The Effectiveness of Spiritual Therapy in Reducing the Anxiety Level of Preoperative Patients


Pre-surgical anxiety is an anticipative response to an experience regarded by clients as a threat to their life and bodily integrity. Spiritual therapy is an alternative treatment used by the religious through prayer and dzikir. This study aims to determine the effectiveness of spiritual therapies on the level of patient anxiety in preoperative patients. This research used a pre-experiment with a post-test-only design. Fifty respondents were taken by total sampling and divided into two groups (intervention and control group); each group consisted of 25 patients. The research was conducted from September to October 2020 at the University of Muhammadiyah Malang hospital. The dependent variable was anxiety level, measured by SAS (Zung self-rating anxiety scale) questionnaire. The data were analyzed with Mann Whitney Test using SPSS software version 23. The intervention group had mild anxiety at 52%, while the control group had 80%. The statistical test obtained a p-value of 0.016 < 0.05 and an effect size of 0.34 (moderate). This means that there is a difference in anxiety levels between the two groups. Spiritual therapies can enhance emotional intelligence, interpret its condition, and be aware of anything in favor of Allah SWT to improve coping and lower the level of anxiety. The nurse may provide spiritual intervention to pre-surgery patients to reduce their level of anxiety.

Keywords: anxiety, spiritual therapy, pre-operation, dzikir

[1] Pujiani AR. Tingkat Kecerdasan Spiritual dan Tingkat Kecemasan Pasien Pre Operasi. Adi Husada Nursing Journal [Internet]. 2017 [cited 2022 Jun 30]; Available from:

[2] El R, Silaban RN, Fatonah S. Pengaruh Dukungan Spritual terhadap Tingkat Kecemasan pada Pasien Pre-Operasi. Jurnal Kesehatan. 2018 May;9(1):138.

[3] Darma P, Rosmaharani S, Nahariani P. The Correlation of Spiritual Need Fulfillment With Pre Operative Patient’s Anxiety Level. Jurnal Ilmiah Keperawatan. 2017;3(2).

[4] Andi Palla, Muhammad Sukri, Suwarsi. Faktor-Faktor Yang Berhubungan Dengan Tingkat Kecemasan Pasien Pre Operasi. Jurnal Ilmiah Kesehatan Pencerah. 2018 July; 7(1).

[5] Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, et al. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. Minerva Anestesiol. 2018 Nov;84(11):1307–17.

[6] Ayyadhah Alanazi A. Reducing anxiety in preoperative patients: a systematic review. Br J Nurs. 2014 Apr;23(7):387–93.

[7] Yanti NP. Pemberian Video Edukasi Menurunkan Kecemasan Pasien Coronavirus Disease 2019 di Rumah Sakit. Jurnal Ilmu Keperawatan Jiwa [Internet]. 2021 [cited 2022 Jul 9];4(2):329–38. Available from:

[8] Nurhayati S, Indhit Tri utami, Atika Sari SH, Luthfiyatil Fitri N. The Relationship of Spiritual Support to the Anxiety Level of Pregnant Women Trimester III in the Era of the COVID-19 Pandemic. Jurnal Wacana Kesehatan. 2021;6(2).

[9] Marliyanadifa, Elda Fitri F. Marliyanadifa, Elda Fitri F. Penerapan Terapi Spiritual Dzikir Terhadap Tingkat Kecemasan Pasien Diabetes Mellitus di Wilayah Kerja Puskesmas Beringin Raya Kemiling Bandar Lampung. Jurnal Kesehatan Baitul Hikmah. 2022 Jun;1(2):70–6.

[10] Supriani A, Siswantoro E, Mardiana HR, Rosyidah NN, Ulil Abshor M. Pengaruh Bimbingan Relaksasi Spiritual Terhadap Kecemasan Pada Pasien Pre Operasi di Ruang Sunan Drajat RSI Sakinah Kabupaten Mojokerto. Jurnal Nurse and Health, LPPM Akper Kerta Cendekia Sidoarjo [Internet]. 2017;6(2):30–9. Available from:

[11] Erlangga Galih ZN. Heryanto Adi Nugroho, Abdurrahman, Henni Kusuma. Terapi Spiritual Terhadap Kecemasan dan Depresi Pada Pasien Hemodialisis : Literatur Review. Jourkep. Journal Keperawatan [Internet]. 2022;1(1):36–42. Available from:

[12] Yuli Permata Sari. The Influence of Spiritual Therapy Against the Level of Anxiety the Family of Stroke Patients in Inpatient Installation C RSSN Bukittinggi. Islamic Education Journal . 2019;1(Mei):49–61.

[13] Virgianti Nur Faridah. Terapi Murottal (Al-Qur’an) Mampu Menurunkan Tingkat Kecemasan Pada Pasien Pre Operasi Laparatomi. Jurnal Keperawatan. 2015;6(1):63– 70.

[14] Nurlina N, Nursyamsi. Pengaruh Terapi Dzikir Terhadap Tingkat Kecemasan Pada Pasien Pre dan Post Operasi. Jurnal Kesehatan Panrita Husada. 2019 Sep;4(1):17–29.