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Factors Influencing Excessive Daytime Sleepiness among Undergraduate Nursing Students: A Cross-Sectional Study from North Sulawesi, Indonesia Saluy, Priscillia M.; Lainsamputty, Ferdy; Wu, Bo-Hsun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.873

Abstract

Background: Excessive daytime sleepiness (EDS) is a common yet underrecognized concern among nursing students, potentially impairing academic performance and clinical readiness. Identifying factors associated with EDS is essential to inform preventive strategies and promote optimal student functioning. Objective: This study aimed to identify the factors influencing EDS among undergraduate nursing students in North Sulawesi, Indonesia. Methods: A descriptive correlational, cross-sectional design was employed. This study involved 101 students from a university in North Sulawesi Province, Indonesia, selected through consecutive sampling. Data were collected using the Epworth Sleepiness Scale (ESS) and analyzed using descriptive statistics, the Mann–Whitney U test, Kruskal–Wallis H test, Spearman’s correlation, and multiple linear regression. Results: The mean ESS score was 12.98 (SD=4.07), with 71 respondents (70.3%) classified as experiencing EDS. Caffeine consumption (B=3.458, β=0.295, 95% CI [1.232, 5.684], p=0.003) significantly predicted EDS, accounting for 14.9% of the variance. Conclusion: These findings highlight the need to address modifiable lifestyle factors, particularly caffeine intake, to reduce EDS among nursing students. Nurse educators and academic institutions should implement sleep health education and promote healthy coping strategies to mitigate daytime sleepiness. Early intervention may enhance students’ academic performance and clinical competence, ultimately improving patient safety and quality of care in future nursing practice.
Factors Associated with Depression in Elderly Patients with Hypertension Lainsamputty, Ferdy; Laloan, Risty Mandane; Wu, Bo-Hsun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.934

Abstract

Background: Depression in elderly individuals with hypertension is a common but often underdiagnosed mental health issue that affects quality of life and treatment adherence. This study aimed to identify factors associated with depression in elderly patients with hypertension. Design : A descriptive correlational study with a cross-sectional design was conducted. Methods : This study involved 68 community-dwelling elderly patients with hypertension in a village of North Sulawesi selected through total sampling. Data were collected using structured questionnaires covering sociodemographic and clinical characteristics and the Geriatric Depression Scale-15 (GDS-15). Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis H test, and Spearman’s rank correlation. Results : The mean depression score was 9.43 (SD = 1.79), with nearly half of participants experiencing moderate depression (48.5%). Only the duration of hypertension was significantly correlated with depression score (r = 0.275, p = 0.023). Conclusions : These findings highlight the need for routine depression screening among elderly hypertensive patients, particularly those with a longer history of illness. Clinical implications include adopting integrated care models that combine hypertension management with psychosocial support in primary care settings