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Ahmad Ikhlasul Amal
Universitas Islam Sultan Agung
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Journal : Lentera Perawat

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Effectiveness of combined ar-rahman murottal therapy and lavender aromatherapy for family anxiety reduction in intensive care unit waiting rooms: A systematic review Suyanto, Sukran; Amal, Ahmad Ikhlasul; Melastuti, Erna; Wahyuningsih, Indah Sri
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.733

Abstract

Background: Family members who wait for patients in intensive care units frequently experience anxiety due to uncertainty, emotional burden, and fear related to critical illness. Non-pharmacological interventions such as Qur’anic murottal therapy and lavender aromatherapy have been increasingly explored because both approaches may promote relaxation, emotional comfort, and psychological stability in stressful clinical situations. However, evidence regarding their combined effectiveness for reducing anxiety among families in ICU waiting rooms remains limited and scattered across different clinical contexts. Objective: This systematic review aimed to examine the effectiveness of combined Ar-Rahman murottal therapy and lavender aromatherapy for reducing anxiety among family members in intensive care unit waiting rooms. Methods: This study used a systematic review design and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. Literature searches were conducted in ClinicalKey for Nursing, SAGE Journals, ProQuest, and Google Scholar using combinations of keywords related to murottal therapy, lavender aromatherapy, anxiety, ICU, and family health. Studies published in English or Indonesian within the last 10 years were considered. Experimental and quasi-experimental studies were included, while irrelevant studies, methodologically weak articles, grey literature, and studies outside the review focus were excluded. Study selection, quality appraisal, and data extraction were conducted independently by two reviewers. Of 1,942 records initially identified, 12 full-text articles were assessed, 2 were excluded because of high risk of bias, and 10 studies were included in the final synthesis. Results: The included studies showed that the combination of Ar-Rahman murottal therapy and lavender aromatherapy was associated with reduced anxiety across several clinical contexts. The strongest evidence came from studies involving family members in ICU waiting rooms, where the combined intervention significantly reduced anxiety levels. Indirect evidence from preoperative, inpatient, and waiting-room populations supported the anxiolytic potential of both therapies. Overall, the findings suggested a consistent positive direction of effect, although the evidence remained heterogeneous in terms of population, setting, intervention duration, and measurement instruments. Conclusion: Combined Ar-Rahman murottal therapy and lavender aromatherapy appears to be a promising complementary intervention for reducing anxiety among family members in ICU waiting rooms. Nevertheless, further rigorous studies focusing specifically on ICU family populations are needed to strengthen the evidence base and support wider implementation in family-centered critical care nursing.  
Co-Authors Agustia Abida Mu’awanah Aldilla Aini Rahma Latifa Amelia Putri Khoirunnisa Angga Khoerul Rizal Arum Puspa Suryani Putri Aurora Almira Darwanto Baehaqi Cahyaningtias, Yulianti Dela Arum Lorensa Dwi Heppy Rochmawati Dwi Retno S Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyoningsih Ekawati Ekawati Eko Anggoro Santoso Endang Purwati Erna Melastuti Erna Melastuti Erna Melastuti, Erna Fajar Ibnu Abdulrohman Febriana, Lina Fitri Cahyaningrum Hanun Nazih, Hanun Nazih Hendrawan, Gagah Satria Heppy Salsabella Hermansyah, Davit Hernugroho, Ananto Herry Susanto Husnul Mubarok Indah Sri Wahyuni Indah Sri Wahyuningsih Indah Sri Wahyuningsih Issroviatiningrum, Retno Istiadah, Ika Lilis Janitra, Fitria Endah Khudoifah, Umi Khusna, Ima Rotul Kinasih, Puji Setya Kurnia Wijayanti Luthfi Indriyani Maharani Puspita Putri Mauliani, Dian Putri Maulidan Nurun Nabila Megani Ifa Algandira Mochammad Saiqul Ulum Moh Saefudin Mohammad Arifin Noor Mohammad Arifin Noor Muawanah, Agustia Abidatul Muh. Abdurrouf Mustafiatun, Siti Naila Hilya Neli Izatil Minah Nia Julian Wati Nila Maulida Awaliya Ramadhani Nizar Fahmi Noer Chariesmalillah Nopi Nur Khasanah Norfita Ashari Nur Indah Febriani Nurrahmah, Maulidiya Qotrun Nada Salsabila Rahmila, Sri Salma Retno Issroviatiningrum Retno Issroviatiningrum Retno Setyawati Retno Setyawati Retno Setyawati Rika Dian Mustika RISKA WAHYUNI Rizsa Aulia Anindhita S. Suyanto Safaatul Intani Saidah Qodtamalla Sari, Dyah Wiji Puspita Senia Pangestu Luhur Cahya Shinta Dewi Lestari Siti Karomah Siti Khoridah Dwi Aryani Siti Masamah Siti Rohmah Sri Wahyuni Suyanto Suyanto Suyanto Suyanto, Sukran Tika Roudotul Janah Tika Roudotul Jannah Wahyu Puspitasari Yani Istadi Yeni Rusyani Yuniartin, Irianita Ervin Zamroni Zyarohtul Wildan Navilda