Kualitas Tidur Dan Faktor-faktor Gangguan Tidur Klien Lanjut Usia Yang Dirawat Inap Di Ruang Penyakit Dalam Rumah Sakit, Medan 2003

:This descriptive study is aimed to explore sleep quality of elderly during hospitalization and describe factors perceived by hospitalized elderly as sleep interference. One hundred elderly clients who met the inclusion criteria were recruited from medical wards of two hospitals in Medan. Subject's personal data, health information, sleep history, sleep quality, and factors interfering with sleep were obtained by structured interview. The majority of subjects reported experiencing sleep latency > 60 minutes (57%), total sleep time less than 5 hours (62%), awakening three times or more (80%), very shallow sleep (55%), not at all satisfied with sleep (51%), not feeling refreshed in the morning (52%), and feeling fatigued and sleepy during the daytime (46%). Moreover, 77% of the clients considered their sleep as poor. In addition, paired t-test analysis revealed that the sleep quality of the clients during hospitalization and at home were significantly different (p < .001). Factors interfering with sleep during hospitalization included physiological, routine nursing interventions, environmental, psychological factors. The most prevalent and highest level sleep interference in physiological factors were caused by pain, dyspnea, cough. The majority of clients perceived that routine nursing interventions, checking vital signs, nurses attending to other clients, and giving treatments interfered with their sleep at a low level of sleep interference. Likewise, environmental factors including noise from all sources, hot room temperature, and bright light were commonly reported as sleep interference at the low and moderate level. In psychological factors, 24% of the subjects experienced anxiety, while 43% reported depression. The results study found that sleep quality of the subject was poorer during hospitalization. Thus, nurses should pay more attention to the clients having symptom of diseases, discomfort, environment disturbances, anxiety, depression and also give interventions to eliminate these factors