THE IMPACT OF SURAH AL-REHMAN RECITALS HEARING ON PAIN AND LENGTH OF ICU STAY
DOI:
https://doi.org/10.54112/pjicm.v4i01.30Keywords:
Intensive Care Units, Pain Management, Postoperative Pain, Prospective Studies, Quran, Spiritual Therapies, Visual Analog ScaleAbstract
Background: Pain management is crucial for patients admitted to the ICU, particularly those with significant pain levels. Non-pharmacological interventions, including spiritual practices, have been proposed to alleviate pain. Objective: To evaluate the effects of listening to the Surah Al-Rehman on pain and length of stay (LoS) in the ICU and hospital among patients with a pain score greater than 5 on the visual analog scoring system (VAS). Study Design: Prospective case-control study. Setting: The study was conducted at Bahria Town International Hospital Lahore. Duration of Study: September 2021 to August 2023. Material and Methods: Patients who met the inclusion criteria (aged 18 years or older, ICU admission, VAS pain score >5, ability to engage with the investigator, signed consent form, no hearing impairments, and no hemodynamic disturbances, minimum stay of four days at ICU) were enrolled. The intervention group (n=50) listened to Surah Al-Rehman for 20 minutes thrice daily for seven days. The control group (n=50) received standard care. Pain levels were measured using a numerical scale (0-10) at baseline and on the fourth day. Statistical analysis was performed using SPSS version 21. Results: The study included 100 patients admitted to the Department of Internal and Critical Care Medicine at Bahria International Hospital Lahore. Baseline pain levels were similar between groups. Post-intervention, the intervention group reported significantly lower pain scores (4.59 ± 2.41) than the control group (5.54 ± 2.64, p=0.03). A paired t-test showed a significant reduction in pain scores within the intervention group (p=0.03). The intervention group also had a significantly shorter ICU length of stay (LoS) (5.1 ± 4.18 vs. 6.41 ± 4.25 days, p<0.05) and hospital LoS (10.54 ± 3.45 vs. 15.84 ± 6.36 days, p<0.05). Conclusion: Listening to the Surah Al-Rehman significantly reduced pain and shortened ICU and hospital stays for patients admitted with high pain levels. These findings suggest that incorporating spiritual care, such as Quran recitation, may enhance postoperative recovery and reduce the need for pharmacological pain management.
References
Nordness MF, Hayhurst CJ, Pandharipande P. Current perspectives on assessing and managing pain in the intensive care unit. Journal of Pain Research. 2021:1733-44.
Shaikh N, Tahseen S, Haq QZU, Al-Ameri G, Ganaw A, Chanda A, et al. Acute pain management in intensive care patients: facts and figures. Pain management in special circumstances. 2018:59-71.
Nadeau SE, Wu JK, Lawhern RA. Opioids and chronic pain: an analytic review of the clinical evidence. Frontiers in Pain Research. 2021;2:721357.
Khairuddin WH, Ridzuan AR, Jasmi KA, Rahman A. Significance Of Al-Quran Recital Approaches And Neuroscience’s Principles On Covid-19 Patients During The Covid-19 Pandemic Among University Students In Malaysia. Journal of Pharmaceutical Negative Results. 2022:4344-54.
Moulaei K, Haghdoost AA, Bahaadinbeigy K, Dinari F. The effect of the holy Quran recitation and listening on anxiety, stress, and depression: A scoping review on outcomes. Health Science Reports. 2023;6(12):e1751.
Ali AH, Ahmed HS, Jawad AS, Mustafa MA. Endorphin: function and mechanism of action. Sci Arch. 2021;2(1):9-13.
Latif MM, Bhatti AH. Proximate Analysis of Holy Quran Recitations on Physiological, Psychological, and Neural Functioning in Muslims. International Journal of Islamic Khazanah. 2024;14(1):43-60.
Hirani S, Sajjad S, Gowani A, James HM, Gupta A, Kennedy M, et al. Psychosocial interventions and mental health in patients with cardiovascular diseases living in in low-and middle-income countries: A systematic review and meta-analysis. Journal of Psychosomatic Research. 2023:111416.
DeSantana JM, Perissinotti DMN, Oliveira JOd, Correia LMF, Oliveira CMd, Fonseca PRBd. Revised definition of pain after four decades. SciELO Brasil; 2020. p. 197-8.
Lorek M, Bąk D, Kwiecień-Jaguś K, Mędrzycka-Dąbrowska W, editors. The effect of music as a non-pharmacological intervention on the physiological, psychological, and social response of patients in an intensive care unit. Healthcare; 2023: MDPI.
Ford C. A guide to pain assessment and management in adults. British Journal of Nursing. 2024;33(5):246-51.
Schjødt B, Agdal ML, Vika ME. 3.1 Introduction–41 3.2 Pain: A Complex Phenomenon–41. Oral Health Psychology.39.
Rogers FB, Larson NJ, Rhone A, Amaya D, Olson-Bullis BA, Blondeau BX. Comprehensive review of current pain management in rib fractures with practical guidelines for clinicians. Journal of Intensive Care Medicine. 2023;38(4):327-39.
Hidayat AI, Purnawan I, Mulyaningrat W, Saryono S, Siwi AS, Rias YA, et al. Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study. Journal of Holistic Nursing. 2024;42(1):6-14.
Eid Aburuz M, Al-Dweik G, Ahmed FR. The Effect of Listening to Holy Quran Recital on Pain and Length of Stay Post-CABG: A Randomized Control Trial. Critical Care Research and Practice. 2023;2023.
Leanne Atkins B, Abeer Hussain B, DClinP KLA. The effects of listening to the Qur'an in the postoperative management of the patients undergoing laparoscopic cholecystectomy in the day surgery unit. Journal of PeriAnesthesia Nursing. 2023;38(1):58-62.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 R PERVAIZ, B ARIF, S RAZA, M JAVED, S ZARTASH, H WASEEM
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.