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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.

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

Anxiety is an excessive state of tension characterized by feelings due to a response to stress or conflicting conditions. This study aims to investigate the relationship between anxiety disorders and sleep quality among nursing students during the Objective Structured Clinical Examination (OSCE) in the Diploma III Nursing Program, Faculty of Health Sciences, Abulyatama University. This study consisted of 168 individuals. The sample was 65 respondents selected using a purposive sampling technique. The research was conducted from July 25th to 29th, 2025. This study employed a descriptive analytical method with a cross-sectional approach. The research instruments were the Zung Self-Rating Anxiety Scale (ZSAS) and the Pittsburgh Sleep Quality Index (PSQI). The data was analyzed using the Chi-Square test. The research results indicated a significant relationship between anxiety disorders and the sleep quality of students during the OSCE at the Diploma III Nursing Program, Abulyatama University, with a p-value of 0.025 (p < 0.05). Based on this finding, this study proves a relationship between anxiety disorders and sleep quality among the Diploma III students during the OSCE preparation. This study suggests that students and the university provide counselling sessions before the test to reduce the effects of anxiety disorders in students. Therefore, this study serves as a resource to raise awareness on how to manage emotions during exam preparation.

Cognitive concentration constitutes a pivotal determinant within the educational process; when an individual exhibits impaired attentional capacity, the instructional input received is unlikely to be effectively encoded into neural pathways or long-term memory, thereby rendering the expenditure of effort, time, and resources essentially futile. This investigation sought to elucidate the associative dynamics among breakfast consumption patterns, levels of physical activity, and sleep quality in relation to academic concentration among students in Grades X and XI within the North Bogor District. Employing a cross-sectional methodological framework, the study encompassed 101 participants whose selection adhered to an observational analytic approach. Empirical data pertaining to breakfast behavior, physical activity, sleep quality, and concentration performance were acquired through standardized self-administered questionnaires. Analytical procedures were conducted using the chi-square statistical test. The inferential findings demonstrated a statistically significant association between breakfast habits (p = 0.002) and sleep quality (p = 0.008) with learning concentration, whereas physical activity exhibited no significant correlation (p = 0.831). Accordingly, the study substantiates that breakfast regularity and sleep quality are meaningfully interrelated with students’ concentration levels, while physical activity does not manifest a measurable relationship with concentration outcomes

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.

Infancy is a crucial golden period for determining the quality of a child's future growth and development. Infant massage has long been recognized for its numerous benefits for infant growth and development. Various studies have shown that infant massage can increase weight gain, improve sleep quality, strengthen the immune system, and aid digestion. Many parents still lack understanding of infant massage. Some assume that infant massage is only performed on sick babies and is performed by traditional healers or medical personnel skilled in infant massage. The purpose of this community service is to increase mothers' knowledge about infant massage through outreach. The target audience was 22 mothers with babies in Gampong Barat, Nisam District, North Aceh Regency. The implementation method used was lectures, discussions, and demonstrations. The results showed that the majority of mothers' knowledge was in the good category after the outreach. This was due to the mothers' enthusiasm in participating in the outreach. Outreach is an effective method for increasing knowledge. Mothers are expected to continue to improve their knowledge about infant massage by increasing their interest in seeking information, whether through reading books, the media, or other sources.

Blood transfusion requires the availability of high-quality blood, which is determined, among others, by the donor's hemoglobin (Hb) level. One factor that may affect Hb is sleep quality. Objective: This study aims to determine the relationship between sleep quality and hemoglobin levels among prospective blood donors at UDD PMI South Sulawesi Province in 2025. Methods: An observational analytic study with a cross-sectional design was conducted involving 100 respondents selected using purposive sampling. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while Hb levels were measured using a hemoglobinometer. Data analysis was performed using the Chi-Square test with a significance level of p ≤ 0.05. Results: The majority of respondents (75%) had good sleep quality, while 25% had poor sleep quality. Normal Hb levels (12.5–17 g/dL) were found in 96% of respondents, while 3% were low and 1% were high. The Chi-Square test showed a significant relationship between sleep quality and Hb levels (p = 0.050). Conclusion: Good sleep quality is significantly associated with normal hemoglobin levels in prospective donors. Educational programs about healthy sleep patterns before donation are necessary to improve donor eligibility and ensure a safe blood supply.

Rheumatism in the elderly can cause chronic pain that affects the quality of sleep. One of the factors influencing the sleep pattern of elderly patients with rheumatism is the level of physical activity. Insufficient physical activity can worsen joint stiffness and increase sleep disturbances. This study aims to examine the effect of physical activity on sleep patterns in elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, Malang Regency. This study is a quantitative study with an analytical correlational design using a cross-sectional approach. The population of this study consisted of all elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, totaling 33 people. The sampling technique used was total sampling. The study was conducted from July 20 to 27, 2025. Data collection instruments used the Global Physical Activity Questionnaire (GPAQ) and the Pittsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that most respondents (90.9%) had low physical activity and all respondents (100%) had poor sleep patterns. The simple linear regression test yielded a significance value of p = 0.479 (p > 0.05) and R Square = 0.016, indicating no significant effect of physical activity on sleep patterns. Based on these results, it is expected that elderly rheumatism patients can increase physical activity according to their abilities to help maintain sleep quality, and Posyandu officers can provide education and elderly exercise programs appropriate for rheumatism conditions.

Aging is often accompanied by sleep problems that have a negative impact on the well-being of older adults, such as reducing their quality of daily life and triggering a higher risk of chronic diseases, depression, and cognitive decline. To address this issue, the physiotherapy team held an educational program at the Arjosari Village ILP in Malang City, which aimed to equip older adults with knowledge about the value of quality sleep. The material was delivered through simple brochures, two-way discussion sessions, and assessments through initial and final tests. A total of 15 people participated, and from the opening discussion, about 80 percent of them admitted to having frequent sleep disturbances. Before the event, a survey showed that their understanding was still minimal, especially regarding what healthy sleep is, the triggers of sleep disturbances, the benefits of good sleep, the signs of sleep disturbances, and steps to overcome them. After the counseling, there was a significant increase, with the level of understanding reaching more than 86 percent on all topics. These results prove that community-based educational approaches such as this are very effective as a means of empowerment and early prevention. Activities such as this should be made a routine to support the overall health of the elderly.

Intestinal parasitic infections caused by non-Soil Transmitted Helminths (non-STH), particularly Enterobius vermicularis, remain a public health problem in developing countries, including Indonesia. Transmission does not require soil as a medium but occurs through direct contact, autoinfection, or unclean household environments. In children, infection may cause perianal itching, sleep disturbances, loss of appetite, and secondary infections due to scratching, which can affect nutritional status, sleep quality, and overall growth and development. This study was conducted in Kupang City, an endemic area of helminthiasis, to determine the prevalence and risk factors of E. vermicularis infection among children aged 1–5 years. A cross-sectional design with total sampling was applied to 30 children living in RT 008/RW 003, Penfui Timur Village, Kupang Tengah District, from February to May 2025. Risk factor data were collected using structured questionnaires covering personal hygiene, environmental sanitation, socioeconomic status, and parental education. Infection was identified using the scotch tape technique and microscopic examination. The results showed a prevalence of 7% (2 out of 30 children), mainly among boys aged ≥4 years, with poor personal hygiene, inadequate sanitation, low economic status, and parental education at elementary school level or below. In conclusion, enterobiasis in children is influenced by a combination of behavioral, environmental, and socioeconomic factors. Prevention should not rely solely on mass deworming programs but also require continuous health education for parents, improved hygiene practices, and household sanitation.

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.

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.

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.

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.

Back pain is a common complaint among pregnant women, especially in the third trimester, caused by hormonal changes, uterine enlargement, and poor postural balance. If untreated, this pain can disrupt sleep quality and daily activities. The pelvic tilt technique, a non-pharmacological intervention, strengthens abdominal and pelvic muscles, maintains posture, and relieves back pain. This study examined the effect of the pelvic tilt technique on back pain intensity in third-trimester pregnant women at Karangdoro Public Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of all third-trimester pregnant women with physiological back pain (without comorbid conditions or a history of premature rupture of membranes). Using a total sampling technique, 34 respondents were included. The intervention was conducted for seven consecutive days. Data collection employed observation sheets and the Numeric Rating Scale (NRS). Data analysis used the Wilcoxon test because the normality test yielded p < 0.05. Statistical results showed p = 0.000 (< 0.05), indicating that the pelvic tilt technique significantly reduced back pain intensity. These findings suggest that pelvic tilt exercises can serve as a safe, simple, and effective non-pharmacological alternative therapy to alleviate bapain in third-trimester pregnant women.

Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients

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.

Dependence on smartphones, characterized by excessive anxiety when unable to access them, known as Nomophobia, has become a common problem among students aged 18 to 24 years. One significant consequence of this condition is a decline in sleep quality. This study aimed to examine the correlation between the level of Nomophobia and the degree of sleep quality among third-year students of the Diploma Three Nursing Study Program at Abulyatama University. The research employed a correlative descriptive design with a cross-sectional survey method. Out of 177 third-year students, 64 participants were selected as samples using proportional random sampling. The Nomophobia Questionnaire (NMP-Q) was used to assess the level of Nomophobia, while the Pittsburgh Sleep Quality Index (PSQI) was utilized to measure sleep quality. Data collection occurred at the Diploma Three Nursing Study Program, Faculty of Health Sciences, Abulyatama University, from May 7 to 30, 2025. The bivariate analysis, performed using the chi-square method, showed a statistically significant relationship between Nomophobia and sleep quality, with a p-value of 0.048 (p < 0.05). The results revealed that 71.9% of respondents had a high level of Nomophobia, and 90.6% experienced sleep quality problems. These findings highlight the urgency of managing healthy smartphone use among students to ensure good sleep quality and reduce the risk of physical and psychological disorders.

Sleep is a fundamental human need that plays a crucial role in maintaining both physical and mental health. Poor sleep quality can trigger a variety of health problems, ranging from decreased concentration to an increased risk of chronic diseases. The complexity of factors influencing sleep quality—such as stress levels, heart rate, blood pressure, physical activity, and lifestyle—makes its assessment difficult through direct observation alone. Therefore, data mining approaches are increasingly utilized to identify relevant patterns in sleep-related data. This study aims to compare the performance of the C4.5 (Decision Tree) algorithm and the Naïve Bayes algorithm in predicting sleep quality using the Sleep Health and Lifestyle dataset, which contains information from 374 respondents. The research method applied is a quantitative comparative approach employing classification techniques with 10-fold cross-validation to ensure robust evaluation. Model performance is assessed using accuracy, precision, and recall metrics to provide a comprehensive understanding of the effectiveness of each algorithm. The findings indicate that the C4.5 algorithm achieves an accuracy of 96.26% and offers advantages in terms of interpretability through its decision tree visualization, enabling easier understanding of variable relationships. In contrast, the Naïve Bayes algorithm demonstrates superior predictive performance, achieving an accuracy of 98.66% along with consistently high precision and recall across nearly all classes. These results suggest that Naïve Bayes is more effective for predictive tasks involving sleep quality, while C4.5 remains highly valuable when the goal is to interpret variable interactions and decision rules. Overall, this research highlights the potential of data mining techniques in health informatics, particularly in improving the understanding and prediction of sleep quality, which in turn can contribute to better prevention and management of sleep-related health issues.

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.