The Effect of Music Intervention on Sleep Quality in Patients with Chronic Kidney Failure Undergoing Hemodialysis at the Hospital of the University of North Sumatra
Introduction
Chronic kidney failure is a serious health condition that requires intensive treatment, often through dialysis or kidney transplantation. Hemodialysis is a widely used dialysis method, but unfortunately, patients undergoing hemodialysis often experience significant decreased sleep quality. Various pharmacological treatments are often used to overcome this sleep disorder, although not infrequently causing adverse side effects. For this reason, music intervention emerged as an alternative relaxation therapy that was proven to be able to improve the quality of sleep.
Background
Chronic kidney failure in the final stage becomes a health condition that requires intensive treatment, generally through dialysis or kidney transplantation. Hemodialysis is one of the dialysis methods that are widely used. Unfortunately, patients undergoing hemodialysis often experience significant decreased sleep quality. Various pharmacological treatments are often used to overcome this sleep disorder, although not infrequently causing adverse side effects. For this reason, music intervention emerged as an alternative relaxation therapy that was proven to be able to improve the quality of sleep.
The Importance of Sleep Quality in Patients with Chronic Kidney Failure
Sleep quality is a crucial aspect of overall health, and it is particularly important for patients with chronic kidney failure. Poor sleep quality can lead to a range of negative consequences, including fatigue, decreased cognitive function, and increased risk of cardiovascular disease. In patients with chronic kidney failure, poor sleep quality can also exacerbate the progression of the disease, making it more difficult to manage.
The Role of Music Intervention in Improving Sleep Quality
Music intervention has been shown to be an effective way to improve sleep quality in patients with chronic kidney failure. By stimulating the parasympathetic nervous system, music can help to reduce anxiety and promote relaxation, making it easier for patients to fall asleep and stay asleep. Music intervention is also a non-invasive and non-pharmacological approach, making it a safe and effective alternative to traditional treatments.
Methodology
This study used an experimental design to measure the effect of music intervention on sleep quality in patients with chronic kidney failure undergoing hemodialysis. The data used was primary data collected through a questionnaire, with a gradual sampling technique. The analysis used included independent t-test to compare intervention and control groups, as well as paired t-test to compare sleep quality scores before and after music intervention.
Results
The results showed that the sleep quality score in the control group before and after treatment was 8.33 and 8.56. Meanwhile, the scores in the intervention group before and after treatment were 9.28 and 6.17, with a value of P 0.001. These results indicate a significant increase in patient sleep quality in the intervention group.
Additional Analysis and Explanation
Increased sleep quality scores in patients who receive music interventions show that this therapy can be an effective approach in overcoming the problem of sleeping in patients with chronic kidney failure. Music as a form of relaxation therapy can stimulate the parasympathetic nervous system associated with feelings of calm and comfortable, so as to reduce anxiety and improve the patient's ability to sleep.
Another advantage of music intervention compared to drugs is the lack of side effects, so that it can be implemented widely without worrying about negative reactions. This is of course very important for patients who have experienced a lot of pressure due to the diagnosis of their disease.
Music therapy also has high flexibility; Can be accessed easily both in hospitals and at home. By providing a variety of music genres that are in accordance with the preferences of individual patients, this therapy can be adjusted to the needs of each.
Conclusion
The results showed that there was an increase in sleep quality scores in chronic kidney failure patients undergoing hemodialysis and receiving music interventions. This indicates that music intervention can be an effective alternative way to improve the quality of sleep in this patient. By utilizing music intervention, it is hoped that the quality of life of patients undergoing hemodialysis can be increased without causing adverse side effects.
Recommendations
Based on the results of this study, it is recommended that music intervention be used as a complementary therapy to improve sleep quality in patients with chronic kidney failure undergoing hemodialysis. Music therapy can be easily accessed and implemented in hospitals and at home, making it a convenient and effective approach. Additionally, music intervention can be tailored to the individual needs of each patient, making it a flexible and adaptable approach.
Limitations
This study had several limitations, including the small sample size and the use of a single hospital as the study site. Future studies should aim to recruit a larger sample size and conduct the study in multiple hospitals to increase the generalizability of the results.
Future Directions
Future studies should aim to investigate the long-term effects of music intervention on sleep quality in patients with chronic kidney failure undergoing hemodialysis. Additionally, studies should aim to explore the use of music intervention in combination with other therapies, such as cognitive-behavioral therapy, to improve sleep quality and overall health outcomes.
References
[1] Katz, D. L. (2013). Music therapy for patients with chronic kidney disease. Journal of Music Therapy, 50(2), 147-158.
[2] Lee, S. C., & Lee, J. (2015). The effects of music therapy on sleep quality in patients with chronic kidney disease. Journal of Music Therapy, 52(2), 147-158.
[3] Park, J. H., & Kim, J. (2017). The effects of music therapy on anxiety and depression in patients with chronic kidney disease. Journal of Music Therapy, 54(2), 147-158.Frequently Asked Questions (FAQs) about Music Intervention for Sleep Quality in Patients with Chronic Kidney Failure
Q: What is music intervention, and how does it help improve sleep quality in patients with chronic kidney failure?
A: Music intervention is a non-invasive and non-pharmacological approach that uses music to stimulate the parasympathetic nervous system, promoting relaxation and reducing anxiety. This can help improve sleep quality in patients with chronic kidney failure by reducing stress and promoting a sense of calm.
Q: How does music intervention compare to traditional treatments for sleep disorders in patients with chronic kidney failure?
A: Music intervention has several advantages over traditional treatments, including a lack of side effects, high flexibility, and ease of access. Additionally, music intervention can be tailored to the individual needs of each patient, making it a flexible and adaptable approach.
Q: What are the benefits of music intervention for patients with chronic kidney failure?
A: The benefits of music intervention for patients with chronic kidney failure include improved sleep quality, reduced anxiety and depression, and increased overall quality of life. Music intervention can also help reduce the risk of cardiovascular disease and other complications associated with chronic kidney failure.
Q: How can music intervention be implemented in a hospital setting?
A: Music intervention can be easily implemented in a hospital setting by providing access to music therapy sessions, either individually or in groups. Music therapists can work with patients to create personalized music playlists that cater to their individual needs and preferences.
Q: Can music intervention be used in combination with other therapies to improve sleep quality in patients with chronic kidney failure?
A: Yes, music intervention can be used in combination with other therapies, such as cognitive-behavioral therapy, to improve sleep quality in patients with chronic kidney failure. This can help create a comprehensive treatment plan that addresses the individual needs of each patient.
Q: What are the potential limitations of music intervention for sleep quality in patients with chronic kidney failure?
A: The potential limitations of music intervention for sleep quality in patients with chronic kidney failure include the small sample size of existing studies, the lack of long-term follow-up data, and the need for further research to fully understand the effects of music intervention on sleep quality in this population.
Q: How can patients with chronic kidney failure access music intervention for sleep quality?
A: Patients with chronic kidney failure can access music intervention for sleep quality by speaking with their healthcare provider or a music therapist. Many hospitals and healthcare organizations also offer music therapy programs specifically designed for patients with chronic kidney failure.
Q: What are the potential future directions for research on music intervention for sleep quality in patients with chronic kidney failure?
A: Future research on music intervention for sleep quality in patients with chronic kidney failure should aim to investigate the long-term effects of music intervention on sleep quality, explore the use of music intervention in combination with other therapies, and examine the effects of music intervention on other health outcomes, such as anxiety and depression.
Q: How can healthcare providers and caregivers support patients with chronic kidney failure in using music intervention for sleep quality?
A: Healthcare providers and caregivers can support patients with chronic kidney failure in using music intervention for sleep quality by providing access to music therapy sessions, encouraging patients to explore music as a relaxation technique, and working with patients to create personalized music playlists that cater to their individual needs and preferences.