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All Journal Healthcare Nursing Journal
Idhfi Marpatmawati
Universitas Bakti Tunas Husada
Nursing

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Analysis of Stress Levels in Adolescents at Ciamis Senior High School 2 Idhfi Marpatmawati; Heri Budiawan; Wawan Rismawan; Nandita Milda Hidayat
HealthCare Nursing Journal Vol. 7 No. 2 (2025): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i2.6850

Abstract

Adolescents are an age group particularly vulnerable to stress due to academic, social, and emotional pressures. Unmanaged stress can negatively affect mental health and academic performance. This study aims to analyze stress levels among adolescents at Ciamis Senior High School 2 based on age and gender. A descriptive quantitative approach was used with purposive sampling. The research instrument was the DASS questionnaire, distributed to 861 respondents aged 14–18 years. Data were analyzed using descriptive statistical methods. The majority of respondents experienced moderate (33.57%), severe (22.42%), and extremely severe (16.61%) levels of stress. Adolescents aged 16–17 and females showed higher stress levels than other groups. The findings indicate that mid-adolescents and females are more prone to psychological pressure. This is consistent with Erikson's psychosocial development theory and the transactional stress model by Lazarus & Folkman. Most adolescents experience moderate to extremely severe stress, particularly those aged 16–17 and females. Contextual and gender-sensitive mental health interventions are needed in the school environment
Development of Healthy School Module for Early Hypertension Prevention Among Urban Adolescents Aneng Yuningsih; Idhfi Marpatmawati; Betty Suprapti; Salma Maulida; Mia Ruhmiati; Nuraeni Nuraeni; Shaila Rizki
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.8043

Abstract

Sedentary behavior, high sodium intake, and poor sleep hygiene trigger early hypertension risks among urban adolescents, creating a distinct knowledge-practice gap (KAP gap). This study aimed to develop, validate, and evaluate the effectiveness of the Healthy School Intervention Module for the early prevention of hypertension among urban adolescents. This Research and Development (R&D) study conducted a limited field trial involving 15 students at SMAN 8 Tasikmalaya selected via criterion sampling. Data were collected using expert validation sheets, KAP questionnaires (pre-post test), and clinical blood pressure screenings. Two experts validated the module as highly feasible (90%). Post-intervention, significant improvements were observed in knowledge (+10.37%; 4.53 ± 0.52 to 5.00 ± 0.00), attitude (+11.11%; 14.40 ± 1.55$ to 16.00 ± 0.00), and practice (+35.50%; 6.00 ± 1.13$ to 8.13 ± 0.64), successfully exceeding the >20% success indicator. Bivariate analysis demonstrated a statistically significant reduction in systolic and diastolic blood pressure among overweight/obese students (P < 0.05). The Healthy School Intervention Module is highly feasible and effective in enhancing KAP performance and optimizing clinical blood pressure profiles toward a healthier lifestyle.
Co-Authors Aneng Yuningsih Betty Suprapti Heri Budiawan Mia Ruhmiati Nandita Milda Hidayat Nuraeni Nuraeni Salma Maulida Shaila Rizki Wawan Rismawan