The influence of semi-fowler sleeping position education on sleep quality in congestive heart failure patients at Subang General Hospital
Main Article Content
Abstract
Background: Patients with congestive heart failure (CHF) frequently experience nocturnal dyspnea, leading to poor sleep quality, which can slow down recovery and prolong hospital stays. The semi-Fowler sleep position may alleviate breathing difficulties and improve sleep quality in CHF patients.
Purpose: This study aimed to evaluate the impact of semi-Fowler sleep position education on the sleep quality of CHF patients.
Methods: A quasi-experimental design with a pre-test and post-test control group was used, involving 26 CHF patients selected through accidental sampling from the inpatient ward of Subang General Hospital. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and the intervention involved educational booklets and demonstrations on the semi-Fowler sleep position.
Results: Data analysis using the Mann-Whitney test showed a significant improvement in sleep quality post-intervention, with a p-value of 0.000, indicating a meaningful difference in sleep quality between the intervention and control groups.
Conclusion: Educating CHF patients on the semi-Fowler sleep position significantly improved their sleep quality. These findings suggest that incorporating semi-Fowler position education into patient care may help reduce nocturnal discomfort and promote better recovery in CHF patients. This approach could be a practical intervention for improving patient outcomes and reducing hospital stays.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Indonesian Nursing Journal (INJ) is a scientific peer-reviewed nursing which articles are freely available to be accessed, downloaded and used for research purposes. Manuscripts submitted to INJ are published under the terms of the Creative Commons License. The terms of the license are:
Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
References
Kemenkes RI, Profil Kesehatan Indonesia. 2022. [Online]. Available: https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
WHO, “Ten Threats to Global Health in 2019,” 2019. [Online]. Available: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
K. Kusnanto, H. Arifin, and Y. Kurniawati, “Determinant of BCG vaccine coverage among Indonesian children aged 0–2 months,” Child. Youth Serv. Rev., vol. 116, p. 105238, 2020, doi: https://doi.org/10.1016/j.childyouth.2020.105238.
UNICEF, “Global immunization efforts have saved at least 154 million lives over the past 50 years,” 2024. https://www.unicef.org/press-releases/global-immunization-efforts-have-saved-least-154-million-lives-over-past-50-years
J. W. Noh et al., “Determinants of timeliness in early childhood vaccination among mothers with vaccination cards in Sindh province, Pakistan: A secondary analysis of cross-sectional survey data,” BMJ Open, vol. 9, no. 9, pp. 1–9, 2019, doi: 10.1136/bmjopen-2019-028922.
M. Jheeta and J. Newell, “Childhood vaccination in Africa and Asia: the effects of parents’ knowledge and attitudes.,” Bulletin of the World Health Organization, vol. 86, no. 6. Switzerland, p. 419, Jun. 2008. doi: 10.2471/blt.07.047159.
Y. Hu, Y. Chen, H. Liang, and Y. Wang, “An Overview of Coverage of BCG Vaccination and Its Determinants Based on Data from the Coverage Survey in Zhejiang Province,” International Journal of Environmental Research and Public Health, vol. 15, no. 6. 2018. doi: 10.3390/ijerph15061155.
A. F. Jamison et al., “Determinants of vaccine coverage and timeliness in a northern Pakistani village.,” PLoS One, vol. 17, no. 2, p. e0263712, 2022, doi: 10.1371/journal.pone.0263712.
A. Summan, A. Nandi, E. Schueller, and R. Laxminarayan, “Public health facility quality and child immunization outcomes in rural India: A decomposition analysis.,” Vaccine, vol. 40, no. 16, pp. 2388–2398, Apr. 2022, doi: 10.1016/j.vaccine.2022.03.017.
Puskesmas Kalijati, “Profil Puskesmas Kalijati Kab. Subang,” 2023.
N. Sheikh et al., “Coverage, Timelines, and Determinants of Incomplete Immunization in Bangladesh.,” Trop. Med. Infect. Dis., vol. 3, no. 3, Jun. 2018, doi: 10.3390/tropicalmed3030072.
S. Kulkarni, V. Thampi, D. Deshmukh, M. Gadhari, R. Chandrasekar, and M. Phadke, “Trends in Urban Immunization Coverage in India: A Meta-Analysis and Meta-Regression.,” Indian J. Pediatr., vol. 90, no. 1, pp. 38–48, Jan. 2023, doi: 10.1007/s12098-021-03843-0.
A. I. Awadh, M. A. Hassali, O. Q. Al-lela, S. H. Bux, R. M. Elkalmi, and H. Hadi, “Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing.,” BMC Public Health, vol. 14, p. 1107, Oct. 2014, doi: 10.1186/1471-2458-14-1107.
S. Chen, L. Yao, W. Wang, and S. Tang, “Developing an effective and sustainable national immunisation programme in China: issues and challenges.,” Lancet. Public Heal., vol. 7, no. 12, pp. e1064–e1072, Dec. 2022, doi: 10.1016/S2468-2667(22)00171-2.
M. R. Francis et al., “Vaccination coverage and the factors influencing routine childhood vaccination uptake among communities experiencing disadvantage in Vellore, southern India: a mixed-methods study,” BMC Public Health, vol. 21, no. 1, p. 1807, 2021, doi: 10.1186/s12889-021-11881-8.
D. Anggraeni and L. Wijaya, “The mother’s knowledge regarding worms in pre-school students in PAUD Salsabila, Yogyakarta,” Indones. Nurs. J., vol. 1, no. 2, pp. 38–41, 2024, doi: 10.31962/inj.v1i2.160