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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Journal of Islamic Nursing Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Perawat Indonesia Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan MAHESA : Malahayati Health Student Journal Proceedings of the International Conference on Nursing and Health Sciences Kolaborasi Jurnal Pengabdian Masyarakat DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Jurnal Berita Ilmu Keperawatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Jurnal Kesehatan
Jumaiyah, Wati
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Penerapan Familiar Auditory Sensory Training (FAST) terhadap Tingkat Kesadaran Pada Pasien Stroke di Rumah Sakit Jakarta Firdaus, Nuzula; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizky Nugraha
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14152

Abstract

ABSTRACT Decreased consciousness in stroke patients can be caused by brain hypoxia due to blockage of blood vessels in ischemic strokes, while in hemorrhagic strokes, bleeding occurs in the brain accompanied by cerebral edema, increasing intracranial pressure (ICP) and causing narrowing of blood vessels and herniation of brain tissue. FAST sensory stimulation carried out by the family is more effective in influencing the patient's level of consciousness compared to stimulation carried out by nurses. FAST intervention, compared to other sensory stimulation, is a non-invasive method, with low risk, affordable cost, and simple in application, making it an attractive intervention and can be easily applied in patients with decreased consciousness. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. The characteristics of participants in the implementation of EBNP show that the majority are men (76.9%) with a high school education level (46.2%), Javanese ethnicity dominates (46.2%), and self-employed work dominates (53.8%). Participants' ages varied, with a mean of 53.1 years and a range of 42–67 years. The FAST intervention had a significant impact on patients' level of consciousness, with a mean increase from 10.1 to 11.6. These results show high statistical significance, and the implementation of FAST forms a standard operating procedure that can be adopted at PON hospitals. Keywords: Familiar Auditory Sensory Training (Fast), Level of Consciousness, Stroke Patients.    ABSTRAK Penurunan kesadaran pada pasien stroke dapat disebabkan oleh kondisi hipoksia otak akibat sumbatan pembuluh darah pada stroke iskemik, sedangkan pada stroke hemoragik, terjadi perdarahan di dalam otak yang disertai edema serebri, meningkatkan tekanan intrakranial (TIK) dan menyebabkan penyempitan pembuluh darah serta herniasi jaringan otak. Stimulasi sensori FAST yang dilakukan oleh keluarga lebih efektif dalam mempengaruhi tingkat kesadaran pasien dibandingkan dengan stimulasi yang dilakukan oleh perawat. Intervensi FAST, dibandingkan dengan stimulasi sensorik lainnya, merupakan metode non-invasif, dengan risiko rendah, biaya terjangkau, serta sederhana dalam aplikasinya, menjadikannya sebagai intervensi yang menarik dan dapat diterapkan dengan mudah pada pasien dengan penurunan kesadaran. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) digunakan untuk memahami dampak penerapan FAST terhadap tingkat kesadaran pasien stroke. Analisis data dalam penulisan ini menerapkan analisis data univariat untuk mengamati karakteristik demografi dan perubahan tingkat kesadaran pada setiap responden. Selanjutnya, uji statistik digunakan dengan uji paired t-test untuk mengevaluasi pengaruh tingkat kesadaran sebelum dan setelah penerapan Familiar Auditory Sensory Training, dengan tingkat signifikansi 0,05. Penulis menghitung jumlah responden menggunakan perangkat lunak G*Power Versi 3.1 (Kang, 2021) dengan total 11 responden. Karakteristik peserta dalam implementasi EBNP menunjukkan mayoritas adalah laki-laki (76,9%) dengan tingkat pendidikan SMA (46,2%), suku Jawa mendominasi (46,2%), dan pekerjaan wiraswasta mendominasi (53,8%). Usia peserta bervariasi, dengan rata-rata 53,1 tahun dan rentang 42-67 tahun. Intervensi FAST memberikan dampak signifikan pada tingkat kesadaran pasien, dengan peningkatan rata-rata dari 10,1 menjadi 11,6. Hasil ini menunjukkan signifikansi statistik yang tinggi, dan penerapan FAST membentuk standar operasional prosedur yang dapat diadopsi di RUMAH SAKIT JAKARTA . Kata Kunci: Familiar Auditory Sensory Training (Fast), Tingkat Kesadaran, Pasien Stroke
Efektivitas terapi musik natural terhadap penurunan ansietas pasien penyakit jantung koroner yang menjalani angiografi koroner di RSPAD Gatot Soebroto Suwito, Kafi Pangki; Jumaiyah, Wati; Natashia, Dhea
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2769

Abstract

Background: Coronary artery disease (CAD) is one of the leading causes of cardiovascular morbidity and mortality worldwide, including in Indonesia. Coronary angiography as the gold standard for CAD diagnosis often triggers significant anxiety in patients, which may affect physiological stability and increase the risk of complications.Objective: This study aimed to evaluate the effectiveness of natural music therapy in reducing anxiety among CAD patients undergoing coronary angiography at RSPAD Gatot Soebroto.Methods: This quasi-experimental study employed a non-randomized control group pretest–posttest design. The study was conducted at RSPAD Gatot Soebroto, Jakarta, in 2024. A total of 30 patients were divided into intervention and control groups. The intervention group received 20 minutes of natural music therapy, while the control group did not receive any intervention. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI), and physiological parameters (blood pressure, heart rate, respiratory rate) were also assessed. Data were analyzed using paired t-test, Wilcoxon signed rank test, and Mann–Whitney U test with a significance level of α = 0,05.Results: The findings revealed a significant reduction in anxiety scores in the intervention group (mean difference = 24,13 ± 11,64; p = 0,000), whereas the control group showed no significant change (mean difference = 0,20 ± 3,19; p = 0.812). Between-group analysis demonstrated a statistically significant difference in anxiety reduction (p = 0,000). However, natural music therapy did not significantly influence physiological parameters.Conclusion: Natural music therapy was effective in reducing anxiety among CAD patients undergoing coronary angiography.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3694

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Pramono, Cahyo; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4694

Abstract

Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
PENERAPAN EFEKTIVITAS RELAKSASI BENSON TERHADAP KUALITAS TIDUR PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) YANG MENJALANI HEMODIALISIS DI RSUD TARAKAN JAKARTA PUSAT Dewi, Ratna; Irawati, Diana; Anggaraini, Dewi; Jumaiyah, Wati; Suryanti, Asih Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1605

Abstract

Background: Hemodialysis patients can experience psychological problems such as: stress, anxiety, depression, and insomnia or disturbed sleep quality. Prolonged sleep quality disturbances can have an impact on the patient's quality of life, thus requiring interventions that are safe and easy to implement, one of which is Benson relaxation. The aim of applying Benson's relaxation to sleep quality in chronic kidney disease (CKD) patients undergoing hemodialysis. The application of evidence based nursing practice (EBNP) is through literature searches via the PubMed data base with the final result being an article entitled "The Effect of Benson's Relaxation Technique on the Quality of Sleep of Irian Hemodialysis Patients: A Randomized Trial" in the form of a randomized controlled trial with pre -post-test design. The sampling technique used G*Power based on effect size = 0.73, power of 0.8, and ? = 0.05 with 44 hemodialysis patients (22 intervention group and 22 control group) at Tarakan Hospital, Central Jakarta. The application of Benson relaxation is carried out for 20 minutes, 2 times a day 3 days per week for 4 weeks from June 16 to July 15 2023. Sleep quality data was collected using the PSQI questionnaire before and after the intervention with paired t-test and independent sample test. t-test. The results of the implementation showed that the sleep quality score after the intervention had improved (p value 0.002) in the intervention group, while the sleep quality score did not improve in the control group (p value 0.061). The calculated t value between the intervention group and the control group was 2.894 (p value 0.006), so there was a significant difference in sleep quality between the two groups. Conclusion: there was an increase in the sleep quality score of hemodialysis patients in the intervention group and there was a difference in the average quality score after Benson relaxation between the intervention group and the control group. Suggestion: Benson relaxation can be used as a nursing intervention for hemodialysis patients as a measure to prevent sleep quality disorders.
The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City Sulistiyowati, Heppy; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Susanto, Budi; Prima, Ashar; Hamdah, Hamdah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.616

Abstract

Aims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City. Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents. Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674).  Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients.
Risk Factors of Metabolic Syndrome Among Nurses Hospital Banten, Indonesia Yulistriani, Anisa; Rayasari, Fitrian; Munaya, Munaya; Jumaiyah, Wati; Abriyanti, Rika Mustika
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.645

Abstract

Aims: This study was to determine the prevalence of metabolic syndrome and its associated factors among nurses in Banten. Methods: The cross-sectional design of this particular type of quantitative correlation study. A total of 102 respondents were comprised of samples selected using random sampling. Variabel aktivitas fisik diidentifikasi menggunakan APARQ (Adolescent Physical Activity Recall Questionnaire) dan Stres diidentifikasi menggunakan DASS 21. Metabolic indicators include hypertension, Obesity, cholesterol, and diabetes. Data analysis used logistic regression.   Result:  The prevalence of metabolic syndrome among nurses was 16.7%. Older age (p=0.006), smoking (p=0.008), and stress (p=0.000) were significantly associated with metabolic syndrome. While gender and exercise were not significantly associated with metabolic syndrome.  Conclusion: smoking and stress were the major modifiable risk factors of metabolic syndrome among nurses. Campaigns and prevention of healthy behavior are crucial even among healthcare professionals.
The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.
Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati, Rinawati; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Nurhayati, Elis
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14130

Abstract

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients  ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke 
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Co-Authors Abriyanti, Rika Mustika Agung Waluyo Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Aisyah Aisyah Aji, Prima Trisna al Hasbi, Sulthan Dzahir Anggaraini, Dewi Anggareni, Dewi Ardiani, Kristi Aresta, Annisa Septiani Arsianti, Lyana Ashar Prima Asmara, Amelia Atlantic, Mia Azzam, Rohman Budi, Arif Wahyu Setyo Burmanajaya, Bram Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Gayatri Dewi Purnamawati Dian Hudiyawati Dila Nurul Arsyi Ernawati, Dedeh Erwin Erwin Fajarini, Melati Fawwaz, Achmad Daffa Firdaus, Nuzula Firmansyah, Doddy Hamdah, Hamdah Handayani, Martuti Dwi Harison, Nunu Hendi, Oman Hentu, Ardin Hernani, Eny Ibrahim, Mufti Inayati, Anik Indraswati, Ita Irawati, Diana Jaemi, Jaemi Jum’atina, Jum’atina Kamil, Abdu Rahim Khaier, Nurhayati Komalawati, Dedeh Lakoro, Danny Des Kartyko Latipah, Siti Maesaroh Maesaroh Masykur Khair Moh. Heri Kurniawan Mulyadi, Egi Munaya Fauziah Munaya, Munaya Mustafida, Ika Natashia, Dhea Nathasia, Dhea Nugraha, Rizky Nurhayati, Elis Nurrahman, Aris Nurrohmah, Mey Nursanti, Irna Nursasih, Nunung Octoba, Fatwa Achmad Pramono, Cahyo Purnawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Rohani Rohani Setiawati, Desy Silalahi, Lenny Erida Siswahyudianto Siswandi, Iyar Siti Aminah Siti Hanifah SRI ATUN Suhartini, Euis Sulistiyowati, Heppy Suryanti, Asih Dwi Suwandi, Wawan Suwito, Kafi Pangki Syafriati, Ani Tallulembang, Abdi Toha Muhaimin Triantono, Bayu Tuti Nuraini Tyawarman, Ady Uly, Nilawati Wahidi, Kemala Desy Yani Sofiani Yuli Widyastuti Yuliarti Yuliarti Yuliastutik, Fitri Yulistriani, Anisa Yuniarsih, Winda Yunitri, Ninik Yunus, Muhammad Iqbal Zuliani, Peri