmacological therapy that has a significant impact on the central and nervous systems of the human body.
Music acts as an anxiolytic agent that can help divert feelings of stress, anxiety, fear, and fatigue by inducing relaxation.
Music contains three main components that influence the body, mind, and spirit: beat, rhythm, and harmony.
Music therapy can express emotions, positively influence mood and feelings, and help reduce anxiety levels (Martini et al.
Religious music therapy can be used as a healing aid for patients (Al-Jubouri et al,2.
Moreover, religious music can help people realize the preciousness of life and how limited our time in this world truly is.
This awareness can motivate individuals to strengthen their spiritual connection with the Creator and inspire hope and healing.
Based on the phenomenon described above and previous studies, the researcher is interested in conducting a study entitled AuThe Effect of Religious Instrumental Music Therapy on Reducing Anxiety in Patients Undergoing Chemotherapy.
MATERIALS AND METHOD
This study used a One-Group Pre-Test and Post-Test Design, which is a type of intervention research comparing anxiety levels before .
re-tes.
and after .
ost-tes.
the therapy was administered.
The study was conducted in the womenAos chemotherapy ward at Dr.
Djamil General Hospital.
Padang, from September 2023 to May 2024.
Participant identity and baseline data were collected using the HARS (Hamilton Anxiety Rating Scal.
questionnaire, which was distributed to patients prior to Afterward, music therapy was administered, followed by a second HARS questionnaire to assess post-intervention anxiety levels.
Data were analyzed using univariate analysis to observe the frequency distribution of sample characteristics and anxiety levels.
The anxiety scores before and after receiving religious instrumental piano music therapy were compared.
Bivariate analysis was conducted to determine the effect of religious music therapy on anxiety levels in breast cancer .
a mama.
patients undergoing chemotherapy.
If the data were normally distributed, a paired t-test was used.
otherwise, the Wilcoxon test was applied.
https://jurnal.
cendikiajenius-ind.
id/index.
php/JAHNS | 86 Journal of Applied Holistic Nursing Science (JAHNS), e-ISSN 3090-1316 Vol.
No.
June 2025
RESULTS
Table 1.
Frequency distribution of respondent characteristics based on education, occupation, marital status, and chemotherapy history:
Variabel Age 40-45 years 46-50 years 51-55 years 56-60 years 66-70 years Education Elementary School Junior High School Senior High School College/University Occupation Employed Unemployed Marital status Married Unmarried Chemotherapy Stage First session Second session Based on the table above, the largest age group of breast cancer patients was 46Ae50 years .
7%).
Most had completed senior high school .
7%), and the majority were unemployed .
6%).
Most were married .
7%), and over half .
1%) were undergoing their first chemotherapy session.
Table 2.
Average Anxiety Score of Breast Cancer Patients Before and After Intervention at Dr.
Djamil Hospital.
Padang .
Anxiety Level Mean
95% CI
Shapiro-Wilk Before 96 Ae 31.
After 18 Ae 20.
Difference 78 Ae 10.
Based on Table 2, the average anxiety score before music therapy was 28.
% CI:
96Ae31.
with a standard deviation of 5.
After music therapy, the average score 07 .
% CI: 17.
18Ae20.
The Shapiro-Wilk test indicated normal distribution of data both before and after the intervention .
-value > 0.
DISCUSSION