Hubungan Thirts Distress terhadap Kualitas Tidur Pasien Gagal Ginjal Kronis

Authors

DOI:

https://doi.org/10.71456/jik.v5i1.2994

Keywords:

Gagal Ginjal Kronis, Hemodialisis, Kualitas Tidur, Thirst distress

Abstract

Pasien gagal ginjal kronis yang menjalani hemodialisis harus membatasi asupan cairan sehingga rentan mengalami thirst distress yang berpotensi mengganggu kualitas tidur, sementara kajian tentang hubungan keduanya di Indonesia masih terbatas. Penelitian ini bertujuan mengetahui hubungan antara thirst distress dan kualitas tidur pada pasien gagal ginjal kronis yang menjalani hemodialisis di Rumah Sakit Umum Daerah Umar Wirahadikusumah, Sumedang. Penelitian kuantitatif korelasional dengan desain potong lintang ini dilaksanakan pada September 2026 dengan teknik total sampling. Dari 152 pasien, 137 memenuhi kriteria dan seluruhnya dianalisis. Thirst distress diukur menggunakan Thirst distress Scale (skor 6–30) dan kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (skor global 0–21; skor lebih dari 5 menunjukkan kualitas tidur buruk). Data dianalisis secara univariat dan bivariat dengan uji korelasi Spearman. Rerata usia responden adalah 37,74 tahun (simpangan baku 9,68). Seluruh responden mengalami thirst distress sedang (32,1%) atau berat (67,9%) dengan rerata skor 23,88 (simpangan baku 3,87), dan 99,3% responden memiliki kualitas tidur buruk dengan rerata skor 12,82 (simpangan baku 3,30). Terdapat hubungan positif yang bermakna antara skor thirst distress dan skor kualitas tidur (ρ = 0,630; p < 0,001). Semakin berat thirst distress, semakin buruk kualitas tidur pasien hemodialisis. Perawat disarankan menilai thirst distress dan kualitas tidur secara rutin serta mengelola rasa haus pasien. Desain potong lintang dan variasi data yang terbatas membatasi penarikan kesimpulan sebab-akibat.

Author Biographies

Nunung Siti Sukaesih, Universitas Pendidikan Indonesia

Dosen Program Studi Keperawatan Kampus Daerah Sumedang Universitas Pendidikan Indonesia

Ida Nurhidayah, Universitas Pendidikan Indonesia

Dosen Program Studi Keperawatan Kampus Sumedang Universitas Pendidikan Indonesia

References

Anwar, N., & Mahmud, S. N. (2018). Quality of sleep in CKD patients on chronic hemodialysis and the effect of dialysis shift. Journal of the College of Physicians and Surgeons Pakistan, 28(8), 636–639. https://doi.org/10.29271/jcpsp.2018.08.636

Ashrafi, S. A., Phansikar, M., & Wilund, K. R. (2023). Subjective thirst in relation to interdialytic weight gain: A systematic review of observational studies. Blood Purification, 52(2), 201–209. https://doi.org/10.1159/000525498

Badr, E. A., Alhowaymel, F. M., & Abaoud, A. F. (2025). Sleep quality and predicting factors among patients undergoing hemodialysis: A descriptive cross sectional study. Applied Nursing Research, 86, 152016. https://doi.org/10.1016/j.apnr.2025.152016

Barbosa, A. R., Freitas, A. T., Sugizaki, C. S. A., Braga, C. C., & Peixoto, M. R. G. (2020). Transcultural adaptation of the Thirst distress Scale (TDS) into Brazilian Portuguese and an analysis of the psychometric properties of the scale for patients on hemodialysis. Brazilian Journal of Nephrology, 42(2), 153–162. https://doi.org/10.1590/2175-8239-JBN-2019-0151

Bossola, M., Antocicco, M., Torino, C., Pettorino, C., Tripepi, G., & Zoccali, C. (2025). Dialysate sodium concentration, thirst, and interdialytic weight gain in hemodialysis patients. Nephron, 149(1), 28–36. https://doi.org/10.1159/000535891

Bots, C. P., Brand, H. S., Poorterman, J. H. G., & van Amerongen, B. M. (2021). Development and validation of the Thirst distress Scale for patients on hemodialysis. Renal Failure, 43(1), 415–422. https://doi.org/10.1080/0886022X.2021.1903065

Bots, C. P., Brand, H. S., Veerman, E. C. I., Valentijn-Benz, M., Van Amerongen, B. M., Valentijn, R. M., Vos, P. F., Bijlsma, J. A., Bezemer, P. D., Ter Wee, P. M., & Amerongen, A. V. (2004). Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst. Kidney International, 66(4), 1662–1668. https://doi.org/10.1111/j.1523-1755.2004.00933.x

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Carpi, M. (2025). The Pittsburgh Sleep Quality Index: A brief review. Occupational Medicine, 75(1), 14–19. https://doi.org/10.1093/occmed/kqae121

Chen, Y.-Q., Wang, C.-L., Chiu, A.-H., Yeh, M.-C., & Chiang, T.-I. (2024). Chewing gum may alleviate degree of thirst in patients on hemodialysis. Medicina, 60(1), 2. https://doi.org/10.3390/medicina60010002

Dahlan, M. S. (2014). Statistik untuk kedokteran dan kesehatan: Deskriptif, bivariat, dan multivariat dilengkapi aplikasi menggunakan SPSS (Edisi 6). Epidemiologi Indonesia.

Deniz, R., & Çiftçi, B. (2026). Investigation of hemodialysis patients' views on thirst: A mixed-methods study. Healthcare, 14(1), 56. https://doi.org/10.3390/healthcare14010056

Elder, S. J., Pisoni, R. L., Akizawa, T., Fissell, R., Andreucci, V. E., Fukuhara, S., Kurokawa, K., Rayner, H. C., Furniss, A. L., Port, F. K., & Saran, R. (2008). Sleep quality predicts quality of life and mortality risk in haemodialysis patients: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology Dialysis Transplantation, 23(3), 998–1004. https://doi.org/10.1093/ndt/gfm630

Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: A guide for non-statisticians. International Journal of Endocrinology and Metabolism, 10(2), 486–489. https://doi.org/10.5812/ijem.3505

Gocay Bek, S., Yıldız, N., Islam, M., Ergul, M., Sarıoglu, I., Guven Taymez, D., Eren, N., Uslu, H., Tosun, M., Dervisoglu, E., Kalender, B., Balcı, S., & Waldreus, N. (2025). Thirst intensity survey in ADPKD patients. Clinical and Experimental Nephrology, 29(1), 90–98. https://doi.org/10.1007/s10157-023-02373-7

Han, Q., Liu, B., Lin, S., Li, J., Liang, P., Fu, S., Zheng, G., Yang, S., Li, B., & Yang, Q. (2021). Pittsburgh Sleep Quality Index score predicts all-cause mortality in Chinese dialysis patients. International Urology and Nephrology, 53(11), 2369–2376. https://doi.org/10.1007/s11255-021-02842-6

Hariharan, N., Chkhikvadze, L., & Mateshvili, A. (2024). Association of sleep problems with dialysis shifts in patients undergoing hemodialysis in Tbilisi, Georgia. Cureus, 16(7), e63733. https://doi.org/10.7759/cureus.63733

Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018. Journal of Global Health, 12, 04071. https://doi.org/10.7189/jogh.12.04071

Jamelo, J. P., Valdepenas, A. N., Fadriquela, D. L., & Gueco, I. (2024). #235 Quality of sleep and the quality of life in chronic kidney disease patients undergoing hemodialysis in a tertiary hospital in the Philippines. Nephrology Dialysis Transplantation, 39(Suppl_1), gfae069.1421. https://doi.org/10.1093/ndt/gfae069.1421

Kara, B. (2013). Validity and reliability of the Turkish version of the Thirst distress Scale in patients on hemodialysis. Asian Nursing Research, 7(4), 212–218. https://doi.org/10.1016/j.anr.2013.10.003

Kazak Salti, A., Topali, H., & Türkmen, O. O. (2026). Determinants of sleep quality and fatigue in patients undergoing hemodialysis. The International Journal of Artificial Organs, 49(7), 448–454. https://doi.org/10.1177/03913988261456929

Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. (2024). KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International, 105(4S), S117–S314. https://doi.org/10.1016/j.kint.2023.10.018

Lenz, E. R., & Pugh, L. C. (2018). The theory of unpleasant symptoms. In M. J. Smith & P. R. Liehr (Eds.), Middle range theory for nursing (4th ed., pp. 165–195). Springer.

Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: An update. Advances in Nursing Science, 19(3), 14–27. https://doi.org/10.1097/00012272-199703000-00003

Maringhini, S., & Zoccali, C. (2024). Chronic kidney disease progression—A challenge. Biomedicines, 12(10), 2203. https://doi.org/10.3390/biomedicines12102203

Maung, S. C., El Sara, A., Chapman, C., Cohen, D., & Cukor, D. (2022). Sleep disorders and chronic kidney disease. World Journal of Nephrology, 11(1), 1–14. https://doi.org/10.5527/wjn.v11.i1.1

Morais, J. G., Guedes, M., Barra, A. B., Larkin, J. W., Canziani, M. E. F., Pecoits-Filho, R., & Nerbass, F. B. (2025). Impact of thirst perception on health-related quality of life in hemodialysis patients: A multicenter study. Hemodialysis International, 29(4), 700–706. https://doi.org/10.1111/hdi.13271

Nursalam. (2020). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (Edisi 5). Salemba Medika.

Perhimpunan Nefrologi Indonesia (PERNEFRI). (2020). Laporan Registri Ginjal Indonesia ke-13 tahun 2020. Indonesian Renal Registry. https://www.indonesianrenalregistry.org/media/laporan%20IRR%202020.pdf

Rajbhandari, A., Bhusal, U., Shrestha, D. B., Yadav, J., Singh, S., Pant, C., & Sharma, A. (2022). Clinical profile of end-stage renal disease patients undergoing hemodialysis in Chitwan, Nepal. JNMA: Journal of the Nepal Medical Association, 60(249), 448–452. https://doi.org/10.31729/jnma.7258

Samara, A. M., Sweileh, M. W., Omari, A. M., Omari, L. S., Dagash, H. H., Sweileh, W. M., Natour, N., & Zyoud, S. H. (2019). An assessment of sleep quality and daytime sleepiness in hemodialysis patients: A cross-sectional study from Palestine. Sleep Science and Practice, 3. https://doi.org/10.1186/s41606-019-0036-4

Schober, P., Boer, C., & Schwarte, L. A. (2018). Correlation coefficients: Appropriate use and interpretation. Anesthesia & Analgesia, 126(5), 1763–1768. https://doi.org/10.1213/ANE.0000000000002864

Sharif-Nia, H., Marôco, J., Froelicher, E. S., Barzegari, S., Sadeghi, N., & Fatehi, R. (2024). The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: A mediator model to test concept of treatment adherence. Scientific Reports, 14(1), 9981. https://doi.org/10.1038/s41598-024-60679-2

Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D (Edisi 3). Alfabeta.

Teuwafeu, D. G., Fonyuy, V. F., Bandolo, N. V., Mahamat, M., Nkoke, C., Fouda Menye, H., & Halle, M.-P. (2025). Prevalence and determinants of thirst distress amongst patients on maintenance haemodialysis. BMC Nephrology, 26(1), 441. https://doi.org/10.1186/s12882-025-04369-9

Wang, W., Jiang, X., Liu, P., Ma, Q., Wang, Y., & Ma, Z. (2025). Independent risk factors for thirst in hemodialysis patients: Female sex, sodium profiling dialysis, and xerostomia. American Journal of Translational Research, 17(9), 7383–7391. https://doi.org/10.62347/QRTF1064

Welch, J. L. (2002). Development of the thirst distress scale. Nephrology Nursing Journal, 29(4), 337–342

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Published

2026-10-24

How to Cite

Saputra, D. Y., Sukaesih, N. S., & Nurhidayah, I. (2026). Hubungan Thirts Distress terhadap Kualitas Tidur Pasien Gagal Ginjal Kronis. JIKES : Jurnal Ilmu Kesehatan, 5(1), 1815–1826. https://doi.org/10.71456/jik.v5i1.2994