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College students are often busy completing their assignments. They frequently experience sleep problems that can distort their studies. One of the factors that affects sleep quality is sleep hygiene. Poor sleep hygiene can worsen sleep quality. This study aims to determine the correlation between sleep hygiene and sleep quality among students of the Diploma III Nursing Program at Universitas Abulyatama. This study employs a quantitative correlational-descriptive design applying a cross-sectional approach. The population consisted of 556 students, while the sample was 85 students selected using proportional random sampling. The Sleep Hygiene Index (SHI), with a Cronbach's Alpha of 0.66, measured sleep hygiene. The Pittsburgh Sleep Quality Index (PSQI), with a Cronbach's Alpha of 0.83 of sleep quality. The study took place at Universitas Abulyatama from June 4th to July 3rd, 2025. Bivariate analysis using the chi-square test indicates a significant correlation between sleep hygiene and sleep quality, with a p-value of 0.000 (p ≤ 0.05). The findings reveal that a total of 69.4% of students had good sleep hygiene, and 41.2% had good sleep quality. The results prove that proper sleep hygiene leads to improved sleep quality. Therefore, students should enhance their knowledge on sleep hygiene, as poor sleep hygiene can lead to poor sleep quality.

Stroke is a leading cause of disability that requires long-term rehabilitation. Herbal-based therapies, such as Shengmai San, may complement conventional medical treatments in aiding post-stroke recovery. This quasi-experimental study involved 10 post-stroke patients who received Shengmai San therapy for four weeks, with one session per week. Key parameters measured included blood pressure, muscle strength, motor function, sensory complaints (e.g., tingling, numbness), sleep quality, and Traditional Chinese Medicine diagnostic findings (pulse and tongue). The results showed clinical improvements across all patients, including stabilized blood pressure, enhanced muscle strength and mobility, reduced sensory complaints, better sleep quality, and increased physical stamina. Pulse and tongue diagnostics suggested improved Qi and Xue circulation. No significant side effects were reported. The study concludes that Shengmai San is a promising adjunct therapy for post-stroke rehabilitation, especially for patients with Qi deficiency and impaired blood circulation. However, the study suggests that Shengmai San should not replace conventional treatments but be used as a complementary therapy to support recovery.

Childbirth is a series of natural processes that trigger various changes in the mother's body so that she can deliver her baby through the birth canal. Perineal stiffness can actually be anticipated and prevented early in pregnancy, one way is through physical exercises such as pregnancy yoga. Pregnancy yoga has many benefits, especially in alleviating complaints during pregnancy, reducing anxiety, improving sleep quality, and preparing the physical condition before childbirth by strengthening and increasing the elasticity of the pelvic floor muscles, so that the birth process becomes easier. This study aims to analyze the effect of prenatal gentle yoga on the incidence of perineal tears in mothers who will give birth in the work area of ​​the Tiley Health Center on Morotai Island. This study used a quasi-experimental method with a posttest control design. The sample used in the study consisted of mothers giving birth who met certain inclusion criteria, with a total of 36 pregnant women. The instruments used in this study were the Kegel Exercise SOP observation sheet and the assessment of the level of perineal tears. Data were analyzed using the Mann-Whitney statistical test. The results showed a distribution of respondents regarding Kegel exercises: 18 respondents (50%) performed Kegel exercises and 18 respondents (50%) did not. The highest rates of perineal rupture were grade I and grade II, with 13 respondents (36.1%) each. The resulting p-value was 0.0001 (p < 0.05), indicating a significant effect of Kegel exercises on the rate of perineal rupture in primiparous women.

Sleep disorders experienced by older people are difficulty falling asleep, maintaining sleep and difficulty returning to sleep after waking up at night, thus affecting sleep quality. One therapy that can improve sleep quality is music therapy. Music therapy is a stimulation that has a slow rhythm, a stable rhythm pattern that stimulates relaxation of the parasympathetic nervous system, thereby creating a relaxed atmosphere that supports increased sleep duration The researcher aims to provide an overview of nursing care for  the elderly with sleep disordes. The design usedin this nursing final scientifik paper ia a case study with clasical musik  therapi intervention. Therer respondent parcipated, and the intervention was conducted from Desember 20-23, art the Bhakti Kasih Siti Anna Pangkalpinang Elderly Home: After Four consecutive days of classical  musik therapi, thr three elderly individuals experienced  changes  in their PSQI scoret at the final meeting: Ms. E’s score increased from 17 to 13, Mrs. A’s ckore decreased from 19 to 12, and Mrs. M’s score decreased from 16 to 13. Classical musik therapi is effective in treating sleep disorders. The implementation of EBP is expected to provide additional information  regarding the provision of musik therapi to elderly individuals experiencing sleep disorders.

The most frequent complaint among pregnant women, particularly during the second and third trimesters, is sleep difficulties. Emotional disorders, physical exhaustion, and a higher chance of pregnancy difficulties can all result from poor sleep. Back massage combined with lavender aromatherapy is one non-pharmacological treatment that has been shown to be safe for enhancing the quality of sleep. The purpose of this study was to evaluate the impact of lavender back massage on pregnant women's sleep quality. Thirty third-trimester pregnant women in the West Halmahera Community Health Center (Puskesmas) operating area participated in the study, which employed a pre-experimental design and a one-group pretest-posttest methodology. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. According to the findings, the majority of respondents (76.7%) experienced poor sleep quality before to the back massage, with an average PSQI score of 11.2. The PSQI score dropped to 6.1 following three days of lavender back massages, indicating a substantial improvement in sleep quality. The Wilcoxon statistical test revealed a substantial increase in sleep quality following the intervention, with p = 0.000. According to the study's findings, back massage with lavender can be suggested as a safe supplemental therapy in prenatal care services as it effectively improves pregnant women's sleep quality.

The development of digital technology has increased the popularity of online games among adolescents. Excessive intensity of online gaming may have negative effects on health, particularly sleep quality and aggressive behavior. This study aimed to determine the relationship between the intensity of online gaming and sleep quality as well as aggressive behavior among tenth-grade students at SMAN 38 South Jakarta in 2025. This research is quantitative associative method with a correlational analytic design using a cross-sectional approach. The population in the study was 145 students, with a sample of 117 respondents selected using random sampling. Data analysis was conducted using the Chi-Square test. The results showed a significant relationship between the intensity of online gaming and sleep quality with a p-value of 0.001 (p < 0.05), as well as a significant relationship between the intensity of online gaming and aggressive behavior with a p-value of 0.001 (p < 0.05). Therefore, the null hypothesis (H0) was rejected and (Ha) was accepted. In conclusion, higher intensity of online gaming is associated with poorer sleep quality and increased aggressive behavior among adolescents. It is expected that adolescents can manage and limit their online gaming time wisely to reduce its negative impact on health and behavior.

Social media is one form of technological advancement that has become an integral part of students’ lives, including university students. Its use is not limited to communication and information sharing, but it may also generate psychological effects that influence both physical and mental health. The purpose of this review is to identify and explain the psychological impacts of social media use through appropriate theoretical approaches, which serve as a foundation for discussing the research findings. This study employs a literature review method by examining various academic books and relevant scientific articles. The findings indicate that excessive use of social media has the potential to cause psychological problems among university students, such as social comparison behavior, cyberbullying, decreased sleep quality, and reduced learning productivity. These issues are influenced by several factors, including the intensity of social media use, the type of content accessed, and individuals’ ability to manage emotions and time. Furthermore, uncontrolled social media use may lead to difficulties in social relationships, increased procrastination, poor time management, and reduced self-control in using social networking platforms. Therefore, students are encouraged to develop healthier patterns of social media use to reduce the risk of psychological disturbances. This review is also expected to assist healthcare professionals in understanding the relationship between the intensity of social media use and the occurrence of depressive symptoms among university students.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Introduction: Stroke is a neurological disorder characterized by blockage of blood vessels. Clots that form in the brain and interfere with blood flow, clog arteries and cause blood vessels to rupture, causing bleeding. The rupture of an artery leading to the brain due to a stroke results in the sudden death of brain cells due to lack of oxygen. Objective: The purpose of this study was to determine the relationship of sleep quality with blood pressure in stroke patients at Mitra Medika Tanjung Mulia Hospital Medan. Methods: The research design used in this study using analytical survey method with crosses sectional approach. The population in this study was all stroke patients who were in outpatient facilities at Mitra Medika Tanjung Mulia Hospital Medan, which amounted to 90 respondents. Sampling used is by means of purposivesampling sampling techniques by determining certain criteria. Results: Based on the results of analysis using The Chi-Square test showed a significant value of probability bawha (Asymmp.Sig) sleep quality is 0.033 or < SIG a value = 0.05. This proves that there is a relationship between sleep quality and blood pressure in stroke patients at Mitra Medika Tanjung Mulia Hospital Medan. Conclusion: there is a relationship of sleep quality with blood pressure in stroke patients at Mitra Medika Tanjung Mulia Hospital Medan in 2025.  

Exercise is a planned physical activity that not only contributes to physical fitness but also plays a significant role in maintaining and improving mental health. This study aims to explore the relationship between physical exercise and mental well-being among adolescents and university students with diverse backgrounds of physical activity. The research employs a qualitative approach using in-depth interviews with five informants, consisting of university students who engage in recreational exercise, recreational runners, middle- and long-distance runners, and a sprinter. Data collection was conducted in several public sports spaces in the city of Bandung, focusing on participants’ subjective experiences related to their psychological conditions before and after engaging in exercise. The findings indicate that all participants perceive exercise as an effective means of emotional regulation. Physical activity is consistently associated with improved mood, reduced stress, enhanced sleep quality, stable energy levels, and increased academic concentration and focus. In addition, exercise contributes to the development of self-confidence, self-efficacy, and self-control through structured routines. The social aspects of exercise, such as support from peers, communities, and coaches, were shown to strengthen the sustainability of physical activity while also providing essential emotional support for mental health. However, among competitive athletes, performance-related pressure was identified as a factor that may negatively affect psychological well-being, although this effect can be moderated by adequate social support. Overall, the findings of this study emphasize that exercise functions as an adaptive coping mechanism operating through biological, psychological, and social pathways, and highlight the importance of consistency and balance in physical activity to achieve optimal mental health benefits.  

Background: social media has become in important part of students’ daily lives,however, excessive use, especially at night, can disrupt sleep patterns and lower sleep quality. Poor sleep quality affects students physical health, mental well-being, and academic performence. This study aims to determine the relationship between social media use and sleep quality among nursing students. Method: this study used a quantitarive method with a cross-sectonal approach. Data were collected using questionnaires from 121 respondents selected through the slovin formula ang analyzed using the chi-square test.  Results: the findings showed that most respondents were active social media users ( 71.9%) and had poor sleep quality (70,2%), the chi-square test indicated a significant relationship between social media use and sleep quality, with a p-calue of 0,001 and r : 0,317. Conclusion: students who are more active in using social media tent to have poorer sleep quality. It is recommended that students limit social media use, especially at night, to maintain healthy sleep patterns and overall weell-being.

Menopause is a natural phase marked by the cessation of menstruation for 12 months due to estrogen deficiency, which is often accompanied by challenging physical and emotional symptoms. With the increasing population of women aged over 50 years (reaching 26% in 2021), challenges related to access to information and awareness of menopausal changes have become crucial to ensure that quality of life is maintained. Objective: This community service activity aimed to improve knowledge and prepare mothers from an early stage to face menopausal changes and manage the associated discomfort. Methods: The activity was conducted at SDN 9 SP I Pandan and involved nine participants. The educational intervention was carried out in three stages: introduction and pre-test, delivery of material using PowerPoint and leaflets, and an interactive discussion session. The materials covered the definition of menopause, its stages, common symptoms, health risks, and preparation strategies through healthy lifestyles and medical check-ups. Results: The counseling session was conducted smoothly in the hall of SDN 9 SP I Pandan. Participants showed high enthusiasm, with five out of nine actively asking in-depth questions related to preparing for the menopausal transition. Through this educational activity, participants gained a comprehensive understanding of symptom management, including hot flashes, sleep disturbances, and mental health. Conclusion: This community service activity successfully provided new insights for mothers regarding the importance of preparing for menopause. The positive response from participants indicates the need for similar educational activities to be carried out regularly to build a sustainable support system for women during perimenopause and menopause.

The Objective Structured Clinical Examination (OSCE) is a form of evaluation that demands the physical and mental readiness of nursing students. Academic pressure, the demands of clinical performance, and the fear of failure can trigger anxiety, potentially disrupting sleep patterns. Poor sleep patterns can impact nursing students' concentration, memory, and academic performance.  This study used a quantitative design with a cross-sectional approach. The population of this study were students of the Faculty of Nursing, Muhammadiyah University of Semarang who were taking the OSCE exam. The sample size was 119 respondents, taken using a proportionate random sampling technique. Data collection was carried out using the Hamilton Anxiety Rating Scale (HARS) questionnaire to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep patterns. Data analysis was carried out univariately and bivariately using the Spearman Rank statistical test. The results showed that most respondents were 20 years old (83.2%) and female (82.4%). Most students experienced mild anxiety (43.7%) and had good sleep quality (58.8%). The Spearman Rank test results showed a correlation value (r) = 0.898 with a p-value = 0.000 (p <0.05), which means there is a very strong and significant relationship between students' anxiety levels and sleep patterns in facing the OSCE exam.  There is a very strong and significant relationship between students' anxiety levels and sleep patterns during the OSCE.

Sleep disturbances are a common complaint among perimenopausal women due to hormonal, psychological, and physiological changes, which impact their health and quality of life. Safe and easy-to-apply non-pharmacological approaches, such as lemongrass aromatherapy (Cymbopogon citratus), have the potential to be a supportive alternative in overcoming sleep disturbances during this phase. However, empirical evidence regarding the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women. This study used a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 30 perimenopausal women selected using total sampling technique in the working area of Pustu Paring Lahung UPT Tumpung Laung. The intervention in the form of lemongrass aromatherapy through inhalation was carried out regularly before bedtime. Sleep quality was measured before and after the intervention using a standardized questionnaire. Data analysis was performed descriptively and bivariately using Fisher's Exact Test. Descriptively, there was an improvement in sleep quality after the administration of lemongrass aromatherapy, marked by a decrease in the proportion of poor sleep quality and an increase in good sleep quality. However, the statistical test results showed that the relationship between sleep quality before and after treatment was not statistically significant (p = 0.515). Lemongrass aromatherapy showed a tendency toward clinically significant improvement in sleep quality, but this was not statistically significant. Further research with a stronger design and longer intervention duration is needed to confirm the effectiveness of lemongrass aromatherapy on the sleep quality of perimenopausal women.

Learning concentration is an important factor in supporting students’ academic success, particularly in Biology study programs that require high levels of accuracy and analytical skills. Learning concentration is influenced by various factors, including sleep quality and dietary patterns. This study aimed to analyze the relationship between sleep quality and dietary patterns and the level of learning concentration among Biology students of class T.BIO1/2022 at Universitas Islam Negeri Sumatera Utara. This study employed an analytic observational approach with a cross sectional design. The research sample consisted of 23 students selected using a total sampling technique. The research instruments included questionnaires on sleep quality, dietary patterns, and learning concentration. Data analysis was conducted descriptively and using cross tabulation. The results showed that students with good sleep quality and regular dietary patterns tended to have higher levels of learning concentration compared to those with poor sleep quality and irregular dietary patterns. Therefore, sleep quality and dietary patterns are important factors that need to be considered to support students’ learning concentration.  

The prevalence of diabetic ulcers in Indonesia reaches 12-15% of all sufferers. This condition has an impact on the patient's psychological condition in the form of anxiety due to wounds that are difficult to heal, changes in body image, and concerns about the possibility of amputation. One of the nonpharmacological interventions that can help overcome anxiety is the slow deep breathing technique. The purpose of writing this scientific paper is to carry out Nursing Care for Mrs. M with Diagnosis of Diabetic Ulcers using the application of slow deep breathing intervention in reducing anxiety at Az-Zahra Hospital. The writing method is a nursing care process that includes the stages of study, nursing diagnosis, planning, implementation, and evaluation. The subject of care was Mrs. M, a patient with diabetic ulcers in the inpatient room of Az-Zahra Hospital. Data collection was carried out through interviews, observations, documentation studies, and physical examinations, and using a medical-surgical nursing care assessment format. The ethical principles applied use the principles of Nursing Ethics. The results of nursing care showed that after three days of slow deep breathing intervention, patients reported feeling calmer, sleeping better, and anxiety levels decreased from moderate to mild based on observation results and anxiety scales used. This suggests that slow deep breathing interventions are effective in helping to reduce anxiety in patients with diabetic ulcers. It is hoped that patients and families can continue these breathing exercises independently as part of stress management efforts and quality of life improvement.  

College represents a critical transitional period requiring high adaptation, where students often face escalating academic demands triggering psychological pressure. This study aims to deeply analyze the reciprocal relationship between sleep patterns and academic stress levels, and identify their subsequent impacts on cognitive function (concentration) and students' physical health. This study employs a qualitative method with a Systematic Literature Review approach. Data were collected through comprehensive searches of accredited national and reputable international scientific articles published within the last five years (2020–2025). Literature selection was conducted rigorously using specific keywords to screen empirical studies relevant to stress, sleep, and student health variables. Data synthesis reveals a strong and consistent negative correlation. High levels of academic stress whether stemming from the adaptation phase of new students (initiation), thesis preparation workload, or role conflicts in working students are significantly associated with decreased sleep quality. Physiologically, stress triggers increased cortisol levels causing insomnia, shortened sleep duration, and prolonged sleep latency. Subsequent impacts are proven to drastically reduce learning concentration and trigger physical health disorders, including an increased risk of primary dysmenorrhea in female students. This study concludes that academic stress and sleep disturbances form a destructive cycle that exacerbates one another. Therefore, holistic institutional interventions in the form of sleep hygiene education and stress management training are needed to break this chain for the sake of student well-being and academic performance.

Breakfast and sleep quality are important factors that can influence students’ concentration and academic achievement. This study aims to analyze the relationship between breakfast consumption levels and sleep quality with the learning achievement of students at SMP Negeri 31 Medan. This research used a quantitative method with a cross-sectional design. The study population consisted of all 192 eighth-grade students, with a sample of 88 respondents selected through simple random sampling. Breakfast intake was measured using a 3x24-hour food recall (breakfast time only), sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, while learning achievement was obtained from semester exam scores in Indonesian Language and Mathematics subjects. Data analysis was carried out using the Chi-Square test with a significance level of 0.05. The results showed a significant relationship between breakfast intake and learning achievement in Indonesian Language (p=0.003) and Mathematics (p=0.000). Sleep quality was also proven to be associated with learning achievement in Indonesian Language (p=0.001) and Mathematics (p=0.000). The conclusion of this study is that having breakfast with adequate nutritional intake and maintaining good sleep quality contribute positively to improving students’ learning achievement.

The rapid growth of internet access and digital device usage in Indonesia has made gadgets an inseparable part of students’ daily lives. While smartphones facilitate communication and access to information, excessive use—particularly before bedtime—has been associated with poor sleep quality. This quantitative correlational study aimed to identify the relationship between gadget use before sleep and sleep quality among students of SMK Yapim Sibiru-biru. A total of 110 students were selected purposively and asked to complete a structured questionnaire measuring gadget use duration, activity type, use of “Night Mode,” and various aspects of sleep quality. Data were analyzed using descriptive and Pearson correlation tests at a 0.05 significance level. Results showed that 87.5% of students used gadgets before sleep, with smartphones being the most common device. The majority (46.88%) reported using gadgets for 1–2 hours before bed, primarily for social media and entertainment. Most respondents slept between 10:00 p.m. and midnight, with an average sleep duration of 4–6 hours, lower than the recommended 7–9 hours. Statistical analysis revealed a significant negative correlation between gadget use duration and sleep quality—longer use was associated with poorer sleep. Additionally, low awareness of blue light filtering features exacerbated sleep problems such as insomnia and fatigue. These findings highlight the importance of behavioral interventions and sleep hygiene education to mitigate the adverse effects of nighttime gadget use. Recommended strategies include limiting screen time one hour before sleep, enabling “Night Mode,” and engaging in relaxing pre-sleep activities to promote better sleep quality and overall well-being

Work fatigue is one of the occupational health problems that may affect productivity, concentration, and increase the risk of workplace accidents. Security officers at Ferry Mulia Raja Napitupulu Port, Balige, are at high risk of experiencing fatigue due to shift work systems, physical and mental workload, and poor sleep quality. This study aims to identify factors associated with work fatigue among security officers. A quantitative method with a cross-sectional design was applied. The sample consisted of 45 security officers selected using total sampling technique. Data were collected through questionnaires on individual characteristics, nutritional status, sleep quality, workload, and environmental temperature, and analyzed using bivariate tests. The results revealed significant relationships between age, nutritional status, sleep quality, workload, and temperature with work fatigue levels (p<0.05). It can be concluded that both individual and work environment factors contribute to fatigue among security officers. The study recommends that port management pay more attention to shift arrangements, rest patterns, and occupational health interventions to reduce fatigue risk and enhance officers’ productivity.