Sleep is a biological necessity that is important for physical and mental recovery, especially for first-year students who are undergoing academic transition. Changes in activity patterns, academic workload and organizational involvement affect sleep quality. Physical activity is known to play a role in improving sleep quality, but empirical evidence varies. The study aims to determine the relationship between physical activity and sleep quality among early-level nursing students at STIKes Permata Nusantara. The design of this study is correlational with a cross-sectional approach. The study population consisted of 94 students, with 35 respondents selected using purposive sampling. Physical activity was measured using the Global Physical Activity Questionnaire (GPAQ) demonstrated acceptable validity when correlated with accelerometer data (r= 0,48) and reability (Cronbach’s α=0,73). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) demonstrated acceptable validity (r=0,45-0,85) and reliability (Cronbach’s α=0,776). Bivariate analysis was performed using correlation tests. The results showed that most respondents had light physical activity (42,9%) and poor sleep quality (74,3%). The correlation test results showed a significant negative relationship between physical activity and sleep quality (p<0,032). Researchers concluded that physical activity has a significant negative relationship with sleep quality, and excessive physical activity during academic transitions can contribute to sleep disturbances.
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