Effect of Combination Nature Sound Music Therapy with Positive Self Talk on Reducing Post Stroke Anxiety

  • Bisma Romanda Joki Pratama Poltekkes Kemenkes Surakarta
  • Endang Caturini Sulistyowati Poltekkes Kemenkes Surakarta
  • Dwi Ariani Sulistyowati Poltekkes Kemenkes Surakarta
Keywords: nature sound, positive self talk, post-stroke anxiety

Abstract

Stroke is the second leading cause of death and the third cause of disability in the world. Post-stroke anxiety arises due to dependence due to physical disorders that affect life satisfaction. Post-stroke anxiety can increase the risk of recurrence, slow recovery and decrease quality of life. One of the efforts to reduce anxiety is the combination method of nature sound music therapy with positive self talk. This study aims to determine the effect of the combination  of nature sound music therapy with positive self talk on the reduction of post-stroke anxiety. The study used a type of pre-experiment with a one-group pretest-posttests design.. Sampling with purposive sampling  technique was 30 respondents. The instrument uses the Zung Self-Rating Anxiety Scale (ZSAS). The intervention was carried out 3 times of meetings and data analysis with  the Paired T-Test. There was a difference in the level of anxiety before (44.67) and after (35.73) was given a combination intervention  of nature sound music therapy with positive self talk with a p value  of 0.000 < α 0.05 with  a mean difference of  8.94 so that Ho was rejected and Ha was accepted. There is an effect of the combination  of nature sound music therapy and positive self talk on reducing post-stroke anxiety.

References

Abdu, S., Satti, Y. C., Payung, F., & Soputan, H. A. (2022). Analisis Faktor Yang Mempengaruhi Kualitas Hidup Pasien Pasca Stroke. Jurnal Keperawatan Florence Nightingale, 5(2), 50–59. https://doi.org/10.52774/jkfn.v5i2.107

Arisandi, R., & Hartiti, T. (2022). Studi Kasus Penerapan Terapi Relaksasi Musik Klasik Terhadap Tekanan Darah Penderita Hipertensi. Ners Muda, 3(3), 235–242. https://doi.org/10.26714/nm.v3i3.8383

Auliya, E. P., & Yudiarso, A. (2023). Medium Effect Size Terapi Musik Untuk Menurunkan Kecemasan Melalui Musik Klasik, Tradisional dan Relaksasi/Instrumental. Jurnal Psikologi Perseptual, 8(2), 124–137. https://doi.org/10.24176/perseptual.v8i2.7468

Azzahra, V., & Ronoatmodjo, S. (2022). Faktor-Faktor Yang Berhubungan Dengan Kejadian Stroke Pada Penduduk Usia > 15 Tahun di Provinsi Daerah Istimewa Yogyakarta. Jurnal Epidemiologi Kesehatan Indonesia, 6(2), 91–96. https://garuda.kemdikbud.go.id/documents/detail/3245658

Cahyani, N. P. (2023). Terapi Musik: Mengoptimalkan Pengobatan Tradisional Dengan Pendekatan Holistik Pada Remaja. Jurnal Multidisiplin West Science, 2(06), 452–461. https://doi.org/10.58812/jmws.v2i6.433

Chen, J., Liu, L., Wang, Y., Qin, H., & Liu, C. (2024). Effects of Psychotherapy Interventions on Anxiety and Depression in Patients With Gastrointestinal Cancer: A systematic review and network meta-analysis. Journal of Psychosomatic Research, 179(February), 1–14. https://doi.org/10.1016/j.jpsychores.2024.111609

Chengya, X., He, Z., Shen, Z., & Huang, F. (2023). Retracted: Potential Benefits of Music Therapy on Stroke Rehabilitation. Oxidative Medicine and Cellular Longevity, 1–11. https://doi.org/10.1155/2023/9873067

Faozi, A., Adzani, A. A., Izza, D. S. N., & Kibtiyah, M. (2023). Dampak Kecemasan Masyarakat Terhadap Kesehatan Mental di Masa Pandemi Covid 19. Jurnal Mercusuar, 3(1), 1. https://doi.org/10.31332/mercusuar.v3i1.6808

Fatehimoghadam, S., Molavynejad, S., Rokhafroz, D., Seyedian, S., & Sharhani, A. (2023). Effect of Nature-Based Sound Therapy on Stress and Physiological Parameters in Patients With Myocardial Infarction. Iranian Journal of Nursing and Midwifery Research, 28(4), 436–442. https://doi.org/10.4103/ijnmr.ijnmr_221_21

Hengky, Jefri, & Juliandra, C. (2023). Analysis of Factors Affecting the Level of Anxiety Stroke Patients at Dr. M. Djamil Padang. Jurnal Penelitian Pendidikan IPA, 9(10), 8807–8813. https://doi.org/10.29303/jppipa.v9i10.5025

Hui, H., Li, Z., Zhao, X., & Chen, X. (2023). The Effect of Music Therapy on Anxiety and Pain in Patients Undergoing Prostate Biopsy: A systematic review and meta-analysis. Complementary Therapies in Medicine, 72(December), 1–9. https://doi.org/10.1016/j.ctim.2022.102913

Ilmiyah, V. A., Wulandari, T. S., & Kurniawati, R. (2022). Terapi Musik Suara Alam Efektif Turunkan Kecemasan Sedang Pada Pasien Post Stroke Lebih Dari 6 Bulan. Jurnal Ilmiah Keperawatan Dan Kesehatan Alkautsar, 12(1), 1–6. https://jurnal.akperalkautsar.ac.id/index.php/jikka/article/view/56

Irawan, E., Tania, M., Fadillah, A., Maidartari, & Suwignjo, P. (2023). Pengaruh Positive Self Talk Therapy Terhadap Kecemasan Pada Penderita Hipertensi di Puskesmas Babakan Sari Kota Bandung. Jurnal Keperawatan BSI, 11(2), 141–153. https://ejurnal.ars.ac.id/index.php/keperawatan/index

Khairunnisa, S., Elita, V., & Bayhakki. (2022). Faktor-Faktor Yang Berhubungan Dengan Kecemasan Pada Pasien Pasca Stroke. Comunity of Publishing in Nursing, 10(3), 233–241. https://jurnal.harianregional.com/coping/id-85382

Kurniati, S. R., & Putri, M. E. (2022). Guided Imagery Intervention to Reduce Anxiety in Nursing Home Elderly Resident. Psychiatry Nursing Journal, 4(2), 83–87. https://doi.org/10.20473/pnj.v4i2.38731

Lalezari, R., Mehdipour Rabori, R., Dehesh, T., & Nouhi, E. (2022). The Effects of Ceiling Display and Natural Sounds on Stress and Anxiety Among Cardiac Patients: A Randomized Controlled Trial. Nursing and Midwifery Studies, 11(2), 130–136. https://doi.org/10.4103/nms.nms_67_21

Lestari, M. D. P., & Husain, F. (2022). Gambaran tingkat kecemasan lansia pada masa pandemi covid-19 di pos layanan terpadu (posyandu). Jurnal Ilmiah Keperawatan, 6(3), 116–123.

Liu, W., Liu, X., Wang, J., Peng, S., Li, J., Pei, M., Qiu, Z., & Zhang, P. (2023). Predicting the Relationship Between Anxiety and Health-Related Quality of Life in Post-Stroke Patients. Journal of Stroke and Cerebrovascular Diseases, 32, 1–8. https://doi.org/10.1016/jstrokecerebrovasdis.2023.107368

Martono, M., Darmawan, R. E., & Anggraeni, D. N. (2022). Faktor-Faktor Yang Berhubungan Dengan Kejadian Stroke Pada Usia Produktif. Jurnal Keperawatan Muhammadiyah, 7(1), 287–292. http://journal.um-surabaya.ac.id/index.php/JKM

Mufidah, N., Suhron, M., & Rahmad, W. (2022). Analysis of Post-Stroke Anxiety Factors during the Covid- 19 Pandemic in Indonesia. International Journal of Health & Medical Sciences, 5(1), 1–6. https://doi.org/10.21744/ijhms.v5n1.1807

Murtini, S., Agung, R. N., Yunitri, N., Sofiyani, Y., & Silistyorini, C. I. (2024). Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke. Malahayati Health Student Journal, 4(5), 1823–1839. https://doi.org/10.33024/mahesa.v4i5.14372

Nisa, H. F., & Pranungsari, D. (2021). Positive Self-Talk Untuk Mengurangi Tingkat Kecemasan Pada Lanjut Usia Dengan Hipertensi. Psikodimensia, 20(2), 170–180. https://doi.org/10.24167/psidim.v20i2.3269

Nurmalitasari, Utami, M. S. S., & Rahayu, E. (2022). The Effectiveness of Acceptance and Commitment Therapy for Reducing Depression in Post-Stroke Patients. Journal of Psychology, 6(1), 13–31. https://doi.org/10.26623/philanthropy.v6i1.4681

Nurul, Karomah, F., Indah, T., Elfina, I., & Nazilatul, L. (2022). Efektivitas Positive Self-Talk Therapy Terhadap Penurunan Tingkat Kecemasan, Stress, dan Depresi Remaja Perempuan Desa Jipurapah. Jurnal Keperawatan Muhammadiyah, 7(4), 2022. http://journal.um-surabaya.ac.id/index.php/jkm

Rabbani, M., Salahuddin Andi Palloge, Han Fransiskus Susanto, Nur Isra, & Irma Santy. (2024). Karakteristik dan Faktor Risiko Pasien Gangguan Kecemasan Tahun 2022. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(3), 220–230. https://doi.org/10.33096/fmj.v4i3.412

Salman, I. P. P., Haiga, Y., & Wahyuni, S. (2022). Perbedaan Diagnosis Stroke Iskemik dan Stroke Hemoragik dengan Hasil Transcranial Doppler di RSUP Dr. M. Djamil Padang. Scientific Journal, 1(5), 391–400. https://doi.org/10.56260/sciena.v1i5.72

Saragih, I. S., Ginting, F. S. H. B., & Sirait, R. (2022). Effect of Positive Self-Talk on Anxiety Among Patients With Covid-19. Indonesian Nursing Journal of Education and Clinic, 7(1), 34–42. https://doi.org/10.24990/injec.v7i1.447

Setiawan, D. E. (2023). Memahami Potensi Positive Self-Talk Sebagai Alat Dalam Konseling Pastoral: Analisis Studi Kualitatif. Jurnal Pastoral Konseling, 4(1), 14–29. http://ejournal-iakn-manado.ac.id/index.php.poimen

Siregar, W. M., Tanjung, D., & Effendy, E. (2022). Efektivitas Terapi Musik Alam Terhadap Tingkat Kecemasan Pada Pasien Hemodialisa. Journal of Telenursing, 4(2), 428–438. https://doi.org/10.31539/joting.v4i2.2692

Song, I., Baek, K., Kim, C., & Song, C. (2023). Effects of Nature Sounds on the Attention and Physiological and Psychological Relaxation. Urban Forestry and Urban Greening, 86, 1–8. https://doi.org/10.1016/j.ufug.2023.127987

Stobbe, E., Sundermann, J., Ascone, L., & Kühn, S. (2022). Birdsongs Alleviate Anxiety and Paranoia in Healthy Participants. Scientific Reports, 12, 1–10. https://doi.org/10.1038/s41598-022-20841-0

Surbakti, U. H., Pujiastuti, R. A. D., & Kiking, R. (2023). Associations Between Depression and Anxiety With Sleep Quality in Post Stroke Patients. Journal of Society Medicine, 2(3), 91–97. https://doi.org/10.47353/jsocmed.v2i3.40

Teja, C. M. O., Imelda Februati Ester Manurung, & Tira, D. S. (2022). Faktor Yang Berhubungan Dengan Kejadian Stroke Pada Pasien Di Rsud Dr.Ben Mboi. Hospital Majapahit, 14(2), 238–249. https://doi.org/10.55316/hm.v14i2.824

Tham, X. C., Phua, V. X. ing, Ho, E. K. Y., Yan, T., Chen, N. Y. C., Zuo, L., Thompson, C. L., & Dong, Y. (2023). Train Your Brain Program to Reduce Depression , Anxiety , and Stress in Stroke Survivors. Frontiers in Neyrology, 1–12. https://doi.org/10.3389/fneur.2023.1163094

Torabi, M., Yousofvand, V., Azizi, A., Kamyari, N., & Khazaei, M. (2023). Impact of SpiritualCcare Programs on Stroke Patients Death Anxiety. Journal of Affective Disorders Reports, 14, 1–7. https://doi.org/10.1016/j.jadr.2023.100650

Wulandari, T. S., Kurniawati, R., & Ilmiyah, V. A. (2023). Efek Musik Suara Alam ( Nature Sounds Music ) Terhadap Penurunan Kecemasan pada Pasien Pasca Stroke. Jurnal Kesehatan, 12(1), 12–18. https://jurnalkesehatanstikesnw.ac.id/index.php/stikesnw/117/74/739

Yulisetyaningrum, Prasetyawati, N., & Pratiwi, E. (2021). The Effect of Therapy Music of Natural Sound to Anxiety in the Last Batch Students. Advances in Social Science, Education and Humanities Research, 535, 439–442. https://doi.org/10.2991/assehr.k.210304.097

Zhang, H., Ma, J., Sun, Y., Xiao, L. D., Yan, F., & Tang, S. (2023). Anxiety subtypes in rural ischaemic stroke survivors: A latent profile analysis. Nursing Open, 10(6), 4083–4092. https://doi.org/10.1002/nop2.1668

Published
2025-06-01
How to Cite
Pratama, B. R. J., Sulistyowati, E. C., & Sulistyowati, D. A. (2025). Effect of Combination Nature Sound Music Therapy with Positive Self Talk on Reducing Post Stroke Anxiety. Indonesian Journal of Global Health Research, 7(3), 697-704. https://doi.org/10.37287/ijghr.v7i3.5726