KUALITAS TIDUR DAN KEJADIAN EXCESSIVE DAYTIME SLEEPINESS PADA PERAWAT RUMAH SAKIT DI DEPOK

Wiwik Antaroza, Kuntarti Kuntarti, Hening Pujasari, Dewi Gayatri

Abstract


Kualitas tidur yang buruk dapat memengaruhi kejadian excessive daytime sleepiness (EDS). Kejadian EDS merupakan kantuk yang berlebihan pada siang hari. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kualitas tidur dan kejadian EDS pada perawat. Metode: Penelitian kuantitatif dengan desain analitik korelasional cross sectional. Sampel yang digunakan sebanyak 174 perawat yang bekerja di salah satu rumah sakit di Kota Depok dengan teknik purposive sampling dan kriteria inklusinya perawat yang melaksanakan dinas kerja shift. Kualitas tidur diukur dengan instrumen Pittburgh Sleep Quality Index (PSQI) dan kejadian EDS menggunakan instrumen Epworth Sleepiness Scale (ESS). Uji hipotesis menggunakan uji chi square. Hasil: Sebanyak 98 perawat (56,3%) memiliki kualitas tidur yang buruk dan 24 perawat (13,8%) mengalami EDS. Sebanyak 13,4% perawat yang mengendarai kendaraan sendiri mengalami kejadian EDS. Terdapat hubungan yang signifikan antara kualitas tidur dan kejadian EDS (p = 0,015; OR = 3,4). Perawat yang kualitas tidurnya buruk sebanyak 3,4 kali berisiko untuk mengalami EDS. Diskusi: Kualitas tidur yang buruk pada perawat dapat menyebabkan terjadinya EDS yang berisiko terhadap kecelakaan terutama saat berkendara. Kesimpulan: Perlunya manajemen untuk mengatasi kualitas tidur yang buruk dan meningkatkan kualitas tidur perawat seperti menghentikan penggunaan barang elektronik (misalnya, handphone) 30 menit sebelum tidur, mengurangi kebiasaan konsumsi kopi setiap malam hari terutama saat shift malam, dan memperbaiki gaya hidup dengan tidak merokok, tetapi memakan permen sebagai pengganti rokok. Waktu libur sebaiknya digunakan untuk beristirahat atau melakukan kegiatan yang disukai sebagai koping adaptif sehingga terhindar dari stres. Waktu istirahat di rumah sakit juga perlu dimanfaatkan dengan sebaik-baiknya.

 

Kata Kunci: excessive daytime sleepiness, kualitas tidur, perawat 

 

Sleep Quality and the Occurrence of Excessive Daytime Sleepiness among Hospital Nurses in Depok

 

ABSTRACT 

Poor sleep quality can affect the occurrence of Excessive Daytime Sleepiness (EDS). EDS refers to excessive daytime drowsiness. Objective: This study aims to identify the correlation between sleep quality and the occurrence of EDS among nurses. Methods: This quantitative study employed a correlational analytic cross-sectional design. A total of 174 nurses working at a hospital in Depok City were selected using purposive sampling, with the inclusion criterion being nurses who work in shifts. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and the occurrence of EDS was assessed using the Epworth Sleepiness Scale (ESS). The hypothesis was tested using the Chi-Square test. Results: A total of 98 nurses (56.3%) were found to have poor sleep quality, and 24 nurses (13.8%) experienced EDS. Among nurses who commuted by driving themselves, 13.4% experienced EDS. There was a significant correlation between sleep quality and EDS occurrence (p = 0.015; OR = 3.4). Nurses with poor sleep quality were 3.4 times more likely to experience EDS. Discussion: Poor sleep quality among nurses may lead to EDS, which increases the risk of accidents, especially while driving. Conclusion: There is a need for effective management strategies to address poor sleep quality and improve the sleep quality of nurses. Suggested interventions include avoiding the use of electronic devices (e.g., mobile phones) 30 minutes before bedtime, reducing coffee consumption at night, particularly during night shifts, and adopting healthier lifestyles by replacing smoking with alternatives like candy. Rest days should be utilized for relaxation or engaging in enjoyable activities as adaptive coping mechanisms to prevent stress. In addition, nurses should make the best use of rest periods at the hospital. 

 

Keywords: excessive daytime sleepiness, sleep quality, nurses

References


Alim, I. Z. (2015). Uji validitas dan reliabilitas instrumen pittsburgh sleep quality index versi bahasa Indonesia (Undergraduate Tesis). Program Studi Ilmu Kesehatan Jiwa, Fakultas Kedokteran, Universitas Indonesia, Depok, Indonesia.

Angelin, T. J., Mota, K. R., Dos Santos Júnior, V. E., Silva, L. C., & Heimer, M. V. (2020). Evaluation of sleep quality and daytime sleepiness in dentistry students. Pesquisa Brasileira Em Odontopediatria e Clínica Integrada, 20, 1–7. https://doi.org/10.1590/pboci.2020.122

Aziz, L. & Hidayat, A. (2019). Hubungan antara kualitas tidur dengan excessive daytime sleepiness pada pekerja bergilir. Jurnal Biomedika dan Kesehatan, 2(4), 144–148. http://dx.doi.org/10.18051/JBiomedKes.2019.v2.144-148

Bambangsafira, D., & Nuraini, T. (2017). Kejadian excessive daytime sleepiness (EDS) dan kualitas tidur pada mahasiswa kesehatan. Jurnal Keperawatan Indonesia, 20(2), 94–101. https://doi.org/10.7454/jki.v20i2.365

Berman, A., Snyder, S., & Frandsen. (2016). Kozier & erb’s fundamentals of nursing: Concepts, process, and practice (10th ed.). New Jersey: Pearson Education, Inc.

Buysee, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R., & Kupfer, D.J. (1998). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Journal of psychiatric research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Chaiard, J., Deeluea, J., Suksatit, B., Songkham, W., & Inta, N. (2018). Short sleep duration among Thai nurses: Influences on fatigue, daytime sleepiness, and occupational errors. Journal of Occupational Health, 60(5), 348–355. https://doi.org/10.1539/joh.2017-0258-OA

Chen, L., Luo, C., Liu, S., Chen, W., Liu, Y., Li. Y., Du, Y., Zou, H., Pan, J. (2019). Excessive daytime sleepiness in general hospital nurses: prevalence, correlates, and its association with adverse events. Sleep and Breathing, 23:209–216. https://doi.org/10.1007/s11325-018-1684-9

Haseli, A., Egdampur, F., Qaderi, K., Kaffashian, M. R., & Delpisheh, A. (2023). Nurses and midwives’ sleep quality and its associated factors during the early COVID-19 pandemic in Iran. Heliyon, 9(4), e15068. https://doi.org/10.1016/j.heliyon.2023.e15068

Isac, C., & Abraham, J. (2020). Daytime Sleepiness among Omani nursing students: Estimate of its determinants and impact on perceived stress. Clinical Epidemiology and Global Health, 8(3), 739–743. https://doi.org/10.1016/j.cegh.2020.01.012

Jassem, M., Abdelwahed, R.N.K., Alyousbashi, A., & Meer, A. (2022). Evaluation of daytime sleepiness and sleep quality among resident physicians of Damascus: A cross-sectional study. Sleep Epidemiology, 2, 2667–3436. https://doi.org/10.1016/j.sleepe.2022.100035

Johns M. W. (1991). A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14(6), 540–545. https://doi.org/10.1093/sleep/14.6.540

Kaur, G., & Singh, A. (2017). Excessive daytime sleepiness and its pattern among Indian college students. Sleep Medicine, 29, 23–28. https://doi: 10.1016/j.sleep.2016.08.020

Maharani, F. A., & Nurrahima, A. (2020). Gambaran excessive daytime sleepiness mahasiswa keperawatan tingkat akhir. Holistic Nursing and Health Science, 3(2), 30–37. https://doi.org/10.14710/hnhs.3.2.2020.30-37

Miglis, M., & Kushida, C. (2014). Daytime sleepiness. Clin Sleep Med, 9(4), 491–498. https://doi: 10.1016/j.jsmc.2014.08.007

National Sleep Foundation. (2020). What is sleep quality? Retrieved from https://www.thensf.org/what-is-sleep-quality/

National Sleep Foundation. (2023). Managing excessive daytime sleepiness. Retrieved from: https://www.sleepfoundation.org/excessive-sleepiness

Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (2021). Fundamentals of nursing (10th ed.). US: Elsevier.

Putri, A. Y. (2018). Hubungan antara kecanduan smartphone dengan kualitas tidur pada remaja (Undergraduate Thesis). Program Studi Psikologi, Fakultas Psikologi dan Kesehatan, Universitas Islam Negeri Sunan Ampel, Surabaya, Indonesia.

Oktafiani, R. (2016). Hubungan konsumsi kopi dengan daytime sleepiness pada mahasiswa PSIK FIKES Universitas Muhammadiyah Malang (Undergraduate Thesis). Program Studi Ilmu Keperawatan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Malang, Malang, Indonesia.

Scarpelli, S., Alfonsi, V., Gorgoni, M., Camaloni, M., Giannini, A.M., & Gennar, L. D. (2021). Age-related effect of sleepiness on driving performance: A Systematic-review. Brain Sci, 11, 1090. https://doi.org/10.3390/brainsci11081090

Sebayang, S. M., & Pasaribu, D. A. (2021). Hubungan fatigue dengan kejadian excessive daytime sleepiness pada perawat. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 6(1), 28–33. https://doi.org/10.34008/jurhesti.v6i1.227

Singh, R., Undevia, N. S., Schuman, C., & Attarian, H. (2018). Excessive daytime sleepiness among attending physicians: A pilot survey study at an academic institution. Sleep Medicine, 12(8), 808–810. https://doi.org/10.1016/j.sleep.2011.04.003

Silva, R. M., Beck, C. L. C., Prestes, F. C., Cigana, F.A., Trindade, M. L., & Santos, I. G. (2019). Excessive daytime sleepiness and health damage in nursing clinic surgical workers. Texto & Contexto Enfermagem, 28, e20170455. https://doi.org/10.1590/1980-265X-TCE-2017-0455

Thayeb, R.R.T.A., Kembuan, M.A.H.N., & Khosana, H. (2015). Gambaran kualitas tidur pada perawat dinas malam RSUP Prof. Dr. R. D. Kandou Manado. Jurnal e-Clinic (eCl), 3(3), 853–857. https://doi.org/10.35790/ECL.3.3.2015.10457

Waddell, H., Stevenson, T. J., & Mole, D. J. (2023). The role of the circadian rhythms in critical illness with a focus on acute pancreatitis. Heliyon, 9(4), e15335.




DOI: http://dx.doi.org/10.32419/jppni.v9i3.617

Article Metrics

Abstract view : 152 times
PDF (Bahasa Indonesia) - 65 times

Refbacks

  • There are currently no refbacks.


 

Creative Commons License
Jurnal PPNI (P-ISSN: 2503-1376 ; E-ISSN: 2549-8576)