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


Aldukhayel, A. (2015). Prevalence of depressive symptoms among hemodialysis and peritoneal dialysis Patients. International Journal of Health Sciences, 9(1), 9-15. dx.doi.org/10.12816/0024678

Brekke, F., Waldum, B., Amro, A., Østhus, T., Dammen, T., Gudmundsdottir, H., & Os, I. (2013). Self-perceived quality of sleep and mortality in Norwegian dialysis patients. Hemodialysis International, 18(1)

Buysse, D., Reynolds, C., Monk, T., Berman, S., & Kupfer, D. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.

Buysse, D. J. (2014). Sleep health: can we define it? Does it matter? SLEEP, 37(1), 9-17.

Cukor, D., Coplan, J., Brown, C., Friedman, S., Newville, H., & Safier, M.

et al. (2008). Anxiety disorders in adults treated by hemodialysis: a single-center study. American Journal of Kidney Diseases, 52(1), 128-136.

Davison, S. (2003). Pain in hemodialysis patients: prevalence, cause, severity, and management. American Journal of Kidney Diseases, 42(6), 1239-1247.

Edalat-Nejad, M. & Qlich-Khani, M. (2013). Quality of life and sleep in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation, 24(3), 514.

Eryavuz, N., Yuksel, S., Acarturk, G., Uslan, I., Demir, S., Demir, M., & Sezer, M. (2008). Comparison of sleep quality between hemodialysis and peritoneal dialysis patients. International Urology and Nephrology, 40(3), 785-791.

Ezzat, H. & Mohab, A. (2015). Prevalence of sleep disorders among ESRD patients. Renal Failure, 37(6), 1013-1019.

Fresenius Medical Care. (2013). ESRD patients in 2013: A global perspective. Germany: Fresenius Medical Care Deutschland GmbH.

Gapstur, R. (2007). Symptom Burden: A concept analysis and implications for oncology nurses. Oncology Nursing Forum, 34(3), 673-680.

Gusbeth-Tatomir, P., Boisteanu, D., Seica, A., Buga, C., & Covic, A. (2007). Sleep disorders: a systematic review of an emerging major clinical issue in renal patients. International Urology and Nephrology, 39(4), 1217-1226.

Iliescu, E. (2003). Quality of sleep and health-related quality of life in haemodialysis patients. Nephrology Dialysis Transplantation, 18(1), 126-132. dx.doi.org/10.1093/ndt/18.1.126

Indonesia Renal Registry. (2014). 7th Report of Indonesian Renal Registry. Indonesia: Perkumpulan Nefrologi Indonesia.

Kimmel, P. (2006). Depression in Patients with End-Stage Renal Disease Treated with Dialysis: Has the Time to Treat Arrived? Clinical Journal of The American Society of Nephrology, 1(3), 349-352.

LeBourgeois, M. (2005). The relationship between reported sleep quality and sleep hygiene in italian and american adolescents. PEDIATRICS, 115(1), 257-265.

Masoumi, M., Afsoun, E. N., Aghaghazvini, R., Amra, B., & Gholamrezaei, A. (2013). Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. International Journal of Preventive Medicine, 4(2)

Masoumi, M. (2015). Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. Sleep Medicine, 16, S72. mer

Merkus, M. (1999). Physical symptoms and quality of life in patients on chronic dialysis: results of The Netherlands cooperative study on adequacy of dialysis (NECOSAD). Nephrology Dialysis Transplantation, 14(5), 1163-1170.

National Kidney Foundation (2015). KDOQI Clinical practice guideline for hemodialysis adequacy: 2015 Update. American Journal of Kidney Diseases, 66(5), 884-930.

NIDDK. (2006). Treatment methods for kidney failure: Hemodialysis (p. 2). NIH Publication.

Oneib, B., El Filali, A., Bentata, Y., & Ada, N. (2017). Depression and anxiety disorders in chronic hemodialysis patients and their quality of life: A cross-sectional study about 106 cases in the northeast of morocco. Saudi Journal of Kidney Diseases and Transplantation, 28(2), 341.

Sekercioglu, N., Curtis, B., Murphy, S., & Barrett, B. (2015). Sleep quality and its correlates in patients with chronic kidney disease: a cross-sectional design. Renal Failure, 37(5), 757-762.

Shahgholian, N., Rahimipour, M., & Yazdani, M. (2015). Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. Iranian Journal of Nursing and Midwifery Research, 20(6), 694.

Stranges, S., Tigbe, W., Gómez-Olivé, F., Thorogood, M., & Kandala, N. (2012). Sleep Problems: An Emerging Global Epidemic? Findings from the INDEPTH WHO-SAGE Study Among More Than 40,000 Older Adults From 8 Countries Across Africa and Asia. Sleep, 35(8), 1173-1181.

Tomita, T., Yasui-Furukori, N., Oka, M., Shimizu, T., Nagashima, A., & Mitsuhashi, K. et al. (2016). Insomnia in patients on hemodialysis for a short versus long duration. Neuropsychiatric Disease and Treatment, Volume 12, 2293-2298.

Trbojevic-Stankovic, J., Stojimirovic, B., Bukumiric, Z., Hadzibulic, E., Andric, B., & Djordjevic, V. et al. (2014). Depression and quality of sleep in maintenance hemodialysis patients. Srp Arh Celok Lek, 142(7-8), 437-443. dx.doi.org/10.2298/sarh1408437t

Wang, R., Tang, C., Chen, X., Zhu, C., Feng, W., Li, P., & Lu, C. (2016). Poor sleep and reduced quality of life were associated with symptom distress in patients receiving maintenance hemodialysis. Health and Quality of Life Outcomes, 14(1).

Weisbord, S., Fried, L., Arnold, R., Rotondi, A., Fine, M., Levenson, D., & Switzer, G. (2004). Development of a symptom assessment instrument for chronic hemodialysis patients: the dialysis symptom index. Journal of Pain and Symptom Management, 27(3), 226-240.

Weisbord, S. (2005). Prevalence, severity, and importance of physical

and emotional symptoms in chronic hemodialysis patients. Journal of the American Society of Nephrology, 16(8), 2487-2494.




DOI: https://doi.org/10.24853/ijnsp.v1i1.27-37

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