Hubungan antara tingkat stres dan kualitas tidur pada mahasiswa keperawatan tingkat akhir: The relationship between stress levels and sleep quality among final-year nursing students

Nasrah (Jurusan Keperawatan, Politeknik Kesehatan Jayapura, Jayapura)
Kismiyati Kismiyati (Jurusan Keperawatan, Politeknik Kesehatan Jayapura, Jayapura)
Zeth Roberth Felle (Jurusan Keperawatan, Politeknik Kesehatan Jayapura, Jayapura)
Frengky Apay (Jurusan Keperawatan, Politeknik Kesehatan Jayapura, Jayapura)
Theresia Febriana Christi Tyas Utami (Jurusan Keperawatan, Politeknik Kesehatan Jayapura, Jayapura)
Ananda Ayu Marchella (Jurusan Keperawatan, Politeknik Kesehatan Kemenkes Jayapura)

Jurnal Keperawatan Tropis Papua
Vol. 8 No. 1 (2025): JUNI 2025

Mahasiswa keperawatan tingkat akhir menghadapi tekanan akademik dan klinis yang tinggi, yang dapat berdampak pada kualitas tidur. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat stres dan kualitas tidur pada mahasiswa keperawatan tingkat akhir. Penelitian ini menggunakan desain cross setional. Sebanyak 48 mahasiswa semester VIII pada Program Studi Sarjana Terapan Keperawatan Poltekkes Kemenkes Jayapura dipilih secara acak. Tingkat stres diukur menggunakan Student Stress Inventory (SSI), sedangkan kualitas tidur dinilai menggunakan Pittsburgh Sleep Quality Index (PSQI). Data dianalisis dengan uji Chi-square, odds ratio (OR), dan uji t tidak berpasangan. Sebanyak 29,2% responden tergolong stres tinggi (skor SSI >96), sedangkan 50% memiliki kualitas tidur buruk (skor PSQI >5). Terdapat hubungan signifikan antara tingkat stres dan kualitas tidur (p=0,026; OR=5,92; 95% CI: 1,38–25,30). Selain itu, ditemukan perbedaan signifikan dalam durasi tidur (p= 0,023) dan skor total PSQI (p= 0,044) antara kelompok mahasiswa dengan kategori stres tinggi dan rendah. Mahasiswa dengan stres tinggi memiliki kemungkinan lebih besar mengalami kualitas tidur buruk. Diperlukan intervensi institusional untuk membantu mahasiswa mengelola stres dan meningkatkan kualitas tidur, terutama menjelang akhir masa studi mereka. Final-year nursing students face intense academic and clinical pressures, which may negatively impact their sleep quality. This study aimed to analyze the relationship between stress levels and sleep quality among final-year nursing students. A cross-sectional design was employed. A total of 48 eighth-semester students from the Applied Bachelor of Nursing Program at Poltekkes Kemenkes Jayapura were randomly selected. Stress levels were measured using the Student Stress Inventory (SSI), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using Chi-square tests, odds ratios (OR), and independent t-tests. A total of 29.2% of respondents were classified as having high stress (SSI score >96), and 50% reported poor sleep quality (PSQI score >5). A significant association was found between stress level and sleep quality (p=0.026; OR=5.92; 95% CI: 1.38–25.30). In addition, significant differences were found in sleep duration (p=0.023) and total PSQI scores (p=0.044) between students in the high-stress and low-stress categories. Students with high stress were more likely to experience poor sleep quality. Institutional interventions are needed to help students manage stress and improve sleep quality, especially toward the end of their academic program.