Asuhan Keperawatan Pada Pasien Chronic Kidney Disease (CKD) Dengan Masalah Keperawatan Gangguan Pola Tidur Menggunakan Terapi Relaksasi Otot Progresif Di Ruang Sadewa RSUD Jombang

Abstract

Sleep pattern disorders are a common problem experienced by patients with chronic kidney disease (CKD) undergoing hemodialysis. This study aimed to describe nursing care for CKD patients with the nursing problem of sleep pattern disturbances through the administration of progressive muscle relaxation (PMR) therapy in the Sadewa Room at RSUD Jombang. The research method used a case study on two stage 4 CKD patients undergoing regular hemodialysis, selected based on inclusion and exclusion criteria. PMR therapy was given twice a day, in the morning and evening, for three consecutive days, with a duration of 10–15 minutes per session in July 2026. The results showed that before the intervention, both patients complained of difficulty sleeping, often waking up, frequently yawning, and having droopy eyes, with PSQI scores of 17 for the first patient and 16 for the second patient, which fall into the severe sleep quality category. After three days of intervention, both patients' PSQI scores dropped to 11 (moderate sleep quality), along with a decrease in complaints about difficulty sleeping and frequent waking. It was concluded that ROP therapy can improve sleep quality in both patients and is worth considering as a non-pharmacological intervention in the nursing care of CKD patients.