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"ABSTRAKInsomnia merupakan gangguan tidur yang paling sering dan prevalensi nya meningkat pada pasien hemodialisis. Insomnia yang tidak ditangani lebih lanjut akan menyebabkan kematian. Back massage adalah salah satu intervensi keperawatan komplementer yang dapat memberikan peningkatan rasa nyaman dan relaksasi otot. Sementara sleep hygiene adalah kebiasaan sehari-hari yang berhubungan dengan proses tidur yang dapat di gunakan untuk mengatasi insomnia. Tujuan penelitian ini adalah untuk mengukur pengaruh back massage dan sleep hygiene terhadap insomnia. Metode: Desain penelitian adalah quasi eksperimen, pre post-test with control, dengan jumlah total sampel 30 orang, dengan tehnik consecutive sampling. Responden dibagi dalam dua kelompok yaitu 15 orang yang diberikan intervensi back massage dan sleep hygiene; 15 orang lainnya yang diberikan intervensi sleep hygiene. Back massage dilakukan sebanyak 3 sesi (10 menit per sesi) di unit HD dan sebelum tidur malam di rumah selama 8 hari. Pengukuran insomnia dengan menggunakan Indeks Kualitas Tidur Pittsburgh. Hasil: Back massage dan sleep hygiene menunjukkan perbedaan nilai rata-rata insomnia 1,6 lebih besar dibandingkan dengan pemberian sleep hygiene dengan nilai rata-rata 0,4 (p= 0,0001). Rekomendasi: Back massage dan sleep hygiene dapat diaplikasikan oleh perawat dan keluarga sebagai bagian dari program intervensi komplementer non farmakologis untuk menurunkan keluhan insomnia dan meningkatkan kualitas tidur pasien yang menjalani hemodialisis.

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ABSTRACT

Insomnia is the most frequent sleep disorder and high prevalence occurs in hemodialysis patient. If insomnia is not treated in advance, it will enchance mortality. Back massage is one of the complementary nursing interventions can increase comfort and muscle relaxation. Other intervention; sleep hygiene can be used as intervention for sleep disorder. This study aimed to identify the effect of back massage and sleep hygiene on insomnia. Method: This study used a quasi-experimental study design, pre post-test with control, recruited 30 sample by consecutive sampling technique. The implementation was conducted in November until December 2018. Respondents were divided into two groups: 15 sample of intervention groups provided back massage and sleep hygiene and 15 sample of intervention group provided sleep hygiene. Back massage provide in 3 session (10 minute per sesi) in Hemodialysis unit and before sleep for 8 days at home. The implementation of insomnia was evaluated using the Pittsburgh Sleep Quality Index. Results: The intervention of back massage and sleep hygiene showed differences in mean value of insomnia 1.6 greater than that of sleep hygiene with a mean value of 0.4 (p value 0,0001). Recommendation: Back massage and sleep hygiene can be applied by nurses as part of a non-pharmacological complementer intervention to reduce insomnia and improve the sleep quality of patients undergoing hemodialysis."

"Latar belakang: Hemodialisis merupakan terapi pengganti ginjal yang menjadi penanganan paling umum pada pasien gagal ginjal. Gejala yang dapat terjadi pada pasien hemodialisis salah satunya gangguan tidur. Dalam perannya, perawat merupakan care provider dalam memberikan asuhan keperawatan kepada pasien, termasuk yang memiliki kualitas tidur yang buruk. Foot massage merupakan terapi komplementer yang aman, mudah diberikan, merelaksasi otot serta memberikan rasa nyaman. Tujuan: Untuk mengetahui pengaruh dari terapi foot massage terhadap kualitas tidur pasien hemodialisis. Metode: Penelitian ini menggunakan desain quasi eksperimen dengan sampel sebanyak 24 responden pada kelompok intervensi dan 24 responden pada kelompok kontrol. Teknik snowball sampling digunakan dengan kriteria inklusi pasien berusia 18-60 tahun, mengalami gangguan tidur, kesadaran composmentis, tidak mengalami cedera pada kaki dan tidak mengkonsumsi obat tidur. Hasil: Diperoleh skor pre-test 11,96 dan skor post test 9,17 pada kelompok intervensi sedangkan pada kelompok kontrol diperoleh skor pre-test 10,08 dan skor post test 9,83. Hasil analisis uji statistik menunjukkan ada perbedaan rerata kualitas tidur pada pre-test dan post-test pada kelompok intervensi dan kontrol dengan nilai p = 0,001. Kesimpulan: Terapi foot massage berpengaruh dalam meningkatkan kualitas tidur pasien hemodialisis. Rekomendasi: Perawat dengan pendidikan minimal Diploma Keperawatan dapat menerapkan terapi foot massage kepada pasien hemodialisis yang mengalami gangguan tidur.

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Background: Hemodialysis has become a renal replacement therapy which is the most common treatment for patients with kidney failure. Symptoms that can occur in hemodialysis patients include sleep disturbances. In their role, nurses have become care providers in providing nursing care to patients, including those with poor sleep quality. Foot massage has become a complementary therapy that is safe, easy to administer, relaxes muscles and provides a sense of comfort.

Objective: To determine the effect of foot massage therapy on sleep quality in hemodialysis patients.

Method: This study used a quasi-experimental design with a sample of 24 respondents in the intervention group and 24 respondents in the control group. The snowball sampling technique was used with the inclusion criteria of patients aged 18-60 years, experiencing sleep disturbances, composmentis awareness, not experiencing leg injuries and not taking sleeping pills.

Results: Obtained a pre-test score of 11.96 and a post test score of 9.17 in the intervention group, while the control group obtained a pre-test score of 10.08 and a post test score of 9.83. The results of statistical test analysis showed that there was a difference in the mean sleep quality in the pre-test and post-test in the intervention and control groups with a value of p = 0.001.

Conclusion: Foot massage therapy has an effect on the sleep quality of hemodialysis patients. Recommendation: Nurses with a minimum education of a Diploma in Nursing can apply foot massage therapy to hemodialysis patients who experience sleep disorders."

"ABSTRAKGangguan tidur seperti insomnia merupakan masalah yang umum pada pasien hemodialisis. Insomnia berpengaruh terhadap psikologis dan fisik pasien. Perhatian yang besar perlu diberikan untuk mengobati dan mengatasi insomnia pada pasien hemodialisis. Penelitian ini bertujuan untuk mengetahui pengaruh Latihan Autogenik terhadap insomnia pada pasien hemodialisis kronik di RSUP Dr. M. Djamil Padang. Desain penelitian ini adalah quasi eksperimen menggunakan kelompok intervensi dan kelompok kontrol. Pengambilan sampel menggunakan teknik consecutive sampling, melibatkan 35 orang pasien di unit hemodialisis. Analisis data menggunakan uji statistik independent t-test dan paired t-test. Hasil menunjukkan terdapat perbedaan yang bermakna derajat insomnia responden setelah diberikan intervensi Latihan Autogenik (p=0,004). Intervensi Latihan Autogenik berpengaruh terhadap insomnia pasien hemodialisis kronik. Penelitian ini merekomendasikan kepada perawat untuk mempertimbangkan intervensi keperawatan seperti Latihan Autogenik untuk mengurangi insomnia pada pasien hemodoalisis kronis.

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ABSTRACTSleep disorders such as insomnia is a common problem in hemodialysis patients. Insomnia is contributed to psychological and physical problems. More attention on the treatment and management of insomnia in hemodialysis patients is needed. This research aimed to find out the impact of Autogenic Training on insomnia in chronic hemodialysis patients in Dr. M. Djamil Padang General Hospital. This study was a quasi experiment using an intervention and a control group design. A consecutive sampling method was applied, involved 35 patients who were on chronic hemodialysis. Data were analysed using an independent t-test and a paired t-test. The results showed that there were significant differences in the degree of insomnia after Autogenic Training (p=0,004). Among the patients, Autogenic training intervention affects the insomnia on the chronic hemodialysis patients. This study recomands that nurses should consider an intervention such as Autogenic Training to reduce insomnia among chronic hemodialysis patients."

"Nyeri menjadi salah satu alasan seseorang untuk berobat ke rumah sakit. Nyeri mempengaruhi berbagai aspek kehidupan seseorang salah satunya kualitas tidur. Kualitas tidur yang buruk membuat seseorang menjadi sulit untuk fokus, kurang energi, hingga tidak mampu melakukan aktivitas sehari-hari. Teknik relaksasi merupakan salah satu intervensi non farmakologis yang disarankan untuk meningkatkan kualitas tidur. Pasien perempuan usia 34 tahun menderita nyeri hebat di kepala tanpa penyebab pasti. Nyeri sangat berat dirasakan hingga membuat pasien tidak dapat tidur selama beberapa hari. Pasien mengeluhkan kelelahan, nyeri, dan tidak dapat tidur. Nyeri berkurang ketika diberikan terapi farmakologi namun tidak sepenuhnya hilang. Pasien tidak diberikan terapi farmakologi untuk mengatasi kesulitan tidur, skor Pittsburgh Sleep Quality Index atau PSQI 13 (Kualitas tidur buruk) dan skor Insomnia Severity Index atau ISI 16 (insomnia berat). Penulis memberikan intervensi relaksasi Benson dan melakukan sleep hygiene untuk meningkatkan kualitas tidur pasien selama 1 minggu. Setelah intervensi terdapat perbaikan pada kualitas tidur pasien ditandai dengan skor PSQI pasien menurun menjadi 5 (kualitas tidur baik) dan skor ISI 6. Pasien juga mengatakan merasa lebih segar dan berenergi untuk melakukan aktivitas di siang hari karena kebutuhan tidur sudah tercukupi. Hal ini menunjukan bahwa teknik relaksasi benson memberikan manfaat serta perubahan signifikan pada kualitas tidur pasien.

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Pain is one of the reasons for someone to go to the hospital. Pain affects various aspects of a person's life, one of which is the quality of sleep. Poor sleep quality makes it difficult for a person to focus, lack of energy, and is unable to carry out daily activities. Relaxation techniques are one of the non-pharmacological interventions that are recommended to improve sleep quality. A 34-year-old female patient suffers from severe pain in the head without a definite cause. The pain is so severe that it makes the patient unable to sleep for several days. The patient complains of fatigue, pain, and inability to sleep. Pain lessens when therapy is given but does not completely go away. Patients were not given pharmacological therapy to treat sleep difficulties, the patient’s Pittsburgh Sleep Quality Index or PSQI score 13 (poor sleep quality) and the Insomnia Severity Index or ISI score is 16 (intermediate insomnia). The author provides Benson relaxation interventions and performs sleep hygiene to improve the patient's sleep quality for 1 week. After 1 week of intervention, the patient's PSQI score decreased to 5 (good sleep quality) and an ISI score of 6. The patient also said she felt more refreshed and energized to do activities during the day because her sleep needs were fulfilled. This shows that the Benson relaxation technique provides significant benefits and changes in the patient's sleep quality."

"Penelitian ini bertujuan untuk menggambarkan penerapan learning organization di Direktorat SDM dan Umum Kantor Pusat PT (Persero) Pelabuhan Indonesia II Tanjung Priok. Penelitian ini mengidentifikasi tingkat penerapan learning. Kemudian, untuk mengetahui apakah perusahaan dapat dikategorikan ke dalam organisasi pembelajar, hal ini ditinjau berdasarkan kuesioner Marquadt (1996)."

"[ABSTRAKPenelitian ini untuk mengetahui apakah ada hubungan antara strategi coping stresdan compassion satisfaction, serta menguji coping fokus masalah dan emosisebagai mediator antara coping fokus spiritual dan compassion satisfaction.Menggunakan Purposive sampling, Kuesioner Proqol R-IV (Stamm, 2010) BriefCOPE (Carver dkk, 1989), WCC (Dahlan, 2005) dan Brief RCOPE (Pargamentdkk, 1998) diisi oleh 102 perawat UGD, ICU dan Bedah Umum di Makassar.Analisa regresi berganda signifikan untuk hubungan coping fokus masalah dancoping fokus emosi dengan compassion satisfaction (F = 3.459, p = .002<.05),coping fokus masalah dan coping fokus spiritual dengan compassion satisfaction(F = 4.016, p = .000<.05), dan ketiga coping stres dan compassion satisfaction(F = 3.656, p = .001<.05). Hasil uji mediasi menunjukkan hubungan antara copingfokus spiritual dan compassion satisfaction tidak dimediasi oleh coping fokusmasalah (jalur a, β = .012, p = .906>.05) dan coping fokus emosi (jalur d, β =-.037, p = .708>.05 dan jalur e, β = .161, p = .093>.05). Penemuan menunjukkancoping fokus spiritual berhubungan langsung dengan compassion satisfaction.

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ABSTRACTThe aim of this study was to explore the relationships of coping and compassionsatisfaction, and examine the problem and emotion focused coping as mediatorbetween spiritual focused coping and compassion satisfaction. With Purposivesampling, questionnaire Proqol R-IV (Stamm, 2010) Brief COPE (Carver et al.,1989), WCC (Dahlan, 2005) dan Brief RCOPE (Pargament et al., 1998) filled by102 nurses of UGD, ICU and Centre Operating Service in Makassar. The resultsof multiple regression were significant for relationships between problem focusedcoping and emotion focused coping with compassion satisfaction (F = 3.459, p =.002<.05), problem focused coping and spiritual focused coping with compassionsatisfaction (F = 4.016, p = .000<.05), and the third of coping with compassionsatisfaction (F = 3.656, p = .001<.05). The mediation analyses showed that therelationships between spiritual focused coping and compassion satisfaction werenot mediated by problem focused coping (path a, β = .012, p = .906>.05) andemotion focused coping emosi (path d, β = -.037, p = .708>.05 and path e, β =.161, p = .093>.05). Finding showed that relationship between of spiritual focusedcoping was directly with compassion satisfaction.;The aim of this study was to explore the relationships of coping and compassionsatisfaction, and examine the problem and emotion focused coping as mediatorbetween spiritual focused coping and compassion satisfaction. With Purposivesampling, questionnaire Proqol R-IV (Stamm, 2010) Brief COPE (Carver et al.,1989), WCC (Dahlan, 2005) dan Brief RCOPE (Pargament et al., 1998) filled by102 nurses of UGD, ICU and Centre Operating Service in Makassar. The resultsof multiple regression were significant for relationships between problem focusedcoping and emotion focused coping with compassion satisfaction (F = 3.459, p =.002<.05), problem focused coping and spiritual focused coping with compassionsatisfaction (F = 4.016, p = .000<.05), and the third of coping with compassionsatisfaction (F = 3.656, p = .001<.05). The mediation analyses showed that therelationships between spiritual focused coping and compassion satisfaction werenot mediated by problem focused coping (path a, β = .012, p = .906>.05) andemotion focused coping emosi (path d, β = -.037, p = .708>.05 and path e, β =.161, p = .093>.05). Finding showed that relationship between of spiritual focusedcoping was directly with compassion satisfaction.;The aim of this study was to explore the relationships of coping and compassionsatisfaction, and examine the problem and emotion focused coping as mediatorbetween spiritual focused coping and compassion satisfaction. With Purposivesampling, questionnaire Proqol R-IV (Stamm, 2010) Brief COPE (Carver et al.,1989), WCC (Dahlan, 2005) dan Brief RCOPE (Pargament et al., 1998) filled by102 nurses of UGD, ICU and Centre Operating Service in Makassar. The resultsof multiple regression were significant for relationships between problem focusedcoping and emotion focused coping with compassion satisfaction (F = 3.459, p =.002<.05), problem focused coping and spiritual focused coping with compassionsatisfaction (F = 4.016, p = .000<.05), and the third of coping with compassionsatisfaction (F = 3.656, p = .001<.05). The mediation analyses showed that therelationships between spiritual focused coping and compassion satisfaction werenot mediated by problem focused coping (path a, β = .012, p = .906>.05) andemotion focused coping emosi (path d, β = -.037, p = .708>.05 and path e, β =.161, p = .093>.05). Finding showed that relationship between of spiritual focusedcoping was directly with compassion satisfaction., The aim of this study was to explore the relationships of coping and compassionsatisfaction, and examine the problem and emotion focused coping as mediatorbetween spiritual focused coping and compassion satisfaction. With Purposivesampling, questionnaire Proqol R-IV (Stamm, 2010) Brief COPE (Carver et al.,1989), WCC (Dahlan, 2005) dan Brief RCOPE (Pargament et al., 1998) filled by102 nurses of UGD, ICU and Centre Operating Service in Makassar. The resultsof multiple regression were significant for relationships between problem focusedcoping and emotion focused coping with compassion satisfaction (F = 3.459, p =.002<.05), problem focused coping and spiritual focused coping with compassionsatisfaction (F = 4.016, p = .000<.05), and the third of coping with compassionsatisfaction (F = 3.656, p = .001<.05). The mediation analyses showed that therelationships between spiritual focused coping and compassion satisfaction werenot mediated by problem focused coping (path a, β = .012, p = .906>.05) andemotion focused coping emosi (path d, β = -.037, p = .708>.05 and path e, β =.161, p = .093>.05). Finding showed that relationship between of spiritual focusedcoping was directly with compassion satisfaction.]"

"Peningkatan jumlah penduduk lansia yang semakin bertambah, akan berdampak pada peningkatan beban ketergantungan lansia akibat penurunan fungsi fisiologis yang dialaminya seperti istirahat dan tidur. Insomnia dapat mempengaruhi penurunan kesehatan fisik, psikologis, fungsi kognitif dan sosial pada lansia. Karya ilmiah ini bertujuan untuk mengetahui gambaran pelaksanaan asuhan keperawatan pada lansia dengan insomnia melalui program sleep hygiene di PSTW Budi Mulia 1 Ciracas. Program sleep hygiene merupakan salah satu intervensi keperawatan yang mendorong tidur lebih nyenyak, sehingga dapat meningkatkan kuantitas dan kualitas tidur. Intervensi ini terdiri dari 8 sesi yang dilakukan selama 60 menit setiap sesinya. Instrumen yang digunakan adalah Pittsburg Sleep Quality Index (PSQI), Insomnia Severy Index (ISI) dan Sleep Hygiene Index (SHI). Hasil karya ilmiah menunjukkan terdapat penurunan skor pada instrumen PSQI dari 16 menjadi 7, terdapat penurunan dari 21 menjadi 9 pada intrumen ISI dan pada instrumen SHI mengalami penurunan dari 43 menjadi 30. Penulis merekomendasikan adanya upaya untuk mengatasi insomnia dengan menerapkan intervensi peningkatan tidur pada lansia.

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The increased number of elderly populations had an impact to the elderly independence due to the decrease in physiological functions experienced such as rest and sleep. Insomnia could decrease the physical, psychological, cognitive and social health functions in the elderly. This scientific work aimed to describe the implementation of nursing care for the elderly with insomnia using the sleep hygiene program at PSTW Budi Mulia 1 Ciracas. Sleep hygiene program is a nursing intervention that encourages deeper sleep, to increase the quantity and quality of sleep. This intervention consisted of 8 sessions and conducted for 60 minutes on each session. The instruments used were Pittsburg Sleep Quality Index (PSQI), Insomnia Severy Index (ISI) and Sleep Hygiene Index (SHI). The sleep hygiene program resulted the decreasing scores of PSQI, ISI and SHI. The PSQI instrument decreased from 16 to 7, the ISI instrument decreased from 21 to 9, and the SHI instrument decreased from 43 to 30. The author recommends effort to resolve insomnia by using sleep enhancement interventions on ederly."

"Karya akhir ini mendeskripsikan stres yang dialami serta penerapan strategi koping yang dilakukan oleh lulusan universitas ternama di Indonesia dengan akreditasi A yang menganggur selama masa Pandemi Covid-19. Informan pada penelitian ini adalah penganggur terdidik yang merupakan alumni Fakultas Ilmu Sosial dan Ilmu Politik Universitas Indonesia lulusan 2019-2021 dan orang terdekat dari penganggur terdidik dengan jumlah keseluruhan adalah 10 orang. Penelitian ini dilatarbelakangi oleh peningkatan jumlah pengangguran terdidik akibat adanya perubahan struktur ekonomi sejak kemunculan Pandemi pada tahun 2019. Pengangguran dapat menjadi suatu peristiwa traumatis dan menjadi sumber stres psikologis (tekanan mental) seorang individu. Dalam menghadapi tekanan tersebut, secara alamiah penganggur terdidik akan melakukan serangkaian aksi atau metode untuk meredakan stres bagi para penganggur yang disebut sebagai Strategi Koping. Penelitian ini bertujuan untuk mendeskripsikan stres yang dialami penganggur terdidik serta penerapan strategi koping yang terdiri dari tiga aspek yakni terkait jenis strategi koping yang digunakan, sumber daya yang dimiliki oleh penganggur terdidik, serta proses koping yang dijalani olehnya. Pendekatan dan jenis penelitian yang digunakan adalah pendekatan kualitatif dengan jenis penelitian studi deskriptif. Pemilihan informan menggunakan teknik Nonprobability sampling, dengan jenis purposive sampling yang memilih informan dengan kriteria tertentu. Penelitian ini dilakukan melalui wawancara mendalam dan studi literatur. Untuk meningkatkan kualitas data, peneliti melakukan triangulasi dengan jenis triangulasi sumber. Selanjutnya, data yang didapatkan kemudian dianalisis menggunakan teknik kondensasi data, pemaparan data, dan penarikan kesimpulan. Riset ini dilakukan dalam rentang tahun 2021-2023. Hasil penelitian menunjukan bahwa seluruh informan mengalami stres kronik akibat menganggur selama masa Pandemi Covid-19. Dalam hal ini, jenis dan jumlah penerapan strategi koping dapat menentukan kemampuan pengangguran terdidik dalam mengatasi tekanan mental mereka. Sumber daya koping yang dimiliki informan sangat mempengaruhi jenis strategi koping yang digunakan serta menentukan kemampuan informan dalam meredakan stres. Dalam prosesnya, sebagian besar informan berhasil meredakan stres dengan secara langsung fokus pada emosi kemudian fokus pada masalah sehingga secara utuh menghilangkan sumber stres untuk jangka panjang. Namun, sebagian kecil yang menggunakan satu jenis strategi koping hanya berhasil menghilangkan sumber stres untuk jangka pendek.

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This study describes the stress experienced and the implementation of coping strategies carried out by graduates of well-known universities in Indonesia with A accreditation who were unemployed during the Covid-19 Pandemic. The informants in this study were the educated unemployed who were alumni of the Faculty of Social and Political Sciences, University of Indonesia, graduates of 2019-2021 and the significant others to the educated unemployed, with a total of 10 people. The background of this research is the increase in the number of educated unemployed due to changes in the economic structure since the emergence of the Pandemic in 2019. Unemployment can be a traumatic event and a source of psychological stress (mental pressure) for an individual. In dealing with this pressure, naturally educated unemployed will carry out a series of actions or methods to relieve stress for the unemployed which is referred to as Coping Strategies. This study aims to describe the stress experienced by the educated unemployed and the implementation of coping strategies which consist of three aspects, that includes: the type of coping strategy used, the resources owned by the educated unemployed, and the coping process undertaken by them. The approach and type of research used is a qualitative approach with a descriptive research study. Selection of informants using nonprobability sampling technique, which is purposive sampling that selects informants with certain criteria. This research was conducted through in-depth interviews and literature studies. To improve the quality of the data, researchers conducted triangulation with the type of source triangulation. Furthermore, the data obtained was then analyzed using data condensation techniques, data exposure, and drawing conclusions. This research was conducted in the span of 2021-2023. The results of the study showed that all informants experienced chronic stress due to being unemployed during the Covid-19 Pandemic. In this case, the type and amount of the application of coping strategies can activate the responsiveness of students in overcoming their mental stress. The coping resources owned by the informant greatly influence the type of coping strategy used and determine the informant's ability to relieve stress. In the process, most of the informants managed to relieve stress by directly focusing on emotions and then focusing on the problem so that it completely eliminates the source of stress for the long term. However, the minority who use one type of coping strategy are only successful in eliminating the source of stress in the short term."

"ABSTRAKPeningkatan populasi lansia di perkotaan dapat berdampak pada meningkatnya beban ketergantungan karena penurunan fungsi fisiologis, salah satunya adalah gangguan istirahat dan tidur. Panti sosial tresna werdha PSTW merupakan institusi pelayanan sosial yang berada di bawah naungan Dinas Sosial DKI Jakarta yang bertujuan untuk memenuhi kebutuhan dan kesejahteraan lansia. Karya ilmiah akhir ini bertujuan untuk menganalisis asuhan keperawatan pada lansia dengan insomnia menggunakan intervensi unggulan sleep hygiene. Intervensi sleep hygiene merupakan bentuk edukasi dan penerapan kebiasaan, lingkungan tidur yang baik serta aktivitas fisik. Intervensi ini dilakukan enam kali dalam seminggu dengan tiga puluh menit dalam satu kali intervensi. Hasilnya adalah skor Insomnia Severity Index ISI mengalami penurunan 12 skor dari skor awal 22 menjadi 10 dan dengan menggunakan the Pittsburgh Sleep Quality Index PSQI hasilnya adalah terjadi penurunan skor dari 16 menjadi 8. Intervensi ini dapat meningkatkan durasi tidur dan kualitas tidur yang ditandai dengan gangguan tidur yang berkurang. Institusi pelayanan kesehatan lansia perlu melakukan sleep hygiene sebagai salah satu asuhan keperawatan lansia di wisma.

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ABSTRACTThe increasing elderly population in urban areas can impact on increasing dependency burden because the decrease of physiological function, one of them is sleep disorder. Panti sosial Tresna werdha PSTW is an elderly social institution under the auspices of DKI Jakarta social service that aims to fulfill the needs and welfare for the elderly. This final thesis aims to analyze the nursing care in the elderly with insomnia using sleep hygiene intervention. Sleep hygiene interventions are a form of education and application of sleep habits, a good sleep environment and physical activity. This intervention was done at least six times a week for thirty minutes in every intervention. The result was that the score of Insomnia Severity Index decreased 12 scores with the score 22 to 10 and using the Pittsburgh Sleep Quality Index PSQI resulted a decreased score from 16 to 8. This intervention can increase sleep duration and sleep quality marked by reduced sleep disorder. Elderly health care institutions should do sleep hygiene as one of nursing intervention."

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Gangguan tidur merupakan masalah yang umum terjadi pada pasien gagal jantung. Studi ini bertujuan untuk mengidentifikasi pengaruh penerapan sleep hygiene dan relaksasi Benson terhadap kualitas tidur pasien gagal jantung. Desain penelitian menggunakan kuasi eksperimen dengan pre dan post test. Tehnik pengambilan data menggunakan purposive sampling dan melibatkan 100 responden dengan New York Heart Association class II dan III. 50 responden pada kelompok intervensi dan 50 responden pada kelompok kontrol. Kombinasi Sleep hygiene dengan relaksasi Benson berpengaruh signifikan terhadap kualitas tidur, begitu pula relaksasi Benson berpengaruh signifikan terhadap kualitas tidur walaupun skor kualitas tidur masih buruk. Pada penelitian ini terdapat perbedaan bermakna antara skor kualitas tidur setelah perlakuan pada kelompok intervensi dibandingkan kelompok kontrol (p= 0,000, I±= 0,05).

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Sleep disturbance is a common problem in heart failure patients. The aim of current study was to evaluate the effect of sleep hygiene and Benson relaxation on the sleep quality among heart failure patients. The design of this study used quasi-experiment with pre and post test. This study used a purposive sampling and involved 100 respondents with New York Heart Association class II and III. 50 respondents in the intervention group and 50 respondents in the control group. The combination of Sleep hygiene and Benson relaxation had a significant effect on sleep quality, as well as Benson relaxation had a significant effect on sleep quality even though sleep quality scores were still poor. In this study there were significant differences between sleep quality scores after treatment in the intervention group compared to the control group (p = 0,000, I± = 0.05).

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