scholarly journals KUALITAS TIDUR PASIEN GAGAL JANTUNG DAN PENANGANANNYA

2017 ◽  
Vol 3 (1) ◽  
pp. 18
Author(s):  
Inggriane Puspita Dewi

Prevalensi gagal jantung meningkat seiring dengan usia, dan mempengaruhi 6-10% individu lebih dari 65 tahun. Penderita gagal jantung sering mengalami hipersomnia di siang hari, tetapi kurang tidur atau sering terbangun dari tidur di malam hari karena sesak. Gangguan tidur ini dapat berupa SDB (sleep disordered breathing), DMS (difficulties maintaining sleep) dan EDS (excessive daytime sleepiness) lebih sering terjadi pada lansia dengan gagal jantung. Literature review ini bertujuan untuk menemukan bukti-bukti (evidence) kualitas tidur pada pasien gagal jantung serta penanganannya. Studi literatur dari beberapa jurnal yang bersumber dari medline, dengan kata kunci Sleep Quality dan Heart Failure, sebanyak 5 jurnal dipilih untuk direview. Hasilnya adalah kekurangan tidur pada penderita gagal jantung berdampak terhadap kualitas hidupnya, cenderung menderita depresi yang berdampak terhadap peningkatan kematian, sudden cardiac death dan ventrikuler aritmia. Penanganan berupa terapi farmakologis dan non farmakologis. Implikasi terhadap ilmu keperawatan dari masalah kualitas tidur pasien gagal jantung, diupayakan mengembangkan model terapi regimen non farmakologi, dengan mempertimbangkan aspek psikososial dan spiritual.

SLEEP ◽  
2011 ◽  
Vol 34 (4) ◽  
pp. 435-442 ◽  
Author(s):  
Nalaka S. Gooneratne ◽  
Kathy C. Richards ◽  
Marshall Joffe ◽  
Regina W. Lam ◽  
Fran Pack ◽  
...  

CHEST Journal ◽  
2012 ◽  
Vol 141 (4) ◽  
pp. 967-973 ◽  
Author(s):  
Felipe N. Albuquerque ◽  
Andrew D. Calvin ◽  
Fatima H. Sert Kuniyoshi ◽  
Tomas Konecny ◽  
Francisco Lopez-Jimenez ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ryotaro Matsuo ◽  
Takeshi Tanigawa ◽  
Kiyohide Tomooka ◽  
Ai Ikeda ◽  
Hiroo Wada ◽  
...  

Abstract Sleep disordered breathing (SDB) is a significant cause of motor vehicle crash (MVC). We conducted a prospective cohort study among 1047 Japanese community-dwellers to detect whether the presence or absence of subjective excessive daytime sleepiness (EDS) affect the association of SDB with a risk of MVC. SDB was assessed by a single airflow monitor which measured the respiratory disturbance index (RDI) during one-night, and participants were classified into the SDB group (RDI ≥ 10) and non-SDB group (RDI < 10). Subjective EDS was defined as Japanese version of Epworth Sleepiness Scale scores ≥ 11. A follow-up questionnaire five years after the baseline ascertained history of MVC over the period. Multivariable logistic regression analysis examined the association between SDB and MVC after stratification by subjective EDS. The multivariable-adjusted odds ratios (95% confidence interval) for MVC among the female SDB group were 1.66 (1.05–2.63) compared with the non-SDB group, and this association was more evident in females without subjective EDS [1.84(1.02–3.32)], but not among those with subjective EDS. There was no significant association in males. These findings indicate that SDB screening should be recommended regardless of subjective EDS to prevent SDB-related MVC among general population, particularly in females.


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