Kecemasan dan Lamanya Waktu Menjalani Hemodialisis Berhubungan dengan Kejadian Insomnia pada Pasien Gagal Ginjal Kronik

Ida Rosdiana, Krisna Yetty, Luknis Sabri


DOI: http://dx.doi.org/10.7454/jki.v17i2.440


Abstract


Insomnia merupakan gangguan tidur yang paling sering terjadi pada pasien hemodialisis, prevalensinya lebih tinggi dibanding pada populasi umum. Berbagai faktor yang diduga berhubungan dengan terjadinya insomnia pada pasien hemodialisis adalah demografi, gaya hidup, psikologis, biologis, dan faktor dialisis. Tujuan penelitian potong lintang ini untuk mengidentifikasi faktor yang berhubungan dengan kejadian insomnia pada pasien yang menjalani hemodialisis. Sebanyak 106 responden yang berasal dari RSUD Kota Tasikmalaya dan Garut dilibatkan. Hasil penelitian menunjukkan bahwa insomnia dialami oleh 58 (54,7%) responden, dengan rerata usia 47,66±13,36 tahun. Tidak ditemukan hubungan antara insomnia dengan faktor demografi, gaya hidup, faktor biologis, shift HD dan Kt/V hemodialisis. Insomnia berhubungan dengan kecemasan (p= 0,007; OR= 3,3), dan lama waktu menjalani hemodialisis (p= 0,040; OR=2,48). Kecemasan dan lama waktu menjalani hemodialisis merupakan faktor independen yang berhubungan dengan kejadian insomnia. Perlu dilakukan penelitian lanjutan, yaitu menguji variabel lain seperti keluhan fisik akibat kondisi uremia yang sering dialami pasien hemodialisis.

 

 

Abstract

 

Anxiety and the Length of Time Undergoing Hemodialysis Related to Insomnia in Chronic Kidney Diseases Patients. Insomnia is a sleep disorder that frequently occurs in hemodialysis patients. The prevalence was higher than in the general population. Several factors were thought having significant relationship with the occurrence of insomnia in hemodialysis patients, namely demographic, lifestyle, psychological, biological and dialysis factors. The purpose of this study was to identify factors associated with insomnia in Chronic Kidney Diseases patients undergoing hemodialysis. This study used cross-sectional study design, with a total sample of 106 respondents who visited hemodialysis unit at Tasikmalaya and Garut City Hosptal. The result showed that 58 respondents (54.7%) experienced insomnia, with an average age of 47.66 ± 13.36 years. There were no significant relationships between insomnia with demographic, lifestyle, biological factors, shift HD and Kt/V hemodialysis. Insomnia had significant relationships with psychological factors (anxiety) (p = 0.007, OR= 3.3), and the length of time undergoing hemodialysis (p= 0.040, OR= 2.48). This study concluded that anxiety and duration hemodialysis became independent factors associated with the occurrence of insomnia. Further study need to investigate other variables that experienced by hemodialysis patients.

 

Keywords: anxiety, chronic kidney diseases, hemodialysis, insomnia


Keywords


gagal ginjal kronik; hemodialisis; insomnia; kecemasan

Full Text:

PDF (Indonesian)

References


Anees, M., Barki, H., Masood, M., Ibrahim, M., & Mumtaz, A. (2008). Depression in hemodialysis patients. Pak J Med Sci; 24(4), 560-565.

Al-Jahdali, H., Khogeer, H.A., Al-Qadhi, W.A., Baharoon, S., Tamim, H., Al-Hejaili, F.F., M Al-Ghamdi, S.M., & Al-Sayyari, A.A. (2010) Insomnia in Chronic Renal Patients on Dialysis in Saudi Arabia. Journal of Circadian Rhythms. 8:7. doi:10.1186/1740-3391-8-7.

Black, J.M & Hawks, J.H. (2005) Medical surgical nursing clinical management for positive outcomes 7th Edition. St Louis: Elsevier Saunders.

Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry; 39: 411-18.

Coccossis, M.G., Theofilou, P., Synodinou, C., Tomaras, V., Soldatos, C. (2008). Quality of life, mental health and healthbeliefs in hemodialysis patients and peritoneal dialysis patients: Investigating differences in early and later years of currens treatments. BMC Nephrols; 9:14.

Han, S. Y., Yoon, J. W., Jo, S. K., Shin, J. H., Shin, C., Lee, J. B., et al. (2002). Insomnia in diabetic hemodialysis patients. Prevalence and risk factors by a multicenter study. Nephron, 92(1), 127-132.

Kallenbach, J.Z., Gutch, C.F., Stoner, M.H., & Corea, A.L. ( 2005) Review of hemodialysis for nurse and dialysis peersonel. St. Louis: Mosby

Kimmel, P.L. (2002). Depresion in patients with chronic renal disease: What we know and what we need to know. J Psychosom Res, 53: 951-956

Kosmadakis, G.C., & Medcalf, J.F. (2008) Sleep disorders in dialysis patients. Int J Artif Organs; 31(11), 919-27.

Merlino, P.G., Dolso, P., Adorati, M., Cancelli, I., Valente, M., Gigli, G.L. (2006) Sleep disorders in patients with end stage renal disease undergoing dialysis therapy. Nephrol Dial Transplant; 21(1), 184-190.

Mucsi, I., Molnar, M.Z., Rethelyi, J., Vamos, E., Csepanyi, G., Tompa, et al. (2004). Sleep disorders and illness intrusiveness in patients on chronic dialysis. Nephrol Dial Transplant; 19(7), 1815-1822.

Mucsi, I., Molnar, M.Z., Ambrus, C., Szeifert L, Kovacs, A.Z., Zoller, R., et al. (2005). Restless leg syndrome, insomnia and quality of life in patients on maintenance dyalisis. Nephrol Dial Transp; 20(3):571-577.

Mollaoglu, M. (2009). Perceived social support, anxiety, and self-care among patients receiving hemodialysis. Dyalisis & Transplantation. 35(3), 144-155. doi: 10.1002/dat.20002

NKUDIC. (2010). Kidney and urologic diseases statistics for the united states.

National Kidney Foundation (2000). K/DOQI clinical Practice Guideline for chronic Kidney disease: evaluations, classification, and stratification.

Novak, M., Shapiro, C.M., Mendelssohn, D., & Mucsi, I. (2006) Diagnosis and Management of Insomnia in Dialysis Patients. Seminar in Dialysis,19(1): 25-31.

Nutt, D., & Wilson, S. (2008). Anxiety and Insomnia – Bidirectional Association. European Psychiatric Review. Diperoleh dari: http://www.touch-ophthalmology.com/sites/www.touchoncology. com/files/migrated/articles_pdfs/wilson.pdf.

Ohayon, M.M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Med Rev, 6(2); 97-111.

Pai, M.F., Hsu, S.P., Yang, S.Y., Ho, T.I., Lai, C.F., & Peng, Y.S. (2007). Sleep disturbance in chronic haemodialysis patients: The impact of depression and anemia. Renal Failure; 29(6); 673-677.

Paparrigopoulus, T., Tzavara, C., Theleritis C., Psarros, C., Soldatos, C., & Tountas, Y. (2010). Insomnia and it’s correlates in a representative sample of The Greek population. BMC Public Health, 3(10): 531. doi:10.1186/1471-2458-10-531.

Parker, D. (2009) Facing dialysis, depression and anxiety. Health Voices, 5. Diperoleh dari: ISSN: 1835-5862.

Pernefri. (2003). Konsensus Dialisis Perhimpunan Nefrologi Indonesia. Jakarta

Perl, J., Unruh, M.L., & Chan, C.T. (2006). Sleep disorders in ESRD: Markers of inadequate dialysis? Kidney Int. 70(10):1687-93.

Sabbatini, M., Minale, B., Crispo, A., Ragosta, A., Esposito R, Cesaro A, Cianciaruso B, Andreucci VE. (2002) Insomnia in Main-tenance Hemodialysis Patients. Nephrology Dialysis Transplantation 17: 852-856.

Sabry, A.A., Zenah, H.A., Wafa, E., Mahmoud, K., El-Dahshan, K., Hassan A., et al. (2010). Sleep disorders in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantion, 21(2):300-305.

Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2008) Brunner & Suddarth’s Textbook of medical-surgical nursing. 11th ed. Philadelphia: Lippincott William & Wilkins.

Suyono S & Wapadji. (2001). Buku ajar penyakit dalam Jilid II Edisi ketiga. Jakarta: FKUI.

Unruh, M.L., Buysse, D.J., Dew, M.A., Evans, I.V., Wu, A.W., Fink, N.E., et al. (2006). Sleep quality and its correlates in the first year of dialysis. Clin J Am Soc Nephrol, 1(4); 802-810.


Refbacks

  • There are currently no refbacks.


Creative Commons License
Jurnal Keperawatan Indonesia by http://jki.ui.ac.id is licensed under a Creative Commons Attribution 4.0 International License.
VISITOR COUNTER

StatCounter - Free Web Tracker and Counter

~ View My Stats Detail ~