Analisis Faktor-Faktor yang Memengaruhi Kualitas Tidur Pasien Lanjut Usia dengan Penyakit Kronis
Akbar Harisa(1), Syahrul Syahrul(2), Yodang Yodang(3*), Restu Abady(4), Abdul Gani Bas(5)
(1) Universitas Hasanuddin
(2) Universitas Hasanuddin
(3) Universitas Sembilanbelas November Kolaka
(4) Universitas Hasanuddin
(5) Universitas Hasanuddin
(*) Corresponding Author
Abstract
Latar Belakang: Penyakit kronis merupakan isu terkait kesehatan yang lazim ditemukan pada lansia yang dapat meningkatkan tingkat morbiditas dan mortalitas pasien lansia. Kualitas tidur pasien lansia dengan penyakit kronis dapat terganggu dan dapat menimbulkan efek buruk terhadap status kesehatan.
Tujuan: Menganalisis kualitas tidur beserta determinannya pada pasien lanjut usia dengan penyakit kronis di RS Unhas Makassar.
Metode: Penelitian ini dilakukan secara deskriptif analitik dengan metode survey cross-sectional pada pasien lanjut usia yang terdiagnosis penyakit kronis dan sedang dalam Perawatan di RS Unhas Makassarsebanyak 40 orang. Analisis data menggunakan uji Chi-Square dan uji Mann-whitney.
Hasil: Hasil penelitian ini menunjukkan tidak ada pengaruh antara jumlah komorbit yang dimiliki, lama penyakit yang diderita, penggunaan obat-obatan serta status psikologis terhadap kualitas tidur pada usia lanjut. Satu-satunya risiko yang berpengaruh terhadap kualitas tidur pada penelitian ini adalah jenis kelamin dengan p value 0,049. Kualitas tidur yang buruk lebih sering terjadi ada lansia berjenis kelamin laki-laki dibandingkan dengan perempuan.
Kesimpulan: Jenis kelamin merupakan prediktor terhadap kualitas tidur lansia, sedangkan faktor lainnya tidak menunjukkan signifikansinya. Untuk penelitian selanjutnya, maka penelitian dengan penetapan kriteria sampel yang lebih selektif serta melibatkan jumlah responden yang lebih besar sangat dibutuhkan.
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Allen, A. M., Coon, D. W., Uriri‐Glover, J., & Grando, V. (2013). Factors associated with sleep disturbance among older adults in inpatient rehabilitation facilities. Rehabilitation Nursing, 38(5). https://doi.org/10.1002/rnj.88
Amer, M. S., Hamza, S. A., El Akkad, R. M., & Abdel Galeel, Y. I. I. (2013). Does self-reported sleep quality predict poor cognitive performance among elderly living in elderly homes? Aging and Mental Health. https://doi.org/10.1080/13607863.2013.790930
Azri, M. A., Dahlan, A., Masuri, M. G., & Isa, K. A. M. (2016). Sleep Quality among Older Persons in Institutions. Procedia - Social and Behavioral Sciences. https://doi.org/10.1016/j.sbspro.2016.10.221
Becker, N. B., Neves, S., Jesus, D., Viseu, J. N., Dieter, C., Guerreiro, M., & Domingues, R. B. (2018). Depression and quality of life in older adults: Mediation effect of sleep quality. International Journal of Clinical and Health Psychology, 18(1), 8–17. https://doi.org/10.1016/j.ijchp.2017.10.002
Bernell, S., & Howard, S. W. (2016). Use Your Words Carefully: What Is a Chronic Disease? Frontiers in Public Health, 4. https://doi.org/10.3389/fpubh.2016.00159
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Chang, K. J., Son, S. J., Lee, Y., Back, J. H., Lee, K. S., Lee, S. J., Chung, Y. K., Lim, K. Y., Noh, J. S., Kim, H. C., Koh, S. H., Roh, H. W., Park, M. A., Kim, J. J., & Hong, C. H. (2014). Perceived sleep quality is associated with depression in a Korean elderly population. Archives of Gerontology and Geriatrics. https://doi.org/10.1016/j.archger.2014.04.007
Chen, P., Kuo, H., & Chueh, K. (2010). Sleep Hygiene Education: Efficacy on Sleep Quality in Working Women. Journal of Nursing Research, 18(4), 283–289. https://doi.org/10.1097/JNR.0b013e3181fbe3fd
Chiang, G. S. H., Sim, B. L. H., Lee, J. J. M., & Quah, J. H. M. (2018). Determinants of poor sleep quality in elderly patients with diabetes mellitus , hyperlipidemia and hypertension in Singapore. Primary Health Care Research & Development, 19(6). https://doi.org/10.1017/S146342361800018X
Dahlan, M. . (2016). Besar sampel dalam penelitian kedokteran dan kesehatan. Epidemiologi Indonesia.
Dariah, E. D., & Okatiranti, O. (2015). Hubungan Kecemasan dengan Kualitas Tidur Lansia di Posbindu Anyelir Kecamatan Cisarua Kabupaten Bandung Barat. Jurnal Keperawatan BSI, 3(2).
Desjardins, S., Lapierre, S., Hudon, C., & Desgagné, A. (2019). Factors involved in sleep efficiency: a population-based study of community-dwelling elderly persons. SLEEPJ, February, 1–10. https://doi.org/10.1093/sleep/zsz038
Eliopoulos, C. (2018). Gerontological Nursing Ninth Edition. Lippincott Williams & Wilkins.
Eyigor, S., Eyigor, C., & Uslu, R. (2010). Assessment of pain, fatigue, sleep and quality of life (QoL) in elderly hospitalized cancer patients. Archives of Gerontology and Geriatrics. https://doi.org/10.1016/j.archger.2009.11.018
Fauziah, E. (2018). Pengaruh Pemberian Minyak Esensial Aromaterapi Kenanga Terhadap Kualitas Tidur Lansia Di Dusun Karang Tengah Nogotirto Gamping Sleman Yogyakarta. Universitas ’Aisyiyah Yogyakarta (UNISA).
Gusmao, T., Wiyono, J., & Ardiyani, V. M. (2018). Hubungan Kualitas Tidur Dengan Kecerdasan Emosional Pada Lansia Di Posyandu Lansia Permadi Tlogosuryo Malang. Nursing News: Jurnal Ilmiah Keperawatan, 3(1).
Hoyos, C. M., Gordon, C., Terpening, Z., Norrie, L., Lewis, S. J. G., Hickie, I. B., & Naismith, S. L. (2020). Circadian rhythm and sleep alterations in older people with lifetime depression: a case-control study. BMC Psychiatry, 20(1), 192. https://doi.org/10.1186/s12888-020-02606-z
Jehan, S., Masters-isarilov, A., Salifu, I., Zizi, F., Jean-, G., Pandi-perumal, S. R., Gupta, R., Brzezinski, A., & Samy, I. (2015). Sleep Disorders in Postmenopausal Women. Journal of Sleep Disorders & Therapy, 4(5).
Khasanah, K., & Hidayati, W. (2012). Kualitas Tidur Lansia Balai Rehabilitasi Sosial “ MANDIRI ” Semarang. Jurnal Nursing Studies, 1(1), 189–196. http://ejournal-s1.undip.ac.id/index.php/jnursing
Ozturk, Z. A., Yesil, Y., Kuyumcu, M. E., & Savas, E. (2015). Association of depression and sleep quality with complications of type 2 diabetes in geriatric patients. Aging Clinical and Experimental Research, 27(4), 533–538. https://doi.org/10.1007/s40520-014-0293-0
Praharaj, S. K., Gupta, R., & Gaur, N. (2018). Clinical Practice Guideline on Management of Sleep Disorders in the Elderly. Indian Journal of Psychiatry, 60(Suppl 3), S383–S396. https://doi.org/10.4103/0019-5545.224477
Riskesdas, K. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201
Rudimin, R., Hariyanto, T., & Rahayu, W. (2017). Hubungan Tingkat Umur Dengan Kualitas Tidur Pada Lansia Di Posyandu Permadi Kelurahan Tlogomas Kecamatan Lowokwaru Malan. Nursing News: Jurnal Ilmiah Keperawatan, 2(1).
Ruiter, M. E., Vander Wal, G. S., & Lichstein, K. L. (2009). Insomnia in the elderly. In Principles and Practice of Geriatric Sleep Medicine. https://doi.org/10.1017/CBO9780511770661.028
Silvanasari, I. A. (2012). Faktor-faktor yang berhubungan dengan kualitas tidur yang buruk pada lansia di Desa Wonojati Kecamatan Jenggawah Kabupaten Jember. Universitas Jember.
Soleimani, F., Motaarefi, H., & Hasanpour-dehkordi, A. (2016). Effect of Sleep Hygiene Education on Sleep Quality in Hemodialysis Patients. Journal of Clinical and Diagnostic Research: JCDR, 10(12), 10–13. https://doi.org/10.7860/JCDR/2016/19668.8941
Suzuki, E., Yorifuji, T., Ueshima, K., Takao, S., Sugiyama, M., Ohta, T., Ishikawa-Takata, K., & Doi, H. (2009). Sleep duration, sleep quality and cardiovascular disease mortality among the elderly: A population-based cohort study. Preventive Medicine. https://doi.org/10.1016/j.ypmed.2009.06.016
Tel, H. (2013). Sleep quality and quality of life among the elderly people. Neurology Psychiatry and Brain Research. https://doi.org/10.1016/j.npbr.2012.10.002
WHO. (2018). Non-Communicable Diseases Fact Sheet. Public Health: An Action Guide to Improving Health. https://doi.org/10.1093/acprof:oso/9780199238934.003.15
Widasari, E. R., Tanno, K., & Tamura, H. (2020). Automatic Sleep Disorders Classification Using Ensemble of Bagged Tree Based on Sleep Quality Features. Electronics, 9(3), 512. https://doi.org/10.3390/electronics9030512
Wittert, G., 2014. The relationship between sleep disorders and testosterone in men._Asian Journal of Andrology,_16(2), p.262.
Wu, C. Y., Su, T. P., Fang, C. L., & Yeh Chang, M. (2012). Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Association. https://doi.org/10.1016/j.jcma.2011.12.011
Yaremchuk, K. (2018). Sleep Disorders in the Elderly. In Clinics in Geriatric Medicine. https://doi.org/10.1016/j.cger.2018.01.008
DOI: https://doi.org/10.22146/jkesvo.62916
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