The Relationship Between Anxiety Level and Sleep Quality in Hypertensive Patients in the Haemodialysis Unit

  • Rosida Nur Aisah Universitas Muhammadiyah Surakarta
  • Arina Maliya Universitas Muhammadiyah Surakarta
Keywords: anxiety level, haemodialysis unit, hypertension, sleep quality

Abstract

Haemodialysis patients with hypertension often face complex mental and physical health challenges, including impaired anxiety and sleep quality. This has a profound effect on the individual's life. Objective: This study aims to analyse the relationship between anxiety levels and sleep quality in hypertensive patients undergoing haemodialysis. Quantitative with a cross-sectional approach with a total sampling method of 30 hypertensive patients in the haemodialysis unit of PKU Aisyah Boyolali Hospital. This study was conducted in September - November.  The instruments for data collection included the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. Spearman's test was used for data analysis due to the non-normal distribution of the data. The results of the Spearman statistical test on hypertensive patients in the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital showed a p value = 0.044 > α = 0.05. the main findings (past tense). The results showed a significant relationship between anxiety levels and sleep quality in hypertensive patients at the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital. Researchers suggest examining other variables that affect sleep quality, such as physical activity, diet, and adherence to medication. Qualitative research methods can also be employed to investigate the personal experiences of patients and a broader range of individuals, allowing for more generalized findings.

References

Adelia, S., & Supratman, S. (2023). Hubungan Tingkat Kecemasan dengan Kualitas Hidup Lansia Penderita Hipertensi di Desa Luwang Wilayah Kerja Puskesmas Gatak. Malahayati Nursing Journal, 5(11), 4001–4401. https://doi.org/10.33024/mnj.v5i11.10042

Anisah, I. N., & Maliya, A. (2021). Efektivitas Relaksasi Benson Terhadap Kecemasan Pasien Yang Menjalani Hemodialisa. Jurnal Berita Ilmu Keperawatan, 14(1), 57–64. https://doi.org/10.23917/bik.v14i1.12226

Apriza Yanti, C., & Muliati, R. (2019). Pengaruh Pemberian Jus Semangka Merah dan Kuning Terhadap Tekanan Darah Lansia Menderita Hipertensi. Jurnal Endurance, 4(2), 411. https://doi.org/10.22216/jen.v4i2.4213

Astuti, V. P., Lestari, T. B., & Simbolon, A. R. (2021). Hubungan Antara Tingkat Kecemasan, Jenis Kelamin Dengan Kualitas Tidur Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis. Carolus Journal of Nursing, 3(2), 112–121. https://doi.org/10.37480/cjon.v3i2.69

Ayanaw, T., Temesgen, M., Azagew, A. W., & Ferede, Y. M. (2022). Sleep quality and associated factors among adult hypertensive patients attending a chronic follow up care clinic in northwest Amhara regional state referral hospitals, Northwest Ethiopia. PLoS ONE, 17(7 July), 1–15. https://doi.org/10.1371/journal.pone.0271072

Freeska, O., Marta, D., & Aini, N. (2021). The Relationship Between Smartphones Used Before Sleep and Excessive Daytime Sleepiness Among Nursing Students : A Cross-Sectional Study. 12(1), 99–105. https://doi.org/10.22219/JK.V12I1.15206.

Hamidah, N. Y. (2022). Gambaran Tingkat Pengetahuan Remaja Tentang Hipertensi Di Wilayah Puskesmas Sambi Boyolali. In Universitas Muhammadiyah Serakarta.

Hasibuan, R. K., & Hasna, J. A. (2021). Gambaran Kualitas Tidur pada Lansia dan Faktor-Faktor yang Mempengaruhinya di Kecamatan Kayangan, Kabupaten Lombok Utara, Nusa Tenggara Barat. Jurnal Kedokteran dan Kesehatan, 17(2), 187. https://doi.org/10.24853/jkk.17.2.187-195

Kementerian Kesehatan RI. (2020). Pokok-Pokok Renstra Kemenkes 2020-2024. Journal of Chemical Information and Modeling, 21(1), 1–9.

Kholidatin, Y. (2017). Hubungan kecemasan dengan kualitas tidur pada pasien hipertensi di puskesmas jati kabupaten kudus. In (Doctoral dissertation, Universitas Muhammadiyah Semarang) (Vol. 5, Nomor 3).

Marbun, W. S., & Hutapea, L. M. N. (2022). Penyuluhan Kesehatan pada Penderita Hipertensi Dewasa terhadap Tingkat Pengetahuan Hipertensi. Jurnal Keperawatan Silampari, 6(1), 89–99. https://doi.org/10.31539/jks.v6i1.4170

Naamani, Z. Al, Gormley, K., Noble, H., Santin, O., & Maqbali, M. Al. (2021). Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrology, 22(1), 1–8. https://doi.org/10.1186/s12882-021-02349-3

Nainar, A. A. A., Rayatin, L., & Indiyani, N. (2022). Kualitas Tidur dengan Tekanan Darah pada Lansia Hipertensi di Puskesmas Balaraja. Prosiding Simposium Nasional Multidisiplin (SinaMu), 2. https://doi.org/10.31000/sinamu.v2i0.5738

Ndapaole, A. H., Tahu, S. K., & Gerontini, R. (2020). Pengaruh Pendidikan Kesehatan dengan Media Booklet Terhadap Tingkat Kecemasan pada Penderita Hipertensi di Puskesmas Oepoi-Wilayah Kerja Kota Kupang. CHMK Nursing Scientific Journal, 4(1), 162–170.

Nurhayati, T., Susumaningrum, L. A., Rasni, H., Susanto, T., & Kholida, D. (2020). Hubungan Kecemasan dengan Pola Tidur Lansia Hipertensi dan Tidak Hipertensi. Jkep, 5(2), 122–136. https://doi.org/10.32668/jkep.v5i2.325

Oktaviana, E., & Syamdarniati. (2022). Hubungan Lama Menderita Hipertensi Dengan Tingkat Kecemasan Pada lnsia Di Wilayah Kerja Puskesmas Kopeta Kecamatan Alok Kabupaten Sikka. Indogenius, 1(1), 18–22.

Pratama, I. B. A., Fathnin, F. H., & Budiono, I. (2020). Analisis Faktor yang Mempengaruhi Hipertensi di Wilayah Kerja Puskesmas Kedungmundu. Prosiding Seminar Nasional Pascasarjana UNNES, 3(1), 408–413.

Pratama, Y., Azmiardi, A., & Nurbaya, F. (2020). The Effect Of Health Counseling On Hypertension Knowledge In Housewives In Geluran Hamlet Sukomangu Village Purwantoro. Jurnal Ilmu Kesehatan Masyarakat Berkala, 4(2), 81–86.

Sari, R., Masriadi, & Sitti Patimah. (2023). Hubungan Status Gizi, Kualitas Tidur Dan Tingkat Kecemasan Dengan Derajat Hipertensi Di Wilayah Kerja Puskesmas Tamalate. Window of Public Health Journal, 4(2), 208–216. https://doi.org/10.33096/woph.v4i2.656

Setiyorini & kalbuningrum. (2019). Hubungan kualitas tidur dengan tekanan darah pada lansia hipertensi. Naskah Publikasi, 6(2), 119–123.

Setyoadi, Wahyuni, D. S., Kumalasari, A. C., Habibah, A., Farida, A., Hipmi, B., Ambarwati, F. A., Ghaida, M. R., Annisa, A. P., Nabila, W. A., Imaniar, W. F., Nanda, O., Insani, & Ismail, D. D. S. L. (2024). The Effect of a nurse ’ s home visit intervention on knowledge , dietary salt adherence , and blood pressure in hypertensive patients at primary health care. Jurnal Keperawatan, 15(2), 165–175. https://doi.org/10.22219/jk.v15i02.25376

Sulistiani, D., Apriliyani, I., & Triana, N. Y. (2024). Hubungan Kecemasan Dengan Kualitas Tidur Pada Pasien Pre Operasi. Jurnal Ilmiah Permas : Jurnal Ilmiah STIKes Kendal, 14(1), 295–304. http://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1599

Sulkarnaen, S., Sampurno, E., & Rofiyati, W. (2022). Hubungan Tingkat Kecemasan Dengan Kualitas Tidur Pada Lansia Dengan Hipertensi Di Wilayah Kerja Puskesmas Kasihan Ii Bantul Yogyakarta. Jurnal Kesehatan Tambusai, 3(3), 317–324. https://doi.org/10.31004/jkt.v3i3.5737

Utama, F., Sari, D. M., & Ningsih, W. I. F. (2021). Deteksi dan Analisis Faktor Risiko Hipertensi pada Karyawan di Lingkungan Universitas Sriwijaya. Jurnal Kesehatan Andalas, 10(1), 29. https://doi.org/10.25077/jka.v10i1.1643

Wagiyanto. (2022). Hubungan Lama Hemodialisa Terhadap Kecemasan Pada Pasien Gagal Ginjal Kronik DI Ruang Hemodialis RSUI Kustati Surakarta. Skripsi. Universitas Sahid Surakarta.

World Health Organization. (2021). Hipertension. Geneva: WHO Library Cataloguing-in-Hipertension, Completo, 1–58.

World Health Organization. (2022). Old age mental disorders in primary care. Common Mental Disorders in Primary Care: Essays in Honour of Professor Sir David Goldberg, 130–143. https://doi.org/10.4324/9780203360934-21

Yang, Z., Heizhati, M., Wang, L., Li, M., Pan, F., Wang, Z., Abudureyimu, R., Hong, J., Yao, L., Yang, W., Liu, S., & Li, N. (2021). Subjective poor sleep quality is associated with higher blood pressure and prevalent hypertension in general population independent of sleep disordered breathing. Nature and Science of Sleep, 13, 1759–1770. https://doi.org/10.2147/NSS.S329024

Published
2025-01-27
How to Cite
Aisah, R., & Maliya, A. (2025). The Relationship Between Anxiety Level and Sleep Quality in Hypertensive Patients in the Haemodialysis Unit. Indonesian Journal of Global Health Research, 7(2), `195-204. https://doi.org/10.37287/ijghr.v7i2.5469