EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY

Introduction: Depression and anxiety are common comorbid conditions in patients with heart failure (HF). Spirituality was found to have a positive impact on patients' mental health status. However, whether the spiritual practice affects physiological modulation is still questionable. Therefore,...

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Main Authors: Fanni Okviasanti, Suhartono Taat Putra, Abu Bakar, Ah yusuf
Format: Article
Language:English
Published: Universitas Airlangga 2023-05-01
Series:Journal of Vocational Nursing
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Online Access:https://e-journal.unair.ac.id/JoViN/article/view/45327
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author Fanni Okviasanti
Suhartono Taat Putra
Abu Bakar
Ah yusuf
author_facet Fanni Okviasanti
Suhartono Taat Putra
Abu Bakar
Ah yusuf
author_sort Fanni Okviasanti
collection DOAJ
description Introduction: Depression and anxiety are common comorbid conditions in patients with heart failure (HF). Spirituality was found to have a positive impact on patients' mental health status. However, whether the spiritual practice affects physiological modulation is still questionable. Therefore, this study aimed to analyze the effect of dhikr as spiritual practice on spirituality and cortisol levels among patients with HF. Methods: A quasi-experiment was used in this study. A sample size of 18 respondents consists of 9 respondents of the control group and 9 respondents of the treatment group. Dhikr intervention was conducted in three meetings with an interval of two days during patients' hospitalization. Spirituality was measured using a spirituality questionnaire, whereas the cortisol levels with venous blood sampling, measured by the enzyme-linked fluorescent immunoassay (ELFA) method. Statistics analysis in this study was using t-Test for spirituality, Mann Whitney and Wilcoxon Sign Rank Test for cortisol level with a significance level of α<0.05. Results:  The results showed that dhikr improves the spirituality of HF patients (p=0.000) and decreases the level of cortisol (p=0.015) significantly. Dhikr interventions appears to strengthen spirituality in patients with HF by improving stress perception which further modulates the adaptive stress response in the form of decreasing cortisol levels. Conclusions: Dhikr could be one of the spiritual nursing interventions to improve spirituality and stress hormonal modulation in patients with HF.
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publishDate 2023-05-01
publisher Universitas Airlangga
record_format Article
series Journal of Vocational Nursing
spelling doaj-art-80205600c0ef43278562fa5a125f7d602025-01-05T05:48:46ZengUniversitas AirlanggaJournal of Vocational Nursing2775-02802722-72512023-05-0141828610.20473/jovin.v4i1.4532743412EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDYFanni Okviasanti0Suhartono Taat Putra1Abu Bakar2Ah yusuf3Faculty of Vocational Studies, Universitas Airlangga, IndonesiaFaculty of Medicine, Universitas Airlangga, IndonesiaFaculty of Nursing, Universitas Airlangga, IndonesiaFaculty of Nursing, Universitas Airlangga, IndonesiaIntroduction: Depression and anxiety are common comorbid conditions in patients with heart failure (HF). Spirituality was found to have a positive impact on patients' mental health status. However, whether the spiritual practice affects physiological modulation is still questionable. Therefore, this study aimed to analyze the effect of dhikr as spiritual practice on spirituality and cortisol levels among patients with HF. Methods: A quasi-experiment was used in this study. A sample size of 18 respondents consists of 9 respondents of the control group and 9 respondents of the treatment group. Dhikr intervention was conducted in three meetings with an interval of two days during patients' hospitalization. Spirituality was measured using a spirituality questionnaire, whereas the cortisol levels with venous blood sampling, measured by the enzyme-linked fluorescent immunoassay (ELFA) method. Statistics analysis in this study was using t-Test for spirituality, Mann Whitney and Wilcoxon Sign Rank Test for cortisol level with a significance level of α<0.05. Results:  The results showed that dhikr improves the spirituality of HF patients (p=0.000) and decreases the level of cortisol (p=0.015) significantly. Dhikr interventions appears to strengthen spirituality in patients with HF by improving stress perception which further modulates the adaptive stress response in the form of decreasing cortisol levels. Conclusions: Dhikr could be one of the spiritual nursing interventions to improve spirituality and stress hormonal modulation in patients with HF.https://e-journal.unair.ac.id/JoViN/article/view/45327cortisol levelsdhikrheart failurespirituality
spellingShingle Fanni Okviasanti
Suhartono Taat Putra
Abu Bakar
Ah yusuf
EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
Journal of Vocational Nursing
cortisol levels
dhikr
heart failure
spirituality
title EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
title_full EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
title_fullStr EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
title_full_unstemmed EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
title_short EFFECTS OF DHIKR ON SPIRITUALITY AND CORTISOL LEVELS AMONG PATIENTS WITH HEART FAILURE: A PILOT STUDY
title_sort effects of dhikr on spirituality and cortisol levels among patients with heart failure a pilot study
topic cortisol levels
dhikr
heart failure
spirituality
url https://e-journal.unair.ac.id/JoViN/article/view/45327
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AT abubakar effectsofdhikronspiritualityandcortisollevelsamongpatientswithheartfailureapilotstudy
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