Relationship Between Sleep Quality and Blood Pressure Status in Undergraduate Nursing Students
DOI:
https://doi.org/10.37287/ijghr.v8i3.1212Keywords:
blood pressure, college students, sleep qualityAbstract
Hypertension is a noncommunicable disease (NCD) that is a major cause of global mortality with a significant prevalence. Poor sleep quality, commonly experienced by students due to academic stress, contributes to hypertension. The purpose of this study is to analyze the relationship between sleep quality and blood pressure status in undergraduate nursing students. The research design was prospective, longitudinal study included 207 undergraduate nursing students in their third, fifth, and seventh semesters at Muhammadiyah University of Surakarta, selected through stratified random sampling. Data were collected in two phases (September - November) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire which had been tested for validity and reliability (Cronbach’s Alpha > 0.70) and a digital sphygmomanometer. Analysis used the Generalized Estimating Equation (GEE) with α=0.05. The results showed that most students experienced poor sleep quality in stage 1 (71%) with (45.4%) experiencing prehypertension and in stage 2 (70%) with (51.7%) experiencing prehypertension. There was a significant relationship between sleep quality and blood pressure (Wald x² = 75.72; p < 0.001) with a B coefficient value of -2.185, which resulted in an odds ratio (OR) of 0.113. This indicates that respondents with poor sleep quality were 8 to 9 times more likely to experience higher blood pressure compared to those with good sleep quality. This study proves that poor sleep quality can increase the risk of hypertension in college students.
References
Badjuka, M. I., & Bakar, A. (2025). Biomedika Concurrent Exercise Intervention And Its Effect On Hypertensive. Biomedika, 17(2), 123–135. https://doi.org/10.23917/biomedika.v17i2.
Cahyadi, M. M., Astuti, D., Fitri, A. A., Amithya, F. A., Malihatunnisa, S., Janah, S. N., Astuti, K. I., Nabila, F., Wibowo, K., Hasanah, S. N., Apriliyani, L., & Isnaeni, F. N. (2024). Edukasi untuk meningkatkan pengetahuan hipertensi pada masyarakat desa wirogunan kecamatan kartasura kabupaten sukoharjo. Jurnal Berkawan, 1(1), 32–38. https://journals2.ums.ac.id/index.php/berkawan
Dinkes Jateng. (2021). Jawa Tengah Tahun 2021. Profil Kesehatan Provinsi Jawa Tengah Tahun 2021, i–123.
Ellison, D. H., & Welling, P. (2021). Insights into Salt Handling and Blood Pressure. New England Journal of Medicine, 385(21), 1981–1993. https://doi.org/10.1056/nejmra2030212
Faradila, Z., Candra, A., & Yasmin, S. (2020). Hubungan kualitas tidur dengan tekanan darah pada siswa-siswi SMA Negeri 3 Banda Aceh. Kandidat: Jurnal Riset Dan Inovasi Pendidikan, 1(2), 29–37. http://jurnal.abulyatama.ac.id/index.php/kandidat
Fekadu, G., Adamu, A., Gebre, M., Gamachu, B., Bekele, F., Abadiga, M., Mosisa, G., & Oluma, A. (2020). Magnitude and determinants of uncontrolled blood pressure among adult hypertensive patients on follow-up at nekemte referral hospital, western ethiopia. Integrated Blood Pressure Control, 13, 49–61. https://doi.org/10.2147/IBPC.S245068
Hayeeteh, H., Asrizal, C. W., & Inggriyani, C. G. (2023). Hubungan Kualitas Tidur terhadap Tekanan Darah pada Mahasiswi yang Tinggal di Asrama Pendidikan Profesi Guru Universitas Syiah Kuala. Jurnal Kedokteran Nanggroe Medika, 6(3), 11–17.
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., O’Donnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R. C., Setters, B., Vitiello, M. V., Ware, J. C., & Adams Hillard, P. J. (2015). National sleep foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1(1), 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
Jaleha, B., & Amanati, S. (2023). Hubungan Kualitas Tidur terhadap Tekanan Darah. Jurnal Fisioterapi Dan Rehabilitasi, 7(1), 114–117. https://doi.org/10.33660/jfrwhs.v7i1.271
Joko Tri Atmojo, Lilik Hanifah, C. S. (2020). Analysis Of Body Pressure ( BMI ) With Blood Pressure On Students. Journal of Health Research, 3(2), 123–130. https://jurnal.stikesmus.ac.id/index.php/avicenna
Kemenkes, B. (2023). Survei Kesehatan Indonesia Dalam Angka. 965.
Kemenkes RI. (2018). Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes (p. 156).
Nurlan, Rachman, M. E., Karim, M., Safei, I., & Syamsu, R. F. (2022). Pengaruh Kualitas Tidur dengan Tekanan Darah Mahasiswa. Jurnal Mahasiswa Kedokteran, 2(5), 359–367.
Rahayu Ningsih, V., & Sri Rahyuni, V. (2023). Analisis Penggunaan Smartphone dan Stres dengan Kejadian Insomnia pada Mahasiswa Kesehatan Masyarakat Universitas Jambi Analysis of the Use of Smasrtphone and Stress with the Incidence of Insomnia in Public Health Students at University of Jambi. Jurnal Kesmas Jambi, 7(1), 49–54.
Rahayu, S., Arifah, S., Widodo, A., Rahayuningsih, F. B., Kristinawati, B., Dewi, E., Tamelia, Y., Azizah, I. N., Citra, N., Baety, N., Pratiwi, J. S., Dinasti, T. W., Fauzan, A., & Ananta, D. S. (2024). Peningkatan Pengetahuan Kader ’Aisyiyah Tentang Hipertensi Melalui Kegiatan Edukasi Kesehatan. Jurnal Masyarakat Mandiri, 8(1), 8–12. https://doi.org/https://doi.org/10.31764/jmm.v8i1.19714
Reviansyah, M., Rosyid, F. N., & Sugimin. (2022). Hemodinamik Pada Pasien Post PCI (Percutaneous Coronary Intervention) Di Ruang ICCU. Prosiding Seminar Nasional …, 1, 63–70. https://publikasiilmiah.ums.ac.id/handle/11617/11588
Rosyid, F. N., Prakoso, T. T., Safitri, L. N., Rahman, A. F., & Sugiharto, S. (2025). Self-Management Levels and Blood Pressure Status in Patients with Hypertension: A Cross Sectional Study. Indonesian Journal Of Nursing Practices (IJNP), 9(1), 40–48. http://journal.umy.ac.id/index.php/ijnp
Shang, C. L. and S. (2021). Relationship between sleep and hypertension: Findings from the nhanes (2007–2014). International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18157867
Subagiartha, F. S., Katuuk, M. E., & Ch Paat a-c, T. C. (2024). Hubungan Kualitas Tidur dengan Tekanan Darah pada Perawat di Siloam Hospitals Manado. Jurnal Keperawatan, 12(1), 89–96.
Trisnowiyanto, B., Andriani, I., & Adriani, R. B. (2024). The Relationship Between Age and Stress on Sleep Quality of Physiotherapy in Poltekkes Kemenkes Surakarta of Nurse in Poltekkes Kemenkes Surakarta 3 Departement of Physiotherapy in Universitas Kusuma Husada Surakarta. Jurnal Kesehatan, 17(3), 317–324. https://doi.org/10.23917/jk.v17i3.5188
WHO. (2023). Global report on hypertension: the race against a silent killer (Vol. 01).
Widya Kusumaningrum, Rosalina Rosalina, U. S. (2020). Hubungan Kualitas Tidur Dengan Tekanan Darah. Indonesian Journal of Nursing Research (IJNR), 3(2).
Zurrahmi Z.R, Sri Hardianti, F. M. S. (2021). Hubungan Tingkat Stres Dengan Kualitas Tidur Pada Mahasiswa Akhir S1 Kesehatan Masyarakat Universitas Pahlawan Tuanku Tambusai Tahun 2021. PREPOTIF : Jurnal Kesehatan Masyarakat, 5(2), 963–968. https://doi.org/10.31004/prepotif.v5i2.2092.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
