THE EFFECT OF SLEEP HYGIENE ON INSOMNIA IN DIABETES MELLITUS PATIENTS AT ROYAL PRIMA HOSPITAL MEDAN 2024
##plugins.themes.bootstrap3.article.main##
Abstract
Introduction: Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycaemia due to abnormalities in insulin secretion, insulin action, or both. Insomnia is a common complication among DM patients and may worsen their overall condition.
Objective: This study aimed to examine the effect of sleep hygiene on insomnia in 36 patients with diabetes mellitus at RSU Royal Prima Medan in 2024.
Methods: A quasi-experimental one-group pre-test post-test design was employed. A total of 36 DM patients were selected using purposive sampling. Data were collected through questionnaires and analyzed using the Wilcoxon signed-rank test.
Results: Before the intervention, 77.8% of patients experienced severe clinical insomnia. Following the sleep hygiene intervention, 97.2% of patients reported moderate insomnia, indicating a significant reduction in severity (p < 0.05).
Conclusions: Sleep hygiene intervention significantly reduced insomnia levels in patients with diabetes mellitus. However, the study was limited by its small sample size and single-site setting, which may affect the generalizability of the results. Further research involving larger, multicenter samples is recommended.
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2025 Putri Karina Tarigan, Widya Santi Manggalika, Wirna Wati Halawa, Selvi Sri Ica Purwasih Zega, Andros Christopher Samosir, Elis Anggeria

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Nurse and Holistic Care agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
References
Esmayanti, R., Sukmarini, L., & Waluyo, A. (2023). Terapi sleep hygiene training pada pasien gagal ginjal kronik dengan sleep disorder. Jurnal Keperawatan Silampari. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Harahap, M. A., Ritonga, N., & Rangkuti, J. A. (2022). Pengaruh sleep hygiene terhadap kualitas tidur pada penderita diabetes melitus tipe 2 di wilayah kerja Puskesmas Batunadua kota Padangsidimpuan. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 7(2), 137–148. https://doi.org/10.51933
Haryati, Mubarak, Sukmandi, A., Rangki, L., & Rahmawati. (2023). Pencegahan, deteksi dini, dan penatalaksanaan penyakit Diabetes Melitus. CV.Eureka Media Aksara.
Hasibuan, M., Dewi, N. W., & Fitri, A. (2022). Correlation between sleep hygiene and sleep quality among patients with coronary heart disease. Indonesian Nursing Journal of Education and Clinic, 7(2), 10–22. https://doi.org/10.24990
Hosaain, F. M. (2020). An overview of insomnia and its treatment. The National Institute of Mental Health, 2, 32–38.
International Diabetes Federation. (2021). IDF Diabetes Atlas. https://doi.org/10.1016/j.diabetes.2013.10.013
Jamini, T. (2024). The effect of sleep hygiene on sleep quality of people with type 2 diabetes mellitus. Eduhealtht, 15, 61–68. https://doi.org/10.54209
Patarru, F., Situngkir, R., Bate, I., & Akollo, J. E. (2021). Hubungan perilaku sleep hygiene dengan kualitas tidur pada kelompok lansia di panti tresna werdha ambon. Jurnal Keperawatan Florence Nightingale, 4(2), 46–51. https://doi.org/10.52774/jkfn.v4i2.67
Perkumpulan Endokrinologi Indonesia (PERKENI). (2021). Pedoman Petunjuk Praktis Terapi Insulin Pada Pasien Diabetes Melitus.
Rahmawati, F., Tarigan, H. Z. A., Y Fitri, Y. E., & Nugroho, P. I. (2020). Hubungan sleep hygiene terhadap kualitas tidur penderita diabetes mellitus tipe 2. Jurnal Pengabdian Sriwijaya, 8(1), 17–24. https://doi.org/10.37061
Rahmini, A., Yani, A., Pujasari, H., Masfuri, M., & Hariyanti, S. T. R. (2024). The effect of sleep hygiene education for improving sleep quality among patients with stroke. Malahayati International Journal of Nursing and Health Science, 7(3), 369–378. https://doi.org/10.33024/minh.v7i3.146
Riskesdas. (2018). Laporan Provinsi Sumatera Utara.
Rohma, A. I. N., Irawaty, D., & Dahlia, D. (2022). Kombinasi teknik relaksasi benson dan edukasi higiene tidur dalam mempengaruhi kualitas tidur pasien pasca stroke. Journals of Ners Community, 10(2), 231–242. https://doi.org/10.55129
Shinalieva, K., Kasenova, A., Akhmetzhanova, Z., Alzhanova, D., Eszhanova, L., & Bekenova, A. (2023). Association of insomnia with anxiety and depression in type 2 diabetic patients: A cross-sectional Study. Iranian Journal of Medical Sciences, 48(5), 448–455. https://doi.org/10.30476/ijms.2023.96017.2755
Simanjuntak, T. D., Saraswati, L. D., & Muniroh, M. (2018). Gambaran kualitas tidur pada penderita diabetes melitus tipe-2 di wilayah kerja Puskesmas Ngesrep. Jurnal Kesehatan Masyarakat, 6(1), 328–335. https://doi.org/10.14710
Simarmata, P. C., Sitepu, K., Sitepu, S. D. E. U., Sitepu, A. L., & Ginting, R. (2020). Factors affecting sleep disorders in diabetes mellitus patients. Jurnal Keperawatan Fisioterapi (JKF), 3(1), 65–70. https://doi.org/10.35451/jkf.v3i1.528
Soelistijo, A. S., Lindarto, D., Decoli, E., Permata, H., Sucipto, K. W., Kusnadi, Y., Budiman, Ikhsan, M. R., Sasiarini, L., & Sanusi, H. (2019). Pedoman pengelola dan pencegahan diabetes melitus tipe 2 di indonesia. PB PERKENI.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif & RND. Bandung CV. Alfabeta.
Sumah, D. F. (2019). Hubungan kualitas tidur dengan kadar gula darah pada pasien diabetes melitus tipe 2 di RSUD dr. M. Haulussy Ambon. Jurnal Biosaintek, 1(01), 56–60. https://doi.org/10.52046/biosainstek.v1i01.216
Tarnoto, K. W., & Purwitasari, N. H. N. (2023). Sleep hygiene dapat memperbaiki kualitas tidur lansia: literature review. Nursing Innovation, 2(1), 1–6. https://doi.org/10.61923/jni.v2i1.6
Wonga, H. N. (n.d.). HUBUNGAN SLEEP HYGIENE DENGAN DERAJAT INSOMNIA PADA PASIEN DIABETES MELITUS SKRIPSI OLEH.
World Health Organization. (2023). Global report on diabetes.
Yarnita, Y., Widiyanto, J., & Anggelina, S. (2023). Hubungan stress dengan kejadian insomnia pada penderita diabetes melitus tipe 2. Jurnal Kesehatan As-Shiha, 3, 62–69.
Putri Karina Tarigan