Publication Search

Anxiety is a common psychological issue among pregnant women in the third trimester, often triggered by fear of childbirth, concerns about fetal health, and hormonal changes. If not properly addressed, it may negatively affect both maternal and fetal outcomes. Non-pharmacological approaches, such as music therapy, are increasingly used to promote relaxation and emotional well-being. This study aimed to determine the effect of music therapy using spiritual songs on the anxiety levels of third-trimester pregnant women at GMIM Siloam Sonder Minahasa Hospital. A pre-experimental design with a one-group pretest–posttest approach was applied. The sample consisted of 30 pregnant women selected through total sampling. Anxiety levels were measured before and after the intervention using a validated instrument, and the data were analyzed using the Wilcoxon signed-rank test. The findings revealed a significant reduction in anxiety levels following the intervention. The statistical test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of spiritual music therapy on reducing anxiety. These results suggest that spiritual songs can provide emotional comfort, enhance relaxation, and foster a sense of peace among pregnant women. In conclusion, music therapy using spiritual songs is an effective, safe, and complementary non-pharmacological intervention to reduce anxiety in third-trimester pregnant women and can be considered as part of maternal healthcare support.

Aggressive behavior is one of the manifestations commonly found in individuals with mental disorders, and this can potentially cause harm both to themselves and to their surroundings. To address this condition, one non-pharmacological approach that can be implemented is the use of Mozart classical music therapy. This study aims to evaluate the impact of Mozart classical music therapy on patients who have the potential to exhibit violent behavior at Aceh Mental Hospital. The research activities were conducted from July 2 to 5, 2025. The research design adopted in this study is pre-experimental using the One group pretest-posttest Design method. The study subjects consisted of 15 inpatients who had been identified as being at risk for violent behavior, with sample selection carried out through purposive sampling. The findings of the study showed that the average score of signs and symptoms before the intervention was 5.73, with a score range of 3 to 8. After the intervention in the form of Mozart classical music therapy, the average score of signs and symptoms decreased significantly to 1.60, with a range between 1 and 2. Statistical analysis using the Wilcoxon Signed Rank test showed a Z value of -3.437 with a significance level of P = 0.000 (P < 0.05). Based on these results, it can be concluded that Mozart classical music therapy has a significant effect in reducing the risk of violent behavior in patients. Therefore, Mozart classical music therapy is recommended as an effective supportive intervention and can be routinely integrated into psychiatric care rooms.

Sleep disorders experienced by older people are difficulty falling asleep, maintaining sleep and difficulty returning to sleep after waking up at night, thus affecting sleep quality. One therapy that can improve sleep quality is music therapy. Music therapy is a stimulation that has a slow rhythm, a stable rhythm pattern that stimulates relaxation of the parasympathetic nervous system, thereby creating a relaxed atmosphere that supports increased sleep duration The researcher aims to provide an overview of nursing care for  the elderly with sleep disordes. The design usedin this nursing final scientifik paper ia a case study with clasical musik  therapi intervention. Therer respondent parcipated, and the intervention was conducted from Desember 20-23, art the Bhakti Kasih Siti Anna Pangkalpinang Elderly Home: After Four consecutive days of classical  musik therapi, thr three elderly individuals experienced  changes  in their PSQI scoret at the final meeting: Ms. E’s score increased from 17 to 13, Mrs. A’s ckore decreased from 19 to 12, and Mrs. M’s score decreased from 16 to 13. Classical musik therapi is effective in treating sleep disorders. The implementation of EBP is expected to provide additional information  regarding the provision of musik therapi to elderly individuals experiencing sleep disorders.

The elderly are a vulnerable group to experience decreased physical and cognitive function, such as hypertension and dementia, which can affect their quality of life. The Activity Therapy Program aims to improve the well-being of the elderly through laughter therapy, listening to music, and playing guess the word. The method used is group dynamics, which involves fun activities to stimulate the cognitive and social of the elderly. This activity is expected to increase social interaction, sensory stimulation, and improve the cognitive function of the elderly. The implementation of therapy was carried out involving 60 elderly people, with stages that included orientation, work, and termination. Evaluations showed that 60% of participants actively participated in laughter and guess therapy, as well as being able to express their feelings. This program has shown success in improving the quality of life of the elderly by encouraging them to be more active and social. In conclusion, TAK can be an effective solution to improve the quality of life of the elderly through physical and cognitive stimulation. It is recommended that this program be carried out regularly to maintain the memory and social health of the elderly.

The situations frequently faced by final-year students while preparing scientific papers often have an impact on their mental health and learning process. The purpose of this study was to evaluate the effectiveness of Mozart music therapy in reducing stress among final-year students in the Diploma III Nursing Program at Abulyatama University. This study used a quantitative method with a one-group pre-Test and post-Test design. The population studied included all final-year students in the Diploma III Nursing Program at Abulyatama University, totaling 168 students. The sample consisted of 15 respondents selected using purposive sampling technique. The instrument used in this study was the DASS-42 questionnaire with a Cronbach’s Alpha value of 0.8806, and Mozart classical music therapy was administered in accordance with the Standard Operating Procedure sheet. This research was conducted from May 20 to May 23, 2025. Data analysis used the T-test. The results showed a decrease in the mean stress score from 26.07 (pre-Test) to 20.67 (post-Test), with a p-value = 0.000. Based on these results, it can be concluded that Mozart classical music therapy has an effect in reducing stress among final-year students during the process of writing scientific papers. It is expected that students can make Mozart classical music therapy a routine practice in daily life to maintain mental balance, and educational institutions are advised to organize Mozart classical music therapy programs regularly as a preventive effort against academic stress

Surgery is a medical procedure performed by opening a part of the body and ending with the closure or suturing of the wound. This procedure often causes anxiety in preoperative patients. One non-pharmacological intervention that can be used to reduce anxiety is classical music therapy, which helps promote relaxation and supports the healing process. This study aims to determine the effect of classical music therapy on reducing anxiety levels in preoperative patients in the implementation of nursing care. The method used was a case study design with a nursing care approach involving three preoperative patients experiencing anxiety. The intervention consisted of classical music therapy delivered through headphones for 5 minutes and administered twice to each respondent. The results showed that after receiving classical music therapy, the anxiety levels of all three patients decreased from severe anxiety with an average score of 19 to moderate to mild anxiety with scores ranging from 7–13. In addition, symptoms such as worry, restlessness, and tension also appeared to decrease after the intervention. It can be concluded that classical music therapy is effective in reducing anxiety levels in preoperative patients during the nursing care process. Therefore, nurses are expected to apply classical music therapy as one of the interventions for patients experiencing anxiety.

The IV infusion process will cause pain that can be disturbing for children. Pain is a form of uncomfortable sensation that is felt personally by each individual. In addition, there will be changes in vital signs such as increased pulse, blood pressure, and respiration so that it will be an unpleasant experience for children. Non-pharmacological therapy as an intervention to reduce pain perception in children and increase comfort during medical procedures. One form of non-pharmacological technique is audio visual distraction using a smart book. Smart books are fun and interactive play therapy that can support cognitive, fine motor, and sensory aspects in children and to divert children's attention from pain by displaying more pleasant and interesting images and musical sounds so that it can reduce the pain scale after IV installation. The design used in the preparation of this Final Scientific Paper for Nurses is a case study with an intervention in the form of audio visual distraction using a smart book for ± 10 minutes. The number of respondents was 3 people, the intervention was carried out on September 14, October 7, and November 24, 2025, located in the Theresia Charitas Hospital Palembang room. After the smart book audio visual distraction therapy, there was a decrease in the pain scale for 3 respondents, namely in An. A from a pain scale of 7 to a pain scale of 4, An. G from a pain scale of 10 to a pain scale of 4, and An. R from a pain scale of 7 to a pain scale of 4. The application of EBP smart book audio visual distraction therapy can be used to reduce the pain scale in preschoolers after IV installation.

Dementia is a progressive neurocognitive disorder often accompanied by behavioral and psychological symptoms such as agitation, anxiety, and depression. Pharmacological treatments provide only modest benefits while introducing significant risks, which highlights the need for safer, non-pharmacological alternatives. This literature review examines the role of virtual reality in dementia care, with a focus on its integration with therapies such as music, reminiscence, sensory stimulation, and cognitive training. Evidence from prior research suggests that virtual reality can enhance cognitive functions, reduce symptoms, and improve emotional well-being while also strengthening patient–caregiver interaction. However, challenges related to usability, accessibility, cost, and long-term effectiveness continue to limit adoption. Gaps in research, including limited cultural diversity, inconsistent reporting of intervention design, and a lack of large-scale longitudinal trials, emphasize the need for future work exploring cross-cultural feasibility and AI-driven personalization. Overall, virtual reality represents a promising and evolving non-pharmacological intervention that has the potential to transform dementia care by improving quality of life and reducing reliance on medication.

Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.

At the Sumatera Province Tanjung Morawa District exactly at Bangun Rejo Vilage, The high prevalence of anxiety among pregnant women in this region is influenced by high salt consumption exceeding recommendations, irregular eating patterns due to the background of the majority of the population as fishermen, and low compliance with pharmacological therapy due to concerns about side effects on the fetus. As a mitigation effort, non-pharmacological interventions were carried out in the form of music therapy and education about healthy eating patterns. This Community Service Program (PKM) aims to increase knowledge and reduce anxiety levels in pregnant women through lecture methods and the application of music therapy. The implementation method includes health education and structured music therapy. The results of the intervention showed an 89% increase in knowledge of pregnant women regarding diet, as well as a decrease in anxiety levels with an average value (mean) of 1.17 in the third to fourth week of therapy.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.

Fracture is a condition in which the bone structure is severed or damaged due to external pressure on the bone. Fractures can be caused by direct impact, sudden twisting movements, or even by extreme muscle contractions. The WHO states that the prevalence rate of fractures increased from 2020 by approximately 13 million (2.7%). The Ministry of Health in 2023 stated that in Indonesia around 8 million people had fractures. To determine the results of the application of religious music therapy on pain in fracture patients in Flamboyant Ward 5 of Dr Moewardi Surakarta Hospital. The application uses a case study method with a research sample of 2 respondents, the research instrument uses NRS. The intervention group reduced pain from a scale of 6 to 4, and in the control group reduced pain from a scale of 5 to 4. From this study it can be concluded that religious music therapy is more effective to reduce pain.

Background: Depression is the most common psychological disorder in the last years of an individual's life. Elderly depression has an impact including shortening life expectancy by worsening physical deterioration in the elderly, hindering the fulfillment of elderly development tasks, reducing the quality of life of the elderly, draining the emotions and finances of the affected person and their families and social support systems. Physiotherapist programs given to the elderly who are depressed include listening to English classical music and murottal. Purpose: For this community service activity, this community service activity aims to socialize the provision of English classical music therapy and murottal to reduce the level of depression in the elderly. : This community service activity uses the method of practical lectures and questions and answers. The lecture method was carried out by delivering material on depression and English music therapy. After that, the practice of listening to English and Murotal classical music, while the question and answer method was carried out by asking participants about the material that had been delivered. Results: The results of this community service activity were obtained that participants were able to understand and apply the material that had been delivered. Conclusion: Based on the community service activities that have been carried out, many of the participants enthusiastically received the entire series of events ranging from material presentations, the practice of listening to English classical music to question and answer interactions.

Background: Depression is the most common psychological disorder that occurs in the last years of an individual's life. Elderly depression has several impacts, including shortening life expectancy by worsening physical decline in the elderly, inhibiting the fulfillment of elderly developmental tasks, reducing the quality of life of the elderly, draining the emotions and finances of the affected person and their family and social support system. The physiotherapy program given to the elderly who experience depression includes listening to classical English music and murottal. Purpose: For this reason, this community service activity aims to socialize the provision of classical English music therapy and murottal to reduce the level of depression in the elderly. : This community service activity uses the lecture practice and question and answer method. The lecture method is carried out by delivering material about depression and English music therapy. After that, practice listening to classical English music and Murottal, while the question and answer method is carried out by asking participants about the material that has been presented. Results: The results of this community service activity showed that participants were able to understand and apply the material that had been presented. Conclusion: Based on the community service activities that have been carried out, many of the participants were enthusiastic about receiving the entire series of events starting from the presentation of the material, practicing listening to classical English music to question and answer interactions.

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.

Generation Z (born 1997–2012) in Indonesia experiences an increase in anxiety disorders due to social media pressure, academic stress, social isolation, and future uncertainty. Modern psychological approaches such as cognitive-behavioral therapy are widely used, but often do not involve the spiritual aspects that are important in Indonesian culture. This research aims to examine the handling of anxiety in Generation Z through the perspective of Islamic philosophy, especially the thought of Ibn Sina. The method used is a literature study with a qualitative descriptive approach. The results of the study show that Ibn Sina views mental health as a balance between body, soul, and intellect (vegetable, animal, and rational nafs). It offers a holistic approach that includes physical, mental, emotional, and spiritual therapies, such as art, music, prayer, and dhikr. This approach has the potential to help Generation Z deal with anxiety not only from a medical perspective, but also through strengthening the meaning of life and spirituality. The contribution of this research is to provide a philosophical framework that integrates modern psychological interventions with Islamic spiritual traditions, thereby offering a more culturally relevant approach to dealing with anxiety in adolescents.

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Depression is the most common psychological disorder that occurs in the last years of an individual's life. Elderly depression has an impact, including shortening life expectancy by exacerbating physical deterioration in the elderly, hindering the fulfillment of elderly developmental tasks, decreasing the quality of life of the elderly, draining the emotions and finances of the affected person as well as their families and social support systems. Physiotherapist programs provided to the elderly who are depressed include listening to classical music in English and murottal. For this reason, this community service activity aims to socialize the provision of English classical music therapy and murottal to reduce the rate of depression in the elderly. This community service activity uses the method of practical lectures and questions and answers. The lecture method was carried out by delivering material about depression and English music therapy. After that, the practice of listening to English and Murotal classical music, while the question and answer method was carried out by asking participants about the material that had been presented. Results: The results of this community service activity were obtained that participants were able to understand and apply the material that had been delivered. Conclusion: Based on the community service activities that have been carried out, many of the participants enthusiastically received the entire series of events ranging from material presentations, practice listening to English classical music to question and answer interactions.