Pengaruh Musik Instrument Dan Sleep Hygiene Terhadap Gangguan Tidur Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RS PKU Muhammadiyah Yogyakarta

Pipit Nur Fitria, Iman Permana, Falasifah Ani Yuniarti

Abstract


Latar Belakang: Hemodialisa merupakan terapi penganti ginjal yang dilakukan pada pasien gagal ginjal kronik seumur hidup bertujuan untuk mengeluarkan sisa hasil metabolisme sehingga pasien yang melakukan terapi hemodialisa mengalami permasalahan. Salah satunya masalah gangguan tidur. Untuk mengatasi gangguan tidur yaitu dengan mendengarkan musik istrumen serta melakukan pratek sleep hygiene

Tujuan : mengetahui pengaruh musik instrumen dan sleep hygiene pada pasien gagal ginjal kronik yang menjalani hemodialisa terhadap gangguan tidur di RS PKU Muhammadiyah Yogyakarta.

Metode : Penelitian menggunakan desain Quasy Experiment. dengan kelompok kontrol dan kelompok eksperimental. Diawali dengan pre-post test melalui teknik simple random sampling sebanyak 60 responden. Penelitian dialkukan bulan Agustus 2018 di Ruang Hemodialisa RS PKU Muhammadiyah Yogyakarta.

Hasil : Analisis menggunakan Independent sample t test dengan  p value 0,037 (p < 0.05). menunjukan  ada hubungan signifikan kualitas tidur lebih baik dari pada kelompok intervensi dibandingakn kelompok kontrol.

Kesimpulan : ada pengaruh musik instrumen dan sleep hygiene pada pasien gagal ginjal kronik yang menjalani hemodialisa terhadap gangguan tidur di RS PKU Muhammadiyah Yogyakarta

Kata Kunci : Gagal Ginjal Kronik, Hemodialis, Kualitas Tidur, Musik Instrument, Sleep Hygiene


ABSTRACK

 

Background: Hemodialysis is a renal replacement therapy performed in patients with chronic renal failure for life aimed at removing metabolic waste so that patients undergoing hemodialysis therapy experience problems. One of them is the problem of sleep disorders. To overcome sleep disorders, namely by listening to music instruments and doing sleep hygiene practice

Objective: to determine the effect of instrument music and sleep hygiene on patients with chronic renal failure undergoing hemodialysis against sleep disturbances at PKU Muhammadiyah Hospital in Yogyakarta.

Method: The study used the Quasy Experiment design. with the control group and experimental group. Starting with pre-post test through simple random sampling technique as many as 60 respondents. The study was conducted in August 2018 in the Hemodialisa Room of PKU Muhammadiyah Hospital in Yogyakarta.

Results: Analysis using Independent sample t test with p value 0.037 (p <0.05). showed that there was a significant correlation between sleep quality and intervention group compared to the control group.

Conclusion: there is an influence of instrument music and sleep hygiene on patients with chronic renal failure undergoing hemodialysis to sleep disturbances at PKU Muhammadiyah Yogyakarta Hospital

Keywords: Chronic Kidney Failure, Hemodialysis, Instrument Music, Sleep Hygiene, Sleep Quality


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References


Al-Jahdali, Hamdan H, Haithm A Khogeer, Waleed A Al-Qadhi, Salim Baharoon, Hani Tamim, Fayez F Al-Hejaili, Saeed M Al-Ghamdi, and Abdullah A Al-Sayyari. (2010). “Insomnia in Chronic Renal Patients on Dialysis in Saudi Arabia.” Journal of Circadian Rhythms, 8(1),7. https://doi.org/10.1186/1740-3391-8-7

Buysse, Daniel J. (2008). Chronic insomnia. American journal of psychiatry, 165(6), 678-686s

BaHammam, Ahmed. (2006) “Sleep Quality of Patients with Acute Myocardial Infarction Outside the CCU Environment: A Preliminary Study.” Medical Science Monitor 12( 4) : CR168–CR172.

Bayhakki., Utami Gamya T., Dani Rahma. (2015). Hubungan Motivasi, Harapan, dan Dukungan Putugas Kesehatan Terhadap Kepatuhan Pasien Gagal Ginjal Kronik untuk Menjalani Hemodialisa. JOM, 2(2)

Cho, Y., Ryu, S. H., Lee, B. R., Kim, K.H., Lee, E., & Choi, J. (2015). Effects of artificial light at night on human health: A literature review of observational and exprerimental studies appied to exposure assessment. Chronobiology international, 32(9), 1294-1310

Chang, En-Ting, Hui-Ling Lai, Pin-Wen Chen, Yuan-Mei Hsieh, and Li-Hua Lee. (2012) “The Effects of Music on the Sleep Quality of Adults with Chronic Insomnia Using Evidence from Polysomnographic and Self-Reported Analysis: A Randomized Control Trial.” International Journal of Nursing Studies, 49(8), 921–30. https://doi.org/10.1016/j.ijnurstu.2012.02.019.

Dewi, I. G. A. P. A. (2010). “Hubungan Antara Quick of blood dengan Adekuasi Hemodialisa pada Pasien yang Menjelang Terapi Hemodialisis di Ruang HD BRSU Daerah Tabanan Bali”. Tesis. Universitas Indonesia. Depok

Erwinsyah. (2014). Hubungan Antara Quick of Blood (Qb) dengan Penurunan Kadar Ureum dan Kreatinin Plasma pada Pasien CKD yang Menjalani Hemodialisis di RSUD Raden Mattaher Jambi. Jurnal Ilmiah Universitas Batanghari Jambi, 14, 101-103

Erliana E., Haroen H.,Susanti, Raini Diah. (2009).“Perbedaan Tingkat Insomnia Lansia Sebelum Dan Sesudah Latihan Relaksasi Otot Progresif (Progressive Muscle Relaxation) Di Bpstw Ciparay Bandung.” Abstrak, n.d.

Fraser, Simon D.S., Roderick, Paul J., Casey, M., Taal, Maarten W., Ysuen, Ho Ming., nutbeam, D. (2013). Prevalence and associations of limited health literacy in chronic kidney disease: a systematic review. Nephrology Dialysis Transplantation, 28(1), 129-137. http://doi.org/10.1093/ndt/gfs371

Hill, Nathan R., Fatoba, Samuel T., Oke, Jason L., Hirst, Jennifer A., O’Callaghan, Christo., Lasserson, Daniel S., Hobbs, F.D. Richard., Remuzzi, Giuseppe. (2016). Global Prevalence of Chronic Kidney Disease- A sytematic Review and Meta-Analysis. PLOS ONE, 11(7), 0158765. https://doi.org/10.1371/journal.pone0158765

Harmat, L., Takacs, J., Bodizs, R. (2008). Music Improves Sleep Quality in Students. Journal of Advanced Nursing, 62(3), 327–335. https://doi.org/10.1111/j.1365-2648.2008.04602.x

Heidarzadeh, M., Atashpeikar, S., & Jalilazar, T. (2010). Relationship between quality of life and self-care ability in patients receiving hemodialysis. Iranian Journal of Nursing and Midwifery Research, 15(2), 71–76.

Kozier., Erb., Berman., & Snyder. (2004). Fundamental of nursing: concepts, proces, and practice (7thed). New Jersey: Prentice-Hall, Inc.

Laily, Eka Isranil, Juanita Juanita, and Cholina Trisa Siregar. (2017). “Efektifitas Pemberian Terapi Musik Instrument Terhadap Kualitas Tidur Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa.” Idea Nursing Journal 6, no. 3 45–50.

Merlino, P.G., Dolso. P., et al. (2006). Sleep disorders in patient with end stage renal disease undergoing dialysis therapy. Nephrol Dial Tranplant, 21: 184-190

Mirna Putri Rembulan. (2014). Pengaruh Terapi Musik Instrumental Dan Aromatherapy Lavender Eyemask Terhadap Penurunan Tingkat Insomnia Pada Mahasiswa Fisioterapi D3 Angkatan 2011. Naskah Publikasi. Surakarta: Fik Uns.Manzilah, T. (2011). Factor-Faktor Yang Mempengaruhi Terjadinya Infeksi Double Lumen Pada Klien Hemodialisa di Rumah Sakit Hospital Cinere Depok

Nishinoue Nao., Takano Tomaki., Kaku Akiko., Eto Risa., Kato Noritada, Ono Yukata., Takana Katsutoshi. (2012). Effects sleep hygiene education and behavioral therapy on sleep quality of white-collar workers: A Randomized Controlled Trial. J-STAGE, 50, 123-131

Nilsson, Ulrica. (2009). “Caring Music; Music Intervention for Improved Health.” Update 2009, 8–5

PERNEFRI. (2014). 7th Report Of Indonesian Renal Registry

Purbowinoto, S. E., & Kartinah. (2011). Pengaruh Terapi Musik terhadap Perubahan Tingkat Depresi pada Lansia di PSRW (Panti Sosial Tresna Wredha) Unit Budi Luhur, Kasongan, Bantul Yogyakarta. Publikasi Ilmiah UMS, 4, 44-49.

Potter, P.A., & Perry, A.G. (2010). Fundamental Keperawatan. Ed Ke-7 Vol 2. Jakarta: Salemba Medika

Setyoadi, Setyoadi, Retno Lestari, and Nirmala Kusuma. (2016). “Pengaruh Relaksasi Otot Progresif Dengan Musik Terhadap Kualitas Tidur Lansia Di Posyandu Lansia ‘Anjasmoro’ Kelurahan Sukorame Kediri.” Majalah Kesehatan3, no. 1 : 18–24. https://doi.org/10.21776ub.https://doi.org/10.21776/ub.majalahkesehatan.003.01.3

Su, P.C., Lai. L.H., Chang, T.E., Yin. M.L., Perng, J.S., Cheng, W.P. (2012). A randomized controlled trial of the effects of listening to non commercial music on quality of nocturnal sleep and relaxation indices in patients in medical intensive care unit. Journal of Advances Nursing, 16(6): 1377-1389. Doi:10.1111/j.1365-2648.2012.06130.x.

Salamon E., Bernstein S.R., Kim S.A., Kim M., & Stefano G.B. (2003). The Effects of Auditory Perception and Musical Preference on Anxiety in Naive Human Subjects. Medicine Science Monitor, 9(9), 396–399.

Sherwood, LZ. (2014). Fisiologi Manusia dari sel ke Sistem. Edisi 8. Jakarta: EGC, 595-677

Safitri, R.P., Rusiana, H.P., & Idris, B.N.A. (2014). Relaksasi progresif dengan peningkatan kualitas Hidup Lansia di Puskesmas Cikarang. Jur. Stikes Yarsi Mataram

Siebern, A.T., Suh, S., & Nowakowsk, S. (2012). Non Farmakological Treatment Insomnia. Neurotherapeutics, 9(4), 717-727. Htpp;doi.org.10.1007/S3311012.0142-9

Sari, Ika Kholila. (2017). “Perbedaan Kualitas Tidur Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa 2 Kali Dan 3 Kali Di Rumah Sakit Pku Muhamadiyah Yogyakarta. Universitas Muhammadiyah Yogyakarta

Kozier, et al. 2010. Buku Ajar keperawatan Fundamental Konsep , Proses & Praktik. Jakarta : EGC Sousa, A. D. (2008). Psychiatric Issues in Renal Failure and Dialysis. Indian J Nephrol 18(2): 47-50

Supriyadi, Wagiyo, Sekar Ratih Widiowati. (2010). Tingkat Kualitas Hidup Pasien Gagal Ginjal Kronik Terapi Hemodialisa. Jurnal Kesehatan Masyarakat

Tortora, G. j., Bryan, D. (2009). Principles of anatomy and physiology, 12th ed. USA: Jhon Wiley & Sons


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