IMPLEMENTATION OF ELDERLY FITNESS EXERCISE IN ELDERLY PATIENT WITH SLEEP PATTERN DISTURBANCES IN THE GRIBIG COMMUNITY HEALTH CENTER SERVICE AREA

ABSTRACT
Background: Sleep pattern disturbance is one of the most common problems experienced by elderly individuals due to physiological changes associated with aging, chronic illnesses, and decreased physical activity. One of the non-pharmacological interventions that can be implemented to improve sleep quality in the elderly is elderly fitness exercise. Objective: To describe the implementation of elderly fitness exercise in elderly individuals with sleep pattern disturbances in the working area of Gribig Community Health Center, Malang. Methods: This scientific paper employed a descriptive design using a case study approach. The nursing care process consisted of assessment, nursing diagnosis, intervention, implementation, and evaluation. The case study was conducted on Mrs. Y, a 60-year-old elderly individual diagnosed with sleep pattern disturbance in the working area of Gribig Community Health Center, Malang City. The interventions included sleep support, activity and rest education, and elderly fitness exercise conducted three times per week for two weeks. Evaluation was carried out using the Pittsburgh Sleep Quality Index (PSQI).. Results: The assessment revealed that the client experienced difficulty initiating sleep, frequent awakenings during the night, a sleep duration of 4–5 hours per night, and poor sleep quality with a PSQI score of 13. Following the nursing interventions and the implementation of elderly fitness exercise for two weeks, the client's sleep quality improved, as indicated by reduced complaints of difficulty sleeping, decreased frequency of nighttime awakenings, increased sleep duration to 6–7 hours per night, and a reduction in the PSQI score to 5. Conclusion: The implementation of elderly fitness exercise combined with sleep support and activity-rest education can help improve sleep quality in elderly individuals with sleep pattern disturbances.

Keywords: Elderly Fitness Exercise, Sleep Pattern Disturbance, Sleep Quality, Elderly, PSQI

ABSTRAK
Latar Belakang : Gangguan pola tidur merupakan salah satu masalah yang sering dialami oleh lansia akibat perubahan fisiologis proses penuaan, penyakit kronis, serta penurunan aktivitas fisik. Salah satu intervensi nonfarmakologis yang dapat diterapkan untuk membantu meningkatkan kualitas tidur lansia adalah senam bugar lansia. Tujuan : Mendeskripsikan penerapan senam bugar lansia pada lansia dengan masalah gangguan pola tidur di wilayah kerja Puskesmas Gribig Kota Malang. Metode : Karya ilmiah ini menggunakan bentuk penelitian deskriptif dengan metode pendekatan studi kasus. Pendekatan yang digunakan adalah pendekatan asuhan keperawatan yang terdiri dari pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi. Studi kasus dilakukan pada Ny. Y usia 60 tahun dengan diagnosis keperawatan gangguan pola tidur di wilayah kerja Puskesmas Gribig Kota Malang. Intervensi yang diberikan meliputi dukungan tidur, edukasi aktivitas dan istirahat, serta senam bugar lansia sebanyak tiga kali dalam satu minggu selama dua minggu. Evaluasi dilakukan menggunakan instrumen Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian : Hasil pengkajian menunjukkan klien mengalami kesulitan memulai tidur, sering terbangun pada malam hari, durasi tidur 4–5 jam per malam, serta kualitas tidur yang buruk dengan skor PSQI sebesar 13. Setelah dilakukan intervensi keperawatan dan penerapan senam bugar lansia selama dua minggu, terjadi peningkatan kualitas tidur yang ditandai dengan berkurangnya keluhan sulit tidur, berkurangnya frekuensi terbangun pada malam hari, meningkatnya durasi tidur menjadi 6–7 jam per malam, serta penurunan skor PSQI menjadi 5. Kesimpulan : Penerapan senam bugar lansia yang dikombinasikan dengan dukungan tidur dan edukasi aktivitas serta istirahat dapat membantu meningkatkan kualitas tidur pada lansia dengan gangguan pola tidur.

Kata Kunci: Senam Bugar Lansia, Gangguan Pola Tidur, Kualitas Tidur, Lansia, PSQI