ABSTRAKPosisi tidur semifowler merupakan salah satu tindakan positioning dengan mengatur posisi tidur
dengan cara meninggikan bagian kepala, bahu, punggung 20-30 derajat dari permukaan
horisontal tempat tidur.
Penelitian ini bertujuan untuk mengidentifikasi pengaruh posisi tidur semifowler terhadap
kualitas tidur klien gagal jantung. Penelitian ini menggunakan design kuasi eksperimen dengan
menggunakan sampel 38 responden, 19 responden mendapatkan intervensi atau perlakuan
dengan posisi tidur 20 derajat sedangkan 19 responden mendapatkan intervensi atau perlakuan
30 derajat. Instrumen yang digunakan untuk mengukur kualitas tidur dengan PSQI ( The
Pittburg Sleep Quality Index) dengan sedikit modifikasi instrumen dari peneliti. Hasil uji coba
instrumen menghasilkan validitas dan reliabilitas instrumen denga alpha Cronbach`s 0.72 untuk
semua komponen.
Data responden langsung di kumpulkan oleh peneliti di RSUD Banyumas. Data yang terkumpul
dan memenuhi kriteria dianalisa secara univariat dan bivariat menggunakan Uji t test
independent,uji Anova, chi square dan regresi linier sederhana.
Hasil penelitian menunjukan adanya pengaruh antara posisi tidur semifowler terhadap kualitas
tidur klien gagal jantung ( p value = 0.032 alpha 0.05 ). Diharapkan penelitian ini memberikan
manfaat bagi peningkatan pelayanan dan pendidikan serta perkembangan ilmu keperawatan
untuk mencapai pelayanan yang prima.
Disarankan pula hasil penelitian ini bisa dijadikan evidence based praktice dalam memberikan
pelayanan di Rumah sakit.
ABSTRACTSemi fowler position is one of the nursing interventions to improve shortness of breath or
dyspnea in patiens with heart failure. This position is provided to patients by letting head,
shoulder, and back lay on the bed with 20 to 30 degree high from the normal bed position. It is
expected to be beneficial also on quality of sleep. However, not so many researches were done
to support that this position correlated with patient`s quality of sleep.
The purpose of this study is to identify the effect of semifowler sleeping position on quality of
sleep with heart failure. A quasi experimental study was conducted and 38 subjects participated
in the study. Each half of the subjects grouped into two different sleeping positions which were
20 degree and 30 degree high. A modified instrument of The Pittburg Sleep Quality Index
(PSQI) was utilized to measure the qulity of sleep. The study was conducted at Banyumas
General Hospital, Central Java.
The t-test independent, Anova, Chi square, and simple linear regression were employed to
analyses the data. The findings demonstrated that there is a significant diferent between two semi
fowler sleeping position in patients with heart failure (p value 0.032; alpha 0.05) which could be
interpreted as the set of position become important to improve the quality of sleep of patients
with heart failure.
The recommendation of study is to use this result as foundation to improve nursing care to the
patients; nursing education curriculum, and to implement the result of the study as an approach
to create evidence based practice
