Lono Wijayanti, Yurike Septianingrum, Achmad Sultoni, Andikawati Fitriasari, Erika Martining Wardani, Lucky Ramadhani
This study aims to analyze the effect of a combination of dhikr and salawat on anxiety and sleep quality in hemodialysis patients. A single-center randomized control trial was conducted in an Islamic hospital in Surabaya, Indonesia, from June until July 2023. The instrument uses the Hamilton Anxiety Rating Scale (HARS) and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive tests, t tests, and Cohen’s d. There were 54 participants, and 53 of them completed baseline and post-intervention evaluations. Mean anxiety levels decreased from pre to post in the intervention group (p < 0.05). In addition, in the experimental group, sleep quality improved significantly after the intervention compared to before the intervention (p < 0.001). Analysis of independent t test showed a significant difference in HARS scores and PSQI scores between the intervention groups (p < 0.001). A combination of dhikr and salawat is effective in reducing anxiety and improving sleep quality in hemodialysis patients. Further, spiritual care, such as dhikr and salawat, can be used as complementary methods in nursing practice to improve the quality of life of hemodialysis patients. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2025.
Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama, Campus A UNUSA, Jalan SMEA No. 57, Surabaya, Indonesia; Department of Arabic, Faculty of Letters, Universitas Negeri Malang, Jalan Semarang No. 5, Malang, Indonesia
