ABSTRAK
Posisi tidur semifowler merupakan salah satu tindakan positioning dengan mengatur posisi tidurdengan cara meninggikan bagian kepala, bahu, punggung 20-30 derajat dari permukaanhorisontal tempat tidur.Penelitian ini bertujuan untuk mengidentifikasi pengaruh posisi tidur semifowler terhadapkualitas tidur klien gagal jantung. Penelitian ini menggunakan design kuasi eksperimen denganmenggunakan sampel 38 responden, 19 responden mendapatkan intervensi atau perlakuandengan posisi tidur 20 derajat sedangkan 19 responden mendapatkan intervensi atau perlakuan30 derajat. Instrumen yang digunakan untuk mengukur kualitas tidur dengan PSQI ( ThePittburg Sleep Quality Index) dengan sedikit modifikasi instrumen dari peneliti. Hasil uji cobainstrumen menghasilkan validitas dan reliabilitas instrumen denga alpha Cronbach`s 0.72 untuksemua komponen.Data responden langsung di kumpulkan oleh peneliti di RSUD Banyumas. Data yang terkumpuldan memenuhi kriteria dianalisa secara univariat dan bivariat menggunakan Uji t testindependent,uji Anova, chi square dan regresi linier sederhana.Hasil penelitian menunjukan adanya pengaruh antara posisi tidur semifowler terhadap kualitastidur klien gagal jantung ( p value = 0.032 alpha 0.05 ). Diharapkan penelitian ini memberikanmanfaat bagi peningkatan pelayanan dan pendidikan serta perkembangan ilmu keperawatanuntuk mencapai pelayanan yang prima.Disarankan pula hasil penelitian ini bisa dijadikan evidence based praktice dalam memberikanpelayanan di Rumah sakit.
ABSTRACT
Semi fowler position is one of the nursing interventions to improve shortness of breath ordyspnea 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 isexpected to be beneficial also on quality of sleep. However, not so many researches were doneto 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 ofsleep with heart failure. A quasi experimental study was conducted and 38 subjects participatedin the study. Each half of the subjects grouped into two different sleeping positions which were20 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 BanyumasGeneral Hospital, Central Java.The t-test independent, Anova, Chi square, and simple linear regression were employed toanalyses the data. The findings demonstrated that there is a significant diferent between two semifowler sleeping position in patients with heart failure (p value 0.032; alpha 0.05) which could beinterpreted as the set of position become important to improve the quality of sleep of patientswith heart failure.The recommendation of study is to use this result as foundation to improve nursing care to thepatients; nursing education curriculum, and to implement the result of the study as an approachto create evidence based practice |
