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Patterns of diet‐related practices and symptoms of gastroesophageal reflux among high school students: A cross‐sectional study Evita Muslima Isnanda Putri; Sri Mulyani; Rahmawati Rahmawati; Indri Dwi Octavia Cahyani
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.13156

Abstract

Background: GERD is a gastrointestinal motility disorder characterized by the reflux of gastric contents into the esophagus, causing typical symptoms such as heartburn (a burning sensation in the epigastric region), acid regurgitation (a bitter taste in the mouth), nausea, and dysphagia, which can lead to esophageal mucosal damage. Over the long term, it can result in complications like Barrett's esophagus. The prevalence of GERD in Asia was approximately 2.5%-7.8% in 2014, generally lower compared to Western countries. However, recent data indicates an increasing prevalence. Poor dietary patterns, such as irregular eating habits, consuming low-nutrient foods, excessive or insufficient food intake, can elevate gastric acid production and affect an individual's health.Purpose: To determine the relationship between dietary patterns and symptoms of Gastroesophageal Reflux Disease (GERD) among vocational high school students.Method: A quantitative study was applied using correlation analysis with a cross-sectional study approach. The research was conducted at Vocational High School Bojonegoro in January 2023. The study population comprised 305 students in grade 12. The sampling technique employed was purposive sampling, with a sample size of 74 respondents. The measurement tool for dietary pattern variables was the FFQ questionnaire, and GERD symptoms were assessed using the GERD-Q questionnaire. Data analysis techniques included univariate analysis to describe the frequency distribution of each variable and bivariate analysis using the chi-square test to determine the relationship between dietary patterns and GERD symptoms among students.Results: Poor dietary patterns were found to cause GERD in 47 (97.9%) respondents, whereas good dietary patterns significantly minimized GERD; only 1 (2.1%) respondent experienced GERD symptoms in this study. The research resulted a value of ρ = 0.000 < α (0.05), indicating that the ρ value in this study was less than α (0.05) or below 0.05; thus, H0 was rejected. It can be concluded that there is a relationship between dietary patterns and GERD symptoms, with a correlation coefficient value of 0.542 (moderate) and a positive correlation direction.Conclusion: There is a significant relationship between dietary patterns and GERD symptoms. The correlation coefficient analysis also showed a figure of 0.542 (moderate) with a positive correlation direction, indicating that better dietary patterns lead to fewer respondents suffering from GERD.Suggestion: It is advisable for students to avoid consuming spicy foods, fast food, fried food, and high-sugar food or beverages. They should pay more attention to a balanced diet and timely meals. Additionally, the school authorities are encouraged to establish regulations or advisories to cafeteria owners to refrain from providing fast food, nutritionally poor food, carbonated drinks, spicy food, and other items that may contribute to digestive problems among students.
Efektifitas Chewing Gum dan Slow Deep Breathing Sebagai Strategi Adaptasi Terhadap Kecemasan Akademik: Suatu Literature Review dengan Pendekatan Model Adaptasi Roy Ekhtya Dharma Cahyono; Evita Muslima Isnanda Putri; Titik Nuryanti
HORIZON: Indonesian Journal of Multidisciplinary Vol. 4 No. 3 (2026): HORIZON: Indonesian Journal of Multidisciplinary
Publisher : Lembaga Intelektual Muda (LIM) Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54373/hijm.v4i3.5379

Abstract

Academic anxiety can reduce concentration, impair working memory, and have a negative impact on academic performance. This study aims to synthesise the scientific evidence regarding the effectiveness of Chewing Gum Distraction (CGD) and Slow Deep Breathing (SDB) in reducing academic anxiety using the Roy Adaptation Model (RAM) framework. This study employed a literature review method with a systematic search across five international scientific databases Scopus, PubMed/MEDLINE, ScienceDirect, Wiley Online Library, and Google Scholar for publications from 2019 to 2025. The included articles were primary studies with a Randomised Controlled Trial (RCT), quasi-experimental, or experimental design investigating the CGD or SDB interventions on academic anxiety or stress among university students. A total of six articles met the inclusion criteria and were analysed thematically. The results of the review indicate that both interventions consistently reduced anxiety or stress levels significantly (p < 0.05). CGD operates through cognitive regulation by reducing rumination and modulating attention, whilst SDB operates through physiological regulation by increasing parasympathetic activity and autonomic stability. The combination of these two interventions has the potential to serve as an effective psychophysiological adaptation strategy for reducing students’ academic anxiety.
The Relationship between Resilience and Parenting Stress in Single Parents with a History of Divorce Based on Roy's Adaptation Theory in Dander District Rina Afif Alviani; Evita Muslima Isnanda Putri; ⁠Titik Nuryanti; Srimulyani Srimulyani
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.807

Abstract

The divorce rate in Indonesia is increasing sharply, posing challenges for single parents in Dander District, Bojonegoro, related to economic burden and parenting stress. This study aims to analyze the relationship between resilience and parenting stress in divorced single parents based on Roy's Adaptation Theory. Using a quantitative, cross-sectional correlational design, data were collected from 68 single parents (population 211) through a validated Resilience Scale (36 items, Cronbach's α = 0.815) and Parenting Stress Index (34 items, r = 0.912). Simple random sampling and Pearson correlation analysis in SPSS 25.0 (α = 0.05) were applied. The results showed a dominant moderate resilience (60.3%) and moderate parenting stress (56.4%), with a weakly significant negative correlation (r = -0.325, p = 0.007). In conclusion, resilience-enhancing interventions based on Roy's model are effective in reducing parenting stress, preventing negative impacts on children in rural areas.