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<p>This study aims to analyze the effect of a combination of dhikr and salawat on anxiety and sleep quality in hemodialysis patients. A single-center randomized control trial was conducted in an Islamic hospital in Surabaya, Indonesia, from June until July 2023. The instrument uses the Hamilton Anxiety Rating Scale (HARS) and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive tests, <i>t</i> tests, and Cohen’s d. There were 54 participants, and 53 of them completed baseline and post-intervention evaluations. Mean anxiety levels decreased from pre to post in the intervention group (<i>p</i> &lt; 0.05). In addition, in the experimental group, sleep quality improved significantly after the intervention compared to before the intervention (<i>p</i> &lt; 0.001). Analysis of independent <i>t</i> test showed a significant difference in HARS scores and PSQI scores between the intervention groups (<i>p</i> &lt; 0.001). A combination of dhikr and salawat is effective in reducing anxiety and improving sleep quality in hemodialysis patients. Further, spiritual care, such as dhikr and salawat, can be used as complementary methods in nursing practice to improve the quality of life of hemodialysis patients.</p>

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Effectiveness of Combination Dhikr and Salawat on Anxiety and Sleep Quality in Hemodialysis Patients in Indonesia: A Randomized Controlled Trial

  • 期刊论文

  • 发表日期：

    2025年7月9日

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  • Lono Wijayanti,
  • Yurike Septianingrum,
  • Achmad Sultoni,
  • Andikawati Fitriasari,
  • Erika Martining Wardani,
  • Lucky Ramadhani

摘要

This study aims to analyze the effect of a combination of dhikr and salawat on anxiety and sleep quality in hemodialysis patients. A single-center randomized control trial was conducted in an Islamic hospital in Surabaya, Indonesia, from June until July 2023. The instrument uses the Hamilton Anxiety Rating Scale (HARS) and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive tests, t tests, and Cohen’s d. There were 54 participants, and 53 of them completed baseline and post-intervention evaluations. Mean anxiety levels decreased from pre to post in the intervention group (p < 0.05). In addition, in the experimental group, sleep quality improved significantly after the intervention compared to before the intervention (p < 0.001). Analysis of independent t test showed a significant difference in HARS scores and PSQI scores between the intervention groups (p < 0.001). A combination of dhikr and salawat is effective in reducing anxiety and improving sleep quality in hemodialysis patients. Further, spiritual care, such as dhikr and salawat, can be used as complementary methods in nursing practice to improve the quality of life of hemodialysis patients.