MUSIC RELAXATION THERAPY AS A NURSING INTERVENTION FOR IMPROVING SLEEP QUALITY IN PATIENTS WITH HYPERTENSION
TERAPI RELAKSASI MUSIK SEBAGAI INTERVENSI KEPERAWATAN DALAM PERBAIKAN KUALITAS TIDUR PADA PASIEN HIPERTENSI
Keywords:
Hipertensi, Kualitas tidur, Terapi musikAbstract
Hypertension is a non-communicable disease that is frequently accompanied by impaired sleep quality, which may worsen health conditions due to blood pressure fluctuations and increase the risk of complications. Sleep disturbances in patients with hypertension negatively affect quality of life and delay the recovery process. One non-pharmacological approach that may improve sleep quality is music relaxation therapy. This study aimed to analyze the effectiveness of music relaxation therapy in improving sleep quality among patients with hypertension. A pre-experimental study with a one-group pretest–posttest design was conducted. The study included 47 patients with hypertension selected using a purposive sampling technique. Sleep quality was assessed before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Wilcoxon Signed Rank Test. The results demonstrated a significant improvement in sleep quality following the music relaxation therapy intervention, as indicated by reduced complaints of difficulty sleeping, decreased frequency of nocturnal awakenings, and increased sleep comfort. The Wilcoxon Signed Rank Test showed a statistically significant difference (p = 0.000; p < 0.05), indicating that music relaxation therapy significantly improved sleep quality among patients with hypertension. These findings suggest that music relaxation therapy is a safe, practical, and effective non-pharmacological nursing intervention for improving sleep quality in patients with hypertension, particularly in primary healthcare settings.Downloads
References
Baker, F. C., Willoughby, A. R., Sassoon, S. A., Colrain, I. M., & de Zambotti, M. (2020). Insomnia in women approaching menopause: Beyond perception. Psychoneuroendocrinology, 60, 96–104. https://doi.org/10.1016/j.psyneuen.2015.06.005
Bradt, J., & Dileo, C. (2021). Music interventions for mechanically ventilated patients. The Cochrane library, (12), CD006902. https://doi.org/10.1002/14651858.CD006902.pub3
Bruno, R. M., Palagini, L., Gemignani, A., Virdis, A., Di Giulio, A., Ghiadoni, L., Riemann, D., & Taddei, S. (2020). Poor sleep quality and resistant hypertension. Sleep medicine, 14(11),1157–1163. https://doi.org/10.1016/j.sleep.2013.04.020
Calhoun, D. A., & Harding, S. M. (2020). Sleep and hypertension. Chest, 138(2), 434–443. https://doi.org/10.1378/chest.09-2954
Cao, M., Zhang, Z. (2023). Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Complement Medicine and Therapies, 23, 110. https://doi.org/10.1186/s12906-023-03929-6
Chen, C. T., Tung, H. H., Fang, C. J., Wang, J. L., Ko, N. Y., Chang, Y. J., & Chen, Y. C. (2021). Effect of music therapy on improving sleep quality in older adults: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 69(7), 1925–1932. https://doi.org/10.1111/jgs.17149
Dangol, M., Shrestha, S., & Rai Koirala, S. K. (2020). Insomnia and its associated factors among older people of selected ward of Banepa municipality, Nepal. Nursing Open, 7(1), 355–363. https://doi.org/10.1002/nop2.396
De Niet, G., Tiemens, B., Lendemeijer, B., & Hutschemaekers, G. (2022). Music-assisted relaxation to improve sleep quality: meta-analysis. Journal of advanced nursing, 65(7), 1356–1364. https://doi.org/10.1111/j.1365-2648.2009.04982.x
Eswarya, B., Bagus, G., Putra, G. P., & Tangking Widarsa Ketut, I. (2023). Gambaran Kualitas Tidur Penderita Hipertensi di Puskesmas II Denpasar Barat. Aesculapius Medical Journal |, 3(2).
Feng, F., Zhang, Y., Hou, J., Cai, J., Jiang, Q., Li, X., & Zhao, J. (2023). Effect of music therapy on sleep quality in patients with chronic diseases: A meta-analysis. Frontiers in Psychology, 14, 1187456.
Gorgoni, M., & De Gennaro, L. (2024). Sleep in Healthy and Pathological Aging. Brain Sciences, 14(2), 128. https://doi.org/10.3390/brainsci14020128
Gou, Q., Li, M., Wang, X., Yuan, X., Yang, M., Li, J., Wang, B., Yang, D., Ren, X., Yang, M., Liu, S., Liu, N., Han, J., & Xu, Q. (2025). Meta-narrative review: the impact of music therapy on sleep and future research directions. Frontiers in neurology, 15, 1433592. https://doi.org/10.3389/fneur.2024.1433592
Huang, C. Y., Chang, E. T., Hsieh, Y. M., & Lai, H. L. (2021). Effects of music and music video interventions on sleep quality: A randomized controlled trial in adults with sleep disturbances. Complementary therapies in medicine, 34, 116–122. https://doi.org/10.1016/j.ctim.2017.08.015
Jespersen, K. V., Pando-Naude, V., Koenig, J., Jennum, P., & Vuust, P. (2022). Listening to music for insomnia in adults. Cochrane Database of Systematic Reviews, 2022(8), CD010459. https://doi.org/10.1002/14651858.CD010459.pub3
Kamagi, R. H., & Sahar, J. (2021). Terapi musik pada gangguan tidur insomnia. Journal of Telenursing, 3(2), 797–809. https://doi.org/10.31539/joting.v3i2.3002
Khadijah, S., Bachtiar, F., Prabowo, E., & Purnamadyawati, P. (2023). Hubungan Antara Kualitas Tidur Dengan Tekanan Darah Pada Lansia. Indonesian Journal Of Health Development, 5(1), 24-29. Https://Doi.Org/10.52021/Ijhd.V5i1.114
Li, C., Kumar, A. P., Wankhar, D., Kuppusamy, M., & Govindasamy, K. (2025). Effect of music therapy on sleep quality in elderly: A systematic review and meta-analysis. PloS one, 20(11), e0334356. https://doi.org/10.1371/journal.pone.0334356
Malikul Mulki, M., Ta’adi, & Lanny Sunarjo. (2020). Buku Panduan Efektivitas Teknik Relaksasi Nafas Dalam Dan Terapi Musik Terhadap Penurunan Kecemasan Pasien Pre Operasi (1st ed.). Semarang: Politeknik Kesehatan Kemenkes Semarang.
Melizza, N., Hikmah, N., Kurnia, A. D., Masruroh, N. L., Setyowati, C. I., & Prasetyo, Y. B. (2020). Hubungan kualitas tidur dengan tekanan darah pada pasien hipertensi di wilayah kerja Puskesmas Ciptomulyo. CHMK Nursing Scientific Journal, 4(2), 213–219.
Nonasri, F. G. (2021). Karakteristik dan Perilaku Mencari Pengobatan pada Penderita Hipertensi. Indonesian Journal of Nursing and Health Sciences, 2(1), 25–34. https://doi.org/10.37287/ijnhs.v2i1.294
Putri, A. R., & Wahyuni, S. (2023). Terapi relaksasi musik terhadap peningkatan kualitas tidur pada pasien hipertensi. Jurnal Keperawatan Klinis Indonesia, 7(1), 45–53.
Rahmawati, D., Nugroho, A., & Lestari, P. (2021). Peran perawat dalam penerapan terapi nonfarmakologis pada pasien hipertensi. Jurnal Keperawatan Medikal Bedah, 5(2), 89–97.
Saraswati, M. A. P., Saraswati, P. A. S., Adiatmika, I. P. G., & Sundari, L. P. R. (2020). Hubungan Kualitas Tidur Terhadap Tekanan Darah Pada Wanita Lansia Di Denpasar Timur. Majalah Ilmiah Fisioterapi Indonesia, 8(1), 44. https://doi.org/10.24843/mifi.2020.v08.i01.p10
Sari, N., Fitriani, R., & Handayani, L. (2022). Pengaruh terapi musik terhadap kecemasan dan kualitas tidur pasien hipertensi. Jurnal Keperawatan Indonesia, 25(3), 210–218. https://jki.ui.ac.id/index.php/jki/article/view/1557
Unja, E. E., Tutpai, G., & Maratning, A. (2024). Gambaran Kualitas Tidur Para Penderita Hipertensi Lansia di Wilayah Kota Banjarmasin. Indonesian Journal of Innovation Multidisipliner Research, 2(2), 119–131. https://doi.org/10.69693/ijim.v2i2.119
Widiyono. (2021). Buku Referensi Betapa Menakjubkannya Terapi Musik Bagi Kesehatan (Munastiwi Erni, Ed.; 1st Ed.). Https://Limaaksara.Com
Zhang, L., Chen, Y., & Liu, X. (2023). Nocturnal blood pressure patterns and sleep quality in hypertensive patients. Hypertension Research, 46(2), 312–320
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