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Jurnal Keperawatan Indonesia
Articles
VIEWS: 821
10.7454/jki.v22i2.735
Submitted: 2023-04-04
Published: 2019-07-30

Penerapan Evidence-Based Nursing Pengaruh Earplug dan Eye Mask terhadap Kualitas Tidur pada Pasien di ICU

Health Polytechnic Jakarta 1, Jakarta 12450
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
Hospital Cardiovascular Harapan Kita, Jakarta 11420
Hospital Cardiovascular Harapan Kita, Jakarta 11420
earplug eye mask ICU kualitas tidur

Abstract

Gangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur.

Abstract

Evidence-Based Nursing Application Effect of Earplugs and Eye Mask on Quality Sleep in Patients in ICU. Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple random sampling. The Total sample of 24 respondents. Sleep quality instrument using Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by the Independent Sample T-Test. The result of this research is p-value <0,05, mean at alpha 5% there is a significant difference of sleep quality between first and second night in each group so it is suggested to be an evidence-based in a hospital as one of complementary therapy which can be made independent intervention nursing to help overcome sleep disorders.

Keywords: earplug, eye mask, ICU, sleep quality

References

  1. Asnis, G.M., Thomas, M., & Henderson, M.A. (2016). Pharmacotherapy treatment options for insomnia: A primer for clinicians. International Journal of Molecular Sciences, 17 (1), 50.
  2. Bajwa, N., Saini, P., Kaur, H., Kalra, S., & Kaur, J. (2015). Effect of ear plugs and eye mask on sleep among ICU patients: A randomized control trial. International Journal of Current Research, 7 (12), 23741–23745.
  3. Bourne, R.S., & Mills, G.H. (2004). Sleep disruption in critically ill patients pharmacological considerations. Anaesthesia, 59 (4), 374–384.
  4. Demoule, A., Carreira, S., Lavault, S., Pallanca, O., Morawiec, E., Mayaux, J., ... & Similowski, T. (2017). Impact of earplugs and eye mask on sleep in critically ill patients: a prospective randomized study. Critical Care, 21(1), 284. doi: 10.1186/s13054-017-1865-0.
  5. Deng, G., & Cassileth, B.R. (2005). Integrative oncology: complementary therapies for pain, anxiety, and mood disturbance. CA: A Cancer Journal for Clinicians, 55 (2), 109–116.
  6. Dunn, H., Anderson, M.A., & Hill, P.D. (2010). Nighttime lighting in intensive care units. Crit Care Nurse, 30 (3), 31–37.
  7. Elliott, R.M., McKinley, S.M., & Eagerm, D. (2010). A pilot study of sound levels in an Australian Adult General Intensive Care Unit. Noise Health, 12 (46), 26–36. doi: 10.4103/1463-1741.59997.
  8. Food and Drug Administration (FDA). (2017). Employee Health and Personal Hygiene Handbook. Retrieved from https://www.fda.gov/food/retail-food-industryregulatory-assistance-training/retail-food-protection-employee-health-and-personal-hygiene-handbook.
  9. Gabor, J.Y., Cooper, A.B., Crombach, S.A., Lee, B., Kadikar, N., Bettger, H.E., & Hanly, P.J. (2003). Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects. American journal of respiratory and critical care medicine, 167 (5), 708–715.
  10. Hardin, K.A. (2009). Sleep in the ICU: Potential mechanisms and clinical implications. Chest, 136 (1), 284–294. http://dx.doi.org/10.1378/ chest.08-1546.
  11. Honkus, V.L. (2003). Sleep deprivation in critical care units. Critical Care Nursing, 26 (3), 179–189.
  12. Huang, H.W., & Zheng, B.L. (2015). Effect of oral melatonin and wearing earplugs and eye masks on nocturnal sleep in healthy subjects in a simulated intensive care unit environment: Which might be a more promising strategy for ICU sleep deprivation? Critical Care, 19 (1), 124. doi: 10.1186/s13054-015-0842-8.
  13. Xie, H., Kang, J., & Mills, G.H. (2009). Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Critical Care, 13 (2), 208. doi: 10.1186/cc7154.
  14. Johansson, L., Bergbom, I., & Lindahl, B. (2012). Meanings of being critically ill in a sound-intensive ICU patient room—a phenomenological hermeneutical study. Open Nurs J., 6, 108–116. doi: 10.2174/187443460120601 0108.
  15. Simons, K.S., van den Boogaard, M., & de Jager, C. P. (2012). Reducing sensory input in critically ill patients: Are eyemasks a blind spot? Critical Care, 16 (4), 439. doi: 10.1186/ cc11402.
  16. Lane, T., & East, L.A. (2008). Sleep disruption experienced by surgical patients in an acute hospital. British Journal of Nursing, 17 (12), 766–771.
  17. Lawson, N., Thompson, K., Saunders, G., Saiz, J., Richardson, J., Brown, D., ... & Pope, D. (2010). Sound intensity and noise evaluation in a critical care unit. American Journal of Critical Care, 19 (6), e88–e98.
  18. Mashayekhi, F., Arab, M., Abazari, F., Rafati, F., & Rafiei, H. (2013). The effects of earplug on perception of sleep in patients of Coronary Care Unit (CCU) educations. Middle East Journal of Nursing, 101(899), 1–12.
  19. Menger, J., Urbanek, B., Skhirtladze-Dworschak, K., Wolf, V., Fischer, A., Rinoesl, H., & Dworschak, M. (2018). Earplugs during the first night after cardiothoracic surgery may improve a fast-track protocol. Minerva Anestesiologica, 84 (1), 49–57. doi: 10.23736/S0375-9393.17.11758-X .
  20. Daneshmandi, M., Neiseh, F., SadeghiShermeh, M., & Ebadi, A. (2012). Effect of eye mask on sleep quality in patients with acute
  21. coronary syndrome. Journal of caring sciences, 1 (3), 135–143.
  22. Neyse, F., Daneshmandi, M., Sadeghi Sharme, M., & Ebadi, A. (2011). The effect of earplugs on sleep quality in patients with acute coronary syndrome. Iran J Crit Care Nurs, 4 (3), 127–34.
  23. Oldham, M., & Pisani, M.A. (2015). Sedation in critically ill patients. Critical care clinics, 31 (3), 563–587.
  24. Parker, K.P. (1995). Promoting sleep and rest in critically ill patients. Crit Care Nurs Clin North Am., 7 (2), 337–349.
  25. Potter, P.A., & Perry, A.G. (2011). Fundamental of nursing (Buku 1, Edisi 8). Jakarta: Salemba Medika.
  26. Pulak, L.M., & Jensen, L. (2014). Sleep in the Intensive Care Unit: A Review. Journal of Intensive Care Medicine, 31(1), 14–23. doi:
  27. 1177/0885066614538749
  28. Richardson, A., Allsop, M., Coghill, E., & Turnock, C. (2007). Earplugs and eye masks: Do they improve critical care patients’ sleep? Nursing in Critical Care, 12 (6), 278–286.
  29. Wallace, C.J., Robins, J., Alvord, L.S., & Walker, J.M. (1999). The effect of earplugs on sleep measures during exposure to simulated intensive care unit noise. Am J Crit Care., 8 (4), 210–219.
  30. Weinhouse, G.L., & Schwab, R.J. (2006). Sleep in the critically ill patient. SLEEP, 29 (5), 707–716.
  31. Zolfaghari, M., Farokhnezhad Afshar, P., Asadi Noghabi, A.A. & Ajri Khameslou, M. (2013). Modification of environmental factors on quality of sleep among patients admitted to CCU. Journal of Hayat, 18, 61-68.

How to Cite

Mutarobin, M., Nurachmah, E., Adam, M., Sekarsari, R., & Erwin, E. (2019). Penerapan Evidence-Based Nursing Pengaruh Earplug dan Eye Mask terhadap Kualitas Tidur pada Pasien di ICU. Jurnal Keperawatan Indonesia, 22(2), 129–138. https://doi.org/10.7454/jki.v22i2.735