Heart failure (HF) patients may experience fatigue and poor sleep quality due to impairment in cardiac structure or function. These distressing symptoms may create a vicious circle leading to poor outcomes but often undervalued and ignored among patients. This study aimed to investigate the relationship between fatigue and sleep quality among patients with HF in Indonesia. A cross-sectional, correlational study design was performed with 153 convenience samples recruited from a cardiology outpatient department at a medical center in Indonesia. Descriptive statistics, bivariate analyses (independent t-tests, one-way Analysis of Variance, and Pearson correlation), and hierarchical regression analysis were utilized to analyze the data. Instruments included demographic characteristics and clinical variables questionnaire, the Multidimensional Assessment of Fatigue (MAF), and the Pittsburgh Sleep Quality Index (PSQI). The mean age of participants was 61.86±10.79 years old and the mean duration of HF diagnosis was 4.26±5.48 years. All participants complained of fatigue, while 73.2% had poor sleep quality. Participants who were poor sleepers had a higher proportion of individuals used massage, not having taken dyslipidemia drugs, had normotension or well-controlled blood pressure, and suffered from hypertensive heart disease (HHD) and renal diseases. All fatigue domains, except the degree of interference in ADL, was significantly associated with sleep quality. However, only the timing domain determined sleep quality, meaning, the longer the fatigue, the poorer the sleep quality. This study suggests future interventions should be directed to decrease the level of severity, distress reduction, and particularly shorten fatigue duration should be developed to improve the sleep quality.
Latar belakang: Dislipidemia menyebabkan mortalitas yang tinggi di seluruh dunia, sekitar 4 juta kematian per tahunnya. Gaya hidup penderita dengan kadar kolesterol tinggi cenderung buruk yang berpotensi memicu penyakit kardiovaskuler. Stres kronis pada populasi ini juga diduga berhubungan erat dengan gaya hidup buruk. Tujuan: Menginvestigasi hubungan antara gaya hidup dan stres pada pasien hiperkolesterolemia. Metode: Penelitian ini berdesain deskriptif korelasi dan cross-sectional dengan 53 responden. Kuesioner yang digunakan yaitu Health Promoting Lifestyle Profile (HPLP II) dan Perceived Stress Scale (PSS). Hasil: Tidak terdapat hubungan yang signifikan antara gaya hidup dan stres secara keseluruhan. Domain manajemen stres memiliki hubungan yang signifikan dengan stres. Kesimpulan: Pasien hiperkolesterolemia yang memiliki pengontrolan kondisi psikologis yang baik, memiliki tingkat stres yang lebih rendah.
Poor quality of sleep may increase burden of hypertensive patients and worsen quality of life. Recognition of individuals’ sleep quality and its related factors might benefit the outcome of hypertension management. The purpose of this study was to investigate the association between depression and sleep quality among hypertensive patients in rural community. A cross-sectional, correlational study design was performed with 149 accidental samples at two public health care areas. Instruments included Depression Anxiety Stress Scale 42 and Pittsburgh Sleep Quality Index. Almost 78% of participants experienced mild to moderate depression and 98.7% of poor sleepers were identified. Significant determinants of sleep quality were exercises and type 2 diabetes mellitus (DM). Depression was associated to sleep quality but was not identified as a determinant. This study suggests future interventions should be directed to increase regular exercises and controlling co-existing disease particularly type 2 DM should be developed to improve sleep quality. Keywords: Depression, hypertension, sleep quality. Abstrak Kualitas tidur yang buruk dapat memperberat beban pasien hipertensi dan menurunkan kualitas hidup. Mengidentifikasi kualitas tidur individu dan faktor-faktor yang terkait dengannya dapat membantu meningkatkan hasil dari manajemen penyakit hipertensi. Penelitian ini bertujuan untuk menginvestigasi asosiasi depresi dan kualitas tidur pada pasien hipertensi di daerah pedesaan. Desain penelitian menggunakan pendekatan potong lintang dan deskriptif korelasi dengan 149 sampel insidental pada wilayah kerja dua pusat kesehatan masyarakat. Kuesioner yang digunakan yaitu DASS-42 dan PSQI. Hampir 78% partisipan menderita depresi ringan hingga sedang dan presentase kualitas tidur buruk sebanyak 98.7%. Faktor determinan yang signifikan adalah olahraga dan DM tipe 2. Depresi berhubungan secara signifikan dengan kualitas tidur, tetapi tidak teridentifikasi sebagai faktor determinan. Penelitian ini merekomendasikan dilakukannya intervensi untuk meningkatkan kegiatan olahraga yang regular dan pengontrolan penyakit komorbiditas terutama DM tipe 2 untuk meningkatkan kualitas tidur. Kata Kunci: Depresi, hipertensi, kualitas tidur.
Pendahuluan; Hiperemesis gravidarum merupakan mual dan muntah secara berlebih yang terjadi selama masa kehamilan dan salah satu penyebabnya adalah stres. Stres merupakan bentuk psikologik yang berperan penting pada gejala hiperemesis gravidarum. Tujuan; menganalisis hubungan stres dengan hiperemesis gravidarum. Metode; Penelitian observasional analitik dengan pendekatan cross-sectional. Kuesioner yang digunakan yaitu Depression Anxiety Stres Scale (DASS 42). Statistik deskriptif dan analisa bivariat (Mann-Whitney) digunakan untuk mencari hubungan antar variabel. Hasil; menunjukkan adanya hubungan yang signifikan antara stres dengan hiperemesis gravidarum dengan nilai p-value 0,001 atau <0,05. Kesimpulan; Ibu hamil yang mengalami hiperemesis gravidarum mempunyai stres yang lebih parah
Background: Stress at work is common among nurses population worldwide. This problem is experienced in all clinical settings. Severe stress may interfere nurses’ life including quality of sleep.Purpose: To investigate the correlation between stress and self-reported sleep quality among hospital nurses in Central Sulawesi.Method: The current study used descriptive correlational and cross-sectional design with convenience sampling which was conducted in 2 hospitals. Perceived Stress Scale (PSS) and the Pittsburgh Sleep Quality Index (PSQI) were the questionnaires to assess stress and quality of sleep in this study. The relationship between variables was obtained using descriptive statistics and bivariate analysis.Results: A significant correlation was found between stress and sleep quality (p < 0.05).Conclusion: The higher the pressure during work, the poorer the sleep quality of nurses.Keywords: Nurse; Quality of sleep; Psychological stressPendahuluan: Stres kerja umum terjadi pada populasi perawat di seluruh dunia. Masalah ini dialami pada semua ruang perawatan klinis. Stres yang parah dapat mengganggu kehidupan perawat termasuk kualitas tidurnya.Tujuan: Untuk menginvestigasi korelasi antara stres kerja dan kualitas tidur pada perawat rumah sakit di Sulawesi Tengah.Metode: Penelitian ini menggunakan desain deskriptif korelasi dan cross-sectional denga teknik convenience sampling di 2 rumah sakit. Perceived Stress Scale (PSS) dan Pittsburgh Sleep Quality Index (PSQI) adalah kuesioner yang digunakan dalam mengevaluasi stres dan kualitas tidur dalam penelitian ini. Hubungan antar variabel didapatkan dengan menggunakan statistik deskriptif dan analisa bivariatHasil: Korelasi yang signifikan ditemukan antara stres dan kualitas tidur (p < 0,05).Simpulan: Semakin tinggi tekanan dalam bekerja, semakin buruk kualitas tidur perawat.
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