PENGARUH HOME BASED WALKING EXERCISE DENGAN PAPARAN SINAR MATAHARI PAGI TERHADAP KUALITAS TIDUR PASIEN KANKER KEMOTERAPI DI RSUD BALI MANDARA

Meylda Wismarani, Luh Putu (2026) PENGARUH HOME BASED WALKING EXERCISE DENGAN PAPARAN SINAR MATAHARI PAGI TERHADAP KUALITAS TIDUR PASIEN KANKER KEMOTERAPI DI RSUD BALI MANDARA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan.

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Abstract

THE EFFECT OF HOME-BASED WALKING EXERCISE WITH MORNING SUNLIGHT EXPOSURE ON SLEEP QUALITY AMONG CANCER PATIENTS UNDERGOING CHEMOTHERAPY AT BALI MANDARA REGIONAL GENERAL HOSPITAL ABSTRACT Poor sleep quality is common problems experienced by cancer patients undergoing chemotherapy. Sleep disturbances may be influenced by the effects of chemotherapy, fatigue, decreased physical activity, and circadian rhythm disruption. Home-based walking exercise with morning sunlight exposure is a nonpharmacological intervention that may help increase physical activity and improve the sleep-wake rhythm. This study aimed to determine the effect of home-based walking exercise with morning sunlight exposure on sleep quality among cancer patients undergoing chemotherapy at Bali Mandara Regional General Hospital. This study used a pre-experimental method with a one-group pretest-posttest without control group design. The sample consisted of 23 respondents selected using consecutive sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The results showed that the mean PSQI score before the intervention was 8.61 with a standard deviation of 1.196 and decreased to 7.00 with a standard deviation of 1.706 after the intervention. The paired sample t-test showed a t = 6.903 with df = 22 and p = .000. It can be concluded that home-based walking exercise with morning sunlight exposure has a significant effect on sleep quality among cancer patients undergoing chemotherapy at Bali Mandara Regional General Hospital. Healthcare providers are advised to provide education regarding light physical activity and morning sunlight exposure as non-pharmacological interventions. Patients and families are expected to practice light home-based walking exercises regularly according to the patient’s ability, and future researchers are recommended to use a control group and a light intensity measuring instrument to obtain more objective research results. Keywords: home-based walking exercise, morning sunlight exposure, sleep quality, cancer, chemotherapy. PENGARUH HOME BASED WALKING EXERCISE DENGAN PAPARAN SINAR MATAHARI PAGI TERHADAP KUALITAS TIDUR PASIEN KANKER KEMOTERAPI DI RSUD BALI MANDARA ABSTRAK Kualitas tidur buruk merupakan masalah yang sering dialami pasien kanker yang menjalani kemoterapi. Gangguan tidur dapat dipengaruhi oleh efek kemoterapi, kelelahan, penurunan aktivitas fisik, serta gangguan ritme sirkadian. Home based walking exercise dengan paparan sinar matahari pagi merupakan intervensi nonfarmakologis yang dapat membantu meningkatkan aktivitas fisik dan memperbaiki ritme tidur-bangun. Penelitian ini bertujuan untuk mengetahui pengaruh home based walking exercise dengan paparan sinar matahari pagi terhadap kualitas tidur pasien kanker kemoterapi di RSUD Bali Mandara. Penelitian ini menggunakan metode pre-eksperimental dengan rancangan one group pretestposttest without control group design. Sampel penelitian berjumlah 23 responden yang dipilih menggunakan teknik consecutive sampling. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian menunjukkan rata-rata skor PSQI sebelum intervensi sebesar 8,61 dengan standar deviasi 1,196 dan menurun menjadi 7,00 dengan standar deviasi 1,706 setelah intervensi. Hasil uji paired sample t-test menunjukkan nilai t = 6,903 dengan df = 22 dan p = .000. Dapat disimpulkan bahwa home based walking exercise dengan paparan sinar matahari pagi berpengaruh signifikan terhadap kualitas tidur pasien kanker kemoterapi di RSUD Bali Mandara. Tenaga kesehatan disarankan memberikan edukasi mengenai aktivitas fisik ringan dan paparan sinar matahari pagi sebagai intervensi nonfarmakologis, pasien dan keluarga diharapkan dapat menerapkan latihan jalan kaki ringan secara rutin sesuai kemampuan, serta peneliti selanjutnya disarankan menggunakan kelompok kontrol dan alat ukur intensitas cahaya agar hasil penelitian lebih objektif. Kata kunci: home based walking exercise, paparan sinar matahari pagi,kualitas tidur, kanker, kemoterapi.

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