SYMPTOMS BURDEN DAN KUALITAS TIDUR PADA PASIEN HEMODIALYSIS

Abdu Rahim Kamil, Erwan Setiyono

Abstract


Tidur memiliki peranan penting dalam kehidupan manusia, kualitas tidur yang baik dapat membantu mempertahakan kesehatan fisik dan mental. Pasien yang menjalani terapi hemodialisa mengalami berbagai gangguan termasuk diantaranya adalah gangguan kualitas tidur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan symptoms burden dan kualitas tidur pada pasien yang menjalani terapi hemodialisa. Penelitian ini merupakan penelitian kuantitatif dengan metode cross-sectional dengan melibatkan 202 responden dari dua rumah sakit di Jakarta. Symptom burden pada pasien diukur dengan menggunakan Dialysis Symptom Index (DSI) dan kualitas tidur diukur menggunakan the Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian menunjukkan 90% responden mengalami kualitas tidur buruk (n=182) dengan rata-rata skor PSQI 8,44. Rata-rata responden menderita 13 gangguan, dengan nilai symptom burden 36 per responden. Hasil analisa dengan Pearson correlation terdapat hubungan moderate positif antara symptom burden dengan kualitas tidur dengan nilai 0,46 dengan p-value 0,01. Semakin tinggi symptom burden pada pasien yang menjalani hemodialisa maka kualitas tidurnya akan semakin buruk.

Kata kunci: hemodialisa, symptom burden, kualitas tidur

 

ABSTRACT

Sleep plays an important role in humans’ life; good quality of sleep may help maintaining mental and physical health. Patients undergoing hemodialysis has been known to be experiencing various symptoms including impaired sleep quality. The aim of this study is to find the association between symptoms in patients undergoing hemodialysis and their quality of sleep. A survey of symptoms and sleep quality was conducted in 202 patients undergoing hemodialysis from two dialysis units in Jakarta, Indonesia. Symptom burden was assessed using Dialysis Symptom Index (DSI) and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The result shows 90% of the subjects scored five or more in the sleep quality survey (n = 182). The average score of the global sleep score was 8,44. The average number of present symptoms in this study was 13 symptoms, with average symptoms burden of 36 per respondent. Pearson correlation analysis reveals symptom burden has positively moderate association with sleep quality 0,46 and p-value of 0,01, The higher the symptom burden the worse the sleep quality.

Keywords: hemodialysis, symptom burden, quality of sleep


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References


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