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Disturbed Sleep Pattern related to Anxiety in Patients with Preoperative

Disturbed Sleep Pattern related to Anxiety

Surgery is a treatment that uses the action invasive way by opening the body part to be handled. Before the surgery there are some important things should be prepared that preparation before surgery include physical and mental preparation, where it helps reduce the risk of the outcome of the surgery because surgery is very dependent on the state of the patient and preoperative preparation. Effendi, 2008: 121 says the success rate of surgery is very dependent on each stage experienced and interdependencies between related health team (surgeons, anesthetists and nurses), in addition to the role of cooperative patients during preoperative process.

The preoperative period prior to surgery, which began operation specified preparations and last until the patient is on the operating table. Preoperative patient may experience a variety of fears of procedures that must be patient surgery carried out, such as the fear of anesthesia, fear of pain, fear of surgery failure, fear of being disabled and the fear of death. This can cause anxiety. (Smeltzer, Suzanne C. and Brenda G Bare, 2004: 263)

Anxiety in patients can be characterized by physiological changes caused by the activation of the endocrine system and the central nervous system, causing the disruption of sleep patterns. Disturbed Sleep Pattern in client preoperatively, because the impact of hospitalization and increased anxiety because the disease is usually characterized by increasing the amount of time awake, frequent waking and reduced REM sleep and bedtime. State of anxious patients will affect the need for sleep and rest. Potter & Perry, 2005: 257 says sleep is a very important requirement for humans. Each individual requires a different amount of rest and sleep. Physical and emotional health depends on the ability to meet basic human needs. No amount of rest and enough sleep, ability to concentrate, make decisions and participate in the daily activities will decrease and increase irritability in biochemical and biophysical processes in the human body.

Biochemical and biophysical processes of the human body has a rhythm or activity that occurs with a consistent pattern in the daily cycle. When the rhythm is disturbed as disruption of sleep patterns in patients with preoperative can affect the biochemical and biophysical processes that can lead to deviations from the norm of life.

Disturbed Sleep Pattern will decrease the immune system, may lead to a decrease in mental, emotional stability is disrupted and vital signs are increasing.

Anxiety can cause bottlenecks in tasks and everyday life client and cause various disorders including lethargy, fatigue, difficulty concentrating, eating disorders and sleep disorders that can provide appropriate nursing care.

According to Potter & Perry, 2005: 152. The identification and handling of clients sleep pattern disturbance is important to be known by the nurse, because it can help the client is in meeting the needs enough rest and sleep before surgery. For that a nurse must understand the nature of sleep, and the factors that influence sleep habits. Client requires an individualized approach based on their personal habits and sleep patterns and specific issues that affect their sleep. Nursing interventions can be effective in dealing with short-term sleep disorders and long-term.
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