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Gastritis is a common gastrointestinal disorder that is influenced by both behavioral and psychological factors, including dietary patterns and stress. This study aimed to examine the association between dietary patterns and stress levels among patients with gastritis at a primary healthcare center in West Halmahera Regency. A quantitative analytical study with a cross-sectional design was conducted in November 2025. A total of 60 gastritis patients were recruited using a total sampling technique. Data were collected using structured questionnaires to assess dietary patterns and stress levels. Statistical analysis was performed using SPSS version 26. Descriptive analysis was used to summarize respondents’ characteristics, while the Chi-square test or Fisher’s exact test was applied to analyze the association between variables. The results showed that most respondents had unhealthy dietary patterns and experienced high stress levels. Dietary pattern was significantly associated with stress level (p = 0.038), whereas demographic characteristics were not significantly related to stress level. Patients with unhealthy dietary patterns were more likely to experience high stress. In conclusion, dietary pattern is significantly associated with stress levels among gastritis patients. These findings highlight the importance of promoting healthy eating behaviors as part of stress management strategies in primary health care settings.

Human Resource Management (HRM) plays a crucial role in ensuring that a company is able to grow, compete, and sustain its operations in an increasingly dynamic business environment. Effective HRM practices help organizations optimize employee performance, improve productivity, and maintain workforce stability. One of the key aspects of HRM that significantly influences employee performance is workload and job satisfaction. An imbalance in workload or low levels of job satisfaction may lead to decreased motivation, stress, and reduced work performance. This research aims to explore and evaluate the levels of workload and job satisfaction among employees at PT Indomarco Tangerang 1. Understanding these factors is essential to identify potential problems that may affect employee performance and organizational effectiveness. The study employs a quantitative research approach, which involves collecting numerical data that can be statistically analyzed to provide objective and measurable results. Data were gathered through structured questionnaires distributed to employees. A total of 30 employees from various divisions at PT Indomarco Tangerang 1 participated in this study. Statistical analysis was used to assess the relationship between workload and job satisfaction, as well as their overall condition within the company. The findings of this research are expected to provide useful insights for management in developing appropriate strategies to manage workload effectively and enhance job satisfaction. Ultimately, improving these aspects is expected to contribute to higher employee performance and support the long-term success of the company.

This research aims to explore a culture shock phenomenon and its impact on the stress levels and adaptation processes of migrant students at PASIM national University, as individuals who move into a new environment, culture, different geographical features, migrant students often face problems in communication or psychological pressure. Data collected process done by interviewing respondents, thru qualitative method with phenomenological approach to deeply describe life experiences. Basically culture shock has four phases, start with initial disorientation and cognitive load due to the uncertainty of social life, followed by emotional pressure leading to social isolation and homesickness. After those two the adaptive coping process activated starting with building relationships with peers, after all of these phases formed the increase of post-crisis increase in intercultural and social competence. This finding indicate that early phase of culture shock does indeed have a negative impct, however, as the adaptation process an individual can develop an independence dan stronger self-identity. Conclusion, this research emphasizes the importance of internal resilience and the support external support in transforming challenges into opportunities for self-development that can lead to personal growth and benefits.

This research investigates the impact of Creative Problem Solving (CPS) within a group counseling framework to mitigate academic-related stress in students. Intense scholastic expectations often compromise a student’s psychological health and academic achievements, making this a critical area of intervention. Employing a quasi-experimental quantitative design, this study utilized a single-group pretest-posttest model. Participants exhibiting elevated stress markers were recruited via purposive sampling. The core intervention involved systematic group sessions centered on diagnostic problem-solving, divergent idea generation, and strategic decision-making. Pre- and post-intervention data were gathered through a standardized assessment scale and processed using parametric statistics. The data revealed a substantial decline in academic stress levels post-treatment. These results underscore the efficacy of CPS-based counseling in fostering cognitive flexibility. Ultimately, this approach provides a robust mechanism for students to develop resilient coping strategies against educational pressures.

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.

Diabetes mellitus is a chronic disease with a steadily increasing prevalence in Indonesia. This condition not only affects physical health but also requires patients to make significant lifestyle changes to maintain stable blood glucose levels. Efforts to adopt a healthy lifestyle such as regulating diet, exercising regularly, and managing stress are often met with various challenges. In this context, family support plays a crucial role in helping patients adapt and remain consistent in self-management. This study aims to describe the experiences of type 2 diabetes patients in maintaining a healthy lifestyle and the forms of family support they receive. A qualitative phenomenological approach was used, involving three participants undergoing outpatient treatment at RSUD Sultan Iskandar Muda Nagan Raya. Data were collected through in-depth interviews, observations, and documentation, then analyzed thematically. The findings show that patients face challenges in maintaining dietary control, consistent exercise, and emotional balance. However, family support such as reminding patients to take medication, providing healthy meals, and offering emotional motivation serves as a key factor that strengthens patients’ commitment to a healthy lifestyle. The study concludes that the success of diabetes management is highly influenced by active family involvement. Therefore, educational and health intervention programs should integrate families as essential partners in supporting patients with diabetes.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Academic productivity is a vital indicator of student success in higher education, but it is often hampered by the complexity of tasks, transitions in the learning environment, and digital distractions that trigger procrastination. This phenomenon demands a high degree of adaptability so that students do not become trapped in physical and mental exhaustion due to unmanaged workloads. Therefore, this study aims to analyze in depth the causal relationship between time management skills and academic productivity, as well as investigate their role in mitigating academic stress levels in students. The research method applied is a literature review with a qualitative-descriptive approach. The research data was sourced from secondary data in the form of 21 reputable scientific articles (national and international journals) published between 2020 and 2025. The data analysis process was carried out through the stages of data reduction, synthesis of findings, and narrative conclusion drawing to systematically map the relationship between variables. The results and discussion of the study show that time management has a significant positive correlation with improved learning achievement. Specific indicators such as daily schedule planning, priority setting, and self-regulation have been empirically proven to increase task completion efficiency and Grade Point Average (GPA) achievement. Conversely, poor time management was identified as a major predictor of cognitive overload and exhaustion, especially among students with dense curricula such as engineering majors. This study concludes that mastery of time management is not merely a scheduling tool, but a fundamental cognitive strategy that functions as a coping mechanism to maintain mental health and achieve an optimal study-life balance.

Chronic kidney disease (CKD) is a global health problem with continuously increasing prevalence and mortality. This condition is characterized by a progressive and irreversible decline in kidney function, which is clinically assessed using the estimated glomerular filtration rate (eGFR) as one of the main parameters for staging and monitoring disease progression. Red blood cell distribution width (RDW) is a hematological parameter that reflects the degree of variation in erythrocyte size. In patients with CKD, elevated RDW levels are often associated with oxidative stress and chronic inflammation, which may accelerate kidney damage and increase mortality risk. To analyze the correlation between RDW and eGFR values in patients with chronic kidney disease at ODSK Hospital, North Sulawesi Province. This study used an analytical observational design with a cross‑sectional approach. It was conducted retrospectively using secondary data from the medical records of CKD patients at ODSK Hospital, North Sulawesi Province, from February 2024 to August 2025. This study used a total sampling method with 189 CKD patients who met the inclusion and exclusion criteria.  Based on Spearman-rank correlation analysis, the p‑value obtained was 0.129 (>0.05). There was no significant relationship between RDW and eGFR values in CKD patients at ODSK Hospital, North Sulawesi.Province.

Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.

Having a child with an intellectual disability requires parents to face greater challenges in parenting, encompassing not only physical needs but also emotional and social aspects. This study aims to explore the resilience of parents of children with intellectual disabilities and the factors that influence it. Parental resilience encompasses the ability to survive, adapt, and thrive despite facing high levels of psychological stress. This study used a narrative literature review method, reviewing 11 international and national journal articles published between 2015 and 2025. The results indicate that psychological stress, such as anxiety, stress, and frustration, is often experienced by parents, but high resilience can mitigate the negative impact of this stress. Factors influencing resilience include the individual characteristics of parents, the characteristics of children with intellectual disabilities, and social and environmental support. Good resilience not only supports child development but also the well-being of parents. Based on these findings, this study suggests the importance of social support and the formation of a community of parents to share experiences and provide emotional support.

Academic stress has become a significant psychological issue among university students, particularly during periods of high academic pressure such as examinations, intensive coursework, and academic performance demands. Excessive academic stress may negatively affect students’ psychological well-being, learning motivation, and academic performance. This study aims to explore in depth the experiences of academic stress and psychological responses among students during periods of high academic pressure. A qualitative descriptive approach with a phenomenological perspective was employed to capture students’ lived experiences. Data were collected through in-depth semi-structured interviews with six student participants selected using purposive sampling. The data were analyzed using thematic analysis, involving open, axial, and selective coding to identify emerging themes. The findings reveal that the main sources of academic stress include excessive academic workload, time management difficulties, high self-expectations, and external academic pressures. Students experienced varying levels of stress ranging from mild to severe, manifested through psychological responses such as anxiety, emotional instability, mental fatigue, decreased concentration, and reduced motivation. The study also found that students applied diverse coping strategies, including adaptive strategies such as time management, seeking social support, and self-reflection, as well as maladaptive strategies such as procrastination and emotional withdrawal. These findings highlight that academic stress is a complex and subjective experience influenced by individual perceptions and coping capacities. The study implies the importance of supportive academic environments and accessible mental health services in higher education institutions to promote students’ psychological well-being and resilience. The results may serve as a reference for developing preventive and promotive mental health programs for students facing academic stress..    

Self-harm among adolescents is a mental health problem influenced by various psychosocial factors, including family support. The family serves as the primary support system that can protect adolescents from the effects of stress and maladaptive coping behaviors. This study aimed to analyze the relationship between family support and the incidence of self-harm among adolescents. The study employed an analytic quantitative design with a cross-sectional approach. The research sample consisted of 476 adolescents selected using a cluster random sampling technique. Family support was measured using the Perceived Social Support–Family (PSS-Fa) questionnaire, while the incidence of self-harm was assessed using the Self-harm Inventory (SHI). Data were analyzed using the Spearman Rank test. The results showed that the majority of respondents had high levels of family support (65.8%) and did not engage in self-harm (78.2%). Bivariate analysis indicated a significant relationship between family support and the incidence of self-harm among adolescents (p < 0.001), where adolescents with high family support were more likely to be in the non–self-harm category, while mild and severe self-harm were more commonly found among adolescents with low family support. This study concludes that family support plays an important role as a protective factor against self-harm among adolescents. Strengthening the role of the family should be a key focus in family-based nursing interventions for the prevention of mental health problems in adolescents.

Social media has become an alternative space for emotional expression among university students, particularly as a medium for sharing personal problems or emotional distress. This study aims to examine the effect of social media use as a venting platform on the mental health of students at STAIN Mandailing Natal. A quantitative associative research design was employed, involving 25 fifth-semester students as respondents. Data were collected using a Likert-scale questionnaire measuring the intensity of social media venting behavior and mental health indicators, including stress, anxiety, mood, and self-confidence. The data were analyzed using descriptive statistics and inferential tests, including correlation and simple linear regression. The findings indicate that social media use as a place for venting has a significant relationship with students’ mental health. Positive responses received through social media tend to improve emotional well-being, while negative responses may increase stress and anxiety levels. These findings suggest that social media can function both as a supportive and risky environment for students’ mental health, depending on how it is used. Therefore, students are encouraged to use social media wisely, and educational institutions are advised to provide mental health literacy and guidance related to healthy social media use.

Sleep quality is a crucial component of health and overall well-being among older adults, as the aging process is commonly associated with various physiological, psychological, and environmental changes that may significantly disrupt normal sleep patterns. Declining bodily functions, increased health problems, and changes in daily routines often contribute to sleep disturbances in later life. This literature review aims to analyze the factors influencing sleep quality in the elderly by synthesizing findings from relevant national and international studies published in recent years. Various factors were identified, including physiological conditions such as chronic diseases, pain, and hormonal changes; psychological factors such as anxiety, depression, stress, and cognitive decline; lifestyle-related factors such as levels of physical activity, dietary habits, medication use, and caffeine consumption; and environmental aspects including noise exposure, lighting conditions, temperature, and overall bedroom comfort. The reviewed literature consistently indicates that poor sleep quality is strongly associated with impaired physical health, reduced cognitive function, increased fatigue, and decreased emotional well-being in older adults. This review highlights the importance of comprehensive, multidisciplinary interventions that address both intrinsic and extrinsic determinants of sleep to effectively improve overall sleep quality among elderly populations.

Breakups often trigger psychological conflict ranging from stress, anxiety, depression, to risky behavior that have an impact on individual well-being and the social environment. This study explores the role of law in preventing, responding to, and recovering such psychological impacts through an interdisciplinary approach. The methodology used is a normative-juridical study combined with a literature review of clinical psychology and mental health policy. The findings show that the legal framework can function on three levels: (1) preventive, through the guarantee of the right to mental health, digital literacy, and platform governance to prevent post-breakup online harassment; (2) protective, through victim protection mechanisms against psychological violence, stalking, doxing, and the dissemination of non-consensual intimate content; and (3) curative, with a referral scheme for counseling services, the provision of legal aid, data confidentiality guarantees, and restorative justice instruments centered on victim recovery. However, there are implementation gaps, including the lack of standardization of psychological assessments in the legal process, limited access to services at the grassroots level, and coordination between institutions that are not optimal. This article recommends the integration of mental health protocols in the law enforcement process, evidentiary guidelines for psychological violence, as well as cross-sectoral collaboration with psychological service providers and digital platforms. The main contribution of this study is the mapping of a comprehensive legal intervention framework for post-breakup psychological conflicts.

This research aims to analyze the public's perception of career women's efforts in achieving work-life balance, as well as its impact on the dual role experience. The research focus includes the view of society, obstacles experienced by women, and the social implications of the dual role of women. The results of the study based on the questionnaire showed that 74,94% of the people had a positive perception of career women and judged that the balance of work and life can be achieved through time management and family support, while 25,06% had a neutral to negative perception that considered that career women were not optimal in carrying out domestic roles, thus causing social pressure and role conflicts. This perception contributes to stress levels, emotional fatigue, and difficulties in achieving work-life balance. This finding also reveals that education factors, working experience with women, family roles, and social environment affect the formation of perceptions. This research is expected to contribute in increasing public understanding and encouraging policies that support women's careers both in social and work.

This study aims to analyze and test the mediating role of job satisfaction in the relationship between career development and job stress on employee loyalty at BPR Agung Sejahtera. This study used a quantitative methodology to collect primary data from 90 employees of BPR Agung Sejahtera through questionnaires. Partial Least Squares (PLS) with Structural Equation Modeling (SEM) was used to test the relationship between latent variables. Data testing included validity, reliability, bootstrapping , Adjusted R-Square, Path Coefficient, and Specific Indirect Effects . The results showed that career development had a positive and significant effect on job satisfaction. Conversely, job stress was found to have a negative and significant effect on job satisfaction. Career development also had a positive and significant effect on employee loyalty. Job stress had a negative and significant effect on employee loyalty. Job satisfaction had a positive and significant effect on employee loyalty. However, the mediating role of job satisfaction in the relationship between career development and job stress on employee loyalty proved to be insignificant. This finding indicates that employee loyalty is more influenced by good career development and low levels of job stress than the mediating role of job satisfaction. Overall, these findings conclude that managing career development and work stress through job satisfaction is crucial for increasing employee loyalty. It is hoped that these research findings will help BPR Agung Sejahtera's management better manage its human resources to achieve the company's goals.