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Journal : Journal of Rural Community Nursing Practice

The Effect of Zikr Meditation on Anxiety, Stress Levels and Blood Pressure in Hypertensive Patients Kurniawati, Erna Yovi; Sari, Dian Nirmala
Journal of Rural Community Nursing Practice Vol. 2 No. 2 (2024): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v2i2.396

Abstract

Background: Hypertension, a prevalent chronic condition, poses significant health risks when left untreated. Psychological factors like stress and anxiety are known contributors to high blood pressure. Effective management of hypertension may benefit from non-pharmacological interventions that address these psychological elements. Purpose: This study aims to evaluate the impact of Zikr meditation, a spiritual mindfulness practice, on reducing anxiety, stress, and blood pressure in individuals with hypertension. Methods: A double-blind randomized controlled trial was conducted with 60 hypertensive patients, randomized into intervention and control groups. The intervention group participated in 20-minute Zikr meditation sessions for four weeks daily, while the control group engaged in a placebo activity. Anxiety and stress levels were measured using the Hamilton Anxiety Rating Scale (HAM-A) and the Perceived Stress Scale (PSS), respectively. Blood pressure readings were taken before and after the intervention. Results: Participants in the Zikr meditation group showed a significant reduction in anxiety and stress levels compared to the control group. Additionally, there was a notable decrease in systolic and diastolic blood pressure among those practicing Zikr meditation. Conclusions: Zikr meditation effectively reduces anxiety and stress, leading to lower blood pressure in hypertensive patients. These findings suggest that incorporating Zikr meditation into standard hypertension management could offer a valuable, non-pharmacological approach to improving cardiovascular health. Further research is recommended to examine Zikr meditation's long-term effects and broader applicability in hypertension care.
Efficacy of Bay Leaf (Syzygium polyanthum) Decoction in Managing Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial Kurniawati, Erna Yovi; Muhlida, Vinilia Ihramatul; Dewi, Mariza Mustika; Margiyati
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.462

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycaemia, leading to complications such as cardiovascular disease and kidney failure. The increasing prevalence of T2DM necessitates effective management strategies, including complementary therapies like bay leaf (Syzygium polyanthum), which has demonstrated potential for glycaemic control. Purpose: This study aimed to evaluate the effectiveness of bay leaf decoction in improving glycaemic control among T2DM patients in Malangan Village. Methods: A randomized controlled trial (RCT) involved 60 adults aged 30-65 years with fasting blood sugar (FBS) levels between 126-200 mg/dL, selected through purposive sampling. Participants were randomly assigned to an intervention group receiving a bay leaf decoction (10 grams in 250 mL water, twice daily for 12 weeks) or a control group receiving a placebo decoction. Primary outcomes included changes in FBS, while secondary outcomes assessed postprandial blood sugar (PBS) and HbA1c. Compliance and adverse events were monitored, and data were analysed using paired and independent t-tests (p < 0.05). Results: The intervention group showed significant reductions in FBS, PBS, and HbA1c levels compared to the control group (p < 0.05). Older age, female gender, and higher education correlated with improved glycaemic control, while obesity and hypertension were associated with poorer outcomes. No severe adverse events were reported. Conclusion: Bay leaf decoction significantly improves glycaemic control through mechanisms such as enhanced insulin sensitivity, α-glucosidase inhibition, and antioxidant properties. This natural, cost-effective approach is promising as a complementary therapy for T2DM. Future research should explore long-term effects, optimal dosage, and integration with lifestyle interventions to maximize benefits.