THE EFFECT OF NATURE SOUND MUSIC THERAPY ON SLEEP QUALITY AMONG PATIENTS IN THE INPATIENT WARDS OF MANADO ADVENTIST HOSPITAL

Authors

  • Kimberly Putri Gabriella Rompas Universitas Klabat
  • Quincy Pretty Egeten Universitas Klabat
  • Risty Mandane Laloan Universitas Klabat
  • Ferdy Lainsamputty Universitas Klabat

DOI:

https://doi.org/10.70332/jkp.v4i1.72

Keywords:

Hospitalized Patients, Natural Sound Music Therapy, Sleep Quality

Abstract

Objective: Sleep disturbances are commonly experienced by hospitalized patients due to environmental factors, underlying medical conditions, and anxiety, which may negatively affect the recovery process. Nature sound music therapy is a non-pharmacological intervention that may improve sleep quality. This study aimed to determine the effect of nature sound music therapy on the sleep quality of patients admitted to the inpatient wards of Manado Adventist Hospital. Methods: This quantitative study employed a pre-experimental, one-group pre-test and post-test design. A total of 34 participants were recruited using purposive sampling. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The intervention was administered before bedtime for three consecutive days. Data were analyzed using the Wilcoxon signed-rank test. Results: Before the intervention, most participants had poor sleep quality (76.5%), while only 23.5% had good sleep quality. After the intervention, sleep quality improved, with 76.5% of participants reporting good sleep quality and 23.5% remaining poor sleepers. Nature sound music therapy had a statistically significant effect on the sleep quality of hospitalized patients (p < 0.001). Conclusion: Nature sound music therapy has the potential to serve as a simple, safe, and cost-effective non-pharmacological nursing intervention for improving patients’ sleep quality. Further studies should employ a control group, a larger sample size, and a longer intervention period to strengthen the evidence regarding its effectiveness.

 

References

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research [Índice de calidad del sueño de Pittsburgh: un nuevo instrumento para la práctica y la investigación psiquiátrica]. Psychiatry Research, 28(2), 193–213.

Damayanti, D. F., Fithriyyah, Y. N., & Madyaningrum, E. (2024). Gambaran kualitas tidur pasien airborne disease di ruang isolasi Airborne Rumah Sakit di Yogyakarta. Jurnal Keperawatan Klinis Dan Komunitas (Clinical and Community Nursing Journal), 8(2), 75. https://doi.org/10.22146/jkkk.95785

Damayanti, D. F., Fithriyyah, Y. N., & Madyaningrum, E. (2024). Gambaran kualitas tidur pasien airborne disease di ruang isolasi Airborne Rumah Sakit di Yogyakarta. Jurnal Keperawatan Klinis Dan Komunitas (Clinical and Community Nursing Journal), 8(2), 75. https://doi.org/10.22146/jkkk.95785

Demur, D. R. D. N. (2018). Pada Pasien Terpasang Infus Di Ruang Rawat Inap. Jurnal Kesehatan Perintis (Perintis’s Health Journal), 5(2), 150–155.

Elon, Y., Malinti, E., Sihombing, R. M., Rukmi, D. K., Tandilangi, A. A., Rahmi, U., Damayanti, D., Manalu, N. V, Koerniawan, D., Winahyu, K. M., Manurung, A., Mandias, R., Khusniyah, Z., Widodo, D., Jainurakhma, J., Mukarromah, I., & Rini, M. T. (2021). Teori dan model keperawatam.

Hikaru, H. (2022). The relaxation effect of music and natural sounds. Psychiatry Research, 4(12), 198–199. https://doi.org/10.1002/14651858.CD010

Hosseini, N. (2024). Music Therapy on Sleep Quality of Patients with Heart Failure. Iranian Journal of Nursing. https://doi.org/10.4103/ijnmr.ijnmr_385_22

Hosseini, N., Seylani, K., Matourypour, P., Fakhrodini, M., Haghani, H., & Zakerimoghadam, M. (2024). The Effect of Music Therapy on the Sleep Quality of Patients with Heart Failure: The Miracle of Nature Music. Iranian Journal of Nursing and Midwifery Research, 29(4), 424–430. https://doi.org/10.4103/ijnmr.ijnmr_385_22

Jespersen, K. V., Hansen, M. H., & Vuust, P. (2023a). The effect of music on sleep in hospitalized patients: A systematic review and meta-analysis. In Sleep Health (Vol. 9, Number 4, pp. 441–448). Elsevier. https://doi.org/10.1016/j.sleh.2023.03.004

Jespersen, K. V., Hansen, M. H., & Vuust, P. (2023a). The effect of music on sleep in hospitalized patients: A systematic review and meta-analysis. In Sleep Health (Vol. 9, Number 4, pp. 441–448). Elsevier. https://doi.org/10.1016/j.sleh.2023.03.004

Jespersen, K. V., Hansen, M. H., & Vuust, P. (2023b). The effect of music on sleep in hospitalized patients: A systematic review and meta-analysis. In Sleep Health (Vol. 9, Number 4, pp. 441–448). Elsevier. https://doi.org/10.1016/j.sleh.2023.03.004

Kamayani, M. O. A., Saputra, I. K., & Manangkot, M. V. (2025). Hubungan resiliensi dengan kualitas tidur pasien di ruang rawat inap RSUD Wangaya Kota Denpasar. Community of Publishing in Nursing, 13(2). https://doi.org/10.24843/coping.2025.v13.i02.p04

Kulpatcharapong, S., Chewcharat, P., Ruxrungtham, K., Gonlachanvit, S., Patcharatrakul, T., Chaitusaney, B., Muntham, D., Reutrakul, S., & Chirakalwasan, N. (2020). Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders. Sleep Disorders, 2020, 1–7. https://doi.org/10.1155/2020/8518396

Laloan, R. M. (2025). Efek Terapi Musik Klasik Terhadap Stabilitas Hemodinamik: Tinjauan Literatur Sistematis. Jurnal Jomparnd, 4(1). https://doi.org/https://doi.org/10.57218/jkj.Vol5.Iss1

Li, C., Kumar, A. P., Wankhar, D., Kuppusamy, M., & Govindasamy, K. (2025). Effect of music therapy on sleep quality in elderly: A systematic review and meta-analysis. PLOS ONE, 20(11), e0334356. https://doi.org/10.1371/JOURNAL.PONE.0334356

Maharani, M. Y., Masfuri, M., & Maria, R. (2020). Analisis Faktor yang Mempengaruhi Kualitas Tidur Pasien Ortopedi Pasca Pembedahan yang Menjalani Rawat Inap. JURNAL PENDIDIKAN KEPERAWATAN INDONESIA, 6(2). https://doi.org/10.17509/jpki.v6i2.22952

Meddis, R. (2017). Sleep deprivation. In The Sleep Instinct (pp. 53–68). Routledge. https://doi.org/10.4324/9781315312897-4

Mendonça, S. C., Martins, D. M. S., Durão, C., Teixeira, J. M. F., & da Silva Rafael Henriques, H. M. (2024). Sleep‐enhancing nursing interventions in hospital wards: A systematic review. International Nursing Review, 72(1), e13062. https://doi.org/10.1111/INR.13062

Nasari, M., Ghezeljeh, T., & Haghani, H. (2018). Effects of nature sounds on sleep quality among patients hospitalized in coronary care units: A randomized controlled clinical trial. Nursing and Midwifery Studies, 7(1), 18. https://doi.org/10.4103/nms.nms_39_17

Pisani, M. A., Friese, R. S., Gehlbach, B. K., Schwab, R. J., Weinhouse, G. L., & Jones, S. F. (2015). Sleep in the Intensive Care Unit. American Journal of Respiratory and Critical Care Medicine, 191(7), 731–738. https://doi.org/10.1164/rccm.201411-2099CI

Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (26th ed.). Alfabeta.

Waruwu, N. I. ;, Ginting, C. N. ;, Telaumbanua, D. ;, Amazihono, D. ;, & Laia, G. P. A. (2019). Pengaruh Terapi Musik Suara Alam Terhadap Kualitas Tidur Pasien Kritis Di Ruang Icu Rsu Royal Prima Medan Tahun 2019. Jurnal Ilmiah Keperawatan Imelda, 5(2), 128–133. https://doi.org/10.52943/jikeperawatan.v5i2.321

Yin, Z., Yang, C., & Yu, X. (2025). Self-control moderates the impacts of physical activity on the sleep quality of university students. Scientific Reports, 15(1), 4040. https://doi.org/10.1038/s41598-025-88700-2

Downloads

Published

2026-06-30