The Effect of Quran Recitation to Pain and Comfort Feeling on Patients with Reduced Consciousness in UNS Hospital
Abstract
Patients with reduced consciousness still have the ability to feel the surrounding condition. It becomes the basis of therapeutic communication development, which one of the components is identifying the pain scale which is inversely proportional to comfort. The Quran recitation brings relaxation for its listeners so that it is an appropriate modality to provide comfort. This study aimed to analyze the influence of Quran recitation to patients with reduced consciousness on pain scale and comfort. There were 12 patients with reduced consciousness aged over 18 years without a history of deafness. The consciousness was assessed by Glasgow Coma Scale with a score of 4 to 14. The patients were divided into two groups equally: (1) intervention group (T) with the Quran recitation given 3 times a day for 3 days and (2) control group without intervention (C). Pain scale was quantified using a visual analogue scale, faces pain rating scale, and comfort scale before and after treatment and done by three observers. Meanwhile, blood cortisol test was conducted after treatment. Document and content analysis was conducted on the interview results of patient and family satisfaction by three coders. T group showed similarities on easiness to get asleep, feeling of not lonely, and memory of powerful life. Meanwhile, C group showed similarities on the annoying sound outside and difficulty to get asleep. Measurement of pain scale in T group by using a visual analog scale (p=0.263), faces pain rating scale
(p=0.568) and comfort scale (p=0.35) did not show a significant difference between pre and post-test. Cortisol level showed higher trend in T group compared to C group although not significantly different (p=0.286). The Quran recitation in patients with reduced consciousness brings comfort was explained by the interview results as their consciousness gradually improves.
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