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All Journal Jurnal Berita Ilmu Keperawatan Jurnal Berita Ilmu Keperawatan
Aini, Nisrina Nur
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Health Professions Nursing Public Health

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Management of Insomnia in Hemodialysis Patients: A Literature Review Aini, Nisrina Nur; Maliya, Arina
Jurnal Berita Ilmu Keperawatan Vol. 13, No. 2, 2020
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v13i2.11602

Abstract

Introduction: Hemodialysis (HD) therapy is the most common therapy for patients with End Stage Renal Disease (ESRD). Insomnia prevalent among dialysis patients which affects their quality of life and death. Although hemodialysis therapy has been proven to prolong survival, the action of hemodialysis therapy has complications that cause symptoms, one of which is sleep disturbance. Complaints of sleep disorders that are often encountered in dialysis units are experienced by 50-80% of dialysis patients. Of the various sleep disorders, insomnia is one of the symptoms that is often experienced by ESRD patients. Methods: A literature review comparing several literatures through the search of accredited journal sites such as PubMed, Elsevier, ResearchGate, and Neliti with the keywords management insomnia in hemodialysis patients in the 2015-2020 period. Research Results: Management of insomnia is reviewed with the aim of providing guidance to encourage treatment. In the six journals reviewed, education on sleep hygiene, CBT-I, relaxation therapy, massage therapy, and drug administration (with caution) improving the quality of sleep for hemodialysis patients. Conclusions: Pharmacological and non-pharmacological management to overcome insomnia in hemodialysis patients can be given by considering the factors that influence it. Management is advised to use a nonpharmacological approach first. The administration of pharmacological therapy is recommended only for short-term use, used with caution in hemodialysis patients.
Manajemen Insomnia pada Pasien Hemodialisa: Kajian Literatur Aini, Nisrina Nur; Maliya, Arina
Jurnal Berita Ilmu Keperawatan Vol. 13 No. 2 (2020): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v13i2.11602

Abstract

Terapi hemodialisa (HD) merupakan terapi yang paling banyak dilakukan pasien End Stage Renal Disease (ESRD). Meski terapi hemodialisa telah terbukti dapat memperpanjang kelangsungan hidup, tindakan terapi hemodialisa memiliki komplikasi yang memunculkan gejala-gejala salah satunya adalah gangguan tidur. Keluhan gangguan tidur yang sering ditemui dalam unit dialisis dialami oleh 50-80% pasien dialisis. Dari berbagai gangguan tidur, insomnia merupakan salah satu gejala yang sering dialami pasien ESRD. Sebuah kajian literatur yang membandingkan beberapa literatur melalui penelusuran situs jurnal terakreditasi seperti PubMed, Elsevier, ResearchGate, dan Neliti dengan kata kunci management insomnia in hemodialysis patient dalam kurun waktu 2015-2020. Manajemen insomnia ditinjau dengan tujuan memberikan panduan untuk mendorong pengobatan. Dalam enam jurnal yang dikaji, edukasi sleep hygiene, CBT-I, terapi relaksasi, terapi pijat, dan pemberian obat-obatan (dengan perhatian) memperbaiki kualitas tidur pasien hemodialisa. Manajemen farmakologis dan non-farmakologis untuk mengatasi insomnia pada pasien hemodialisis dapat diberikan dengan mempertimbangkan faktor-faktor yang mempengaruhinya. Manajemen disarankan untuk menggunakan pendekatan nonfarmakologis terlebih dahulu. Pemberian terapi farmakologis direkomendasikan hanya untuk penggunaan jangka pendek, digunakan dengan hati-hati pada pasien hemodialisis.
Co-Authors Arina Maliya