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Shortness of breath is one of the main problems experienced by patients with respiratory disorders such as chronic obstructive pulmonary disease (COPD), asthma, pulmonary tuberculosis, and lung cancer. This condition can reduce oxygen saturation, which leads to limitations in physical activity, decreased quality of life, and an increased risk of hypoxemia that may become fatal if not immediately addressed. The management of dyspnea is not only carried out through pharmacological therapy but also through non-pharmacological interventions that are simple, safe, and easy to apply by health care providers. One such intervention is the tripod position and pursed-lip breathing technique. The tripod position is a sitting posture in which the patient leans forward with both hands supporting the body on the knees or a table, thereby facilitating maximum chest expansion. Meanwhile, pursed-lip breathing is a breathing technique performed by inhaling through the nose and exhaling slowly through pursed lips, which prolongs the expiratory phase, reduces trapped air, and improves alveolar ventilation. This study aimed to determine the effectiveness of applying these two techniques in increasing oxygen saturation among patients with dyspnea in the Emergency Department of RSUD Limpung. The research design was a case study involving four patients diagnosed with COPD, asthma, pulmonary tuberculosis, and lung cancer. The intervention was carried out by assisting patients to sit in a tripod position and training them in pursed-lip breathing for approximately 10 minutes. Oxygen saturation was measured using a pulse oximeter before and after the intervention. The results showed an increase in oxygen saturation in all patients, from 92–97% to 95–99% after the intervention. In conclusion, tripod position and pursed-lip breathing proved to be effective non-pharmacological therapies that can be recommended in emergency nursing practice to reduce dyspnea and improve oxygenation.

The knowledge and acceptance of nurses toward patients with HIV/AIDS (PLHIV) play a crucial role in improving the quality of nursing care. A lack of knowledge and insufficient understanding can lead to poor care quality and health outcomes for PLHIV patients. This study aims to analyze the relationship between nurses' knowledge level and stigma toward PLHIV. This study used a correlational analytic design with a cross-sectional approach, where data were collected from 63 respondents, consisting of nurses working in hospitals, specifically in the PLHIV wards. Data were analyzed using the Chi-Square test to examine the relationship between the variables of nurses' knowledge and stigma toward PLHIV. The results showed that 63.5% of nurses had adequate knowledge about HIV/AIDS, while 14.3% had insufficient knowledge. The majority of nurses working in PLHIV wards demonstrated sufficient understanding, which could potentially influence their acceptance attitude toward patients. Statistical analysis revealed a significant relationship between nurses' knowledge level and stigma toward PLHIV (p < 0.05). This highlights the importance of improving nurses' competence through continuous training and education to reduce stigma and enhance professionalism in providing care to PLHIV patients. This study is expected to serve as a basis for the development of educational and training programs for nurses to improve their understanding of HIV/AIDS and minimize stigma toward PLHIV.

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

Nosocomial infections continue to be a critical challenge in healthcare settings, often emerging within two to four days after patients begin receiving treatment. Such infections not only prolong hospital stays but also increase morbidity, mortality, and healthcare costs. One of the most effective strategies for preventing nosocomial infections is ensuring strict adherence to handwashing procedures by nurses, who play a central role in direct patient care. This study aimed to evaluate nurses' adherence to handwashing procedures and to examine the relationship between the presence of role models and this adherence. A quantitative research method with a cross-sectional design was employed, involving 103 purposively selected respondents. Data collection was carried out using a structured questionnaire, and analysis was performed using the Spearman correlation test. The results indicated that the majority of respondents were between 26 and 45 years old and predominantly female. Findings revealed that most nurses rated role models as good (80.6%), which was consistent with their high level of handwashing compliance (80.6%). Statistical analysis demonstrated a significant relationship between the presence of role models and adherence to handwashing procedures (p = 0.000; r = 0.235), although the correlation was categorized as weak. These results highlight the importance of role modeling in promoting good clinical practices. Strengthening positive role models in clinical environments can serve as an effective strategy to improve hand hygiene adherence among nurses, thereby reducing the risk of nosocomial infections and enhancing patient safety.

Background: Diabetes mellitus (DM) is a chronic disease and a global health problem with an increasing prevalence that often leads to serious complications if not well controlled. Optimal self-care behavior, including diet regulation, physical activity, blood glucose monitoring, and adherence to medication, plays a crucial role in maintaining stable blood glucose levels and improving quality of life. Objective: This study aims to investigate the relationship between self-care behavior and blood glucose levels among individuals diagnosed with diabetes mellitus who are receiving treatment at Kedungwuni 1 Public Health Center. Methods: This research employed an observational analytical design with a cross-sectional approach. A total of 109 respondents diagnosed with DM were selected through total sampling. Data on self-care behavior were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire, while blood glucose levels were measured using a glucometer. Data were analyzed using the Spearman correlation test with a significance level of α = 0.05. Results: The findings showed that most respondents demonstrated poor self-care behavior (72.5%) and almost half were within the diabetes range of blood glucose levels (49.5%). Bivariate analysis revealed a significant positive correlation between self-care behavior and blood glucose levels (p = 0.000; r = 0.547). Conclusion: Better self-care behavior is associated with better blood glucose control. These results emphasize the importance of strengthening health education and self-management programs to improve self-care practices in diabetic patients.

Patient safety is a critical component of healthcare services, particularly as it directly impacts patient outcomes and the quality of hospital care. Nurses, as the frontline health professionals, play an essential role in implementing patient safety standards. This study aimed to analyze the relationship between nurses’ knowledge and attitudes toward the implementation of patient safety at Baitul Hikmah General Hospital Kendal. A descriptive correlational design with a cross-sectional approach was employed. The study recruited 78 nurses using a total sampling technique, and data were collected through questionnaires that had been previously tested for validity and reliability. The results indicated that the majority of nurses demonstrated good levels of knowledge and attitudes, which were reflected in their adherence to patient safety practices. Bivariate analysis using the Spearman Rho test revealed a significant relationship between nurses’ knowledge (p-value = 0.008; r = 1.000) and attitudes (p-value = 0.008; r = 0.297) with the implementation of patient safety. These findings suggest that better knowledge and positive attitudes among nurses significantly contribute to the proper implementation of patient safety protocols. Consequently, continuous education, training, and awareness programs are necessary to strengthen nurses’ knowledge and attitudes, thereby improving the quality of healthcare services and minimizing risks to patient safety in hospital settings.

Preterm birth remains a global health concern, with 1 in 10 babies worldwide born prematurely. In Indonesia, the preterm birth rate is 29.5%, with 19% in Central Java and as high as 30% in Kendal Regency. Preterm infants require specialized care, making maternal readiness a crucial factor in ensuring optimal home care. This study aimed to analyze the effect of educational interventions using a booklet on mothers’ knowledge and skills in caring for preterm infants. A quantitative quasi-experimental design with a pre- and post-test control group was employed. A total of 20 respondents were selected using purposive sampling. Bivariate analyses were conducted using the McNemar test for paired data and the chi-square test for unpaired data. The results showed a significant improvement in mothers’ knowledge after receiving education with the booklet (p < 0.05), whereas the lecture and leaflet methods showed no significant difference (p > 0.05). However, there was no significant improvement in caregiving skills in either the booklet group or the lecture and leaflet group (p > 0.05). In conclusion, booklet-based education effectively enhances maternal knowledge regarding preterm infant care but does not significantly improve caregiving skills. This highlights the need for practice-based interventions, such as hands-on training and demonstrations, to strengthen maternal competence in managing preterm infant care at home.

This study examines the relationship between nurses’ physical and mental workload and the implementation of patient safety at Baitul Hikmah General Hospital Kendal in 2025. Patient safety is a critical component of healthcare quality, and nurses, as the front-line providers, are directly involved in ensuring that safety standards are consistently maintained. However, high job demands often contribute to both physical and mental workload, which may affect compliance with patient safety practices. The research employed an analytical survey design with a cross-sectional approach, involving a total of 55 nurses from the emergency and inpatient units, selected using a total sampling technique. Data were collected through structured questionnaires assessing physical workload, mental workload, and adherence to patient safety procedures. Descriptive results showed that most respondents were in their productive age group, held a Diploma in Nursing, and had more than five years of clinical experience. The inferential analysis revealed a significant relationship between physical workload and patient safety (p-value = 0.023), whereas no significant relationship was found between mental workload and patient safety (p-value = 0.089). These findings suggest that while physical workload has a measurable impact on the implementation of patient safety, non-physical factors such as emotional maturity, professional responsibility, and coping strategies may play a more crucial role in ensuring safe and effective patient care. The study highlights the need for hospital management to address workload distribution and strengthen supportive measures that enhance nurses’ resilience and adherence to patient safety standards.

The family has an important role in the treatment process of cancer patients, especially in providing motivation during treatment. Social support from families has a great influence on the psychological condition of breast cancer patients undergoing chemotherapy. As the health workers who interact most intensely with patients, nurses play a role in empowering families through education and counseling to improve the quality of support provided. This study aims to analyze the relationship between social support and motivation to recover in breast cancer patients at RSI Sultan Agung Semarang. The study used a correlational descriptive design with a cross-sectional approach. The sample consisted of 77 respondents who were selected using purposive sampling techniques based on certain inclusion criteria. Data collection was carried out through a structured questionnaire, and statistical analysis was carried out using the Pearson correlation test. The results showed a significant relationship between social support and motivation to recover, with a correlation value of 0.478 and a p-value of 0.000 (p < 0.05). These findings suggest that the higher the level of social support patients receive, the greater their motivation to recover. The conclusion of this study is that social support has a positive contribution to increasing the healing motivation of breast cancer patients. Therefore, nursing interventions that actively involve families need to be improved as part of a holistic approach to the care of cancer patients.

Work stress is a prevalent and complex phenomenon frequently encountered by inpatient nurses as a result of the intense physical, emotional, and psychological demands inherent in their professional responsibilities. Nurses are required to deliver high-quality care under conditions of time pressure, emotional strain, and patient diversity, which can increase their susceptibility to stress. Individual factors—including age, gender, marital status, years of service, personality type, and self-assessment—play a crucial role in shaping nurses’ capacity to adapt to these pressures and maintain their performance. This study aims to comprehensively describe the influence of individual factors on work stress among inpatient nurses at RSUP Dr. Sitanala in 2025. Employing a quantitative descriptive design with a cross-sectional approach, a total of 34 inpatient nurses were recruited using total sampling. Data were collected using the NIOSH Job Stress Questionnaire, which measures multiple aspects of job-related stress. The results indicate that younger nurses, those with shorter work tenure, and individuals exhibiting type A personality traits are more vulnerable to experiencing high levels of stress compared to their counterparts. These findings underscore that individual characteristics significantly contribute to variations in work stress levels. The study emphasizes the importance of developing responsive human resource management strategies, such as stress management training, mentoring, and supportive work environments, to strengthen resilience and improve nurses’ well-being. By identifying and addressing these individual factors, healthcare organizations can enhance employee retention, promote patient safety, and ensure sustainable quality of care.

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.

Anemia in pregnancy is a major health problem that increases maternal and fetal morbidity and mortality, thus requiring prompt and appropriate management. This study aimed to describe nursing care for Mrs. D, a 19-year-old primigravida with anemia in the Nusa Indah Ward of RSUD dr. Soeselo, Tegal Regency. The method used was a case report with data collected through interviews, direct observation, and medical record review during hospitalization from January 13–15, 2025. Assessment results showed a hemoglobin level of 6.5 g/dL with clinical signs of pallor, cold extremities, tachycardia, and complaints of dizziness and weakness. The nursing diagnoses established were ineffective peripheral perfusion and risk for nutritional deficit. Interventions included monitoring vital signs, providing nutritional education, administering iron and folic acid supplements, and collaborating on blood transfusion. Evaluation indicated both subjective and objective improvement, and the nursing problems were resolved. In conclusion, comprehensive and collaborative nursing care contributed to the improvement of the patient’s condition with pregnancy-related anemia.

Nurses’ response time is a crucial indicator of service quality in the Emergency Department (ED). A prompt response not only plays a vital role in ensuring patient safety but also significantly affects patient satisfaction with the care received. Patient satisfaction in the ED is often considered a benchmark of hospital quality, as the ED operates 24/7 and frequently deals with critical conditions. This study aimed to determine the relationship between nurses’ response time and patient satisfaction in the ED of Harapan Anda Islamic General Hospital, Tegal. This study employed an observational analytic design with a cross-sectional approach. A total of 92 ED patients were included as samples based on inclusion criteria. Nurses’ response time was measured using a stopwatch, starting from the completion of triage until the first contact with the nurse. Patient satisfaction was assessed using the standardized Brief Emergency Department Patient Satisfaction Scale (BEPSS) questionnaire. Data analysis was conducted using Pearson’s Chi-Square test to examine the relationship between the two variables. The results showed that 75 patients (81.5%) experienced a fast response time, while 72 patients (78.3%) reported being satisfied with the care provided. Statistical analysis yielded a Pearson’s Chi-Square value of 11.933, with an odds ratio of 6.545 and a significance level of 0.001 (p < 0.05). These findings indicate a significant association between nurses’ response time and patient satisfaction. In conclusion, nurses’ response time is strongly related to patient satisfaction in the ED of Harapan Anda Islamic General Hospital. Other factors such as effective communication, clinical competence, ED environment, and triage system may also influence satisfaction and should be considered in future studies.

In order for hospitals to detect and intervene early, pediatric patient care must be of high quality. When making clinical decisions, assessing the risk of clinical deterioration, and providing appropriate emergency and critical care, the Pediatric Early Warning Score (PEWS) can be an excellent tool for nurses. This study aims to determine how Harapan Anda Hospital in Tegal City applies patient safety compliance and adherence to PEWS implementation. A cross-sectional approach was used in this quantitative study. A complete sampling approach was used to generate a sample size of 88 nurses from various healthcare facilities, including pediatric inpatient wards, PICU, NICU, and the emergency department. Patient safety surveys and PEWS compliance surveys were used to collect data. Spearman's test was used to analyze the data. The results showed that the majority of individuals (45 out of 63) were categorized as compliant in the implementation of the Pediatric Early Warning Score (PEWS). Meanwhile, the majority of nurses, 41 out of 106, or 46.6%, were compliant in their efforts to ensure patient safety. There was a significant relationship between the compliance of PEWS implementation and patient safety at RSU Islam Harapan Anda Tegal City with a p-value of 0.000. The results of this study are expected to be applied by healthcare workers to implement PEWS according to procedure, in order to ensure pediatric patient safety quickly and accurately.

Improving caregiver literacy regarding early childhood development is a strategic step to ensure optimal child growth and development. This educational activity was conducted at the Mawar Integrated Health Post (Posyandu Mawar), Tampingan Village, Boja District, involving 20 caregivers as active participants. The series of activities were systematically arranged, including a pre-test to determine the level of initial understanding, counseling through a lecture method accompanied by comprehensive material delivery, interactive discussions that allowed participants to exchange experiences, practice of child development stimulation as a form of direct skills, and a post-test to assess improvements in learning outcomes. The analysis results showed that the educational activity had a significant impact on improving caregiver literacy. The average pre-test score of 53.25 (SD = 9.54) increased to 69.60 (SD = 10.30) in the post-test. The average difference of 16.35 (SD = 5.84) with a 95% confidence interval between 13.62–19.08 indicated a significant increase. The paired t-test yielded a value of t(19) = 12.515 with p < 0.05, confirming a significant difference between the scores before and after the program. The percentage increase of 30.7% indicates the effectiveness of the applied educational method. The recommendation from this activity is the need to develop an educational program that is carried out in a sustainable and structured manner, accompanied by mentoring involving health workers, PAUD educators, and support from the village government, so that caregiver literacy can continue to increase and optimal child growth and development can be guaranteed from an early age.

This study aims to analyze the influence of Multidimensional Service Quality, Perceived Value, and Customer Relationship Management (CRM) on Customer Satisfaction, with Customer Engagement as a mediating variable at Awal Care Veterinary Clinic in East Jakarta. The research background is driven by a significant decline in patient numbers in 2023 and intense competition in the veterinary healthcare sector. This study employs a quantitative correlational approach using purposive sampling, involving 310 respondents who are clients of the clinic. Data were collected through a questionnaire with a 6-point Likert scale, and analyzed using the Structural Equation Modeling Partial Least Squares (SEM-PLS) method. The results indicate that all independent variables service quality, perceived value, and CRM—have a positive and significant influence on both customer engagement and customer satisfaction. Customer engagement is also found to have a significant impact on customer satisfaction. Furthermore, all indirect relationships through the mediation of customer engagement are significant, indicating that customer engagement serves as an important partial mediator. The R² value of 0.646 demonstrates that the model has strong predictive power for customer satisfaction. These findings highlight the importance of strengthening experience-based strategies and fostering emotional and cognitive connections with customers. This study contributes theoretically to the field of service marketing and provides practical implications for veterinary clinic management in enhancing customer satisfaction and loyalty.

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Dental and oral health is still a significant problem in Indonesia. Riskesdas 2018 data shows that 57.6% of the population has dental and oral problems, while only 2.8% brush their teeth properly. This condition is a serious concern because untreated dental caries can develop into pulp necrosis and subsequently radical gangrene. Both conditions have the potential to cause infections that can interfere with people's quality of life if not treated immediately. This study aims to compare the prevalence of visits to pulp necrosis and radical gangrene based on gender and age at the UPTD Baturiti II Tabanan Health Center during January-March 2025. The research uses a quantitative descriptive method with a purposive sampling technique based on secondary data from the E-Puskesmas system. The results showed that the prevalence of gangrene radicals (7.2%) was higher than that of pulp necrosis (5.9%). Female patient visits were more dominant in both cases, namely 52.7% in pulp necrosis and 56.5% in radical gangrene. The age distribution showed that the age group of 20–44 years dominated in cases of pulp necrosis (42.1%), while gangrene radicals occurred more in the age group of 45–59 years (34.8%). These results indicate a delay in dental care that contributes to the progression of the disease. The high number of these incidents cannot be separated from behavioral factors and the low level of public knowledge in maintaining dental and oral health. Therefore, increasing communication, information, and education efforts at the level of primary health care facilities is essential to encourage public awareness. Early detection and timely treatment are key in preventing serious complications such as pulp necrosis and radical gangrene.

Coronary heart disease is one of the major health problems that not only affects the physical condition of patients but also impacts their psychological state, particularly anxiety. Anxiety levels in patients with coronary heart disease usually increase when they are about to undergo invasive medical procedures such as Percutaneous Coronary Intervention (PCI). Anxiety can be influenced by several factors, including age, gender, educational level, and occupation. High levels of anxiety may worsen the patient’s clinical condition, making appropriate non-pharmacological interventions highly necessary to help reduce anxiety. This study aims to determine the effect of spiritual support in the form of dzikir on the anxiety levels of patients with coronary heart disease. The research design used was a true experimental design with a pretest-posttest control group design. The sample consisted of 30 respondents who were evenly divided into two groups: 15 respondents in the intervention group and 15 respondents in the control group. The sampling technique used was total sampling. The instrument for measuring anxiety was the Hamilton Anxiety Rating Scale (HARS). The results showed that providing spiritual support in the form of dzikir was effective in reducing patient anxiety, with a p-value of 0.001. In addition, there was a significant difference in post-therapy anxiety levels between the control and intervention groups, with a p-value of 0.019 (p < 0.05). These findings demonstrate that dzikir, as a form of spiritual support, can be used as a non-pharmacological intervention to reduce anxiety in patients with coronary heart disease. Thus, spiritual support can be an important component of nursing care for patients in the ICU.