Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Compos Mentis di Ruang ICU

Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati

doi:10.61132/protein.v3i4.1763

Authors

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

DOI:

https://doi.org/10.61132/protein.v3i4.1763

Keywords:

Anxiety level, Chi-Square test, Compos mentis patients, Intensive Care Unit (ICU), Sleep quality

Abstract

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Downloads

Download data is not yet available.

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 Republik Indonesia. (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.

Maria, D. S., 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 (Riskesdas). (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.