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Objective: This randomized controlled trial study aimed to investigate the effects of listening to Holy Quran and Zikrullah recitation on stress and physiological stress responses among Muslim pregnant women with premature uterine contractions. Methods: Convenient sampling was used to recruit the participants who met the inclusion criteria, then Minimized randomization was used to assign 62 pregnant women into either the experimental group (n = 31) and the control group (n = 31). The experimental group received listening to Holy Quran and performing Zikrullah recitation for 40 minutes whereas the control group received usual care. Data collection before and after intervention comprised 1) demographic data form, 2) 100 mm VAS of Stress, and 3) blood pressure monitoring equipment. Convergent validity of the 100 mm VAS - stress was .79, and test-retest reliability of the 100 mm VAS - stress was .86. Results: The results showed that the mean score of 100 mm VAS stress, systolic blood pressure, diastolic blood pressure, and heart rate in the experimental group were significantly lower than those in the control group (t = 10.21, p < .001; t = 4.28, p < .001; t = 4.54, p < .001; t = 5.48, p < .001 respectively). Conclusion: The results demonstrate that listening to Holy Quran and performing Zikrullah recitation could help reducing stress among Muslim pregnant women with preterm uterine contractions. Thus, nurses should apply these interventions in nursing for Muslim pregnant women with premature uterine contractions.
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