The Effect of Semi Fowler’s Position in Sleep Quality among Heart Failure Patients

Abstract

Background: Coronary heart disease is one of the leading causes of death worldwide. Many cases of
coronary heart disease can lead to heart failure. In patients with heart failure, sleep disorders are often
found, one of which is paroxysmal nocturnal dyspnea (PND). Paroxysmal nocturnal dyspnea can cause
a person to experience shortness of breath while sleeping. This symptom will worsen the condition of
heart failure patients because patients will wake up from sleep and experience long-term anxiety and
fatigue.
Aim: This study aims to determinethe effect of Semi Fowler’s Position in sleep quality among heart
failure patients.
Methodology: The design of this study waspre-experimental which involved one group pre-test and
post-test design approach, using Pittsburgh Sleep Quality Index (PSQI) instrument. The study was
conducted at Indonesian Red Cross Hospital in Bogor City with a total sample of 32 heart failure
patients. The data analysis techniques used wereunivariate and bivariate with Sample Paired T-Test.
Result: Out of 32 participants, 32 participants(100%) had bad sleep quality before intervention with
Semi Fowler’s Position and 29 participants (90.6%) had good sleep qualityafter practicing Semi
Fowler’s Position.
Conclusion: There was a significant effect of Semi-Fowler’s Position in sleep quality among heart
failure patient