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Journal : Journal Of Nursing Practice

Analysis of Stress Management on Nutritional Status and Anxiety Levels among STIKes Hang Tuah Surabaya Students Completing their Final Assignments Dya Sustrami; A.V. Sri Suhardiningsih; Rizky Dzariyani Laili
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.788

Abstract

Background: Students who are dealing with their thesis often experience anxious and often neglect proper dietary management, potentially leading to changes in their nutritional their nutritional status. Each student engaged in completing their final assignment was required to possess effective stress reduction skills to maintain a positive mindset and achieve a state of relaxation, thereby facilitating the successful completion of their final assignment. Purpose: This study aims to evaluate the impact of stress reduction towards nutritional status and anxiousness levels among Stikes Hang Tuah Surabaya students who are completing their final project. Methods: This study uses quantitative research, with the research design is pre-experimental in one group. The population is final grade of students in S1 Nursing and D3 Nursing study programs at Stikes Hang Tuah Surabaya. The sample of this study was taken by simple randomization with a total of 108 students from 148 total population. This study used the Hamilton Rating Scale (HRS) for anxiety questionnaire and anthropometric measurements. Data were analyzed using the Wilcoxon test. Results: The findings showed that the application of stress management methods given three times within one month significantly influenced the anxiety level and nutritional status of students. The Wilcoxon test shows that there is an impact of stress reduction on nutritional status and anxiety levels in facing final year projects at Stikes Hang Tuah Surabaya with the results of the pretest-posttest nutritional status p = 0.002 and the results of the pretest-posttest anxiety level p = 0.000 (p <ɑ = 0.05). Conclusion: The findings of this study suggest that the implementation of stress reduction techniques has a significant impact on the nutritional status and anxiety levels of students completing their final assignments. Consequently, it is recommended that students facing culminating academic projects employ these stress reduction strategies during the course of their work.
Cognitive Behavioral Therapy to Reduce Academic Stress among Nursing Students: A Quasi-Experimental Study Sustrami, Dya; Susanti, Ari; Ardhy Wahyu Ramadhana Putra; Suhardiningsih, A.V. Sri
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.997

Abstract

Background: Academic stress was commonly experienced by university students as a result of high academic demands and workload.  Cognitive Behaviour Therapy (CBT) is one of the methods that can help individuals identify irrational thought and replace them with adaptive cognitions so they can assess academic situation more realistically and rationally. Purpose: The purpose of this study was to analyze the effectiveness of CBT in reducing academic stress among nursing students. Methods: A quasi-experimental pre–post-test design was applied with 141 participants selected through simple random sampling, consisting of 70 respondents in the experimental group and 71 in the control group. The intervention group received a two-week CBT program based on the ABCDE model and cognitive restructuring techniques. The Student Life Stress Inventory (SSI) was administered before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. All procedures of this study were approved by the Research Ethics Committee of STIKes Hang Tuah Surabaya Number PE/50/II/2025/KEP/SHT Results: The Wilcoxon test showed a significant reduction in stress levels in the experimental group (Z = –3.088, p = 0.002), while no significant difference was found in the control group (Z = –0.765, p = 0.444). The Mann–Whitney U Test revealed a significant difference in post–pre score changes between groups (U = –3.017, p = 0.003), indicating that CBT was effective in decreasing stress levels. Conclusion: CBT effectively reduced academic stress among nursing students.CBT also can be used as an effective non-pharmacological nursing intervention in stress management.