<![CDATA[Data Tabulasi Nasional Departemen Kesehatan Republik Indonesia tahun 2009, tindakan bedah menempati urutan ke-11 dari 50 pertama pola penyakit di rumah sakit se-Indonesia dengan persentase 12,8%. Berdasarkan data rekam medik RSUD 45 Kuningan bulan Januari dan Februari 2014 jumlah klien tindakan bedah mayor di Ruang Bedah Kelas III sebanyak 164 klien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas tidur pada klien post operasi bedah mayor di Ruang Bedah Kelas III RSUD 45 Kuningan Tahun 2014. Metode: Jenis penelitian ini adalah analitik dengan desain cross sectional. Jumlah populasi sekitar 164 klien. Berdasarkan teknik purpossive sampling didapatkan jumlah responden 40 orang. Data primer melalui pengisian kuesioner oleh responden. Analisis statistik dilakukan secara univariat dan bivariat dengan metode Rank Spearman. Hasil: Hasil analisis univariat menunjukkan 34 responden (85%) mengalami intensitas nyeri sedang, 35 responden (87,5%) mengalami tingkat kecemasan sedang, dan 30 responden (80%) mengalami kondisi lingkungan yang nyaman, serta 38 responden (95%) mengalami kualitas tidur buruk. Hasil analisis korelasi Rank Spearman didapatkan hubungan yang bermakna antara intensitas nyeri (p value = 0,000), tingkat kecemasan (p value = 0,000) dan faktor lingkungan (p value = 0,002) dengan kualitas tidur Simpulan: Disimpulkan terdapat hubungan yang bermakna antara intensitas nyeri, tingkat kecemasan dan faktor lingkungan dengan kualitas tidur. Diharapkan perawat dapat memodifikasi asuhan keperawatan dan mengajarkan teknik untuk meningkatkan kualitas tidur klien post operasi mayor sehingga klien post operasi mayor dapat melakukan tindakan secara mandiri seperti teknik relaksasi dan murottal Al-Qur’an untuk dapat meningkatkan kualitas tidur. Introduction: Sleep is an essential requirement necessity for each person. Client post major surgical often experience pain, anxiety, and the treatment room conditions affecting sleep quality fulfillment. Based on data from medical records of RSUD 45 Kuningan in January and February of 2014 the number of clients mayor surgery in the Surgical Class III many as 164 clients. This research is aims to know the factors related to sleep quality on the client major post surgical in the surgical class III RSUD 45 Kuningan 2014. Method: The kind of the research is analytic with a design cross sectional. Number of client population approximately 80 client/month. Based on purposive sampling technique found the number of respondents were 40 people. Primary data through questionnaires by patients. Statistical analysis using univariat and bivariat spearman rank. Result : Results of univariate analysis showed 34 respondents (85%) had moderate pain intensity, 35 respondents (87,5%) had levels of anxiety being, and 30 respondents (80%) experienced a comfortable environment conditions, and 38 respondents (95%) experienced a bad quality of sleep. Results of Spearman Rank correlation analysis a significant association between pain intensity (p value = 0,000), the level of anxiety (p value = 0,000), and enviromental factors (p value = 0,002) with the qualities of sleep. Discusion: Concluded there is a meaningful relationship between pain intensity, anxiety levels, and environmental factors with sleep quality. It is expected that nurses can modify nursing care and teach techniques to improve sleep quality to clients post major surgery so expect major postoperative client can indepedently perform actions such as relaxation techniques and murottal Al-Qur’an to be able to improve the quality of sleep. Keywords : Sleep, quality, post surgery, major]]>
