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Stress can be defined as a condition of tension that affects various aspects of a person’s life. Work-related stress may be caused by several factors, such as excessive workload, tight deadlines, conflicts with colleagues, or uncertainty in the workplace. One method that can be applied to manage stress is the Benson Relaxation Technique. The Benson Technique is a relaxation method that helps relieve bodily tension, with the expectation of improving sleep quality and preparing individuals to achieve a deeper connection with the Creator or spiritual being. This community service activity aimed to provide education regarding the Benson Relaxation Technique to reduce work-related stress among female workers at Soun Scorpio Factory in Karangsoka Village. The methods used in this activity included measuring stress levels using a work stress instrument, assessing knowledge levels through pre-test and post-test questionnaires, and conducting evaluations using observation sheets. The activity involved 25 female workers at Soun Scorpio Factory who received education on the Benson Technique, delivered in two sessions. The evaluation results showed that 84% of the participants were in the moderate stress category, and 16% were in the low-stress category. Knowledge evaluation results indicated that 16 participants (64%) had good knowledge, while 9 participants (36%) had sufficient knowledge. After the intervention, all respondents (100%) showed a reduction in stress levels to the low-stress category. Thus, the Benson Relaxation Technique can serve as an effective approach to reducing work-related stress among female workers and improving their mental well-being.

Menopause is a natural biological transition that often presents with health issues such as anxiety, sleep disturbances, and mood changes, which may negatively affect women’s quality of life. With the growing number of women entering menopause worldwide, including in Indonesia, effective interventions are needed to help them adapt positively. This study aimed to evaluate the effect of psychoeducation on anxiety levels among premenopausal women in the working area of the Jaboi Community Health Center, Sabang City. A quantitative quasi-experimental pre–post design without a control group was employed. The study involved 60 premenopausal women selected through purposive random sampling from a population of 146. The intervention, conducted from May 16 to June 10, 2025, consisted of structured psychoeducational sessions designed to increase knowledge and coping abilities related to menopause. Data were analyzed using the Wilcoxon signed-rank test. Results showed that the mean anxiety score decreased significantly from 20.13 (moderate category) before the intervention to 18.17 after the intervention (p < 0.001). These findings indicate that psychoeducation effectively reduces anxiety and enhances preparedness among premenopausal women. It is therefore recommended that routine psychoeducational counseling be integrated into primary healthcare services as a promotive effort to support women in facing menopause in a healthier and more confident manner.

The nursing profession is a shift-based profession. Night shifts can impact sleep quality, which in turn disrupts sleep quality. Seven factors influence sleep quality, most commonly experienced by nurses. Poor sleep negatively impacts mental health. This study aims to explore the relationship between sleep quality and mental health among nurses at Sari Asih Cipondoh Hospital. This study was quantitative with a cross-sectional approach. Sampling was conducted using probability sampling and simple random sampling, with a total of 111 respondents. Univariate and bivariate analyses were performed using the Chi-Square Test, with a significance level of p<0.05. Respondent characteristics indicate that the majority were women aged 25 to 35, working in inpatient units with less than five years of work experience. Most nurses at Sari Asih Cipondoh Hospital reported poor sleep quality. The mental health of nurses at Sari Asih Cipondoh Hospital was within the normal range. There is a relationship between sleep quality and mental health of nurses at Sari Asih Cipondoh Hospital using the Chi Square Test, a P value of 0.000 (<0.05) was obtained. There is a relationship between sleep quality and mental health of nurses at Sari Asih Cipondoh Hospital using the Chi Square Test, a P value of 0.000 (<0.05). Therefore, this study can provide suggestions for nurses to be able to implement sleep pattern strategies so that sleep quality is in the good category.

Anxiety and sleep quality are two closely related aspects in patients undergoing surgical procedures. High levels of anxiety in the preoperative phase often result in decreased sleep quality, while poor sleep can exacerbate anxiety, thus affecting the postoperative recovery process. This study aims to compare anxiety levels and sleep quality in patients before and after surgery. The research design used was a quasi-experimental with a pre-post test approach. The study sample consisted of 119 respondents selected through a purposive sampling technique in the Kenanga Ward of Dr. H. Soewondo Kendal Regional Hospital. The instruments used included the Zung Self-Rating Anxiety Scale (SAS) questionnaire to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Data were analyzed using the Chi-Square test with the help of SPSS version 25 software. The results showed a significant relationship between anxiety levels and sleep quality in both the pre- and postoperative phases (p = 0.000; p < 0.05). A total of 54.4% of patients with poor sleep quality before surgery showed improvement after surgery. Furthermore, in the group with moderate anxiety, 54.8% experienced a reduction to mild anxiety. In conclusion, reducing anxiety levels has been shown to positively impact patients' sleep quality after surgery.

Elderly individuals are a group vulnerable to sleep disorders, with over 50% of them reporting a decline in sleep quality. Sleep disturbances in the elderly can affect their quality of life, which in turn impacts their physical and mental health. One non-pharmacological intervention considered safe, simple, and effective for improving sleep quality in the elderly is foot soaking in warm water. This study aims to evaluate the effect of foot soaking in warm water on the sleep quality of elderly individuals in the working area of Slawi Health Center. The research design used was pre-experimental with a one-group pre-test post-test design. A total of 34 elderly participants were selected using total sampling technique. The intervention consisted of soaking feet in warm water at a temperature of 37°C–39°C for 10 minutes before sleep, conducted for three consecutive days. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data obtained were analyzed using Paired Sample T-test for normally distributed data. The results showed that the average sleep quality score before the intervention was 10.12, which decreased to 7.85 after the intervention. Statistical analysis showed a significant difference in the mean scores before and after the intervention with a significance value of 0.0001. This indicates that foot soaking in warm water significantly impacts the improvement of sleep quality in the elderly. This intervention can be recommended as an effective, practical, and easy-to-implement independent nursing action to improve sleep quality in the elderly. Based on these findings, foot soaking in warm water can be a good option to improve sleep quality in the elderly, especially in community healthcare services.

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.

This study aims to determine the level of problematic smartphone use (PSU) and revenge sleep procrastination (RBP) among MTs/SMP students in District X, while also examining the relationship between the two variables. The problem of excessive smartphone use among adolescents is increasingly important to study because it can impact sleep quality, learning concentration, and mental health. This research approach uses a quantitative correlational method with data collection through a bold questionnaire (Google Form). The research sample consisted of 103 MTs/SMP students in District X who were selected using an incidental sampling technique. The RBP variable measurement scale was developed by the researcher with reference to aspects proposed by Kroese et al. (2014). Meanwhile, the PSU Scale was developed based on dimensions formulated by Foerster et al. (2015), including withdrawal, desire, loss of control, dependence on peers, and negative life consequences. The results of the correlation analysis showed that PSU had a very strong positive relationship with RBP (r = 0.833) and was statistically significant (p < 0.000). This means that the higher a person's tendency to experience problematic smartphone use, the greater the likelihood of revenge bedtime delay. Among the dimensions of PSU, withdrawal showed the highest correlation with RBP (r = 0.831). This was followed by negative life consequences (r = 0.778), craving (r = 0.577), loss of control (r = 0.489), and dependence on peers (r = 0.333). Overall, this study concludes that PSU plays a significant role in increasing RBP trends among students. These findings highlight the urgent need for awareness and intervention programs to reduce excessive smartphone use among adolescents. Therefore, the results of this study are expected to serve as a reference for schools and parents in designing strategies to prevent the negative impacts of smartphone use on adolescents.

Scabies is one of the infectious skin diseases that is still often found in Indonesia, especially in environments with high population densities such as Islamic boarding schools and orphanages. This disease is caused by an infestation of the Sarcoptes scabiei mite which causes severe itching, especially at night, so that it can interfere with the quality of sleep and daily activities of the sufferer. This condition not only has an impact on physical health, but also affects the psychological and social aspects of students. Scabies prevention efforts require adequate knowledge from each individual in order to maintain good personal hygiene and the environment. This study aims to determine the influence of health education through the peer education method on increasing students' knowledge in preventing scabies. The research method uses a quasi experiment design with a one group pre-test post-test approach. The research sample was taken using the total sampling technique, covering all students who were respondents. Data analysis was carried out by paired samples t-test to see differences in knowledge before and after the intervention. The results showed a p-value of 0.000 (<0.05) which means that there is a significant influence of the peer education method on improving student knowledge. In other words, the delivery of health information through peers is considered effective because communication takes place more intimately, is easy to accept, and is able to increase awareness of the importance of maintaining personal and environmental hygiene.

Hypertension is one of the major health problems often experienced by the elderly, with complaints of headaches predominantly in the nape and forehead area. This complaint, if not optimally managed, can reduce the quality of life of the elderly and risk worsening overall health conditions. Non-pharmacological interventions such as warm compresses are one of the nursing interventions that are safe, effective, easy to implement, have minimal side effects and can be done independently at home. Objective: This study aims to determine the effectiveness of providing warm compresses in reducing the intensity of headaches in elderly with hypertension. Method: The method used is a descriptive case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and comprehensive evaluation. Subjects: The subjects in this study were two elderly people aged 60–75 years with hypertension and a pain scale between 3–7 who were given warm compresses for six consecutive days at the same time each day. Results: The results of the study showed that after the intervention, there was a significant decrease in the pain scale. In the first subject, the pain scale decreased from 7 to 3, while in the second subject, it decreased from 6 to 3. Both subjects also reported a sense of comfort, body relaxation, and improved sleep quality after warm compress therapy. Recommendation: Based on these findings, warm compress is recommended as a non-pharmacological nursing action that can be used independently or in primary health care to help reduce headaches in elderly people with hypertension effectively and sustainably.

Sleep is a vital state of rest for humans to maintain a healthy body. After a day of activity, the body requires adequate sleep to recover and regain energy. One common sleep disorder is insomnia, characterized by difficulty sleeping both in terms of quality and quantity. Insomnia has traditionally been treated with sedatives, drugs that reduce anxiety and provide a calming effect with little or no impairment to motor and mental function. However, long-term use of chemical drugs can cause side effects, necessitating alternatives, one of which is the use of traditional medicine. Areca nut (Areca catechu L.) is known to possess antioxidant, antimutagenic, astringent (tightening), and intoxicating properties that have long been used in traditional medicine. This study was conducted experimentally in a laboratory to determine the sedative-hypnotic effects of areca nut ethanol extract. The observed parameter was survival time on the rotarod, and the data were analyzed using one-way ANOVA for homogeneity testing and Shapiro-Wilk for normality testing. If the data were not homogeneous or normal (p < 0.05), the analysis was continued with the nonparametric Kruskal-Wallis and Mann-Whitney tests. The results showed that administration of areca nut ethanol suspension as a positive control with varying doses did not produce significant differences, meaning that all three doses had the same sedative-hypnotic effect. In the treatment groups with areca nut ethanol extract doses of 0.52 mg/kgBW and 0.78 mg/kgBW, significant differences were observed compared to the negative control, indicating a clear sedative-hypnotic effect. Therefore, it can be concluded that areca nut (Areca catechu L.) ethanol extract at doses of 0.52 mg/kgBW and 0.78 mg/kgBW has the potential to provide sedative-hypnotic effects and can therefore be used as an alternative treatment for sleep disorders.

Background: Pregnancy is a physiological process experienced by every woman, but it can be accompanied by various discomforts, both physical and psychological. In the third trimester, hormonal, physical, and emotional changes often trigger complaints such as anxiety, difficulty sleeping, and discomfort. These conditions, if not managed, can negatively impact the health of the mother and fetus, including increasing the risk of pregnancy complications. One non-pharmacological approach that is increasingly in demand to address these problems is aromatherapy, namely the use of essential oils from plants as a complementary therapy. Objective: This literature study aims to explore the effectiveness of aromatherapy in reducing anxiety levels and improving sleep quality in pregnant women, especially in the final trimester. Methods: A narrative literature review was conducted by analyzing ten national journal articles published between 2014–2024. Articles were selected through a purposive sampling method based on the suitability of the topics with aromatherapy, pregnancy, anxiety, and sleep quality. Results: Most studies show that aromatherapy, especially with lavender, orange, and chamomile essential oils, has a positive effect in reducing anxiety levels and improving sleep quality. The mechanism of action of aromatherapy is thought to involve stimulation of the limbic system in the brain via the olfactory pathway, which plays a role in regulating emotions, inducing relaxation, and reducing sympathetic nervous system activity. These effects help reduce tension and facilitate better sleep in pregnant women. Conclusion: Aromatherapy has been shown to be a safe, easy-to-implement, and effective complementary intervention for addressing anxiety and sleep disturbances in pregnancy. Healthcare providers, particularly midwives, are advised to integrate this therapy into holistic antenatal care to support the overall well-being of pregnant women.

Sleep disturbances are a common complaint among postpartum mothers, and this condition can affect the physical and psychological recovery process after childbirth. Untreated sleep disturbances can lead to various problems, such as fatigue, decreased quality of life, and even the risk of mental health disorders such as postpartum depression. One non-pharmacological approach that can be used to address these sleep disturbances is lavender aromatherapy. Lavender aromatherapy is known to have a calming effect that can help improve sleep quality. This community service activity aims to increase postpartum mothers' knowledge about the use of lavender aromatherapy as a complementary therapy to address their sleep problems. The activity was conducted in June 2025 at the Lismarini Independent Midwife Practice (PMB), using methods that included education, discussion, and distribution of informative leaflets. A total of 15 postpartum mothers participated in this activity, and to measure their knowledge, pre- and post-tests were conducted before and after the education session. The evaluation results showed a significant increase in participants' knowledge levels after participating in the education about lavender aromatherapy. Education about the use of lavender aromatherapy has been proven effective in increasing postpartum mothers' understanding of the benefits and how to use this therapy. Thus, lavender aromatherapy can be a beneficial health promotion strategy to support postpartum recovery. Through this activity, it is hoped that postpartum mothers can apply the knowledge gained to independently improve their sleep quality, thereby supporting their physical and mental health during the recovery period. This activity also contributes to efforts to improve overall public health and provides new insights for healthcare workers in educating postpartum mothers about safe and effective alternative therapies.

Infant growth and development are crucial issues that require serious attention, particularly during the early childhood phase, which is crucial for a child's future development. The golden age of infants is the most sensitive period to various forms of stimulation that influence their motor, sensory, cognitive, and emotional development. However, not all parents, especially mothers, fully understand the importance of appropriate and safe stimulation in supporting infant growth and development. One form of stimulation that is relatively easy to perform, has no side effects, and can be applied independently at home is gentle touch therapy. Gentle Touch Therapy is a complementary therapy method that involves gentle, affectionate touch on the baby's body, aimed at stimulating the nervous system, strengthening the emotional bond between mother and child, and increasing comfort and relaxation in the baby. Several studies have shown that this gentle touch can improve sleep quality, accelerate weight gain, relieve stress, and encourage infant neuromotor and socio-emotional development. This community service activity was carried out as an effort to increase mothers' awareness and skills in providing stimulation through gentle touch. The activity was carried out at the Andina Independent Midwife Practice (PMB), Palembang City, in June 2025. The main target of this activity was mothers with babies aged 0–12 months. The implementation method included providing education through interactive lectures, demonstrations of touch therapy techniques by health professionals, and direct practice by mothers accompanied by facilitators. The results of the activity showed a significant increase in mothers' understanding of the importance of growth and development stimulation, especially through gentle touch therapy. The participants showed high enthusiasm in participating in the activity and were able to practice gentle touch techniques correctly and confidently.

Background: Type II Diabetes Mellitus is increasingly affecting young adults. Sleep quality is one of the factors influencing blood glucose levels. Poor sleep can impair glucose metabolism and worsen diabetic conditions. Objective: To determine the relationship between sleep quality and blood glucose levels among young adults with Type II Diabetes Mellitus at RSD Gunung Jati. Methods: This study used a quantitative approach with a cross-sectional correlational design. A total of 151 young adult respondents were selected using accidental sampling. Instruments included the Pittsburgh Sleep Quality Index (PSQI) questionnaire and a glucometer to assess sleep quality and blood glucose levels, respectively. Data were analyzed using the Spearman Rank test. Results: Statistical analysis showed a significant relationship between sleep quality and blood glucose levels, with a significance value of 0.001 (p < 0.05). Conclusion: There is a significant relationship between sleep quality and blood glucose levels among young adults with Type II Diabetes Mellitus. Good sleep quality plays a crucial role in diabetes management and glycemic control.

This study aims to empirically examine the relationship between Problematic Internet Use and Sleep Quality among university students. This is a quantitative study that employs a bivariate correlation analysis method. The total number of respondents in this study was 106 individuals, consisting of 30 males and 76 females, aged between 18 and 23 years. The study used two scales as data collection instruments: a sleep quality scale and a Problematic Internet Use scale. The hypothesis was tested using bivariate correlation analysis to determine whether there is a significant relationship between sleep quality and Problematic Internet Use among students. The results support the hypothesis, indicating a significant positive relationship between Problematic Internet Use and sleep quality, with a significance value of p = 0.001 (p < 0.005) and a correlation coefficient of R = 0.227. This means that the higher the level of Problematic Internet Use, the better the sleep quality among students. Conversely, the lower the Problematic Internet Use, the poorer the sleep quality.

This research discusses the impact of smartphone use on the academic performance of 11th-grade students at SMAN 1 Suak Tapeh. The development of technology, especially the use of smartphones, has a significant impact on people's lives, including in the field of education. The use of smartphones can have both positive and negative effects on students' academic performance. The research adopts a qualitative approach with a descriptive method. Primary data were collected through interviews, observations, and documentation, while secondary data were obtained from relevant documents or archives. The findings reveal that smartphones have positive effects, such as facilitating access to learning materials, enhancing creativity, and broadening knowledge. However, uncontrolled smartphone use can lead to negative effects, such as addiction, sleep disturbances, decreased concentration, and diminished quality of social interactions. This study is expected to provide insights into the benefits and risks of smartphone use in supporting students' learning processes and offer recommendations for schools in designing policies related to smartphone use among students.

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

The increasing use of gadgets among medical students raises concerns about the health impacts, especially on sleep quality and eye health. Medical students have a high intensity of digital device use due to academic demands, which has the potential to cause excessive exposure to blue light (blue light), sleep disturbances, and eye fatigue (eye strain). This study aims to explore the relationship between the duration of gadget use with sleep quality and eye strain in medical students and to understand the factors that strengthen or weaken its impact. The research method used is qualitative descriptive based on a literature study by reviewing literature from scientific journals, books, and relevant documents. The results of the study showed that exposure to blue light can reduce melatonin production, disrupt circadian rhythms, and cause sleep disorders such as insomnia. In addition, long-term use of gadgets without sufficient rest increases the risk of digital eye strain, characterized by symptoms such as dry eyes, blurring, pain, and headaches. Medical students who are susceptible to intensive exposure to digital screens are at higher risk of this disorder. In conclusion, there is a strong interconnection between gadget use, sleep quality, and eye fatigue. Preventive efforts such as screen time management, use of blue light filters, and education about healthy visual habits are important to maintain the health and productivity of medical students.

The rapid growth of social media among university students raises concerns regarding its impact on health, particularly sleep patterns. This research investigates the link involving social media usage intensity and students’ sleep patterns. A descriptive quantitative approach was employed through a survey method involving 30 active undergraduate students from various universities in Indonesia, using a survey based on Likert items. The analysis applied Pearson’s correlation to assess the intensity and orientation of the link between variables. The results revealed a strong and affirmative link between social media engagement and sleep pattern disturbances, indicated by a correlation score of 0.655. This reflects that greater intensity in using social media is associated with increased likelihood of disrupted sleep patterns, including irregular sleep schedules, reduced sleep duration, and decreased sleep quality. These findings emphasize the importance of better digital time management and educational interventions regarding healthy sleep habits, both for students and higher education institutions.