The Relationship between Post-Appendectomy Pain and Sleep Quality among Surgical Patients

Dony Eko Hermawan

Abstract


Background: Acute appendicitis is among the most common causes of acute abdominal surgery and is managed through appendectomy. Postoperative pain is a primary complaint that may affect patients' sleep quality during recovery, and poor sleep quality can hinder healing and increase the risk of postoperative complications. Objective: This study aimed to determine the relationship between post-appendectomy pain and sleep quality among surgical patients at Bhayangkara Hasta Brata Batu Hospital. Methods: A quantitative correlational design with a cross-sectional approach was used, involving 22 respondents selected through total sampling based on inclusion and exclusion criteria. Pain was measured using the Numeric Rating Scale (NRS), while sleep quality was measured using the Richards-Campbell Sleep Questionnaire (RCSQ). Data were analyzed using Spearman's Rho correlation test. Results: Most respondents experienced moderate pain (40.9%) and had good sleep quality (40.9%). The statistical test obtained a correlation coefficient (r) of -0.962 with a significance value (p) of 0.000 (p<0.01). Conclusion: There is a significant and very strong negative relationship between post-appendectomy pain and sleep quality; the higher the pain intensity, the lower the sleep quality achieved. Health care providers are advised to implement adequate pain management to support improved sleep quality in post-appendectomy patients.


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References


Podda M, Gerardi C, Cillara N, Fearnhead N, Gomes CA, Birindelli A, et al. Antibiotic Treatment and Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children: A Systematic Review and Meta-analysis. Ann Surg. 2019;270(6). https://doi.org/10.1097/SLA.0000000000003225

Soysal GE, Celebi E. The effect of postoperative pain on comfort in patients undergoing abdominal surgery. J Surg Med Forthcom Issue Arch About Contact Search. 2024;8(6):99–103. https://doi.org/10.28982/josam.7774

Mawaddah DS. Hubungan Nyeri terhadap Pola Tidur Pasien Post Operasi Appendisitis di RSUD Teungku Peukan Aceh Barat Daya [Internet]. Vol. 20, Media kesehatan masyarakat Indonesia. Yogyakarta: Perkumpulan Nyeri Indonesia; 2021. https://doi.org/10.14710/mkmi.20.6.394-4004.

Meliala L. BUKU AJAR NYERI. 2017.

Wang J, Xu Z, Chen F, Wei X, Shen B, Deng X. Advancing perioperative care: introducing patient-centered comfort management. Gland Surg. 2025;14(7). https://doi.org/10.21037/gs-2025-79

Ayenew B, Ayalew A, Yimam W, Mohammed J. Postoperative sleep quality and associated factors among patients undertaking major surgical procedure at South Wollo Zone public general hospitals , Ethiopia. BMC [Internet]. 2025;9(11):1–9. https://doi.org/10.1186/s41606-025-00130-1

Tridiyawati F. The Relationship Between Postoperative Pain and Sleep Quality in Cesarean Section Patients at Koja Hospital. Compr Nurs J. 2025;11(3):382–7. https://doi.org/10.33755/jkk.v11i3.884

Pramono YS, Harun L, Wulandari DK, Bayu M. THE RELATIONSHIP BETWEEN PAIN AND ANXIETY WITH SLEEP QUALITY IN INPATIENTS AT TK . III DR . R . SOEHARSONO HOSPITAL. J Heal. 2025;4(2).

Mahla Khoramvar, Abbas M, Jarineshin H, Alireza FF. The Effect of Melatonin on Appendectomy Postoperative Pain: A Randomized Clinical Trial. J kerman Univ Med Sci. 2025;31(2). https://doi.org/10.34172/jkmu.2024.16

Dewi JP, Asnindari LN. Post appendicitis surgery with acute pain in the PKU Muhammadiyah Hospital Wonosobo. In: International Conference on Health Science and Technology. 2025. p. 325–32.

Barbara Kozier. Fundamentals of Nursing: Concepts, Process, and Practice. Jakarta: EGC; 2019.

Hikma NS, Nurmadilla N, Pratama AA, Sanna AT. Characteristics of Tonsillopharyngitis Patients at Ibnu Sina Hospital Makassar from January 2023 to May 2024. Heal Tadulako J. 2025;11(2):248–56. https://doi.org/10.22487/htj.v11i2.1621

Polgan JM, Halawa D, Nasution SS, Keperawatan P, Kesehatan FI, Efarina U, et al. Hubungan Antara Tingkat Nyeri Dengan Kualitas Tidur Pada Pasien Pasca Operasi Apendiktomi di Rumah Sakit Efarina Etaham Berastagi. 2025;14(November):2723–30. https://doi.org/10.33395/jmp.v14i2.15524

Setiyawan D, Wulandari NA, Arsa SAW. Effect of Hemoglobin Levels on the Process of Healing Post Sectio Caesarea Wounds Dannis Setiyawan 1* , Ning Arti Wulandari 2, Sandi Alfa Wega Arsa 3 1. Healthgate. 2023;1(4):141–9. https://doi.org/10.70111/hg1405

Butris N, Tang E, Pivetta B, He D, Saripella A, A EY, et al. The prevalence and risk factors of sleep disturbances in surgical patients: A systematic review and meta-analysis. Sleep Med Rev. 2023;69. https://doi.org/10.1016/j.smrv.2023.101786

Nababan RC. Determinants of Sleep Quality Among Postoperative Patients in Surgical Wards A Cross-Sectional Analysis. J Nutr Heal Care. 2025;2(September). https://doi.org/10.62012/junic.vi.18

Rino M, Putri ME, Kadri H. Hubungan Tingkat Kecemasan dan Intensitas Nyeri dengan Kualitas Tidur Pasien Pasca Laparatomi di Ruang Rawat Inap RSUD Nurdin Hamzah. J Akad Baiturrahim Jambi(JABJ). 2025;14(September):202–10. https://doi.org/10.36565/jab.v14i2.849

Zeynep Karaman Özlü, Özer N. The effect of enhancing environmental factors on the quality of patients’ sleep in a cardiac surgical intensive care unit. Biol Rhythm Res. 2017;48(1). https://doi.org/10.1080/09291016.2016.1232462

Ngestu CINP, Utomo DE, Sartika I. Hubungan Antara Tingkat Nyeri Dengan Kualitas Tidur Pada Pasien Pasca Bedah Ruangan Bima. Gudang J Ilmu Kesehat. 2026;2(2).

Suryaningsih A, Astuti IH. Pengaruh Pengaturan Posisi Tidur Ergonomis Terhadap Skala Nyeri Pasien Pasca Operasi. J Ris ilmu Kesehat dan Keperawatan. 2026;4(April). https://doi.org/10.59680/ventilator.v4i2.2581




DOI: https://doi.org/10.68329/hd1202

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