Journal of Religion and Health

, Volume 58, Issue 1, pp 64–73 | Cite as

The Effect of Listening to Holy Quran Recitation on Weaning Patients Receiving Mechanical Ventilation in the Intensive Care Unit: A Pilot Study

  • Mohammad Yadak
  • Khalid Aziz AnsariEmail author
  • Hatem Qutub
  • Hajed Al-Otaibi
  • Omar Al-Omar
  • Nawal Al-Onizi
  • Faraz Ahmed Farooqi
Original Paper


Mechanical ventilation (MV) causes high level of stress in hospitalized patients. Weaning is the gradual process of decreasing ventilator support that in turn lead to termination of MV and increased respiratory effort, which may exacerbate symptoms and prolong MV. This study aimed to investigate the effect of listening to Holy Quran recitation (HQR) as a non-pharmacological intervention in patients during weaning from mechanical ventilation. This is a randomized controlled trial in which 55 patients admitted in the intensive care unit (ICU) and on mechanical ventilation were recruited. Patients were divided into experimental (case) and control group. In the experimental group, patients received 30 min of HQR, whereas in the control group, patients had 30 min of rest in bed before the start of the weaning. The physiological and/or clinical parameters of weaning were recorded. These parameters include rapid shallow breathing index, respiratory rate, heart rate, oxygen saturation, exhaled carbon dioxide, and blood pressure. The baseline demographic data for groups were presented in tables. The mean age was 54 ± 0.5 years for the experimental and 56.4 ± 18.5 years for the control groups. The physiological and clinical parameters were compared between case and control and found no significant difference. The preliminary findings of this pilot study suggest that there is no negative effect of HQR on weaning patients from mechanical ventilation in the ICU. The results also outline and explorthe possible utility of HQR further in ICU patients as an intervention in weaning patients off from ventilator in the ICU. Although there remains much to be done, our work generates important findings in the field of critical care management.


Weaning Effects of Quran Health Holy Quran recitation Mechanically ventilated ICU 



The content is solely the responsibility of the authors and does not necessarily represent the official views of the Deanship of Scientific Research at the University of Dammam. The research group would like to thank Professor Sulaiman Bah for reviewing the statistical analysis. The research team is also in debt to the ICU and respiratory care department’s staff in KFHU for their cooperation and active and positive interventions during the study.


The study is funded by Deanship of Scientific Research, University of Dammam, KSA.

Author’s Contribution

MY and KA developed and supervised the project. MY, OO, NO, HQ, and HO helped in data collection for this study. FF supervised the statistical part of this study. All authors prepared the initial draft of the manuscript. NK and KA conceived the project and supervised the study. All the authors read and approved the final manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest.

Ethical Approval

This manuscript complies with the current laws of the KSA.


  1. Al-Faris, E. A., Al-Rowais, N., Mohamed, A. G., Al-Rukban, M. O., Al-Kurdi, A., & Balla Al-Noor, M. A., et al. (2008). Prevalence and pattern of alternative medicine use: The results of a household survey. Annals of Saudi Medicine, 28(1), 4–10.CrossRefGoogle Scholar
  2. Al-Ghazal, S. (2008). Medical miracles of the Quran (Vol. 28(1), pp. 104–105). Markfield: The Islamic FoundationGoogle Scholar
  3. Anastasi, M. W., & Newberg, A. B. (2008). A preliminary study of the acute effects of religious ritual on anxiety. Journal of Alternative and Complementary Medicine, 14, 163–165.CrossRefGoogle Scholar
  4. Beaulieu-Boire, G., Bourque, S., Chagnon, F., Chouinard, L., Gallo-Payet, N., & Lesur, O. (2013). Music and biological stress dampening in mechanically ventilated patients at the intensive care unit ward: A prospective interventional randomized crossover trial. Journal of Critical Care, 28(4), 442–450.CrossRefGoogle Scholar
  5. Besel, J. (2006). The effects of music therapy on comfort in the mechanically ventilated patients in the intensive care unit. MSc. Montana State University.Google Scholar
  6. Bradt, J., Dileo, C., & Grocke, D. (2010). Music interventions for mechanically ventilated patients. The Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD006902.pub2.Google Scholar
  7. Chlan, L. L., Engeland, W. C., Savik, K. (2013). Does music influence stress in mechanically ventilated patients? Intensive and Critical Care Nursing, 29(3), 121–127.CrossRefGoogle Scholar
  8. Chlan, L., & Heiderscheit, A. (2000). A tool for music preference assessment in critically III patients receiving mechanical ventilatory support. Music Therapy Perspectives, 27(1), 42–47.CrossRefGoogle Scholar
  9. Fontaine, D. K. (1994). Nonpharmacologic management of patient distress during mechanical ventilation. Critical Care Clinic of North America, 10(4), 695–708.CrossRefGoogle Scholar
  10. Giusti, G., & Piergentili, F. (2009). Noise in the intensive care unit: A summary review. World Critical Care Nursing, 7(1), 139–144.Google Scholar
  11. Hunter, B. C., Oliva, R., Sahler, O. J., Gaisser, D., Salipante, D. M., & Arezina, C. H. (2010). Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation. Journal of Music Therapy, 47(3), 198–219.CrossRefGoogle Scholar
  12. Jaber, S., Bahloul, H., Guétin, S., Chanques, G., Sebbane, M., & Eledjam, J. (2007). Effects of music therapy in intensive care unit without sedation in weaning patients versus non-ventilated patients. Annales Françaises d’Anesthésie et de Réanimation, 26(1), 30–38.CrossRefGoogle Scholar
  13. Khatoni, A. (1997). The effect of reciting the Quran on anxiety of patients hospitalized in the cardiac intensive care unit of the selected hospitals in Tehran (Doctoral dissertation, M.Sc. thesis).Google Scholar
  14. Konkani, A., & Oakley, B. (2012). Noise in hospital intensive care units—a critical review of a critical topic. Journal of Critical Care, 27, 522.CrossRefGoogle Scholar
  15. McKinley, S., Stein-Parbury, J., Chehelnabi, A., & Lovas, J. (2004). Assessment of anxiety in intensive care patients by using the Faces Anxiety Scale. American Journal of Critical Care, 13(2), 146–152.Google Scholar
  16. Mohammadi Laeini, M. B., Azadbakht, M., Hosayni, S. H., & Pezeshkan, P. (2009). Knowledge and attitudes of some faculty members of Mazandaran university of medical sciences about the Quran, 2007 to 2008. Mazandaran University of Medical Sciences Journal, 1(69), 73–78. (Persian).Google Scholar
  17. Philbin, K., & Lincoln, G. (2002). Changing levels of quiet in an intensive care nursery. Journal of Perinatology, 22(6), 455–460.CrossRefGoogle Scholar
  18. Qutub, H., & El-Said, K. (2009). Assessment of ambient noise levels in the intensive care unit of a university hospital. Journal of Family & Community Medicine, 16(2), 53–57.Google Scholar
  19. Rello, J., Allegri, C., Rodriguez, A., Vidaur, L., Sirgo, G., Gomez, F., et al. (2006). Risk factors for ventilator-associated pneumonia by pseudomonas aeruginosa in presence of recent antibiotic exposure. Anesthesiology, 105(4), 709–714.CrossRefGoogle Scholar
  20. Thomas, L. A. (2003). Clinical management of stressors perceived by patients on mechanical ventilation. AACN Clinical Issues: Advanced Practice in Acute and Critical Care, 14(1), 73–81.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of Respiratory Care, Collage of Applied Medical ScienceUniversity of DammamDammamKingdom of Saudi Arabia
  2. 2.Department of Internal MedicineKing Fahad University HospitalKhobarKingdom of Saudi Arabia
  3. 3.College of DentistryUniversity of DammamDammamKingdom of Saudi Arabia

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