Effect of recitation of Quran on the anxiety of patients with myocardial infarction

Document Type : Original Quantitative and Qualitative Research Paper


1 Masters Student Critical Care Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran

2 Instructor of Nursing, Department of Health- Management Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran

3 Masters Student geriatric nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran

4 Instructor of Nursing, Department of Medical Surgical Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran

5 Assistant Professor of Cardiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran


Background: Anxiety reduction in patients with myocardial infarction (MI) is essential due to severe complications. The current methods of treatments are primarily medical, while effective and safe treatments which accord with cultural and religious beliefs appear to have higher performance.
Aim: survey the effect of Quran on the anxiety of patients with MI admitted to CCU.
Methods: The present clinical-trial study was performed by randomized block design on 68 patients with MI which were assigned into two groups: experimental (33) and control (35). The experimental group listened to Quran twice daily for two days. Control group received no intervention. At baseline and in the end of each study, anxiety level of both groups was measured. Data were collected by reliable and valid Spielberger anxiety questionnaire and analyzed using chi-square, independent t-test, Repeated Measures and analysis of covariance.
Results: Groups were significantly different regarding familiarity with quran (p=0.003) and insurance status (p=0.005), whereas other background factors were similar between two groups. At baseline, the mean anxiety in both groups was not significantly different. In terms of anxiety, a statistical difference was observed between groups after intervention in all four occasions (first occasion: experimental 31.9±7.1, control 40.8±13.2, second occasion: experimental 29.7±7.3, control 40.6±13.5, third occasion: experimental 28.8±6.9, control 39.5±13.9, and forth occasion: experimental 28.3±7.5, control 38.7±13.9) (P<0.05). In the experimental group, a statistically significant reduction was reported in level of anxiety over time (p=0.000); whereas this reduction wasn not significant in control group.
Conclusion: The level of anxiety in paitents with myocardial infarction could be decresed by listening to Quran.                


Main Subjects

1.   Lopes Jde L, Nogueira-Martins LA, Goncalves MA, de Barros AL. Comparing Levels of Anxiety During Bed and Shower Baths in Patients with Acute Myocardial Infarction. Rev Lat Am Enfermagem 2010; 18(2): 217-23.
2.   Januzzi Jr JL, Stern TA, Pasternak RC, DeSanctis RW. The Anfluence of Anxiety and Depression on Outcomes of Patients with Coronary Artery Disease. Arch Intern Med 2000; 160(13): 1913.
3.   Lane D, Carroll D, Lip GYH. Anxiety, Depression, and Prognosis After Myocardial Infarction: Is There a Causal Association? J Am Coll Cardiol 2003; 42(10): 1808-10.
4.   Bally K, Campbell D, Chesnick K, Tranmer JE. Effects of Patient-Controlled Music Therapy During Coronary Angiography on Procedural Pain and Anxiety Distress Syndrome. Crit Care Nurse 2003; 23(2): 50-8.
5.   Afzali S, Masoudi R, Etemadifar S, Moradi M, Moghaddasi J. The Effect of Progressive Muscle Relaxation Program (PMR) on Anxiety of Patients Undergoing Coronary Heart Angiography. J Shahrekord Univ Med Sci 2009; 11(3): 77-84. (Persian)
6.   De Jong MJ, Moser DK, An K, Chung ML. Anxiety Is Not Manifested By Elevated Heart Rate And Blood Pressure in Acutely Ill Cardiac Patients. Eur J Cardiovasc Nurs 2004; 3(3): 247-53.
7.   An K, De Jong MJ, Riegel BJ, McKinley S, Garvin BJ, Doering LV, et al. A Cross-sectional Examination of Changes in Anxiety Early After Acute Myocardial Infarction. Heart & lung 2004; 33(2): 75-82.
8.   Mirzaei F, Keshtgar S, Kaviani M, Rajaeifard A. The Effect of Lavender Essence Smelling During Labor on Cortisol and Serotonin Plasma Levels and Anxiety Reduction in Nulliparous Women. J Kerman Univ Med Sci 2009; 16(3): 245-54. (Persian)
9.   Mirbagher ajorpaz N, Ranjbar N. The Influence of the Holy Quran on Maternal Anxiety Before Caesarean Section: Randomized Clinical Trial. J of  Med Sci Qom 2010; 4(1): 15-9. (Persian)
10. Roohy G, Rahmany A, Abdollahy A, GhR M. The Effect of Music on Anxiety Level of Patients and Some of Physiological Responses Before Abdominal Surgery. J Gorgan Univ Med Sci 2005; 7(1): 75-8. (Persian)
11. Weeks BP, Nilsson U. Music Interventions in Patients During Coronary Angiographic Procedures: a Randomized Controlled Study of the Effect on Patients' Anxiety and Well-Being. Eur J Cardiovasc Nurs 2011; 10(2): 88-93.
12. Majidi S. Recitation Effect of Holy Quran on Anxiety of Patients Before Undergoing Coronary Artery Angiography. J of Med Sci Gilan 2004; 13(49): 61-7. (Persian)
13. Tajvidi M, Meemarian R, Mohammady E. The Effect of Quran on Patient’s Anxiety Before Open Heart Surgery. J of Daneshvar 2003; 8(32): 55-60. (Persian)
14. Heidari M, Shahbazi S. Effect of Quran and Music on Anxiety in Patients During Endoscopy. Knowledge & Health J. 2013; 8(2): 67-70. (Persian)
15. Nilsson U, Lindell L, Eriksson A, Kellerth T. The Effect of Music Intervention in Relation to Gender During Coronary Angiographic Procedures: a Randomized Clinical Trial. Eur J of Cardiovasc Nurs 2009; 8(3): 200-6.
16. Hashemzadeh A, Garooci Farshi M, Halabianloo G, Maleki Rad A. The Study of Effectiveness of Relaxation and Distraction Techniques Training in Anxiety Reduction in Cardiac Patients. Arak Med Univ J 2011; 14(56): 97-105. (Persian)
17. Bassampoor S. The Effect of Relaxation Techniques on Anxiety of Patients with Myocardial Infarction. J. of  Qazvin Univ of Med Sci 2005; 9: 1-2. (Persian)
18. Tel H. The Effect of Individualized Education on The Transfer Anxiety of Patients with Myocardial Infarction And Their Families. Heart & lung 2006; 35(2): 101-7.
19. Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The Effect of Cardiac Rehabilitation on Anxiety and Depression in Patients Undergoing Cardiac Bypass Graft Surgery in Iran. BMC cardiovascular disorders 2012; 12(1): 8-13.
20. Atari M, Sajedi P, Heydari S. Evaluation of Koran Voices Effect on Anxiety and Vital Signs of Patients in Preinduction Stage. Teb Va Tazkieh 2000; 37(91): 91-4. (Persian)
21. Saadi Shahrodi M. Quran Recitation Song in Terms of Philosophy and Mysticism. qabasat 2002; 7(1): 134-14. (Persian)
22. Zarani E. Introduction to Quran Miracle of Sound. Andisheh Sadegh. 2004; 5(1): 76-83 (Persian).
23. Mirbagher Ajorpaz N, Aghajani M, Shahshahani M. The Effects of Music and Holy Quran on Patient’s Anxiety and Vital Signs Before Abdominal Surgery. J. of Evidence-based Care 2011; 1(1): 63-76. (Persian)
24. Jadidi A, Farahaninia M, Janmohammadi S, Haghani H. The Relationship Between Spiritual Well-Being and Quality of Life Among Elderly People Residing in Kahrizak Senior House. Iran J. of Nursing 2011; 24(72): 48-56. (Persian)