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The physiological changes that occur during pregnancy, both physically and mentally, may be rather uncomfortable, particularly in the second and third trimesters. Pregnant women often report back discomfort, muscular aches, trouble sleeping, excessive exhaustion, and irregular sleep patterns. Mothers' physical and mental health as well as the health of their unborn children may be significantly impacted by inadequate sleep quality during pregnancy. To enhance comfort and the quality of sleep during pregnancy, one non-pharmacological technique is to use an aromatherapy maternity pillow. An ergonomic and ecologically sustainable invention to enhance mother comfort during pregnancy was the goal of this research, which intended to produce a Pregnancy Pillow Therapy product with pineapple leaf fiber and aromatherapy. A descriptive research design using a prototype creation technique was used in this study. The stages of the research included problem identification, literature review, product design, material selection, prototype manufacturing, and product evaluation. Data were collected through literature studies and observations related to sleep discomfort in pregnancy, maternity pillow utilization, aromatherapy therapy, and pineapple leaf fiber characteristics. The developed product was designed ergonomically to support the back, abdomen, waist, and legs of pregnant women. The addition of aromatherapy was intended to provide a relaxing effect and improve sleep quality. The use of pineapple leaf fiber also supports environmentally friendly product innovation through agricultural waste utilization. The results indicate that Pregnancy Pillow Therapy has the potential to become a supportive product for improving comfort and sleep quality among pregnant women. Further studies are recommended to evaluate product effectiveness directly among pregnant women.

Sleep duration and sleep quality are essential physiological needs that play a significant role in the emotional and behavioral development of children aged 3–6 years. Adequate sleep supports brain development, cognitive functioning, emotional regulation, and social interaction skills in early childhood. Conversely, poor sleep duration and low sleep quality may negatively affect children’s attention, mood stability, and ability to interact socially with peers and caregivers. This article is a literature review using a systematic review approach that analyzes 10 scientific articles published between 2016–2026 to evaluate the relationship between sleep duration and sleep quality with emotional and behavioral problems in preschool children. The article selection process followed the PRISMA flow diagram, with articles sourced from Google Scholar, PubMed, and ScienceDirect databases. The findings consistently indicate that inadequate sleep duration and poor sleep quality are associated with increased emotional and behavioral problems, including hyperactivity, anxiety, emotional dysregulation, and difficulties in social interaction among children. Furthermore, sleep disturbances were found to negatively influence children’s emotional self-regulation abilities, which are crucial for adaptive behavior. Therefore, ensuring adequate sleep duration and improving sleep quality are important strategies to support optimal emotional and behavioral development in preschool-aged children.

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.

Hypertension is one of the most common health problems among the elderly and has the potential to cause serious complications such as heart disease and stroke. Dietary patterns and lifestyle factors are known to play an important role in increasing blood pressure, particularly fat intake and sleep quality. This study aimed to analyze the relationship between fat intake and sleep quality with the incidence of hypertension among elderly individuals in the coastal area of Tuban District. This study used an analytical observational design with a case-control approach. The total number of respondents in this study was 136 elderly individuals, consisting of 68 cases (elderly with hypertension) and 68 controls (elderly without hypertension). Data on fat intake were obtained using a 24-hour food recall method, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed using the Pearson Chi-Square test with a significance level of α ≤ 0.05. The results showed that there were significant relationships between fat intake (p = 0.000) and sleep quality (p = 0.000) with the incidence of hypertension among the elderly in the coastal area of Tuban District. Elderly individuals with high fat intake and poor sleep quality were more frequently found in the hypertension group compared to the non-hypertension group. In conclusion, fat intake and sleep quality are associated with the occurrence of hypertension among the elderly. Hypertension control efforts can be carried out through limiting fat intake and maintaining good sleep quality.

Regular physical activity is known to play an important role in maintaining overall health, including improving immune system function and mental health. Lack of physical activity remains a public health issue, making it important to understand the impact of physical activity on the immune system and mental health. This study aimed to review the effect of regular physical activity on the immune system and mental health using a literature review method. The literature sources were obtained from publications within the last five years using databases such as Google Scholar, PubMed, and ScienceDirect. The articles were then screened and selected based on inclusion and exclusion criteria, resulting in nine relevant articles for analysis. The selection results indicate that regular physical activity can increase the mobilization and activity of immune cells such as lymphocytes, neutrophils, and natural killer cells, and also modify the adaptive immune system through changes in T cells and B cells. In addition, physical activity also improves mental health through neurobiological mechanisms such as increased endorphin, dopamine, and serotonin levels, which can reduce stress, anxiety, and depression, as well as improve sleep quality and psychological well-being. Therefore, regular physical activity has a positive effect on the immune system and mental health and can be used as a promotive and preventive strategy to maintain overall health.

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.

Background: Sleep disorders in adolescents are a significant health problem, with a global prevalence reaching 57.8% and particularly high rates in several cities in Indonesia. Poor sleep quality negatively impacts physical health, such as the risk of cardiovascular disease and anemia, as well as mental and cognitive health. Sleep behavior is influenced by a dynamic interaction between personal and environmental factors, as explained in Social Cognitive Theory (SCT). Research Objective: To identify the determinants of sleep deprivation in adolescents, specifically individual and environmental factors, based on a Social Cognitive Theory (SCT) perspective through a literature review from 2019 to 2025. Method: This study utilized a literature review. To obtain research data, the authors searched for scientific articles through Google Scholar, PubMed, and ScienceDirect databases, then analyzed 10 articles that met the inclusion criteria, published between 2020 and 2025. Results: Factors significantly associated with adolescent sleep quality were identified, with individual factors being the most dominant determinant (found in 7 studies), including academic stress and smartphone addiction. Furthermore, a positive association was found with environmental factors (found in 4 studies), such as bright lighting, noise, and uncomfortable room temperature. Conclusion: Within the framework of Social Cognitive Theory, adolescent sleep quality is the result of a reciprocal interaction between personal factors (perceived stress and self-control over gadgets), the physical environment, and sleep behavior. Individual factors such as stress and nighttime gadget use reduce self-efficacy for regular sleep, which is exacerbated by an unfavorable environment.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.

Sleep disorders in the elderly are a problem that can affect overall health. The lighting factor during sleep is thought to influence sleep quality through inhibiting melatonin production and disrupting circadian rhythms. This research used a cross-sectional design with a total sampling of 44 elderly respondents in Sidodadi Village, Banyuwangi. The independent variable is lighting (bright, dim, dark), while the dependent variable is sleep quality. Data analysis was carried out using the chi-square test. Most respondents slept in darkness (52.4%), and the majority had good sleep quality (83.3%). However, the results of the chi-square test showed that there was no significant relationship between lighting and sleep quality (p-value = 0.066).  This research concludes that lighting does not have a statistically significant relationship with the sleep quality of the elderly in Sidodadi Village. Further research is needed to consider other variables that may influence sleep quality in older adults.

Remember sleep quality has a big impact on an athlete's best performance, this study aims to find out the relationship between sleep quality and peak performance, and how much sleep quality contributes to peak performance. To achieve peak performance, an athlete must be in optimum condition during training and matches. This research uses a quantitative descriptive research type with a correlational approach. Quantitative research collects and analyzes data using numbers and measurements. The researcher used purposive sampling, where the sample consists of 30 athletes from Ronggolawe Athletics Club in Tuban. The tools used in this study are the sleep quality scale and the peak performance scale, both administered through questionnaires. The data analysis method used is the product moment correlation test. The results of the data analysis showed a correlation coefficient of -0.423 (r = -0.423). Based on the analysis of the coefficient of determination, it was found that the sleep quality variable contributes effectively to the peak performance variable by 17.9%, while the remaining 82.1% comes from other factors not studied in this research.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

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.

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.

Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

Sleep disturbances in infants can cause significant physiological and psychological impacts, such as decreased immune function, impaired cognitive development, and an increased risk of emotional problems (Tanty & Pramesti, 2023). Poor sleep not only inhibits physical growth but also affects infants’ mental development, including attention disorders, anxiety, and low cognitive abilities (Hendri & Sari, 2021). Therefore, it is important to provide effective interventions to improve infants’ sleep quality. This study aimed to determine the effect of baby massage on infant sleep quality at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, in 2025. This research employed a quasi-experimental method with a pretest–posttest design using an experimental group and a control group, also known as a pretest–posttest with control group design, which is a form of quasi-experimental research design. The population of this study consisted of all infants aged 3–6 months at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, totaling 32 infants, with 16 infants in the experimental group and 16 infants in the control group. The results of the statistical analysis using the Wilcoxon test showed a significant probability value of 0.001 (p < 0.05). This indicates that the null hypothesis (H₀) was rejected and the alternative hypothesis (H₁) was accepted, meaning that baby massage had a significant effect on sleep quality among infants at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, in 2025.

Background: Menstrual disorders that are often found in women include late menstruation, and the amount of menstrual blood. Almost 75% of adolescents experience menstruation, including irregular cycles, pain, long and heavy bleeding during menstruation. The menstrual cycle is not only influenced by biological factors such as lifestyle, hormonal disorders, nutritional status, but can also be influenced by social and environmental factors. The purpose of this study was to determine the factors that influence the menstrual cycle in adolescent girls at MAN 1 Semarang City. Method: This type of research is quantitative with a cross-sectional approach. The sample of this study amounted to 168 respondents. The respondent selection used probability sampling technique. This study used univariate, bivariate, and multivariate analysis tests. The analysis used was Spearman's rho and multiple logistic regression. Results and Conclusions: The results of this study indicate that the factors age, menarche, diet, nutritional status, and hemoglobin levels have no relationship to the menstrual cycle in female adolescents, but from the factors of stress, physical activity, fast food consumption habits, and sleep quality there is a relationship to the menstrual cycle in female adolescents at MAN 1 Semarang City where for stress level obtained p value: 0.002, physical activity with p value: 0.012, fast food consumption habits with p value: 0.035, and sleep quality with p value: 0.022. The factors that most influence the menstrual cycle in female adolescents at AN 1 Semarang City are stress levels with p value 0.002 and Od Ratio 3.365.

To maintain one's physical, mental, and emotional balance, sleep is a necessary but not sufficient condition. Adolescents' quality of life is profoundly affected by the effects of poor sleep on both their physical and mental health. This research aims to discover how the quality of sleep affects the overall well-being of teenagers enrolled in vocational institutions. The study used a cross-sectional design and was conducted in Banjarnegara's SMK Ma'arif NU 01 Al-Mubarok. The information used in this study came from a survey that was sent out to people. Using the complete sample approach, this research surveyed 90 participating individuals. Data analysis makes use of both bivariate and univariate tests; the latter makes use of the Spearman correlation test in particular. A total of 56 respondents (or 62.2% of the total) reported sleep quality, according to the results of the univariate analysis on the topic of best sleep quality. At the top of the list is quality of life, as 45.6% of the total, or 41 people, said it makes a big difference. According to the presentation, 33 out of the 90 respondents were 16 years old. around 36.7%. With 60 female replies (66.7% of the total), the bulk of the respondents are bezienis. A p-value of 0.000, which is less than 0.005, indicates a significant association between sleep quality and sleep quality, according to the findings of the bivariate analysis using the Spearman rank correlation test. A good night's sleep is strongly correlated with a high quality of life.  

Sleep disturbances can result in physical problems and a decrease in a person's ability to focus. Ablution can serve as a way for relaxation that helps improve sleep quality. This study aims to explore the relationship between ablution performed before bed and sleep quality among students. This type of research is pre-experimental. The data used in this study was collected through a questionnaire given directly to the respondents. A total of 50 respondents were involved as a sample in this study. The sampling method used is total sampling. To analyze the data, univariate and bivariate tests are used, where bivariate analysis is carried out by chi-square test. The results of the univariate analysis showed that 78% of respondents always performed ablution, while 22% only did it occasionally. Good sleep quality was found in 68% of respondents, while 32% experienced poor sleep quality. Most respondents were 20 years old, reaching 42%, with the lowest being 19 years old at 10%. In terms of gender, 68% of respondents were male and 32% were female. Bivariate analysis using the Chi-Square test showed that there was no significant relationship between the practice of ablution before bed and the quality of students' sleep, with a value of 0.591 which was greater than 0.005. Therefore, it can be concluded that there is no relationship between the practice of ablution before bed and the quality of sleep among students.