Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Composmentis di ruang Icu

Indah Puji Lestari Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati

doi:10.61132/protein.v3i4.1758

Authors

Indah Puji Lestari Indah Puji Lestari Universitas Islam Sultan Agung Semarang
Wahyu Endang Setyowati Universitas Islam Sultan Agung
Dwi Heppy Rochmawati Universitas Islam Sultan Agung

DOI:

https://doi.org/10.61132/protein.v3i4.1758

Keywords:

Anxiety, Compos mentis, Cross-sectional, ICU patients, Sleep quality

Abstract

Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.

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References

Adhaini Gusasi, I., Fitria, Y., Triawanti, T., Fadhilah, S., & Al Audhah, N. (2023). Hubungan tingkat kecemasan dengan derajat insomnia dan kualitas tidur. Homeostasis, 6(1), 125. https://doi.org/10.20527/ht.v6i1.8798

Ariadi, A., Mustiadji, A., & Munandar, I. (2024). Analisis faktor klinis dan outcome pada pasien acute respiratory distress syndrome di ICU RSUD M. Natsir Solok tahun 2023. Scientific Journal, 3(2), 119–124. https://doi.org/10.56260/sciena.v3i2.143

Aziz, L. F., & Warsono. (2022). Pengaruh earplug dan eye mask terhadap kualitas tidur pada pasien di intensive care unit. Prosiding Seminar Nasional UNIMUS, 5, 1183–1191. https://prosiding.unimus.ac.id/index.php/semnas/article/view/1287/1292

Gani, A., S., Z., Adharudin, M., Pranata, A. D., & Saputra, A. U. (2023). Keperawatan jiwa. Penerbit Adab.

Hamka, Laoh, J. M., Djaafar, N. S., Wahyuni, E. S., Timisela, J., Sari, M., Wulandari, N. A., Tuegeh, J., Ratulangi, J. I. L., Cahyono, I., Usraleli, Nari, J., Rahakbauw, G. Z., Pesak, E., Mulyani, S., & Nendissa, M. M. (2024). Bunga rampai konsep dan teori keperawatan. PT Media Pustaka Indo.

Johan, B., Ratnawati, N. E., & Waluya, A. (2024). Hubungan dukungan keluarga dengan kecemasan pasien jantung di ruang intensive care (ICU). Peran Mikronutrisi Sebagai Upaya Pencegahan Covid-19, 14(3), 75–82. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1979/1260

Kementerian Kesehatan RI. (2023). Definisi gangguan jiwa dan jenis-jenisnya.

Latief, N., Susilaningsih, S., & Maulidia, R. (2020). Hubungan tingkat kecemasan dengan kualitas tidur pada lansia yang mengalami insomnia. Professional Health Journal, 2(1), 1–8. https://doi.org/10.54832/phj.v2i1.136

Lestari, S. (2023). Penerapan terapi musik suara alam terhadap kualitas tidur pada pasien kritis di ruang ICU RSUD Karanganyar. 1–9.

Susilowati, M. D., Victoria, A. Z., & Ryandini, F. R. (2025). Efektivitas terapi musik klasik terhadap kualitas tidur pasien di intensive care unit (ICU) RS Pelita Anugerah Mranggen Demak. Nursing Care Journal, 3(1), 13–21. https://doi.org/10.63520/ncj.v3i1.653

Mustiadji, A., Jamil, A. R., & Hadi, J. (2024). Karakteristik pasien operasi di ICU RSUD M. Natsir Solok tahun 2023. Scientific Journal, 3(2), 107–113. https://doi.org/10.56260/sciena.v3i2.141

Nugroho, E. G. Z., Nugroho, H. A., Abdurrahman, Faisal, T. I., Afdhal, & Rochana, N. (2022). Faktor lingkungan yang berkorelasi dengan kualitas tidur pasien kritis di ruang ICU. Jurnal Ilmu Keperawatan Medikal Bedah, 5(1), 2003–2005. https://doi.org/10.32584/jikmb.v5i1.1532

Oktari, W., Deli, H., & Hasneli, Y. (2021). Gambaran status elektrolit pasien yang dirawat di intensive care unit (ICU). Link, 17(1), 14–21. https://doi.org/10.31983/link.v17i1.6327

Pangestu, R., Hartoyo, M., & Metasari, S. (2024). Hubungan stresor lingkungan terhadap tingkat kecemasan pasien ICU. Mahakam Nursing Journal, 3(3), 116–125.

Patel. (2019). Kebutuhan istirahat tidur pasien kritis.

Ratnaningtyas, T. O., & Fitriani, D. (2020). Hubungan kecemasan dengan kualitas tidur pada mahasiswa tingkat akhir. Edu Masda Journal, 4(1), 21–31. http://openjournal.masda.ac.id/index.php/edumasda/article/view/49/49

Riset Kesehatan Dasar. (2018). Mental health.

Romadoni, S. (2018). Faktor-faktor yang berhubungan dengan kualitas tidur pada pasien di ruang intensive care unit Rumah Sakit X Palembang. Medika Journal, 6(2), 332–343. https://jmm.ikestmp.ac.id/index.php/maskermedika/article/view/237/206

Rustini, S. A., Putri, N. M. M. E., Hurai, R., Suarningsih, N. K. A., Susiladewi, I. A. M. V., Kamaryati, N. P., Yanti, N. P. E. D., Sari, N. A., Ismail, Y., Purnomo, I. C., & Nurhayati, C. (2023). Layanan keperawatan intensif (Ruang ICU & OK) (P. I. Daryaswanti, Ed.). PT Sonpedia Publishing Indonesia.

Septadina, I. S., Prananjaya, B. A., Roflin, E., Rianti, K. I., & Shafira, N. (2021). Terapi murrotal Al-Qur’an untuk menurunkan ansietas dan memperbaiki kualitas tidur. Penerbit NEM.

Suwardianto, H., & Kurniajati, S. (2022). Extremity fixation pada pasien kritis (P. L. C. B. Lentera, Ed.). Penerbit Lembaga Chakra Brahmanda Lentera.

Udani, G., Amperaningsih, Y., Rahmayati, E., & Sari, P. K. (2023). Pengaruh hand massage minyak zaitun terhadap tingkat kecemasan pasien preoperasi laparotomy. Jurnal Wacana Kesehatan, 8(1), 62. https://doi.org/10.52822/jwk.v8i1.514

Utami, I., & P. (2021). Analysis of factors influencing the sleep quality of elderly people in nursing homes. Jurnal Health Sains, 2(3), 362–380. https://doi.org/10.46799/jhs.v2i3.135

Damanik, V. A. (2020). Hubungan tingkat kecemasan dengan kualitas tidur pada pasien yang menjalani hemodialisis. Jurnal Keperawatan Priority, 3(1), 47–57. https://doi.org/10.34012/jukep.v3i1.795

Waladani, B., Utami, W., & Ernawati, E. (2024). Penggunaan ear plug efektif meningkatkan kualitas tidur pasien ICU: Studi prospektif. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 16(2), 641–649. https://doi.org/10.34011/juriskesbdg.v16i2.2591

Widiastuti, L., Gandini, A. L. A., & Setiani, D. (2023). Hubungan lama rawat dengan tingkat kecemasan keluarga pasien yang dirawat di ruang ICU RSD dr. H. Soemarno Sosroatmodjo. Saintekes: Jurnal Sains, Teknologi dan Kesehatan, 2(2), 225–233. https://doi.org/10.55681/saintekes.v2i2.78

Widiyati, S., Anandi, B. W. F., & Supriyadi, S. (2023). Hubungan tingkat kecemasan terhadap kualitas tidur pada klien kesadaran compos mentis di ruang ICU. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(3), 909–916. https://doi.org/10.32583/pskm.v13i3.1071

World Health Organization. (2023). Anxiety disorders.