Patients undergoing surgery often experience pre-operative anxiety due to their health conditions, surgical procedures, or uncertainty about the process. Uncontrolled anxiety may affect psychological conditions and surgical readiness. Non-pharmacological interventions, such as finger-holding therapy combined with dhikr, can be used as an approach to reduce anxiety. This study aimed to analyze the effect of combining finger-holding therapy and dhikr on anxiety levels among pre-operative patients at PKU Muhammadiyah Boja Hospital. This study used a pre-experimental one-group pretest-posttest design involving 55 respondents selected through purposive sampling. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) and analyzed using the Wilcoxon Signed-Rank Test. Before the intervention, most respondents experienced mild anxiety (52.7%), followed by moderate anxiety (32.7%) and severe anxiety (14.5%). After the intervention, mild anxiety increased to 76.3%, moderate anxiety was 23.6%, and no respondents experienced severe anxiety or panic. The statistical analysis showed a p-value of 0.001 (p < 0.05), indicating a significant effect of the intervention. Therefore, the combination of finger-holding therapy and dhikr effectively reduces anxiety levels in pre-operative patients.
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