The Effect of Combining Aromatherapy and Guided Imagery on Sleep Quality in Patients with Coronary Heart Disease
DOI:
https://doi.org/10.65310/g65x9w45Keywords:
Coronary Heart Disease, Sleep Quality, Aromatherapy, Guided Imagery, Nursing Intervention.Abstract
This study examined the effect of a combined aromatherapy and guided imagery intervention on sleep quality among patients with coronary heart disease. A quasi-experimental one group pretest–posttest design was conducted in a cardiac care setting with eighteen participants selected using purposive sampling. Sleep quality was measured using a standardized instrument before and after the intervention. Data analysis employed the Wilcoxon Signed Rank Test due to non-normal data distribution. The results demonstrated a statistically significant improvement in sleep quality following the intervention, indicating that the combination therapy effectively enhanced patients’ sleep patterns. Aromatherapy lavender contributed to autonomic relaxation, while guided imagery facilitated psychological calmness and emotional regulation, producing a synergistic effect. These findings align with previous evidence supporting complementary nursing interventions for cardiovascular patients. Improved sleep quality may support cardiovascular stability and overall recovery. The study concludes that combining aromatherapy and guided imagery represents a safe, feasible, and effective nonpharmacological nursing intervention to improve sleep quality in coronary heart disease patients and may be integrated into holistic nursing care practice settings
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Adhijaya, S., Program, P., Keperawatan, S., Rspad, S., & Soebroto, G. (2024). Meningkatkan Kualitas Tidur Lansia: Dampak Terapi Relaksasi Guided Imagery Di Wilayah Kerja Puskesmas Jatijajar Kota Depok. Https://Doi.Org/Http://Ejournal.Unklab.Ac.Id/Index.Php/Kjn
Awindah, Safruddin, & Sudarman. (2023). Efektifitas Aromaterapi Lavender Terhadap Kualitas Tidur Pasien Congestive Heart Failure. Window Of Nursing Journal, 4(1), 17–25. Https://Doi.Org/Https://Doi.Org/10.33096/Won.V4i1.625
Despitasari, L., Sastra, L., Alisa, F.Amelia, W., & Oktavia, F. (2024). Pengaruh Pemberian Terapi Guided Imagery Terhadap Kualitas Tidur Pada Penderita Hipertensi. Jurnal Kesehatan Mercusuar, 7(1), 129–138. Https://Doi.Org/Https://Doi.Org/10.36984/Jkm.V7i1.465
Dwitanta, S. (2024). Intervensi Aroma Terapi Dalam Peningkatan Kualitas Tidur Pasien Dengan Masalah Kardiovaskular. Jurnal Keperawatan Malang, 9(2), 130-139. Https://Doi.Org/10.36916/Jkm.V9i2.271
Fadlilah, S., Amestiasih, T., Pebrianda, B., & Lanni, F. Complementary Therapy Of Warm Water Foot Soak And Lemon Aromatherapy Combination To Decrease Blood Pressure. Faletehan Health Journal, 8(02), 84-91. Https://Doi.Org/10.33746/Fhj.V8i02.262
Hidayat, M. R., Laksono, E. B., & Mm, W. Q. (2025). Pengaruh Terapi Bekam Terhadap Kualitas Tidur Pada Program Pengelolaan Panyakit Kronis (Prolanis). Jurnal Keperawatan, 8(03). Https://Doi.Org/10.46233/Jk.V8i3.1508
Hindriyastuti, S., Putri, A. A., & Shofiyani, R. (2024). Pengaruh Aromatherapy Terhadap Kecemasan Pada Pasien Penderita Koroner Akut: Literature Review. Jurnal Profesi Keperawatan, 11(2), 154-165. Https://Doi.Org/10.31596/Jprokep.V11i2.208
Holis, W., & Fujianti, M. E. Y. (2024). Efektivitas Relaksasi Otot Progresif (Progressive Muscle Relaxation) Terhadap Kecemasan: Sistematic Review. Indonesian Health Science Journal, 4(2), 50-57. Https://Doi.Org/10.52298/Ihsj.V4i2.62
Karokaro, T. M., Hayati, K., & Masitah, T. D. (2023). The Effect Of Foot Massage And Progressive Muscle Relaxation On Sleep Quality In Congestive Heart Failure (Chf) Patients At Grandmed Lubuk Pakam Hospital. Jurnal Kesmas Dan Gizi (Jkg), 6(1), 128-135. Https://Doi.Org/10.35451/Jkg.V6i1.1905
Nazmi, A. N., Nisa, E. K., Masroni, M., & Indriani, N. (2024). Hubungan Kualitas Tidur Dengan Peningkatan Tekanan Darah Pada Pasien Hipertensi. Jurnal Edunursing, 8(1), 1-10. Https://Doi.Org/10.26594/Edunursing.V8i1.4584
Nopita, Y. (2024). Asuhan Keperawatan Pada Tn. A Dengan Diagnosa Medis Hipertensi. Jurnal Pustaka Keperawatan (Pusat Akses Kajian Keperawatan), 3(2), 36-44. Https://Doi.Org/10.55382/Jurnalpustakakeperawatan.V3i2.854
Nurfadhilah, M., & Safrudin, B. (2025). Efektifitas Terapi Nature Sound Instrumental Dengan Kombinasi Terapi Pijat Kaki Untuk Meningkatkan Kualitas Tidur Pada Pasien Nstemi. Jpp (Jurnal Kesehatan Poltekkes Palembang), 20(1), 47-51. Https://Doi.Org/10.36086/Jpp.V20i1.2712
Nurhafizah, N., Puswati, D., Arfina, A., & Zul’irfan, M. (2024). Topgar Menurunkan Kolesterol Pengaruh Terapi Totok Punggung Dengan Ginger Aromatherapy (Topgar) Terhadap Penurunan Kadar Kolesterol Di Rumah Sehat Nou Pekanbaru: Totok Punggung Dengan Gingger Aroma Terapi Untuk Menurunkan Kolesterol. Jurnal Pendidikan Dan Teknologi Kesehatan, 7(2), 247-253. Https://Doi.Org/10.56467/Jptk.V7i2.245
Oktaviasari, D., & Hermawan, D. (2023). Efektivitas Aromaterapi Lavender Terhadap Kualitas Tidur Penderita Hipertensi. Journal Of Tropical Medicine Issues, 1(1), 30-37. Https://Doi.Org/10.56922/Tmi.V1i1.143
Pramudya, K. A., & Sari, D. K. (2025). Penerapan Teknik Relaksasi Nafas Dalam Dengan Aromaterapi Mawar Sebagai Upaya Menurunkan Tekanan Darah Pada Penderita Hipertensi. Indonesian Journal Of Public Health, 3(3), 621-636. Https://Doi.Org/10.61214/Ijoh.V3i3.824
Riskesdas. (2018). Praviliensi Kesehatan Indonesia Riset Kesehatan Dasar.
Sangadji, F. (2024). Pengaruh Relaksasi Benson Terhadap Nyeri Dada Pada Pasien Sindrom Koroner Akut. Bookchapter Keperawatan Medikal Bedah. Https://Doi.Org/10.5281/Zenodo.15904119
Sudrajat, S., & Wati, J. (2023). Analisis Keperawatan Dalam Manajemen Nyeri Dengan Intervensi Relaksasi Benson Melalui Pendekatan Model Self Care Doretha Orem Di Rumah Sakit. Jurnal Ilmu Kesehatan Indonesia (Jiksi), 4(2). Https://Doi.Org/10.57084/Jiksi.V4i2.1197
Susilawati, P., & Fairus, M. (2022). Pengaruh Akupresur Heart 7 Shenmen Dan Aromaterapi Mawar Terhadap Penurunan Insomnia. Media Informasi, 18(2), 73-81. Https://Doi.Org/10.37160/Bmi.V18i2.43
Tarudin, T., Bangun, A. V., Badrujamaludin, A., Kosasih, C. E., & Santoso, M. B. (2025). Aktivitas Fisik Sebagai Determinan Utama Tekanan Darah Pada Pekerja Offshore. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice"), 16(3), 759-765. Http://Dx.Doi.Org/10.33846/Sf16312
Vivilia, T. C., Priyanto, P., Angelyna, F. D., & Setyawan, Y. (2025). Terapi Hand And Foot Massage Dengan Minyak Sereh Untuk Menurunkan Tekanan Darah. Asjn (Aisyiyah Surakarta Journal Of Nursing), 6(1), 44-51. Https://Doi.Org/10.30787/Asjn.V6i1.1883
Wardiyana, W., & Sumarni, S. (2022). Pemberian Aromaterapi Lavender Sebagai Intervensi Mandiri Keperawatan Dalam Meningkatkan Kualitas Tidur Pasien Congestive Heart Failure Pasca Operasi Bedah Jantung Di Ruang Elang I Rsup Dr. Kariadi Semarang: Lavender Aromatherapy As Nursing Intervention For Enhance Sleep Quality In Congestive Heart Failure Patient After Cardiac Surgery In Elang Ward Kariadi Hospital Semarang. Medica Hospitalia: Journal Of Clinical Medicine, 9(2), 222-235. Https://Doi.Org/10.36408/Mhjcm.V9i2.779
Zulfani. (2023). Hubungan Nyeri Dengan Tingkat Kecemasan Dan Kualitas Tidur Pada Pasien Penyakit Jantung Koroner.
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