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Salsabila Raina Fazra; Rion Nofrianda; Ayu Ulivia; Nurul Hafizah

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

This study aims to analyze the relationship between self-compassion and self-objectification among female TikTok users in Jambi City. The study used a quantitative correlational approach with a cross-sectional design. A total of 218 female students in Jambi City aged 18–25 years who actively use TikTok were selected using a purposive sampling technique. The instruments used were the Self-Compassion Scale (SCS) adapted into Indonesian (Skala Welas Diri) and the Objectified Body Consciousness Scale (OBCS). Data analysis used the Pearson Product Moment correlation test. The results showed a significant negative relationship between self-compassion and self-objectification (r = -0.216; p = 0.001). The higher the self-compassion, the lower the tendency for self-objectification. The majority of respondents had moderate to high levels of self-compassion, while self-objectification was in the moderate category. The duration of TikTok use of more than 2 hours per day was associated with a higher tendency for self-objectification. These findings confirm the role of self-compassion as a protective factor against self-objectification in the context of visual-based social media use.

Zahwalia Putri; Suci Rahayu; Aulia Chintya Sari

Jurnal Pengabdian dan Kesejahteraan Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Reproductive health is an aspect of health that still requires serious attention, particularly for women of reproductive age. Polycystic Ovary Syndrome (PCOS) is a hormonal disorder with a prevalence of 3.4% among women worldwide, yet it often goes undetected due to a lack of awareness. This community service activity aims to increase the knowledge of women of reproductive age regarding menstruation, PCOS, and the importance of early detection through an educational webinar titled “Hormone Talk: Exploring Menstruation, PCOS, and the Importance of Early Detection.” The event was held online via the Zoom Meeting platform on December 13, 2025, and was attended by over 100 participants, the majority of whom were female students. The evaluation method utilized pre-tests and post-tests analyzed using a Dependent T-test. The results showed a significant increase in the average knowledge score from 64.78 (pre-test) to 79.67 (post-test), with a difference of 14.89 points and a p-value of 0.000. This demonstrates that reproductive health educational webinars are effective in enhancing participants’ knowledge. It is hoped that this activity can serve as a model for sustainable digital-based health promotion interventions in efforts to improve reproductive health literacy among Indonesian women.

Widya Nuryana; Dian Ayu Ainun Nafies; Lilia Faridatul Fauziah; Miftahul Munir

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Food waste is an important indicator in evaluating the effectiveness of food service management, especially in institutional settings such as Islamic boarding schools. High levels of food waste can be influenced by several factors, including food taste and satisfaction with food service. This study aimed to analyze the relationship between food taste and food service satisfaction with food waste among students at Al-Hasyimi Islamic Boarding School Sukolilo Bancar. This research used a quantitative method with a cross-sectional design. The population consisted of 127 female students, with 98 respondents selected using stratified random sampling. Data were collected using the Comstock form to measure food waste and questionnaires to assess food taste and food service satisfaction. Data analysis was conducted using univariate and bivariate analysis with the Spearman Correlation test. The results showed a significant relationship between food taste and food waste (p=0.000), as well as between food service satisfaction and food waste (p=0.000).

Farah Salsa Nabila; Yanto Haryanto; Bhakti Aryani; Fitria Dewi Rahmawati

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Breast tumors are classified into two types, namely benign and malignant tumors, the latter commonly referred to as breast cancer. Breast cancer is one of the major health problems affecting women worldwide, including in Indonesia. According to WHO data in 2022, there were 2.3 million breast cancer cases with 685,000 deaths globally, while in Indonesia, 396,914 cases and 234,511 deaths were reported. The high incidence rate is exacerbated by low public awareness in recognizing early symptoms and performing early detection, resulting in 60–70% of cases being diagnosed at an advanced stage, supported by findings that 65.6% of female students still have a low level of knowledge. Female students were selected as research subjects because they are in a vulnerable reproductive age group and have an important role in increasing awareness of early detection, yet they still have limited knowledge. Based on this, this study aims to design a web-based early detection system for breast tumor risk using the Forward Chaining method, which functions as a tool to identify early symptoms, assess risk levels, and provide information on prevention and initial management. This study employed the method with the Expert System Development Life Cycle (ESDLC) model, consisting of the stages of assessment, knowledge acquisition, design, testing, and documentation, along with the Forward Chaining inference method.

Inayah Rosmayanti; Sri Lestari

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Breast cancer is a serious health problem among women, with incidence and mortality rates that continue to rise. The disease is often detected at an advanced stage due to low levels of awareness, knowledge, and skills related to early detection. Among adolescent girls, particularly high school students, knowledge and skills regarding Breast Self-Examination (BSE) remain limited. This is largely due to restricted access to health information, a lack of targeted educational initiatives, and learning methods that are insufficiently engaging. BSE is a simple and effective early detection method that can be performed independently beginning in adolescence. Video-based education is considered an effective tool for enhancing adolescents’ understanding. This study aims to determine the effectiveness of video-based education in improving knowledge and BSE skills among Grade XI female students at MAN (State Islamic Senior High School) 2 Yogyakarta. This study employed a pre-experimental design using a one-group pre-test and post-test approach. The study population consisted of all Grade XI female students at MAN 2 Yogyakarta, with a sample of 59 students selected through purposive sampling on predetermined inclusion criteria. The intervention involved a single session of a BSE educational video lasting approximately seven minutes. It was conducted in 15 groups, with each group accompanied by one facilitator. Data were analyzed using the nonparametric Wilcoxon statistical test. The Wilcoxon test results showed a p-value of 0.000 (p < 0.05) for both knowledge and skills variables, indicating a statistically significant improvement between the pre-test and post-test scores. In conclusion, video-based education was proven effective in improving knowledge and BSE skills among Grade XI female students at MAN 2 Yogyakarta. Future researchers are encouraged to assess BSE skills using a structured checklist based on standardized evaluation criteria.  

Zilvitanafiandina Zilvitanafiandina; Belian Anugrah Estri

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

According to the International Agency for Cancer Registry (IACR), breast cancer is the most common cancer among women after lung cancer, and continues to be frequently diagnosed worldwide. In 2022, more than 2.32 million new cases of breast cancer were reported globally, while Indonesia recorded 65,858 cases (16.6% of all cancers). Therefore, adolescent girls need to have adequate knowledge and a positive attitude toward breast self-examination (BSE/SADARI) as part of reproductive health awareness and preventive efforts. This study aims to examine the relationship between knowledge and attitudes regarding SADARI among 10th-grade female students at MAN (State Islamic Senior High School) 3 Sleman. This study employed a quantitative correlational approach with a cross-sectional design, involving a sample of 66 respondents. Data were collected using a questionnaire containing questions related to BSE. The Spearman Rank test showed a p-value of 0.606, which is greater than 0.05 (p > 0.05). This indicates that there is no significant relationship between the level of knowledge and attitudes toward BSE among 10th-grade female students at MAN 3 Sleman. In addition, the correlation coefficient (r) was 0.065, indicating a very weak relationship between knowledge and attitudes. There is no significant relationship between knowledge and attitudes regarding BSE among 10th-grade female students at MAN 3 Sleman. Schools and healthcare providers are encouraged to enhance structured and continuous BSE education and incorporate educational media during health counseling to foster positive attitudes.

Kumala Bintang; Tutik Rahayu; Sri Wahyuni

Jurnal Ilmu Kesehatan 2026 Lembaga Pengembangan Kinerja Dosen

Background: Breast cancer is one of the leading causes of death in women in Indonesia. Early detection through SADARI is important from adolescence, but many still lack the knowledge, attitudes, and behaviors necessary to implement it. Health education, such as the SALINDI education package, which contains interactive materials about SADARI. Aims: to determine the effect of providing the SALINDI education package on the knowledge, attitudes, and behavior of SADARI among adolescent girls at SMA Negeri 10 Semarang. Method: This research was conducted at SMAN 10 Semarang. The research design used was a Quasi-Experimental with Pretest-Posttest. The population was 100 female students in grade 11. The sampling technique used was purposive sampling with the Slovin formula, resulting in a sample size of 89 respondents. Normality tests were performed first, followed by bivariate tests using the Wilcoxon t-test. Result: The Wilcoxon statistical test for the effect of the Salindi Education Package on BSE knowledge, attitudes, and behavior showed a p-value of 0.000 <0.05. This indicates that the Salindi education package has an effect on BSE knowledge, attitudes, and behavior. Therefore, it can be concluded that the Salindi education package has an effect on improving BSE knowledge, attitudes, and behavior among adolescent girls at SMAN 10 Semarang. Conclusion: The Salindi education package has an effect on improving BSE knowledge, attitudes, and behavior among adolescent girls.

Dwi Setyorini; Laviana Nita Ludyanti

International Journal of Health and Social Behavior 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Adolescents require higher levels of nutrients for physical growth and development, but the current trend is for adolescents to prefer instant foods such as junk food, spicy foods and foods containing unhealthy additives. This has led to the emergence of various diseases, one of which is gastritis. This condition is even more risky for female students living in Islamic boarding schools with busy activities and irregular meal schedules, thus requiring efforts to prevent gastritis. This study aims to determine the gastritis prevention behaviour of female students at Ma'had Asy-Syakur MAN 2 Kediri. This study uses a descriptive design with one variable, namely gastritis prevention behaviour. The research population consisted of students living at Ma'had Asy-Syakur MAN 2 Kediri, with a total of 59 respondents. Data collection was conducted using a gastritis prevention behaviour questionnaire. The results showed that almost all respondents (81.36%) had gastritis prevention behaviours in the adequate category, with a small portion in the good category (18.64%). The female students' busy and well-scheduled activities, accompanied by the implementation of discipline, regular meal arrangements, and the provision of stomach-friendly menus, contributed to the formation of gastritis prevention behaviour. The most common preventive behaviour was avoiding spicy foods, due to habits, taste preferences, and socio-cultural factors that had been established. This study recommends the need for health education that not only focuses on increasing knowledge but also changing attitudes and habits so that gastritis prevention behaviour can be further optimised.

Anny Eka Pratiwi

Jurnal Inovasi Riset Ilmu Kesehatan 2026 Pusat Riset dan Inovasi Nasional

Adolescent mental health is an important aspect in human resource development because it affects learning ability, social relationships, and readiness to face adult life. Adolescence, especially at the junior high school level, is a transitional period that is prone to mental and emotional disorders due to biological, psychological, and social changes that occur simultaneously. This study aims to describe the mental health condition of adolescents using the Self Reporting Questionnaire (SRQ-20) instrument in students of SMPN 3 Ubud, Gianyar Regency. The study used a descriptive design with a cross sectional approach. The sampling technique was carried out in total sampling with a total of 117 students. The research instrument is in the form of an SRQ-20 questionnaire that has been proven to be valid and reliable. Data analysis was carried out descriptively to describe the distribution of symptoms and mental health categories of respondents. The results showed that most students were in the category of good mental health, although there were still a number of students with poor conditions. The most common symptoms are easy to feel tired and difficulty in making decisions. Based on the characteristics of respondents, students aged 13–15 years are more likely to experience poor mental health conditions than 11-13 years old, and the proportion of female students is higher than men in experiencing symptoms of mental emotional disorders. These findings affirm the importance of early detection of adolescent mental health in schools as the basis for promotive and preventive interventions, through optimizing the role of counseling guidance and creating a supportive school environment.

Yudi Tusri; Anton Kurniawan

Jurnal Pengabdian Sosial dan Kemanusiaan 2026 Lembaga Pengembangan Kinerja Dosen

Economic independence for Islamic boarding school graduates remains a challenge amidst competitive job market. This community service (PkM) aims to increase the motivation and insight of female students (santriwati) regarding business opportunities in the service sector as an entrepreneurship alternative without requiring significant capital. The main problem faced by the partners in Baturaja was limited business literacy and the perception that entrepreneurship necessitates physical products. The method employed was socialization through interactive lectures, group discussions, and sharing sessions with academics. The results of the activity indicated a significant increase in entrepreneurial motivation among the students, with 85% of participants now expressing interest in starting service-based businesses such as education, design, or digital services. Furthermore, the participants' understanding of practical steps to initiate a business increased substantially. This activity successfully shifted the students' mindset to become more innovative and independent in facing economic challenges post-boarding school education.

Tri Sartika; Ayu Devita Citra Dewi

Jurnal Pengabdian Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

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

Tri Sartika; Ayu Devita Citra Dewi

Jurnal Pengabdian Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

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

Ni Wayan Astri Savitri

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Children at the elementary school level are in a phase of rapid growth, encompassing intellectual, physical, and social development. Within the age range of 6–12 years, children are expected to begin managing their own self-care, including maintaining daily personal hygiene. Personal hygiene refers to a set of self-care practices performed to maintain physical health and psychological well-being. Independence in personal hygiene can be defined as a child’s ability to carry out personal hygiene activities independently without reliance on others, related to both physical cleanliness and psychological comfort. This study aimed to describe the level of personal hygiene independence among school-age children at SD Negeri 1 Gianyar. The research employed a quantitative descriptive design with a cross-sectional approach. The study population consisted of 376 students from grades I to III, with a sample of 194 students selected using proportionate stratified random sampling. The results showed that the majority of respondents demonstrated good independence in personal hygiene, with 186 children (95.9%) categorized as independent, while 8 children (4.1%) were categorized as moderately independent. Children’s independence tended to increase with age, and no significant differences were found between male and female students. These findings indicate that the role of families and schools, through consistent habituation and support, plays a crucial role in fostering children’s independence in maintaining personal hygiene.  

Ina Sugiharti; Ecih Winengsih; Meda Yuliani; Dyah Ayu Fitriani

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Menstrual pain (dysmenorrhea) is a common complaint among adolescent girls and often disrupts school activities. Limited understanding of its causes and appropriate self-care practices contributes to the persistence of symptoms. This study examined the effect of dysmenorrhea health education on improving knowledge among female students at SMK Pasundan Jatinangor. A method A pre-experimental one-group pretest–posttest design was used in this study. A total of 42 students participated and completed a dysmenorrhea knowledge questionnaire before and after a 60-minute educational session delivered through presentation media and group discussion. The results were analyzed descriptively to observe changes in knowledge levels. Resulted The intervention produced a notable improvement in students’ knowledge. The proportion of participants with good knowledge increased from 45.2% at pretest to 73.8% at posttest, while those in the low-knowledge category decreased substantially. Participants demonstrated clearer understanding of dysmenorrhea symptoms, contributing factors, and simple management strategies. Dysmenorrhea education effectively enhanced students’ knowledge at SMK Pasundan Jatinangor. Regular reproductive-health education programs in schools are recommended to support adolescents in managing menstrual discomfort independently and appropriately.

Zakia Ulrahmah; Hafni Zahara; Futry Maysura

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Anemia is a micronutrient deficiency problem that is common in various parts of the world. Indonesia is one of the countries with a high anemia rate. According to the 2024 Basic Health Research (Riskesdas), the anemia rate in adolescent girls reached 32%. Breakfast habits and consumption of iron supplements affect daily nutritional intake. Low hemoglobin levels occur due to infrequent iron supplement consumption and inadequate food intake, resulting in a lack of iron stores in the body. The purpose of this study was to encourage adolescent girls to continue maintaining good habits of consuming iron supplements and having a healthy breakfast. This study used a quantitative analytical observational method with a cross-sectional design. The target population was female students of SMPN 1 Nibong. The study was conducted at SMPN 1 Nibong. The sample was obtained using a cluster random sampling technique of 50 respondents. The results of the chi-square test showed a strong association between breakfast habits and the risk of anemia, with a p-value of 0.000, which is far below 0.05, so technically significant. In essence, breakfast habits and blood supplement consumption have been shown to influence the risk of anemia in adolescent girls at SMPN 1 Nibong. The school is expected to promote understanding of nutrition and the importance of breakfast and blood supplement consumption, as well as motivate students to eat breakfast and consume blood supplement tablets regularly.

Umi Fania Julianti

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Breast cancer is a type of disease affecting the supporting tissue in the breast. In Indonesia, breast cancer is the leading cause of cancer death among women. Early detection of breast cancer is very important to be done as soon as possible through SADARI behavior because if an abnormality in the breast is detected early, clinical examination can be conducted promptly. Research objective: to identify the factors associated with SADARI behavior among female adolescents at SMAN 1 Tekarang. Research method: This study is quantitative with an analytical approach using a cross-sectional time approach. The study was conducted at SMAN 1 Tekarang from April 5, 2025, to May 21, 2025. The study population consisted of 217 female students at SMAN 1 Tekarang, while the sampling technique used was accidental sampling, resulting in 187 samples. The variables studied were the dependent variable of SADARI behavior and independent variables of attitude, health literacy, information exposure, and family health history with breast cancer. Data collection using a questionnaire. Analysis using the Chi Square test. The results of the analysis showed no relationship between attitudes (ρ value 0.073) and health lateracy (ρ value 0.959) with SADARI behavior, while there was a relationship between information exposure (ρ value 0.000) and family health history of breast cancer (ρ value 0.000) with SADARI behavior. Conclusion: There is a statistical relationship between information exposure and family health history with BSE behavior.  

Putra Armadilo Januarta; Dwi Susanti

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Adolescent girls' adherence to taking iron tablets is still lacking, iron intake is very important to prevent anemia. Based on the 2018 Riskesdas, the coverage rate of iron tablets is 76.2%, but the awareness of adolescent girls of the importance of preventing anemia by consuming iron tablets is still low. One way to increase compliance with taking blood supplement tablets is by utilizing peer group education. This study aims to determine the effect of peer group education in an effort to increase adherence to taking blood tablets for adolescent girls. This is a quantitative pre-experimental study using One-Group Pretest-Posttest Design. The population was all students of class XI SMAN 1 Godean. Simple random sampling technique with a sample size of 58 female students. Education time was 40 minutes with peer educators in each group. Data analysis using the Wilcoxon test with the results of compliance with iron tablet consumption before education in adolescent girls at SMA Negeri 1 Godean in the category of non-compliant as many as 51 people (87.9%) and compliant as many as 7 people (12.1%), compliance with iron tablet consumption after education has increased in the category of compliant as many as 16 people (27.6%) and non-compliant as many as 42 people (72.4%). In the Wilcoxon Test, the results obtained p = 0.013, therefore it was concluded that there was an effect of peer group education on increasing compliance with blood supplementation tablet consumption in adolescent girls of SMA Negeri 1 Godean.

Ernawati Ernawati; Alexander Halim Santoso; Bryan Anna Wijaya

Jurnal Pengabdian Kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

The rapid rise of short-form social media platforms, particularly TikTok, among adolescents has raised concerns regarding excessive use and potential behavioral addiction that may negatively affect mental health and academic functioning. This community engagement program aimed to screen the risk of TikTok addiction among secondary school students in West Jakarta and provide education on healthy digital practices. The program was conducted at one private school in Jelambar, involving 306 students aged 11–18 years. Screening was performed using the TikTok Addiction Scale (TTAS) followed by digital literacy education. A Plan–Do–Check–Action (PDCA) framework was applied to ensure systematic implementation. The mean TTAS score was 39.97 ± 14.24 (range 20–84), indicating diverse levels of TikTok engagement. Female students demonstrated higher scores and wider distribution, suggesting greater vulnerability to excessive social media use. Digital hygiene and screen-time management education enhanced students’ awareness regarding social media addiction risks and appropriate preventive strategies. This program demonstrated the feasibility and effectiveness of TTAS-based screening for early identification of TikTok addiction risk. It highlighted the importance of integrating digital health promotion into school-based mental health programs to support adolescent well-being.

Rizki Rini Rahayu; Sofie Rahmawati; Melani Lailansyah; Wanda Rahma Wardani; Sudharno Dwi Yuwono

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

This psychoeducation is motivated by the need for service support for students with special needs at SLB Negeri Pembina Yogyakarta. Some students with intellectual disabilities require assistance in recognizing and expressing their emotions. The purpose of this counseling activity is to provide appropriate media needed to support the development of students’ emotional expression in everyday social interactions. The counseling method employed was a play-based learning approach. The evaluation of the effectiveness of this method involved 10 students with intellectual disabilities, consisting of 7 male students and 3 female students in Grade VII of junior high school. Based on the results of the counseling activities, which were conducted in three stages—namely the opening stage, the emotion recognition stage, and the application of the emotion wheel—it was found that the use of the emotion wheel media strengthened the emotional expression abilities of students with intellectual disabilities. This improvement was evident from observable changes in the emotional behavior of some students.

Tri Sartika; Ayu Devita Citra Dewi

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2025 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Stress among early adolescent girls in junior high school is an increasing health concern due to academic demands, social pressure, digital exposure, and menstrual related discomforts. Complementary interventions such as deep-breathing techniques offer a simple method that can be implemented in school settings to rapidly reduce stress. This study aimed to examine the effect of deep-breathing techniques on menstrual related stress among ninth-grade female students at SMPN 2 Rambutan, Banyuasin Regency.  A pre-experimental one-group pretest–posttest design was used. The sample consisted of 60 students selected from the ninth-grade population. Stress levels were measured using the Perceived Stress Scale (PSS-10) focusing on stress during menstruation before and after a single deep-breathing session. Data were analyzed using the Wilcoxon test. The results showed a significant reduction in stress scores after the intervention (p < 0.001). The proportion of students in the high-stress category decreased from 20% to 6.7%, while those in the low-stress category increased from 10% to 30%. The mean stress score decreased from 21.35 ± 4.82 to 15.42 ± 4.11. This study concludes that deep-breathing techniques are effective in reducing menstrual-related stress in female students within a single session and can be recommended as a complementary strategy that is easy to implement in schools for adolescent menstrual stress management.