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All Journal Jurnal NERS Jurnal Keperawatan Respati Yogyakarta
Fauziah, Hesti Fathan Nurfais
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Health Professions Nursing

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A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing hemodialysis Fauziah, Hesti Fathan Nurfais; Rochmawati, Erna; Padela, Aasim
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.63368

Abstract

Introduction: The prevalence of patients undergoing hemodialysis who experience sleep disturbances and fatigue is high. Pharmacologic management has consequences and adverse effects, therefore, integrative intervention is important to be investigated. Sleep hygiene is one such integrative intervention that improves comfort including enhancing sleep quality and reducing fatigue. However, none have synthesized the effect of sleep hygiene intervention, particularly in the hemodialysis setting. This systematic review aims to synthesize the effectiveness of sleep hygiene in improving sleep quality and fatigue in patients undergoing hemodialysis. Methods: This is a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies. Relevant studies were gathered by searching five databases from 2008-2023 using several keywords, such as sleep hygiene, sleep quality and fatigue. Quality assessment was conducted using relevant tools from the Joanna Briggs Institutes (JBI). Following that, synthesis of research findings was conducted using Review Manager version 5.4. Results: Seven studies of 3,633 screened were included, with one high-quality study (88%) and six studies of moderate quality (61-76%). The review indicated a significant difference in sleep quality (MD = -2.36; 95% CI = -4.28, -0.44; p=0.016). However, there was no significant difference in fatigue (SMD = -0.08; 95% CI = -0.40, 0.24; p=0.61). Conclusions: The evidence supports that sleep hygiene is effective in enhancing sleep quality. This systematic review contributes evidence to support the inclusion of sleep hygiene into holistic nursing to assist patients in improving sleep quality and reducing fatigue.
Global Trends and Emerging Themes in Sleep Disorders Research in Chronic Kidney Disease: A Bibliometric Analysis Fauziah, Hesti Fathan Nurfais; Rochmawati, Erna
Jurnal Keperawatan Respati Yogyakarta Vol. 12 No. 1 (2025): January 2025
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v12i1.829

Abstract

Sleep disorders are common in chronic kidney disease (CKD), significantly impairing quality of life and accelerating disease progression. Despite growing research, no comprehensive bibliometric analysis has been conducted on this topic. This research contributed to analyzing global research trends and identifying emerging themes in sleep disorders research in CKD patients from 2014 to 2024. A bibliometric analysis of publications in the Scopus database was performed, with visualization, co-occurrence, and trend analyses conducted using VOS viewer software (version 1.6.20). From 516 publications indicated increasing research activity despite periodic fluctuations. The United States was the leading contributor. Key emerging themes included the impact of dialysis on sleep disorders, physical and mental health, and quality of life; pathophysiological mechanisms of sleep regulation in CKD; comorbidities and risk factors exacerbating sleep disorders; and the types of sleep disorders and their effects on mortality and morbidity in CKD patients. Future directions emphasize technology-based monitoring, psychosocial interventions, personalized medicine approaches, and innovations in dialysis therapies. This first comprehensive bibliometric analysis provides insights into global research trends and key emerging themes on sleep disorders in CKD, guiding clinicians in holistic care and researchers in addressing literature gaps to improve patient outcomes.
Co-Authors Erna Rochmawati, Erna Padela, Aasim