The Relationship Between Pain and Sleep Quality in Postoperative Patients During Surgical Treatment at Dr. Tadjuddin Chalid General Hospital, Makassar

Muhammad Rias Sukiman; A. Asrina; Haeruddin; A. Muh. Multazam; Nur Ulmy Mahmud; Muh. Khidri Alwi

Authors

Muhammad Rias Sukiman Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia
A. Asrina Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia
Haeruddin Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia
A. Muh. Multazam Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia
Nur Ulmy Mahmud Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia
Muh. Khidri Alwi Program Studi Magister Kesehatan Masyarakat, Program Pascasarjana, Universitas Muslim Indonesia

Keywords:

sleep quality, postoperative pain, Numeric Rating Scale, Pittsburgh Sleep Quality Index, surgical patients.

Abstract

Background: Pain is one of the most common complaints experienced by patients after surgery and can negatively affect sleep quality during the recovery period. Sleep disturbances caused by pain may delay the healing process, increase the risk of complications, and reduce patient comfort. Objective: This study aimed to analyze the relationship between pain intensity and sleep quality among postoperative patients in the surgical ward of Dr. Tadjuddin Chalid General Hospital, Makassar. Methods: This study employed a quantitative research design with a cross-sectional approach. A total of 74 postoperative patients were selected using the Slovin formula. Pain intensity was measured using the Numeric Rating Scale (NRS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The data were analyzed using univariate and bivariate analyzes with the Chi-square test. Results: The majority of respondents experienced moderate pain (45.9%) and poor sleep quality (66.2%). The Chi-square test revealed a significant relationship between pain intensity and sleep quality among postoperative patients (p = 0.001). All respondents with severe pain had poor sleep quality, whereas most respondents with mild pain had good sleep quality. Conclusion: There was a significant relationship between pain intensity and sleep quality among postoperative patients. The higher the pain intensity experienced, the poorer the sleep quality. Optimal pain management is an essential component of nursing care to improve sleep quality and support faster recovery in postoperative patients.

References

Acharya., Blackwell, S., Simoes, J., Harris, B., Booth, L., Bhangu, A., & Glasbey, J. BJS Open. Vol. 8 (2), 1-14. 2024.

Alqaisi, O.M., & Al-Ghabeesh, S. Quality of Postoperative Pain Management in Orthopedic Patients and Its Impact on Sleep Quality and Patient Satisfaction: An Integrative Review. Cureus. Vol. 16 (7), 1-8. 2024.

Niklasson, A., et al. The relationship between preoperative sleep disturbance and acute postoperative pain control: A systematic review and meta-analysis. Sleep Medicine Reviews. Vol. 79. 1-16. 2025.

Liu, S., & Tang, X. Predictive factors of postoperative sleep disturbance after total hip arthroplasty: a retrospective observational study of 759 patients. BMJ Open. Vol. 15 (6). 1-7. 2025.

Syanif, A.H., Muharani, A., Ardilla, M., Muflih, Sanora, E. Hubungan Nyeri, Kecemasan dengan Kualitas Tidur Pasien Post Operasi. Jurnal Keperawatan Bunda Delima. Vol. 7 (2). 63-67. 2025.

Halawa, D., & Nasution, S.S. Hubungan Antara Tingkat Nyeri Dengan Kualitas Tidur Pada Pasien Pasca Operasi Apendiktomi di Rumah Sakit Efarina Etaham Berastagi. Jurnal Minfo Polgan. Vol. 14 (2), 2723-2730. 2025.

Xu, W., Zheng, Y., Suo, Z., Yang, Y., Yang, J., Wang, Q., Zhou, B., & Ni, C. Potential vicious cycle between postoperative pain and sleep disorders: A bibliometric analysis. Heliyon. Vol. 10 (15), 1-16. 2024

Kumar, A., Kishun, J., Singh, U., Gaur, D., Mishra, P., & Pandey, C.M. Use of appropriate statistical tools in biomedical research: Current trend & status. Indian Journal Of Medical Research. 353-357. 2023.

Komariah, M., Eriyani, T., Agustina, H.R., Somantri, I., & Janmanee, A. Quality of Life, Self-Esteem, and Stress among First-Semester Student Nurses in Indonesia: A Cross-Sectional Study. Sage Open Nursing. Vol. 11. 1-10. 2025.

Chen, X., Chu, Q., Peng, Y., Chen, Y., Kaye, A.D., Liu, H., Yang, J., Wang, T., Yu, W. Pain Group of the Chinese Society of Anesthesiology. Clinical practice guidelines for postoperative pain management in adults (2024 edition). Journal of Anesthesia and Translational Medicine. Vol. 4 (3), 161-185. 2025.

Choi, S., Yoon, S.H., & Lee, H.J. Beyond measurement: a deep dive into the commonly used pain scales for postoperative pain assessment. The Korean Journal Of Pain. Vol. 37 (3), 188-200. 2024.

Xu, W., et al. Impact of the addition of dexmedetomidine to patient-controlled intravenous analgesia on postoperative pain-sleep interaction cycle and delirium: A systematic review and meta-analysis of randomized controlled trials. Heliyon. Vol. 10 (6), 1-16. 2024.

Stoop, J.M., et al. Prevalence and severity of pain, anxiety, stress, and sleep disturbances among surgical patients: a nationwide single-day multicentre flash mob study. BJS. Vol. 112 (7). 1-11. 2025.

Liu, J., Liang, Z., Wang, H., Chen, S., Xie, Y., Xing, F., Wang, Z., & Yang, J. The Bidirectional Relationship Between Perioperative Sleep Deprivation and Postoperative Pain Mechanisms and Clinical Implications: A Narrative Review. Journal Of Pain Research. Vol. 19. 1-13. 2026.

Tsang, J., et al. Effects of pharmacological therapy on sleep quality in a postoperative setting: A systematic review of randomized controlled trials. Journal of Anaesthesiology Clinical Pharmacology. Vol. 41 (1). 36-49. 2024.

Silva, F.R.D., Guerreiro, R.D.C., Barreto, A.T., Brant, V.M., Silva, A., & Mello, M.T.D. Can Improving Postoperative Sleep Speed Up Surgical Recovery?. Sleep Science. Vol. 17 (3). 335-338. 2024.

Ali, N.R.I.S., Haeruddin, H., & Yuliati, Y. Pengaruh Kualitas Pelayanan dan Lingkungan Fisik (Healthscape) terhadap Kepuasan Pasien Rawat Inap RSUP dr. Tadjuddin Chalid Makassar Tahun 2023. Journal of Aafiyah Health Research. Vol. 5 (1). 16-29. 2024.

Pettit, R..J., Gregory, B., Stahl, S., Buller, L.T., & Deans, C. Total Joint Arthroplasty and Sleep: The State of the Evidence. Arthroplasty Today. Vol. 27. 1-11. 2024.

Asrina, A., Yusriani, Y., Idris, F.P., Amir, H. Path Analysis of the Influence of Knowledge on Clean and Healthy Living Behavior Through Perceived Susceptibility as an Intervening Variable in HIV AIDS Prevention. Health Education and Health Promotion. Vol. 11 (2). 293-298. 2023.

Musdalipah., Multazam, A., Rizqianim A., Haris, H. Analisis Pengaruh Kualitas Pelayanan Kesehatan Terhadap Tingkat Kepuasan Pasien dan Minat Kembali Pasien Peserta JKN di Ruangan Keperawan RSUD Labuang Baji Makassar. Journal of Health Quality Development. Vol. 5 (2), 69-74. 2025.

Syakirah, S., Alwi, M.K., Sulolipu, A.M., Mahmud, N.U., & Yuliati. Hubungan Intensitas Penggunaan Internet Dan Kualitas Tidur Dengan Konsentrasi Belajar Siswa Ma Darul Ulum. Window of Public Health Journal. Vol. 5 (1), 160-169.

Wilson, J.M., Franqueiro, A.R., Rosado, E., Faiso, V.R., Vergara, D.M., Smith, M.T., Kierman, E.B., Shen, S., & Schreiber, K.L. Preoperative decreased physical activity is associated with greater postoperative pain: the mediating role of preoperative sleep disturbance. Support Care Cancer. Vol. 32 (7). 1-15. 2025.