Kondisi Psikologis dan Kualitas Tidur pada Lansia Kelompok Prolanis

https://doi.org/10.22146/jkesvo.74460

Joko Susanto(1*), Makhfudli Makhfudli(2), Ilkafah Ilkafah(3), Ali Sairozi(4), Anestasia Pangestu Mei Tyas(5), Endah Sri Wijayanti(6), Iswatun Iswatun(7), Khotibul Umam(8)

(1) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya
(2) Fakultas Keperawatan, Universitas Airlangga, Surabaya
(3) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga
(4) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya Fakultas Keperawatan, Universitas Airlangga, Surabaya
(5) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya
(6) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya
(7) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya
(8) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya
(*) Corresponding Author

Abstract


Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.

Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.

Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.

Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.

Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.


Keywords


penyakit kronis; kondisi psikologis; kualitas tidur; lanjut usia

Full Text:

PDF


References

Amelia, R., Wahyuni, A. S., & Harahap, J. (2018). Hubungan Status Depresi Dengan Kualitas Hidup Lansia Di Kota Medan. Talenta Conference Series: Tropical Medicine (TM), 1(2), 342–347. https://doi.org/10.32734/tm.v1i2.198

Becker, N. B., Jesus, S. N., João, K. A. D. R., Viseu, J. N., & Martins, R. I. S. (2017). Depression and sleep quality in older adults: a meta-analysis. Psychology, Health & Medicine, 22(8), 889–895. https://doi.org/10.1080/13548506.2016.1274042

Bernell, S., & Howard, S. W. (2016). Use Your Words Carefully: What Is a Chronic Disease? Frontiers in Public Health, 4. https://doi.org/10.3389/fpubh.2016.00159

Biggers, A., Sharp, L. K., Nimitphong, H., Saetung, S., Siwasaranond, N., Manodpitipong, A., Crowley, S. J., Hood, M. M., Gerber, B. S., & Reutrakul, S. (2019). Relationship between depression, sleep quality, and hypoglycemia among persons with type 2 diabetes. Journal of Clinical & Translational Endocrinology, 15, 62–64. https://doi.org/10.1016/j.jcte.2018.12.007

Brandolim Becker, N., Jesus, S. N. de, Viseu, J. N., Stobäus, C. D., Guerreiro, M., & Domingues, R. B. (2018). Depression and quality of life in older adults: Mediation effect of sleep quality. International Journal of Clinical and Health Psychology, 18(1), 8–17. https://doi.org/10.1016/j.ijchp.2017.10.002

Chehri, A., Nourozi, M., Eskandari, S., Khazaie, H., Hemati, N., & Jalali, A. (2020). Validation of the Persian version of the Pittsburgh Sleep Quality Index in elderly population. Sleep Science (Sao Paulo, Brazil), 13(2), 119–124. https://doi.org/10.5935/1984-0063.20190134

Chiang, G. S. H., Sim, B. L. H., Lee, J. J. M., & Quah, J. H. M. (2018). Determinants of poor sleep quality in elderly patients with diabetes mellitus, hyperlipidemia and hypertension in Singapore. Primary Health Care Research & Development, 19(6), 610–615. https://doi.org/10.1017/S146342361800018X

Cho, J. H.-J., Olmstead, R., Choi, H., Carrillo, C., Seeman, T. E., & Irwin, M. R. (2019). Associations of objective versus subjective social isolation with sleep disturbance, depression, and fatigue in community-dwelling older adults. Aging & Mental Health, 23(9), 1130–1138. https://doi.org/10.1080/13607863.2018.1481928

Conversano, C. (2019). Common Psychological Factors in Chronic Diseases. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.02727

Courtin, E., & Knapp, M. (2017). Social isolation, loneliness and health in old age: a scoping review. Health & Social Care in the Community, 25(3), 799–812. https://doi.org/10.1111/hsc.12311

Cox, R. C., & Olatunji, B. O. (2020). Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. Sleep Medicine Reviews, 51, 101282. https://doi.org/10.1016/j.smrv.2020.101282

Fang, H., Tu, S., Sheng, J., & Shao, A. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. Journal of Cellular and Molecular Medicine, 23(4), 2324–2332. https://doi.org/10.1111/jcmm.14170

Honarvar, B., Bagheri Lankarani, K., Azadegan, M., Khaksar, E., Jafari, F., & Rahmani Fard, T. (2019). The Prevalence and Predictors of Sleep Disturbance in the Elderly: A Population-Based Study in Shiraz, Iran. Shiraz E-Medical Journal, 20(11). https://doi.org/10.5812/semj.88349

Hu, Z., Zhu, X., Kaminga, A. C., Zhu, T., Nie, Y., & Xu, H. (2020). Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study. BMJ Open, 10(7), e036401. https://doi.org/10.1136/bmjopen-2019-036401

Ibáñez-del Valle, V., Silva, J., Castelló-Domenech, A.-B., Martinez-Martinez, M., Verdejo, Y., Sanantonio-Camps, L., & Cauli, O. (2018). Subjective and objective sleep quality in elderly individuals: The role of psychogeriatric evaluation. Archives of Gerontology and Geriatrics, 76, 221–226. https://doi.org/10.1016/j.archger.2018.03.010

Iswatun, I., Yusuf, A., Susanto, J., Makhfudli, M., Nasir, A., & Mardhika, A. (2022). Depression, anxiety, coping strategies, quality of life of the elderly during the COVID-19 pandemic. International Journal of Public Health Science (IJPHS), 11(4), 1501. https://doi.org/10.11591/ijphs.v11i4.21768

Kim, J. H., & Duffy, J. F. (2018). Circadian Rhythm Sleep-Wake Disorders in Older Adults. Sleep Medicine Clinics, 13(1), 39–50. https://doi.org/10.1016/j.jsmc.2017.09.004

Laver, K. E., Spargo, C., Saggese, A., Ong, V., Crotty, M., Lovato, N., Stevens, D., & Vakulin, A. (2020). Sleep Disturbance and Disorders within Adult Inpatient Rehabilitation Settings: A Systematic Review to Identify Both the Prevalence of Disorders and the Efficacy of Existing Interventions. Journal of the American Medical Directors Association, 21(12), 1824-1832.e2. https://doi.org/10.1016/j.jamda.2020.03.002

Lee, Y.-H., Chang, Y.-C., Chang, P.-J., & Shelley, M. (2021). Socio-demographic and behavioural factors associated with status change of sleep quality and duration among Chinese older adults. Ageing and Society, 1–18. https://doi.org/10.1017/S0144686X21000015

Li, J., Vitiello, M. V., & Gooneratne, N. S. (2018). Sleep in Normal Aging. Sleep Medicine Clinics, 13(1), 1–11. https://doi.org/10.1016/j.jsmc.2017.09.001

Mander, B. A., Winer, J. R., & Walker, M. P. (2017). Sleep and Human Aging. Neuron, 94(1), 19–36. https://doi.org/10.1016/j.neuron.2017.02.004

Martins da Silva, R., Afonso, P., Fonseca, M., & Teodoro, T. (2020). Comparing sleep quality in institutionalized and non-institutionalized elderly individuals. Aging & Mental Health, 24(9), 1452–1458. https://doi.org/10.1080/13607863.2019.1619168

Mc Carthy, C. E. (2021). Sleep Disturbance, Sleep Disorders and Co-Morbidities in the Care of the Older Person. Medical Sciences, 9(2), 31. https://doi.org/10.3390/medsci9020031

Meawad Elsayed, E. B. (2019). Relationship between Social Support, Loneliness, and Depression among Elderly People. International Journal of Nursing Didactics, 09(01), 39–47. https://doi.org/10.15520/ijnd.v9i01.2412

Onen, S.-H., & Onen, F. (2018). Chronic Medical Conditions and Sleep in the Older Adult. Sleep Medicine Clinics, 13(1), 71–79. https://doi.org/10.1016/j.jsmc.2017.09.007

Press, Y., Punchik, B., & Freud, T. (2018). The association between subjectively impaired sleep and symptoms of depression and anxiety in a frail elderly population. Aging Clinical and Experimental Research, 30(7), 755–765. https://doi.org/10.1007/s40520-017-0837-1

Sepúlveda-Loyola, W., Rodríguez-Sánchez, I., Pérez-Rodríguez, P., Ganz, F., Torralba, R., Oliveira, D. V., & Rodríguez-Mañas, L. (2020). Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. The Journal of Nutrition, Health & Aging, 24(9), 938–947. https://doi.org/10.1007/s12603-020-1500-7

Shang, B., Yin, H., Jia, Y., Zhao, J., Meng, X., Chen, L., & Liu, P. (2019). Nonpharmacological interventions to improve sleep in nursing home residents: A systematic review. Geriatric Nursing, 40(4), 405–416. https://doi.org/10.1016/j.gerinurse.2019.01.001

Stephens, J., & Gatchel, R. J. (2018). Sleep Quality in Older Adults: A Review of Associated Mechanisms. Annals of Sleep Medicine, 1(1). https://doi.org/10.36959/532/320

Thichumpa, W., Howteerakul, N., Suwannapong, N., & Tantrakul, V. (2018). Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiology and Health, 40, e2018018. https://doi.org/10.4178/epih.e2018018

Uchmanowicz, I., Markiewicz, K., Uchmanowicz, B., Kołtuniuk, A., & Rosińczuk, J. (2019). The relationship between sleep disturbances and quality of life in elderly patients with hypertension. Clinical Interventions in Aging, Volume 14, 155–165. https://doi.org/10.2147/CIA.S188499

Wang, P., Song, L., Wang, K., Han, X., Cong, L., Wang, Y., Zhang, L., Yan, Z., Tang, S., & Du, Y. (2020). Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clinical and Experimental Research, 32(1), 125–131. https://doi.org/10.1007/s40520-019-01171-0

Wesselius, H. M., van den Ende, E. S., Alsma, J., ter Maaten, J. C., Schuit, S. C. E., Stassen, P. M., de Vries, O. J., Kaasjager, K. H. A. H., Haak, H. R., van Doormaal, F. F., Hoogerwerf, J. J., Terwee, C. B., van de Ven, P. M., Bosch, F. H., van Someren, E. J. W., & Nanayakkara, P. W. B. (2018). Quality and Quantity of Sleep and Factors Associated With Sleep Disturbance in Hospitalized Patients. JAMA Internal Medicine, 178(9), 1201. https://doi.org/10.1001/jamainternmed.2018.2669

Yaremchuk, K. (2018). Sleep Disorders in the Elderly. Clinics in Geriatric Medicine, 34(2), 205–216. https://doi.org/10.1016/j.cger.2018.01.008

Zhang, C., Zhang, H., Zhao, M., Li, Z., Cook, C. E., Buysse, D. J., Zhao, Y., & Yao, Y. (2020). Reliability, Validity, and Factor Structure of Pittsburgh Sleep Quality Index in Community-Based Centenarians. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.573530

Zhang, H.-S., Li, Y., Mo, H., Qiu, D.-X., Zhao, J., Luo, J.-L., Lin, W.-Q., Wang, J.-J., & Wang, P.-X. (2017). A community-based cross-sectional study of sleep quality in middle-aged and older adults. Quality of Life Research, 26(4), 923–933. https://doi.org/10.1007/s11136-016-1408-1

Zhao, X., Lan, M., Li, H., & Yang, J. (2021). Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model. Sleep Medicine, 77, 339–345. https://doi.org/10.1016/j.sleep.2020.05.021



DOI: https://doi.org/10.22146/jkesvo.74460

Article Metrics

Abstract views : 898 | views : 1255

Refbacks

  • There are currently no refbacks.




Copyright (c) 2022 Jurnal Kesehatan Vokasional

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


site
stats View My Stats