Ruty Erina Damayanti, . (2025) ANALISIS ASUHAN KEPERAWATAN DENGAN INTERVENSI TERAPI MUSIK INSTRUMENTAL IMPROVISASI PIANO TERHADAP KUALITAS TIDUR PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSPAD GATOT SOEBROTO. Tesis thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Chronic kidney disease (CKD) patients undergoing hemodialysis often experience sleep disturbances due to complex physiological and psychological changes. These disturbances may be triggered by stress, anxiety, pain, depression, restlessness, low hemoglobin levels, iron deficiency, and increased transferrin levels, which can lead to symptoms such as palpitations, fatigue, and headaches. These conditions not only reduce sleep quality but also negatively affect patients quality of life and recovery. Therefore, CKD patients experiencing sleep disturbances may benefit from instrumental piano improvisation therapy. Calming instrumental music can reduce stress and improve sleep quality by activating the parasympathetic nervous system and regulating hormones such as cortisol, dopamine, and serotonin. This study aims to analyze the effectiveness of this therapy in improving sleep quality among hemodialysis patients. The intervention was administered twice a week for two weeks, one hour after hemodialysis sessions. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), which showed a decrease in score from 14 to 8 after four sessions. The results of this EBN implementation demonstrate that instrumental piano improvisation therapy is effective in reducing sleep disturbances and improving sleep quality in hemodialysis patients. Hemodialysis nurses play a crucial role in managing sleep disorders to enhance the quality of life of CKD patients.
Item Type: | Thesis (Tesis) |
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Additional Information: | [No.Panggil: 2410721032] [Pembimbing : Mareta Dea Rosaline [Penguji 1: Santi Herlina] [Penguji 2: Sudiharto] |
Uncontrolled Keywords: | Chronic Kidney Failure, Hemodialysis, Piano Improvisation Music Therapy, PSQI, Sleep Disturbance, Sleep Quality |
Subjects: | R Medicine > R Medicine (General) R Medicine > RT Nursing |
Divisions: | Fakultas Ilmu Kesehatan > Program Studi Pendidikan Profesi Ners |
Depositing User: | RUTY ERINA DAMAYANTI |
Date Deposited: | 11 Aug 2025 04:14 |
Last Modified: | 11 Aug 2025 04:14 |
URI: | http://repository.upnvj.ac.id/id/eprint/37148 |
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