The Effects of Surah Al-Rahman on Intradialysis Complications among Hemodialysis Patients with

Chronic Kidney Disease

1*

Habib Ullah Riaz, 2Assistant Prof. Dr. Saqib Rabani, 3Prof. Dr. Samina Kausar, 4Farzana Kausar

  1.  

MS Nursing Scholar, University of Health Sciences Lahore, Pakistan.

  1.  

Head of Department, Behavioral Sciences, University of Health Sciences, Lahore.

  1.  

Head of Nursing Department, University of Health Sciences Lahore, Pakistan.

  1.  

MSN, University of Health Sciences Lahore, Pakistan.

Corresponding Author: 1*Habib Ullah Riaz, MS Nursing Scholar, University of Health Sciences

Lahore, Pakistan.

Abstract

Background: Patients with Chronic Kidney Disease (CKD) undergoing maintenance hemodialysis

frequently experience intradialysis complications, including blood pressure fluctuations and headaches,

which negatively affect treatment tolerance and overall wellbeing. Complementary and spiritually

grounded interventions may provide supportive benefits when integrated into routine dialysis care.

Objective: To evaluate the impact of structured Surah Al-Rahman recitation, implemented as a spiritually

supportive practice within hemodialysis sessions, on intradialysis complications among patients with

chronic kidney disease.

Methods: A pre-post quasi experimental study was conducted among 35 CKD patients receiving

hemodialysis for at least three months at the Dialysis Centre of DHQ Hospital Sheikhupura. Participants

were selected through purposive sampling. The intervention consisted of listening to Surah Al-Rahman

during dialysis sessions. Clinical parameters, including systolic and diastolic blood pressure, as well as

the frequency and severity of headaches, were recorded before and after the intervention. Data wereanalyzed using SPSS version 23.0. Paired sample t tests were applied to determine statistical differences

between pre and post intervention measures.

Results: Significant reductions were observed in physiological complications following the intervention.

Mean systolic blood pressure decreased from 160.57 ± 18.78 mmHg to 136.71 ± 11.97 mmHg, with a

mean reduction of 23.85 mmHg (t(34)=8.44, p<0.001). Mean diastolic blood pressure declined from

92.29 ± 12.85 mmHg to 78.66 ± 7.09 mmHg, showing a mean reduction of 13.62 mmHg (t(34)=6.34,

p<0.001). Headache severity also improved substantially, with headache-free participants increasing from

5.7% pre-intervention to 60.0% post-intervention, while severe headache was completely eliminated.

Conclusion: Educational integration of Qur’anic recitation within hemodialysis practice may contribute

to the reduction of intradialysis complications. Incorporating spiritually sensitive supportive measures

into routine dialysis care can enhance physiological stability and promote holistic patient management in

culturally appropriate healthcare settings.

Key Words: Surah Al-Rahman, Chronic Kidney Disease, Hemodialysis, Spirtual Care, Recitation,

Intradialysis Complications, Blood Pressure, Headache

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