Pengaruh kualitas tidur terhadap derajat tekanan darah sistolik pada pasien hipertensi di Poli Penyakit Dalam RST TK. II dr. Soepraoen Kota Malang

ABSTRACT

Hypertension is a health problem with a high prevalence and major cause of cardiovascular complications due to the low rate of control and treatment on blood pressure around the world including Indonesia, and specifically in Malang City. The life-style intervention such as sleep hygiene is one of the factors which can increase the rate of control and treatment on blood pressure in hypertension patients. This study aimed to prove the effect of sleep quality on the degree of systolic blood pressure in hypertension patients. This study used a cross-sectional method and purposive sampling technic with 76 respondents. PSQI (Pittsburgh Sleep Quality Index) questionnaire was used to assess sleep quality and the sphygmomanometer to measure systolic blood pressure. The data were presented descriptively and analyzed with ordinal logistic regression. The ordinal logistic regression showed that only sleep duration [(Odd’s Ratio=0,008, 95% Confidence Interval (-3,603)-(-0,433), P=0,013] and sleep disturbance [Odd’s Ratio=0,241, 95% Confidence Interval (-2,847)-(-0,001), P=0,050] could give significant effect on the degree of systolic blood pressure. The patient with short duration sleep (<7 hours) and has one or more sleep disturbances has a probability to increase the degree of systolic blood pressure, so the rate of the control and treatment on blood pressure in hypertension patient could be increased through the improvement of sleep duration and sleep disturbance.

ABSTRAK

Hipertensi merupakan masalah kesehatan dengan prevalensi yang tinggi dan juga penyebab utama komplikasi kardiovaskuler akibat keberhasilan pengendalian tekanan darah yang rendah di seluruh dunia termasuk Indonesia, salah satunya di Kota Malang. Intervensi pola hidup seperti higienitas tidur merupakan salah satu faktor yang dapat meningkatkan keberhasilan kontrol tekanan darah pasien hipertensi. Penelitian ini bertujuan untuk membuktikan pengaruh kualitas tidur terhadap derajat tekanan darah sistolik pada pasien hipertensi. Penelitian ini menggunakan metode cross sectional dan teknik pengambilan sampel purposive sampling dengan jumlah responden 76 orang. Kuesioner PSQI (Pittsburgh Sleep Quality Index) digunakan untuk menilai kualitas tidur dan Sphygmomanometer untuk mengukur tekanan darah sistolik. Data yang diperoleh disajikan secara deskriptif dan dianalisis menggunakan analisis regresi logistik ordinal. Hasil uji regresi menunjukkan bahwa hanya durasi tidur [(Odd’s Ratio=0,008, 95% Confidence Interval (-3,603)-(-0,433), P=0,013] dan gangguan tidur [Odd’s Ratio=0,241, 95% Confidence Interval (-2,847)-(-0,001), P=0,050] yang berpengaruh signifikan terhadap
tekanan darah sistolik.