Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Vol. 8 No. 2 (2026): Indonesian Journal of Anesthesiology and Reanimation (IJAR)

Association of Pre-Operative Islamic Assistance with Anxiety Reduction Among Surgical Patients: A Pre-Experimental Study

Nova Maryani (Universitas Muhammadiyah Yogyakarta)
Miftahulhaq (Department of Islamic Studies for Medicine and Health Center, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta)
Ardi Pramono (Departement of Anesthesiology and Intensive Therapy, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta)
Muhammad Arif Rizqi (Department of Psychology, Faculty of Psychology, Universitas Muhammadiyah Yogyakarta, Yogyakarta)
Yosy Budi Setiawan (Departement of Anesthesiology and Intensive Therapy, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta)
Hana Maliha Ruhaini (Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta)
Winny Setyonugroho (Department of Technology Information, Faculty of Engineering, Universitas Muhammadiyah Yogyakarta, Yogyakarta)



Article Info

Publish Date
31 Jul 2026

Abstract

Introduction: Preoperative anxiety is a common psychological response among patients undergoing elective surgery and may contribute to adverse physiological and psychological outcomes. Spiritual care has been increasingly explored as a complementary non-pharmacological approach to support patients before surgery. Objective: To examine the association between pre-operative Islamic assistance and changes in anxiety levels among patients undergoing elective surgery. Methods: A quantitative pre-experimental study using a one-group pretest–posttest design was conducted among 56 adult patients undergoing elective surgery who were recruited using purposive sampling. Participants received a structured pre-operative Islamic assistance session consisting of spiritual education, prayer guidance, and dzikr. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using a paired-sample t-test at a 95% confidence level. Results: Anxiety scores significantly decreased following the intervention (mean difference=1.05, SD=0.22, t(55)=34.7, p<0.001; 95% CI: 0.99–1.11). Lower anxiety scores were observed after the intervention; however, because no control group was included, these findings should be interpreted as an association rather than evidence of a causal effect. Conclusion: Structured pre-operative Islamic assistance may be associated with reduced anxiety among patients undergoing elective surgery. Randomized controlled trials with larger samples are warranted to confirm these findings before broader implementation.

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Journal Info

Abbrev

IJAR

Publisher

Subject

Medicine & Pharmacology

Description

IJAR is a scientific journal published by Department of Anesthesiology and Reanimation, Faculty of Medicine Universitas Airlangga. IJAR is an English language journal. IJAR FOCUSES original research, review article, case report, and correspondence, on anesthesiology; pain management; intensive care; ...