Menstruation is the normal cycle experienced by all women’s, however it’s causes unstable emotions, irritable, crying, aggressive, provoking, pain, bleeding a lot of bleeding in a long duration. These problems would influence women’s well-being, so interventions are needed for women’s with menstrual problems. This systematic review aimed to describe the findings from studies about the interventions to deal with menstrual problems. The review process was conducted using electronic databases: PubMed, Proquest, Google scholar and EBSCO. The keywords used were Quality of life, Menstruation problems, Menstruation periods, Teenage, and Urban. The inclusion criteria of articles were taken from 2015 to 2018 while the exclusion criteria were articles that were non-English. The review identified a total of 12 articles. However, according to the inclusion and exclusion criteria, 5 articles were obtained. The method used was experimental and cross sectional study. In addition, the analysis was used content analysis process. Menstrual problems can be minimized by doing various physical exercises continuously and intensively, the factors of age and counseling from the closest person greatly determines the quality of life in adolescents with menstrual problems. In addition, providing TENS therapy and drug therapy among adolescent can help to improve the quality of life in adolescents with menstrual problems. Conclusions: Menstrual problems can be reduced in various ways, including physical, pharmacological and non-pharmacological treatments.

Background: Cognitive changes in the elderly are a natural consequence of the degenerative process. In this process, sleep quality becomes an important factor affecting cognitive function. While it is known that prolonged sleep disturbances can increase the risk of cognitive impairment in the elderly, few studies have specifically explored the relationship between sleep quality and cognitive function in the context of the elderly in elderly residents. Aim: To determine the relationship between sleep quality and cognitive function in elderly residents. Methods: This study used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The research population comprised all elderly residents of Tresna Werdha Social Institution Budi Mulia 3 in Jakarta, totaling 282 individuals, with a sample size of 80 elderly individuals selected using simple random sampling. Data collection was conducted using questionnaires, and data analysis was performed using the Chi-square test. Results: The results showed that the majority had good sleep quality (55%) and normal cognitive function (51.2%). There is a significant relationship between sleep quality and cognitive function (p=0.000) with an OR value of 19.444. Conclusion: There is a significant relationship between sleep quality and cognitive function in the elderly. Recommendations: Based on the results of this study, it is recommended that nurses carry out community-based interventions, such as sleep health education activities and stress management, to support comprehensive elderly health. Further research is recommended to develop and test the effectiveness of non-pharmacological-based interventions, such as cognitive behavioural therapy and meditation techniques, in improving the quality of elderly sleep. Keywords: cognitive function; elderly; sleep quality.

Sudden deaths from acute myocardial infarction have been  a current trend of health care problem of Indonesians. This condition may have impacted on the patient’s quality of life. The aim of this literature review was to identify factors that affected quality of life patient after acute myocardial infarction event. This review used a scoping review method. Literature searching was conducted using Google Scholar, Pubmed and Science Direct utilizing keywords: acute myocardial infarction, quality of life and questionnaire. The inclusion criteria were quantitative or qualitative study, peer-reviewed, published in 2008 – 2018. There were 18,035 papers retreived, only 19 papers met the inclusion criteria. Data were analyzed using content analyses. The findings of this study indicate that the quality of life of patients has decreased after experiencing acute myocardial infarction. Quality of life is influenced by 5 major factors, namely biological factors, emotional factors, physical factors, social factors and psychometric factors.  There are 5 major factors that are proven to still affect the quality of life of patients with acute myocardial infarction. Further research is needed to determine psychometric factors in influencing quality of life. The instrument that can be used is macnew quality of life after myocardial infarction because it meets the psychometric criteria.

Management of atrial fibrillation (AF) is limited to low detection, treatment non-adherence and several other considerations, resulting in the utilization of mobile health devices  (mHealth) for comprehensive and continuous telemonitoring  of atrial fibrillation. This study aims to identify the use of mHealth in atrial fibriullation telemonitoring. The reseach design is a literature review using the PRISMA method approach. Literature search used the keywords “mHealth” and “telemonitoring” and “atrial fibrillation” from the PubMed, Science Direct, Scopus and ProQuest databases, with inclusion criteria namely article on the use technology or mobile health-based applications in telemonitoring atrial fibrillation (AF), articles less than 5 years, fulltext and open access. The seven articles analyzed, six articles on the use of mHealth can be used for atrial fibrillation telemonitoring and one article shows the use of applications for educational media. Further development is needed in line with increasing needs, ease of use and technological developments in the health sector.

HIV is a severe health problem. Pangandaran is a West Java tourist spot with a high risk of HIV transmission among adolescents. Knowledge about HIV, attitudes towards HIV transmission behavior, and HIV risk behaviors are essential for every individual because adolescents are a vulnerable population. This study aims to identify knowledge, attitudes, and risk behaviors for HIV transmission. This descriptive research with the research population is teenagers class XI and XII in SMK "X" Pangandaran, as many as 915 people. Data collection using proportionate stratified random sampling technique with a sample of 278 students online. Data collection was carried out within one month and distributed using Google Form using a modified Knowledge, Attitudes, and Risk Behavior related to HIV (PSP-HIV) questionnaire, which had been tested for validity and reliability. Data were analyzed using univariate in the form of frequency distribution for knowledge and attitudes. Risk behavior is grouped based on the frequency and percentage of respondents' answers to each statement. The results of this study found that (71.6%) of adolescents had less knowledge about HIV. A total of (54.7%) of adolescents have a terrible attitude toward HIV transmission behavior. The three risk behaviors for HIV transmission with the highest scores among students in this study were: 1) using protection or condoms during sexual intercourse as much as 5.4%; 2) having sex with girlfriends as much as 5%; 3) having sex with friends as much as 3.2%Adolescents must be provided with accurate and complete information so that they do not become a vulnerable group to suffer from HIV.

Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis, causing coughing, fever, and chest pain. There were 50 people suffering pulmonary TB                                                In Public Health Center in Siantan Hilir Pontianak who must be treated immediately. Intervention is crucial because of many cases of TB recurrence. This study aimed to determine the effectiveness of family empowerment in latent screening for TB Infection based on WHO guidelines on the level of TB patient obedience and family burden. The research method was a quasi experimental study involving 36 people (family) of TB sufferers with consecutive sampling technique. As many as 18 people received empowerment (treatment) interventions, and 18 others were not treated. Before, they given informed consent in each group. The study was conducted for two months and have given three visits therapy during the study for the intervention group. The instruments used were Morisky Medication Obedience Scale-8 (MMAS-8) and Caregiver Burden Scale (CBS). The results showed that there were significant differences related to family empowerment in WHO-based latent screening on TB Infection in increasing patient obedience with p = 0,000 and for caregiver burden with p= 0,000 (p <0.005). It is expected by applying the family empowerment in screening could prevent and reduced the morbidity of TB sufferers. The family empowerment can increase the obedience of patients with pulmonary TB and reduce the burden on the family.

Introduction, early detection of cancer is an important action in addressing the high incidence breast cancer cases. The easiest early detection that women could do is breast self-examination(BSE). Previous research indicated a gap between knowledge and behavior towards breast self-examination. Intrinsic motivation is needed by women to perform breast self-examination. This study aimed to identify the intrinsic motivation of women reproductive age in performing breast self-examination in Kebonwaru District Bandung. Methods, this study was a descriptive quantitative study, the study population was women in reproductive ages. The samples were chosen using the simple random technique (n = 344). Data was collected using Intrinsic Motivation Inventory instrument which has been back-translated. Data were analyzed using descriptive analysis of frequency distribution and percentage. The results showed that the proportion of respondents who had the high intrinsic motivation and low intrinsic motivation were almost the same (54.1% and 45.9% respectively). The majority of respondents (84% of) had a high perception of importance and usability of BSE. 66.3% of respondents had a perception of suitability and interest along with high competence perception. In addition, 56.4% of respondents had a high perception of effort and choice. However, 57.4% of respondents reported an increased sense of stress and nervous when performing BSE. Conclusion, there is a need to maximize cancer prevention and promotion programs.  For example, health education related to cancer prevention and treatment,  accompaniment, and counseling, and providing information about the importance of early detection.  That information could increase the intrinsic motivation of women to perform breast self-examination so a number of women’s mortality caused by breast cancer could be decreased and breast cancers could be detected earlier.

Coronary Heart Disease (CHD) was the number two cause of death; one of the treatments for CHD was Coronary Artery Bypass Graft (CABG). Patients after undergoing CABG will undergo treatment in the Intensive Care Unit (ICU). In patients who experience treatment in the ICU, many patients experience sleep disturbances related to therapy regime rhythm in the ICU. This literature review aims to identify the intervention for managing sleep quality in post-CABG patients undergoing treatment in the ICU. The method use was a narrative review study, The review was conducted two databases, PubMed and ScienceDirect, to search data from 2012 to 2022. The keywords used were Coronary Artery Bypass Graft, Intensive care unit, and Sleep Quality. The results of this study included nine articles reviewed, which were entirely randomized control trials and randomized clinical trials. The review found that the interventions to manage sleep quality are deep breathing therapy, aromatherapy with roses, acupressure, self-care, and drug administration. From the results of the review, it was found that all articles reported using several specific interventions in the intervention group that were proven to improve sleep quality in post-CABG patients. The study results provide information for nurses regarding sleep quality in post-CABG patients.

The coronavirus 2019 (Covid- 19) pandemic offers incredible challenges to child and adolescent health because the school closure and the impracticability of activities outside the house have been challenging for parents. When schools are closed, they lose an anchor in life, and their symptoms could relapse; these unstoppable circumstances, which are beyond average experience, are primary to stress, anxiety, and a feeling of helplessness in all. This research aimed at identifying, analysing, and examining children's mental health during pandemic articles published in several reputable international journals issued in the 2019-2020 timeframe, which was led using bibliometric studies. This research hires a bibliographic study using systematic and explicit mapping methods. The research was conducted using a 4-stages systematic mapping method: (1) searching for articles using the Publish or Perish application in the Scopus database, (2) classifying the articles for the bibliometric analysis, (3) checking and completing the metadata of those articles, and (4) conducting bibliometric analysis using VOSviewer application. The bibliometric analysis produced four findings, as follows: (1) the trend of mental health children’s publications 2019-2020; (2) the ten most contributive journals has published; (3) the ten most cited articles has produced 170 citations; (4) the five highest order of author keywords most widely used in mental health children’s articles were mental health, children, human, school, and covid- 19. Children's mental health can be concluded as the term of research is currently popular among researchers.

Pengukuran kualitas hidup pada korban bencana banjir menjadi penting karena bencana tidak hanya memberikan dampak fisik namun juga menyebabkan trauma psikologis seperti masalah emosional, ekonomi dan kesehatan. Perubahan tersebut dapat mempengaruhi kualitas hidup mereka. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup masyarakat korban bencana banjir di Desa haurpanggung Kecamatan Tarogong Kidul Kabupaten Garut. Metode penelitian ini yaitu desktiptif kuantitatif. Penelitian ini menggunakan teknik purposive sampling yang melibatkan 93 responden. Instrumen yang digunakan yaitu World Health Organization (WHOQOLBREF) yang terdiri dari 26 pertanyaan. Analisa data menggunakan distribusi frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa korban bencana banjir memiliki kualitas hidup sedang 35,5% dan memiliki persepsi kepuasan terhadap kesehatan yang biasa-biasa saja 37,6%. Adapun kualitas hidup berdasarkan tiap dimensi, sebagian besar responden memiliki kualitas hidup yang baik pada dimensi fisik 68,8%, memiliki kualitas hidup yang sedang pada dimensi psikologis 54,8%,, memiliki kualitas hidup yang sedang pada dimensi sosial 67,7% dan memiliki kualitas hidup yang sedang pada dimensi lingkungan 65,6%. Meskipun kualitas hidup masyarakat korban bencana banjir baik dan sedang namun ditemukan sebagian korban memiliki masalah pada indikator dimensi lingkungan terkait kebutuhan uang dan kesempatan rekreasi. Diperlukan intervensi bagi pemerintah daerah dan perawat yaitu mendorong peningkatan ekonomi keluarga dan melakukan trauma healing bagi para korban

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.

Gluten Free Casein Free (GFCF) is a diet recommendation to reduce hyperactivity in children with autism. Lack of adherence and knowledge can lead to improper dietary application which will result in remaining health problems and hyperactive behavior of autistic children. The purpose of this study is to examine knowledge and perception of parents towards GFCF diet in children with autism. This descriptive-quantitative study used a total sampling technique to 57 parents of autistic children in 3 Bandung District Extraordinary Schools. Data was obtained through questionnaire with validity ranging from 0.315-0.912 and reliability of 0.788 and 0.932. Data was analyzed using frequency and percentage in descriptive statistics. Results showed that some parents lacked of knowledge (n = 28), and 67% of subjects (n = 38) had a positive perception of GFCF diet. Positive perception includes perception of benefits, perception of susceptibility, perception of self efficacy, and perception of severity. In the perception of barrier, some subjects had negative perception. Based on the results, several parents had positive perception of GFCF diet, although the parental knowledge related to this diet was in the low category. That is likely because of parents have not received sufficient information related to GFCF diet. Therefore, health workers especially community nurses are expected to collaborate with nutritionists in making regular visits in order to provide parents of autistic children with health education related to GFCF diet in extraordinary schools.

Stroke is a global health problem and deaths. Stroke with hemiparesis can cause long-term disability if not treated properly. Intervention with the right therapy can prevent various obstacles, one of which is mirror therapy which is an intervention method that is cheap, easy, safe, and can be done independently. However, the review of comprehensive studies is limited. This study aimed to determine the benefits of mirror therapy on the extremity function of post-stroke patients who had hemiparesis. This study used a narrative review approach basaed on PRISMA 2020 guidelines. Searching article were conducted in four databases, namely PubMed, CINAHL, Sage Journal, and Google Scholar, with the keywords were mirror therapy, Stroke rehabilitation, post-stroke, hemiparesis, and stroke. Inclusion criteria in this study were stroke patients with hemiparesis, randomized controlled trial (RCT) research design, quasi-experimental and clinical trials, using English and Indonesian, full-text articles available in 2012-2022, with the outcome of the study were quality of life, increased extremity motor function, cognitive, emotional and reduce the patient&#39;s pain. Results: twelve articles show the effect of mirror therapy in post-stroke patients who experience hemiparesis and the review notes that mirror therapy has a positive effect on motor improvement which has an impact on increasing the ability to carry out daily activities, preventing depressive disorders, and improving the quality of life of patients. The combination of the application of conventional rehabilitation therapy, neuromuscular electrical stimulation, and the use of virtual reality-based mirror therapy can enhance the therapeutic effect. Conclusion: Mirror therapy can be used as a therapeutic recommendation that can improve limb function in post- stroke patients. More research is needed by meta-analysis to find more comprehensive evidence.Keywords: Hemiparesis, Mirror Therapy, Post Stroke

COVID 19 has become a world health problem, and Indonesia has declared an emergency status for an outbreak. To prevent transmission of COVID 19, the government has set three policies that are increasing the availability and reliability of infrastructure, involving the industrial world and social education. However, COVID 19 transmission still occurs. Preparedness for COVID 19 transmission starts with the family as a minor system in the community. The Healthy Indonesian Program with a Family Approach is considered an excellent effort to carry out health functions to prevent COVID 19 transmission. This study aimed to optimize family functions in preventing COVID 19 transmission. This study used a descriptive-analytic design. Two hundred and fifty-eight samples were recruited using a consecutive sampling technique. To measure family function using a questionnaire. Data were analyzed by descriptive statistics (i.e., frequency statistics). The frequency statistics showed that most of the respondents have optimally performed family functions in the health sector. Most of the respondents understand COVID 19 (88,4%), they are capable of making decisions (96,9%), they can care for the family (88,8%), they can modify the environment (75,2%), and they can take advantage of health services (81%). This study only captures the extent to which the family optimally performs health functions; it does not provide any form of intervention. The results of this study prove that the family has an important role to play in breaking the transmission of COVID 19.

Acute coronary syndrome (ACS) menjadi penyebab utama kematian di seluruh dunia termasuk di Indonesia. Health education merupakan suatu program edukasi yang diberikan oleh perawat kepada pasien yang bertujuan untuk meningkatkan status kesehatan melalui peningkatan dan pemeliharaan perilaku kesehatan. Penelitian mengenai manfaat health education pada pasien ACS saat ini masih terbatas. Hal tersebut menunjukkan kebutuhan untuk mengumpulkan bukti manfaat dari program health education pada pasien ACS. Tujuan dari literatur ini adalah untuk mengidentifikasi manfaat health education berdasarkan literatur. Pencarian literatur dilakukan pada database elektronik Medline, PubMed, CINAHL, PsycInfo dan Cochrane Library dengan kata kunci acute coronary syndrome AND health education. Kriteria inklusi terdiri dari: pasien dengan ACS, jenis penelitian true experiment, publish dari tahun 2014-2019 dalam Bahasa Inggris. Penilaian kualitas artikel dilakukan dengan menggunakan instrumen dari CONSORT. Hasil pencarian pertama ditemukan 6.028 artikel dan setelah dilakukan skrining serta evaluasi, didapatkan 5 artikel yang memenuhi kriteria inklusi. Hasil tinjauan menunjukan bahwa health education terbukti efektif dalam menurunkan gejala depresi, meningkatkan self-efficacy, meningkatkan self-care dan meningkatkan quality of life pada pasien ACS. Dengan demikian, health education penting  untuk diberikan pada pasien ACS sedini mungkin sesuai dengan karakteristik, budaya, dan sumber daya yang tersedia sebagai upaya untuk meningkatkan keyakinan diri dalam melakukan perawatan mandiri

Pressure ulcers are a complication that becomes more complex when experienced by patients with multimorbidity such as Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), and thrombocytopenia. These conditions can lead to prolonged healing, high risk of infection, systemic complications, and even death. Interventions must be accompanied by appropriate tools to evaluate wound healing optimally. The Pressure Ulcer Scale for Healing (PUSH) is a tool for accurately, practically, and simply assessing the progression of pressure ulcers. However, its use for evaluating pressure ulcers remains limited. The objective to describe the use of PUSH in patients with pressure ulcers and multimorbidity. Method: This study used a case study design involving a 56-year-old patient with a grade III pressure ulcer on the buttocks measuring 121.5 cm2 with granulation tissue, minimal necrosis tissue, pus, and active bleeding. Wound progression was evaluated using PUSH over 4 days during wound care. The results that the PUSH score increased to 16 with a wound size of 150 cm2 moderate exudate, and extensive necrosis tissue. This indicates that the wound condition has not improved, prompting an evaluation of the wound care and factors hindering wound healing. Although PUSH aids clinical decision-making, it has limitations in assessing wound depth and systemic conditions as it only evaluates three parameters. The PUSH instrument is a simple and efficient tool for monitoring the healing of pressure ulcers and has the potential to indicate changes in wound condition as a result of an intervention, thereby aiding clinical decision-making. PUSH is recommended for routine use in clinical practice, while continuing to evaluate systemic conditions comprehensively and involving a multidisciplinary team.

Inpatient room in a psychiatric hospital is divided into the acute (intensive) room and non-acute (inpatient) room. Several types of research showed different levels of work stress experienced by nurses in those rooms. The work stress is a form of individual response towards physical and psychological demand caused by the interaction of an individual to the working environment. This research aimed to know the difference in the work stress levels of nurses in psychiatric intensive care unit and inpatient room at a Psychiatric Hospital in West Java Province. This research used a comparative analytical design. The 104 samples were chosen through proportional random sampling technique. The data were collected through New Brief Job Stress Questionnaire (New BJSQ) instrument containing 29 items. The technique of data analysis used was the Mann-Whitney test. The results showed that job stress levels of nurses in psychiatric intensive care unit and inpatient room were low with the median score 42 (SD=7.706 for the intensive care unit and in the inpatient room was 38 (SD=6.167). The results of the Mann-Whitney test found p-value (0.047) < 0,.5. In conclusion, there is a bit different in the job stress level of nurses in psychiatric intensive care unit and inpatient room. Maintaining the mechanism of adaptive coping, adding the number of nurses, and the policy regarding nurse room rotation schedules would be solutions to overcome with work stress.

Uterine prolapse is a condition where the uterus herniates into the vagina as a result of ligament failure and fascial support. Uterine prolapse often occurs together with prolapse of the vaginal wall, which involves the bladder or rectum. menopausal women. If uterine prolapse is not treated immediately, it can cause other health problems such as bleeding which can cause severe anemia. The purpose of this study was to describe nursing care that can be carried out in patients with uterine prolapse with severe anemia. The method used is a descriptive method with a case study approach, while the instrument used is an observation format at the Bandung City Hospital and an assessment format from the Unpad Faculty of Nursing. The sample in this study was one patient with uterine prolapse with severe anemia. The nursing diagnoses found in patients are the risk of shock, acute pain, and risk of infection. The implementation provided is in the form of shock management which includes blood transfusion therapy, tranexamic acid therapy, and monitoring of vital signs. Management of uterine prolapse in the form of Kegel exercises and placing a pessary, pain management, as well as prevention of infection. As a result, it was found that there was an improvement in the Hb value from 7 gr/dL to 10 gr/dL, complaints of weakness and pain decreased, and the patient had been placed with a pessary type pessary ring with support. The existence of uterine prolapse is necessary to increase awareness to prevent the incidence of uterine prolapse and to minimize the impact that occurs due to uterine prolapse, as well as to increase patient awareness to conduct examinations to health services.

School activities and socialization consume a lot of time for adolescents and leave a little time for adolescents to rest or sleep. Changes in environment, independence and changes in sleep patterns commonly occur for students who undergo pesantren activities, thus affecting the quantity and sleep quality of students. Sleep deprivation is associated with poor sleep hygiene behaviour. This study used descriptive quantitative method with single variable. Sampling technique used at this study is stratified random sampling. This study involved as many as 161 adolescent moslem students at the age of 11-20 years in Pondok Pesantren Darul Hikmah Tanjungmekar Tanjungkerta Sumedang Distric. Data collected by using Adolescent Sleep Hygiene Scale Questionnaire and analyzed by using mean value. The result of this study showed that more than half of the respondents had good sleep hygiene practices (68,3%). There are four aspects of adolescent moslem students sleep hygiene in good category : cognitive/emotional aspect, sleep environment aspect, sleep stability aspect and substance use aspect. Two aspects of sleep hygiene in bad category are in the daytime sleep aspect and bedtime routine aspects. Meanwhile physiological aspect and behavioural arousal aspect have an almost balance values. Monitoring moslem students sleep schedule not to exceed 24.00, providing separate room for moslem study self study, habits of toothbrush before bed, monitoring of cigarette use in cottage environment, not providing tea at dinner time, and monitoring of moslem students activity outside school or cottage Pesantren is a thing that should be attention.Keyword: Adolescent, moslem students, sleep hygiene. Gambaran Sleep Hygiene Santri Remaja Pondok PesantrenAbstrakAktivitas sekolah dan sosialisasi yang dilakukan oleh remaja mengakibatkan banyaknya waktu yang tersita dan hanya sedikit waktu yang disisakan untuk beristirahat ataupun tidur. Perubahan lingkungan, kemandirian dan perubahan pola tidur yang tajam biasa terjadi bagi siswa yang menjalani kegiatan pesantren, sehingga berpengaruh terhadap kuantitas dan kualitas tidur siswa. Kekurangan tidur ini berhubungan dengan buruknya perilaku sleep hygiene. Penelitian ini bertujuan untuk mengetahui gambaran 8 aspek sleep hygiene, serta gambaran sleep hygiene berdasarkan latar belakang demografi santri. Penelitian ini menggunakan desain deskriptif kuantitatif dengan variabel tunggal. Adapun teknik sampling yang digunakan yaitu stratified random sampling. Penelitian dilakukan terhadap 161 santri remaja usia 11-20 tahun di Pondok Pesantren Darul Hikmah Tanjungmekar Kecamatan Tanjungkerta Kabupaten Sumedang. Data dikumpulkan menggunakan kuesioner Adolescent Sleep Hygiene Scale serta dianalisis menggunakan nilai mean. Hasil penelitian ini menunjukkan bahwa sebanyak 68,3% responden memiliki praktik sleep hygiene yang baik. Aspek-aspek sleep hygiene santri yang berada dalam kategori baik terdapat pada aspek kognitif emosional, aspek lingkungan tidur, aspek stabilitas tidur dan aspek penggunaan substansi. Adapun 2 aspek sleep hygiene yang berada dalam kategori buruk terdapat pada aspek tidur siang dan aspek rutinitas sebelum tidur. Sedangkan aspek fisiologis dan aspek perilaku penggugah memiliki hasil yang hampir seimbang. Memantau jadwal tidur santri agar tidak melebihi pukul 24.00, menyediakan ruangan terpisah bagi santri untuk belajar mandiri, pembiasaan sikat gigi sebelum tidur, pemantauan penggunaan rokok di lingkungan pondok, tidak menyediakan teh pada saat jam makan malam, dan pemantauan kegiatan santri diluar jam sekolah ataupun pondok pesantren merupakan hal yang sebaiknya pengurus pondok pesantren perhatikan.Kata kunci : Remaja, santri, sleep hygiene.

Self-efficacy is a person’s belief or confidence in doing something. Self-perception related to confidence in the learning process or learning strategy is often called “learning self-efficacy” where it reflects how confident a learner is in achieving certain learning objectives in the context of performing clinical skills of urinary catheterization. In developed countries, virtual reality is proven to be able to increase student self-efficacy but in developing countries there is still limited research. The purpose of this study was to see the effect of virtual reality learning media on the self-efficacy of nursing students in the learning process in Indonesia as a developing country. This research design is a quantitative study with a pre-experiment research design with one intervention group with a pre-test post-test design approach. The sampling technique used was purposive sampling with 49 nursing students of the Faculty of Nursing, Padjadjaran University as samples. The instrument used in this study was the Learning Self Efficacy Scale (L-SES) for Clinical Skills questionnaire consisting of 12 question items. Data analysis was carried out univariately and bivariately using the dependent t-test because the data were normally distributed. The results showed that there was a significant difference between the pre-test and post-test which showed an average increase of 13.65 points. The use of VR learning media in the act of urinary catheterization and static results show a value of p = 0.001 <0.05 it means significantly increase learning self-efficacy. So it can be concluded that virtual reality learning media in catheterization actions have an effect on increasing the self-efficacy of nursing students in Indonesia as a developing country.