Main Article Content
Abstract
Background: Post-stroke conditions can have an impact on the sleep quality of the elderly. Sleep disorders are a common health problem for the elderly, requiring serious attention. Poor sleep quality in the elderly is caused by increased sleep potential, reduced sleep efficiency, and early awakenings due to the ageing process.
Objective: This research aims to determine the effectiveness of a 30-degree lateral sleeping position compared to a supine sleeping position on the sleep quality of elderly individuals post-stroke.
Method: The design of this research uses a quasi-experiment design with a non-equivalent control group design approach. The study will be conducted in 2023 in Ekasari Village, Jembrana Regency, Bali. The total research population is 126 elderly individuals, and the sample size meeting the criteria is 64 respondents, divided into 32 respondents in the intervention group and 32 respondents in the control group. Data analysis in this study uses the Mann-Whitney U Test.
Results: The Mann-Whitney U Test shows a difference between the intervention and control groups (p = 0.000, Z score = -4.830), which means that the 30-degree lateral sleep position is better at helping older people who have had a stroke sleep better than the supine sleep position.
Conclusion: Post-stroke elderly individuals tend to experience an improvement in sleep quality when they sleep in the lateral position of 30 degrees. Therefore, elderly people who are having sleep quality issues can adopt this sleeping position to improve their sleep.
Article Details
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References
2. Herisson F, Godard S, Volteau C, Le Blanc E, Guillon B, Gaudron M. Early Sitting in Ischemic Stroke Patients (SEVEL): A Randomized Controlled Trial. Quinn TJ, ed. PLoS One. 2016;11(3):e0149466. doi:10.1371/journal.pone.0149466
3. World Health Organization. Stroke, Cerebrovascular accident.
4. Saraswati, D R, Khariri. Transisi Epidemiologi Stroke Sebagai Penyebab Kematian Pada Semua Kelompok Usia Di Indonesia. In: Seminar Nasional Riset Kedokteran (SENSORIK II) 2021. Universitas Pembangunan Nasional Veteran Jakarta; 2021:81-86.
5. Kementerian Kesehatan Republik Indonesia. Stroke: don’t be the one.
6. Harrison M, Ryan T, Gardiner C, Jones A. Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study. Top Stroke Rehabil. 2017;24(2):119-125. doi:10.1080/10749357.2016.1196908
7. Einstad MS, Saltvedt I, Lydersen S, et al. Associations between post-stroke motor and cognitive function: a cross-sectional study. BMC Geriatr. 2021;21(1):103. doi:10.1186/s12877-021-02055-7
8. Kasai A, Saitou H, Takano M, et al. Pre-stroke habitual prolonged sleep as a predictor for post-stroke sleep quality, stroke-related quality of life, and lifestyle values. J Clin Neurosci. 2021;90:26-31. doi:10.1016/j.jocn.2021.05.018
9. Herbawani CK, Erwandi D. Faktor-Faktor yang Berhubungan dengan Perilaku Pencegahan Penularan Human Immunodeficiency Virus (HIV) oleh Ibu Rumah Tangga di Nganjuk, Jawa Timur. J Kesehat Reproduksi. 2020;10(2):89-99. doi:10.22435/kespro.v10i2.2085
10. Rohmah AIN, Firdaus MM, Pratiwi ID. Sleep Quality and Functional Status on Post-Stroke Patients. J Teknol Kesehat (Journal Heal Technol. 2021;16(2):48-55. doi:10.29238/jtk.v16i2.920
11. Fulk G, Duncan P, Klingman KJ. Sleep problems worsen health-related quality of life and participation during the first 12 months of stroke rehabilitation. Clin Rehabil. 2020;34(11):1400-1408. doi:10.1177/0269215520935940
12. Marsaid, Ain H, Wazida FI. Posisi Tidur Miring 30 Derajat terhadap Terjadinya Luka Tekan pada Pasien Stroke di RSUD Sidoarjo. J Appl Nurs (Jurnal Keperawatan Ter. 2020;5(2):111-120. doi:10.31290/jkt.v5i2.916
13. Tarihoran DETAU, Sitorus R, Sukmarini L. Penurunan Kejadian Luka Tekan Grade I (Non Blanchable Erythema) Pada Klien Stroke Melalui Posisi Miring 30 Derajat. J Keperawatan Indones. 2010;13(3):181-186. doi:10.7454/jki.v13i3.250
14. Alim IZ, Elvira SD, Amir N. Uji Validitas Dan Reliabilitas Instrumen Pittsburgh Sleep Quality Index Versi Bahasa Indonesia. Universitas Indonesia; 2015.
15. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, Dan R&D. Alfabeta; 2015.
16. Nursalam. Metodologi Ilmu Keperawatan, Edisi 4. Salemba Medika; 2016.
17. Sarwanto DP, Kriatyawati SP, Arief S. Perbedaan Efektivitas Posisi Miring 30 Derajat dan 90 Derajat dalam Menurunkan Risiko Dekubitus pada Pasien Bedrest Total di RSUD Salatiga. J Ilmu Keperawatan dan Kebidanan. 2017;6(1):1-12.
18. Camilo MR, Fernandes RMF, Sander HH, et al. Supine sleep and positional sleep apnea after acute ischemic stroke and intracerebral hemorrhage. Clinics. 2012;67(12):1357-1360. doi:10.6061/clinics/2012(12)02
19. Arafat R, Hapsah H. Pengaruh Pemberian Posisi Lateral 30 Derajat Terhadap Tingkat Kenyamanan Pasien Stroke di Rumah Sakit Dr. Wahidin Sudirohusodo Makassar. Indones Nurs J Educ Clin. 2016;1(1):42. doi:10.24990/injec.v1i1.103
20. Faridah U, Sukarmin, Murtini S. Pengaruh Posisi Miring Terhadap Dekubitus Pada Pasien. J Ilmu Keperawatan dan Kebidanan. 2019;10(1):155-162.
21. Stevens D, Martins RT, Mukherjee S, Vakulin A. Post-Stroke Sleep-Disordered Breathing—Pathophysiology and Therapy Options. Front Surg. 2018;5. doi:10.3389/fsurg.2018.00009
22. Marsaid M, Ain H, Wazida FI. Posisi Tidur Miring 30 Derajat Terhadap Terjadinya Luka Tekan pada Pasien Stroke di RSUD Sidoarjo. J Appl Nurs (Jurnal Keperawatan Ter. 2019;5(2):111. doi:10.31290/jkt.v5i2.916