The Effect of Benson Relaxation Therapy and Murotal Surah Ar-Rahman on Anxiety in Patients With Diabetes Mellitus in The area of The Holy Ghost Sanctuary
DOI:
https://doi.org/10.51601/ijhp.v6i1.561Abstract
Diabetes mellitus is a chronic disease that often causes psychological stress, one of which is anxiety. Anxiety in people with diabetes can worsen health conditions and hinder the healing process. Non-pharmacological therapies such as benson relaxation therapy and Surah Ar-Rahman's murotal therapy are suspected to have the potential to lower anxiety levels based on several previous study results. The purpose of this study is to determine the effect of benzon and murottal therapy on the anxiety level of patients with diabetes mellitus. This study uses a quasi-experimental design with a pre test and post test control group design approach in one intervention group. There were 52 respondents, of which each group would get 26 respondents who were selected through purposive sampling techniques. Benson and murotal therapy interventions were given for 7 consecutive days with a duration of 10-15 minutes. Anxiety levels were measured before and after the intervention using the Depression Anxiety and Stress Scale questionnaire with a total of 21 questions. The results and discussion were obtained based on the Sapiro Wilk test and the T-test with the Paired Samples Test. The results of the analysis showed that the relaxation therapy of benson and murotal Surah Ar-Rahman had a significant effect on the anxiety level of Diabetes Mellitus patients in the Kaliwungu Health Center area, with a p-value of 0.001 (p<0.05). Meanwhile, the results of the comparison of the intervention group and the control group were with a p-value of >0.0001. The results of this study strengthen the theory that relaxation and spirituality-based nonpharmacological interventions are able to influence psychological responses, particularly in lowering anxiety levels.
Downloads
References
[1] Alwhaibi, M. (2024). Depression, Anxiety, and Health-Related Quality of Life in Adults with Type 2 Diabetes. Journal of Clinical Medicine, 13(20). https://doi.org/10.3390/jcm13206028
[2] American Diabetes Association (ADA). (2023). 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes—2023. Diabetes Care, 46(January), S158–S190. https://doi.org/10.2337/dc23-S010
[3] Astuti & Agus P. (2018). Reading the Quran Can Lower Blood Glucose Levels in Diabetic Patients. Journal of Nursing, 9(2), 479–486.
[4] Candra, I. W., Sumirta, I. N., Harini, I. G. A., & Sofatunisa, A. (2023). Self-Esteem and Depression Status of Diabetes Mellitus Patients in an Emotion Management Model Overcoming Psychosocial Problems. MEGA PRESS NUSANTARA. https://books.google.co.id/books?id=8pn8EAAAQBAJ
[5] Chaturvedi, S. K., Manche Gowda, S., Ahmed, H. U., Alosaimi, F. D., Andreone, N., Bobrov, A., Bulgari, V., Carrà, G., Castelnuovo, G., Girolamo, G. de, Gondek, T., Jovanovic, N., Kamala, T., Kiejna, A., Lalic, N., Lecic-Tosevski, D., Minhas, F., Mutiso, V., Ndetei, D., ... Sartorius, N. (2019). More anxious than depressed: Prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus. General Psychiatry, 32(4), 1–9. https://doi.org/10.1136/gpsych-2019-100076
[6] Dehghan, M., Namjoo, Z., Mohammadi Akbarabadi, F., Fooladi, Z., & Zakeri, M. A. (2021). The relationship between anxiety, stress, spiritual health, and mindfulness among patients undergoing hemodialysis: A survey during the COVID-19 outbreak in Southeast Iran. Health Science Reports, 4(4), 1–10. https://doi.org/10.1002/hsr2.461
[7] Dewi, M. (2020). Obesity Related Insulin Resistance: Endocrine And Cell Intrinsic Mechanism. 2(2), 49–54.
[8] Kudus Regency Health Office. (2024). Data on DM Sufferers at the Kaliwungu Health Center.
[9] Eroglu, H., & Gok Metin, Z. (2022). Benson Relaxation Technique Combined With Music Therapy for Fatigue, Anxiety, and Depression in Hemodialysis Patients: A Randomized Controlled Trial. Holistic Nursing Practice, 36(3), 139–148. https://doi.org/10.1097/HNP.0000000000000509
[10] Gavgani, V. Z. (2020). Effects of Quran Recitation on the Reduction of Preoperative Anxiety in Elective Surgery : A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Research Square, 1–10.
[11] Hernawaty, T., & Sriati, A. (2022). Relaxation Techniques To Reduce Anxiety: A Narrative Review. Journal of Scientific Horizons, 33(1), 1–12. file:///C:/Users/asus/Downloads/jurnal-teknik-relaksasi-menurunkan-kecemasan_compress.pdf
[12] IDF. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. IDF. https://www.sciencedirect.com/science/article/abs/pii/S0168822721004782?casa_token=PUqaKleRbzQAAAAA:96sPp6aNS4T_akTWh7_WPwxDBadO-wGLcqURVJdkTcyb5ggj6y1VDsidDtddFuNJwh6tnU4ZsQ
[13] International Diabetes Federation (IDF). (2025). Diabetes Around 2025. https://idf.org/about-diabetes/diabetes-facts-figures/
[14] Khan, P., Qayyum, N., Malik, F., Khan, T., Khan, M., & Tahir, A. (2019). Incidence of Anxiety and Depression Among Patients with Type 2 Diabetes and the Predicting Factors. Cureus, 11(3), e4254. https://doi.org/10.7759/cureus.4254
[15] Mandiri, J. S., Dinaryanti, R. S., Astuti, N., Sakit, R., & Prabumulih, P. (2023). The effectiveness of murotal therapy and benzone relaxation on the anxiety level of pre-cataract surgery patients at the eye polyclinic of Pertamina Prabumulih Hospital. 18(1), 123–136.
[16] Marhamah, E., Syamsudin, S., & Ramadhanty, A. (2021). Literature Review: Benson's Relaxation Technique on Blood Sugar Levels in Diabetes Mellitus. Journal of Nursing Karya Bhakti, 7(2), 49–61. https://doi.org/10.56186/jkkb.94
[17] Martadinata, U. H. (2024). The Effect of Dhikr Therapy on Reducing Stress in Type 2 Diabetes Mellitus Patients. Abdurrab Journal of Nursing, 8(1), 46–51. https://doi.org/10.36341/jka.v8i1.4675
[18] Mulia, S. (2020). The Effect of Benson Relaxation on Lowering Blood Sugar Levels in Type 2 Diabetes Mellitus Patients. Multi Science Scientific Journal of Health, 12(1), 10–18. https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/916/645
[19] Pohan, V. Y., & Admaja, P. Y. (2023). Application of Benson relaxation to anxiety and vital signs in preoperative patients. Young Ners, 4(2), 177. https://doi.org/10.26714/nm.v4i2.8125
[20] Praptomo, A. D., Winta, M. V. I., Maria, M., & Pratiwi, S. (2024). Psychological And Nonpharmacological Therapeutic Approaches To Anxiety And Stress In The Elderly: Literature Review. 5(September), 8297–8306.
[21] PURWASIH, E. O. (2017). The Effect Of Benson Relaxation And Murottal Therapy On Fasting Blood Glucose Levels And Stress Scores Of Patients With Type 2 Diabetes Mellitus. http://repository.umy.ac.id/handle/123456789/20897
[22] Purwasih, E. O., Permana, I., & Primanda, Y. (2017). Benson Relaxation and Murottal Therapy Surat Ar-Rahmaan Lowered Fasting Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus in Maos District. Scientific Journal of Nursing Health, 13(2). https://doi.org/10.26753/jikk.v13i2.211
[23] The Scarlet Witch. (2025). Data on DM Patients at Kaliwungu Health Center.
[24] Putri, D. T. (2023). The Dominant Factor That Causes Anxiety in Diabetes Mellitus Patients in the Working Area of the Tuban Health Center. Indonesian Multidisciplinary Journal, 2(8), 2009–2016. https://doi.org/10.58344/jmi.v2i8.411
[25] Rahmawati, Y., & Rosyid, F. N. (2025). Anxiety Management With Benson Relaxation Intervention In Preoperative Patients With Anxiety : 9, 4172–4177.
[26] Ratnawati, D., Siregar, T., & Wahyudi, C. T. (2018). Modified Benson Relaxation Therapy Effectively Controls Blood Sugar in the Elderly with Diabetes Mellitus. Journal of Medicine and Health, 14, 84. https://jurnal.umj.ac.id/index.php/JKK/article/view/2527
[27] Reis-Canaan, J. C., Canaan, M. M., Costa, P. D., Rodrigues-Juliatte, T. P., Pereira, M. C. A., Castelo, P. M., Pardi, V., Murata, R. M., & Pereira, L. J. (2021). Association between chronotype and nutritional, clinical and sociobehavioral characteristics of adults assisted by a public health care system in Brazil. Nutrients, 13(7), 6–8. https://doi.org/10.3390/nu13072260
[28] Rodianah, S., & Aisah, S. (2023). Decreased anxiety levels in patients with diabetes mellitus with the application of five-finger hypnosis relaxation therapy. Young Ners, 4(2), 213. https://doi.org/10.26714/nm.v4i2.8217
[29] Rohmawati, N., & Murtaqib, M. (2022). Combination of Benson Relaxation Therapy and 30-Degree Head-up Position for the Management of Nausea in Ischemic Stroke: A Case Study. Journal of Clinical and Community Nursing, 6(3), 183. https://doi.org/10.22146/jkkk.77216
[30] Rosada, S. A., & Pakarti, A. T. (2024). Application of Benson's Relaxation and Murottal Therapy of the Qur'an on Blood Sugar Levels When Patients With Diabetes Mellitus The Combination Application of Benson's Relaxation and Murottal Therapy of the Qur'an on Blood Sugar Levels When Patients Wit. 4, 592–598. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjk4du_69eEAxVmUGwGHZJJBBkQFnoECCMQAQ&url=https%3A%2F%2Fjurnal.akperdharmawacana.ac.id%2Findex.php%2FJWC%2Farticle%2Fdownload%2F628%2F433&usg=AOvVaw2Cjrn_IOd_te9yveQ9i
[31] Saleh, R., Maryunis, & Murtini. (2022). Overview of Anxiety, Depression, and Stress Levels in Patients with Diabetes Mellitus. Window of Nursing Journal, 87–97. https://doi.org/10.33096/won.v1i2.255
[32] Santos, M. A. B., Ceretta, L. B., Réus, G. Z., Abelaira, H. M., Jornada, L. K., Schwalm, M. T., Neotti, M. V, Tomazzi, C. D., Gulbis, K. G., Ceretta, R. A., & Quevedo, J. (2024). Anxiety disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a case-control study. Brazilian Journal of Psychiatry (Sao Paulo, Brazil: 1999), 36(4), 298–304. https://doi.org/10.1590/1516-4446-2013-1230
[33] Sari, D. W. I., Syarafina, F. Z., Ayuningtias, K., Rindiani, N. A., Setianingrum, P. B., Febriyanti, S., & Pradana, A. A. (2022). The Effectiveness of Benson Relaxation Therapy to Improve the Quality of Life of the Elderly: A Literature Review. Muhammadiyah Journal of Geriatric, 2(2), 55. https://doi.org/10.24853/mujg.2.2.55-61
[34] Sharma, K., Dhungana, G., Adhikari, S., Bista Pandey, A., & Sharma, M. (2021). Depression and Anxiety among Patients with Type II Diabetes Mellitus in Chitwan Medical College Teaching Hospital, Nepal. Nursing Research and Practice, 2021, 8846915. https://doi.org/10.1155/2021/8846915
[35] Indonesian Health Survey. (2023). In numbers in numbers. Indonesian Health Survey (SKI), 1–68.
[36] Syafyusari, F., & Afnuhazi, R. (2022). The Effect of Murottal Therapy on Anxiety in Diabetic Mellitus. Journal of Nursing Literature (Center for Access to Nursing Studies), 1(2), 32–38. https://doi.org/10.55382/jurnalpustakakeperawatan.v1i2.340
[37] Tri Hapsari, Diana Ros, T. A. (2022). Comprehensive nursing journal. 8(4). https://journal.stikep-ppnijabar.ac.id/jkk/article/view/443/282
[38] Utami, P., & Rahmawati, A. N. (2025). Application of Benson Relaxation Therapy in Patients with Diabetes Mellitus with Anxiety. Journal of Excellence Healthcare Excellence, 9(3), 1–7. https://kes.ojs.co.id/index.php/jkug/article/view/272/334
[39] Wandira, A. (2022). Effect of Benson Therapy on Lowering Blood Sugar Levels in Type 2 Diabetes Mellitus Patients: Literature Review. https://dspace.umkt.ac.id//handle/463.2017/3760
[40] WHO. (2024). Anxiety disorders. 16(1), 1–23. https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders
[41] World Health Organization. (2024a). Diabetes. WHO. https://www.who.int/news-room/fact-sheets/detail/diabetes
[42] World Health Organization. (2024b). Diabetes. WHO. https://www.who.int/en/news-room/fact-sheets/detail/diabetes
[43] Yahaya, T., & Salisu, T. (2020). Genes predisposing to type 1 diabetes mellitus and pathophysiology: A narrative review. Medical Journal of Indonesia, 29(1), 100–109. https://doi.org/10.13181/mji.rev.203732
[44] Zaini, M. (2019). Psychiatric Nursing Care: Psychosocial Issues in Clinical and Community Services. https://www.academia.edu/127060125/Asuhan_Keperawatan_Jiwa_Masalah_Psikososial_Di_Pelayanan_Klinis_Dan_Komunitas.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indah Listiyana Putri, Sukarmin, Heny Siswanti

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.




















