Correlation Between Sleep Hygiene And Sleep Quality In Patients With Coronary Heart Diseases

Mujahidah Hasibuan, Wan Nishfa Dewi, Aminatul Fitri

Abstract views = 350 times | views = 246 times


Introduction: Patients with coronary heart disease (CHD) often experience disturbances in the quality and quantity of sleep. One of the efforts to improve the sleep quality of CHD patients is sleeping cycle management, such as sleep hygiene. This study aims to analyse the relationship between sleep hygiene and sleep quality in patients with coronary heart disease. Methods: This study used the correlation analytic method with a cross-sectional approach. There 72 respondents were involved and selected using a purposive sampling technique based on inclusion criteria. The instruments used to collect data were the SHI (Sleep Hygiene Index) and PSQI (Pittsburgh Sleep Quality Index) questionnaires, which have been tested for validity and reliability. Data analysis used for statistical analysis was the Spearman test. Results: Demographic data depicts that most respondents are the average age of 45-60 years (79.2%), and more than half of respondents were men (69.4%). Data on sleep hygiene showed that good was (31.9%) and moderate was (52.8%). Furthermore, the sleep quality of patients with cardiovascular disease is primarily poor (63.9%). Regarding the analysis of the correlation between sleep hygiene and sleep quality in patients with coronary heart disease, it showed that there is a significant relationship with a p-value of 0.000 and a coefficient of 0.793. It means that the two variables have an intense relationship. Conclusion: Sleep hygiene practice is one of the non-pharmacological solutions for patients with cardiovascular diseases who have sleep disturbance problems. Implementing sleep hygiene practices can improve the quality of sleep for patients and optimally improve health.


Coronary heart disease; Sleep hygiene, Sleep Quality

Full Text:



Arifah, L., Murhayati, A. and L, M. D. (2020) Gambaran kualitas tidur pasien jantung di desa Ploso. Universitas Kusuma Husada Surakarta. Available at:

CCI (2015) What is Sleep Hygiene?, Centre for Clinical Interventions. Available at: (Accessed: 26 February 2022).

Cho, S., Kim, G. S. and Lee, J. H. (2013) ‘Psychometric evaluation of the sleep hygiene index: A sample of patients with chronic pain’, Health and Quality of Life Outcomes, 11(1), pp. 1–7. doi: 10.1186/1477-7525-11-213.

Damanik, C., Fauza, Z. and Achmad, A. (2022) ‘Hubungan antara pelaksanaan sleep hygiene dengan kualitas tidur pada karyawan di lingkungan itkes wiyata husada samarinda’, Jurnal Keperawatan Wiyata, 3(1), pp. 68–78. doi: 10.35728/jkw.v3i1.507.

Dewi, I. P. (2017) ‘Kualitas Tidur Pasien Gagal Jantung Dan Penanganannya’, Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 3(1), pp. 18–24. doi: 10.33755/jkk.v3i1.80.

Fitria, P. N., Permana, I. and Yuniarti, F. A. (2018) ‘Pengaruh Musik Instrument Dan Sleep Hygiene Terhadap Gangguan Tidur Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RS PKU Muhammadiyah Yogyakarta’, Dinamika Kesehatan, 9(2). Available at:

Frøjd, L. A. et al. (2021) ‘Insomnia in patients with coronary heart disease : prevalence and correlates’, 17(5), pp. 931–938. doi: 10.5664/jcsm.9082.

Madsen, M. T. et al. (2019) ‘Sleep disturbances in patients with coronary heart disease: A systematic review’, Journal of Clinical Sleep Medicine, 15(3), pp. 489–504. doi: 10.5664/jcsm.7684.

Mubarak, W., Indrawati, L. and Susanto, J. (2015) Buku Ajar Ilmu Keperawatan Dasar. Jakarta: Salemba Medika.

Naomi, W. S., Picauly, I. and Toy, S. M. (2021) ‘Faktor Risiko Kejadian Penyakit Jantung Koroner (Studi Kasus di RSUD Prof. Dr. W. Z. Johannes Kupang)’, Media Kesehatan Masyarakat, 3(1), pp. 99–107. doi: 10.35508/mkm.v3i1.3622.

Purwanto, A. J. et al. (2022) ‘Intervensi Keperawatan “Peningkatan Tidur“ pada Pasien Gagal Jantung dengan Gangguan Tidur: Laporan Kasus’, Jurnal Keperawatan Silampari, 5(2), pp. 935–942. doi: 10.31539/jks.v5i2.3469.

Putri, V. N. and Listrikawati, M. (2020) Asuhan Keperawatan Pada Pasien Penyakit Jantung Koroner Dalam Pemenuhan Kebutuhan Istirahat Dan Tidur. Universitas Kusuma Husada Surakarta. Available at:

Sari, P. M., Hasymi, Y. and Yuseva, M. (2019) ‘Gambaran Kualitas Tidur Pada Pasien Gagal Jantung di Ruang ICCU RSUD dr. M. Yunus Bengkulu Tahun 2018’, Jurnal Vokasi Keperawatan, 2(1), pp. 1–10. doi: 10.33369/jvk.v2i1.13933.

Shen, B. J. et al. (2021) ‘Poor sleep quality predicts decline in physical health functioning in patients with coronary heart disease and moderating role of social support’, Behavioral Medicine, 0(0), pp. 1–17. doi: 10.1080/08964289.2021.1895050.

Vertysia, F. M. (2017) Pengaruh sleep hygiene terhadap derajat insomnia pada lansia di panti sosial tresna werdha “sabai nan aluih” Sicincin Padang-Pariaman tahun 2017. Universitas Andalas. Available at:

Voinescu, B. I. and Szentagotai-tatar, A. (2015) ‘Sleep hygiene awareness : its relation to sleep quality and diurnal preference’, 3(1), pp. 1–7. doi: 10.1186/s40303-015-0008-2.

Wei, R., Duan, X. and Guo, L. (2022) ‘Effects of sleep deprivation on coronary heart disease’, 26(5), pp. 297–305. doi: 10.4196/kjpp.2022.26.5.297.

Yazdi, Z. et al. (2016) ‘Sleep Hygiene Practices and Their Relation to Sleep Quality in Medical Students of Qazvin University of Medical Sciences’, Tabriz University of Medical Sciences, 5(2), pp. 153–160. doi: 10.15171/jcs.2016.016.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats