Resilience Serves as a Protection Against Depression and Sleep Problems among Hemodialysis Nurses in Indonesia

Tri Hapsari Retno Agustiyowati; Linlin Lindayani; Susi Kusniasih

doi:10.56741/hesmed.v5i01.1077

Authors

Tri Hapsari Retno Agustiyowati Politeknik Kesehatan Kementrian Kesehatan Bandung
Linlin Lindayani
linlinlindayani778@gmail.com
Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat
Susi Kusniasih Politeknik Kesehatan Kementrian Kesehatan Bandung

DOI:

https://doi.org/10.56741/hesmed.v5i01.1077

Keywords:

Depression, Hemodialysis, Nurses, Resilience, Sleep Problems

Abstract

Nurses are vital in managing infectious disease outbreaks, yet prolonged exposure to high-stress environments, such as during the COVID-19 pandemic, can impair their sleep and increase depressive symptoms, potentially weakening psychological resilience. This study examined the relationships between sleep disturbances, depressive symptoms, and resilience among nurses working in hemodialysis units in post-pandemic Indonesia. Registered nurses having at least a year of clinical experience participated in a cross-sectional survey that was carried out in West Java between April and June 2023. The Zung Self-Rating Depression Scale (SDS), the Insomnia Severity Index (ISI), and the Connor-Davidson Resilience Scale (CD-RISC) were among the tools used. Mediation analysis using bootstrapping was performed to assess whether resilience mediated the association between sleep disturbances and depressive symptoms. A total of 180 valid responses (76.5% response rate) were analyzed. Most participants (58.33%) held a nursing diploma; only 7% were married. Results showed that both the direct relationship between sleep problems and depressive symptoms and the indirect path via resilience were significant. The direct effect explained 43.21% of the total variance, while indirect effects accounted for 34.17%, with resilience specifically mediating 13.21%. Resilience significantly buffers the negative impact of sleep disturbances on depressive symptoms among hemodialysis nurses. Promoting resilience through targeted interventions could enhance psychological well-being and sleep quality, especially in high-stress clinical environments.

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Author Biographies

Tri Hapsari Retno Agustiyowati , Politeknik Kesehatan Kementrian Kesehatan Bandung

is a lecturer and researcher at Politeknik Kesehatan Kementrian Kesehatan Bandung. Her academic interests focus on maternal health, reproductive health, community nursing, and public health promotion. She actively participates in research and community service programs related to women’s health and healthcare quality improvement. Tri Hapsari Retno Agustiyowati is committed to strengthening evidence-based nursing practice and supporting health education initiatives in Indonesia. (email: trihapsari@gmail.com).

Linlin Lindayani, Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat

is a lecturer and researcher at Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat. Her research interests include HIV/AIDS nursing care, reproductive health, women’s health, and community-based healthcare interventions. She has contributed to various academic publications and public health projects focusing on vulnerable populations and healthcare access. Linlin Lindayani is also active in promoting interdisciplinary collaboration to improve nursing education and patient-centered healthcare services. (email: linlinlindayani778@gmail.com).

Susi Kusniasih, Politeknik Kesehatan Kementrian Kesehatan Bandung

is a lecturer and researcher at Politeknik Kesehatan Kementrian Kesehatan Bandung. Her scholarly interests include maternal and child health, reproductive health, nursing education, and preventive healthcare. She is actively involved in academic research, health promotion activities, and community empowerment programs. Susi Kusniasih is dedicated to advancing nursing knowledge and enhancing healthcare practices through evidence-based approaches and collaborative research in Indonesia. (email: susikusniasih@gmail.com).

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