Riztia Nur Amala, Afianti Sulastri, Sri Sumartini

Effectiveness of Pandan Leaf Decoction on Sleep Quality among Nursing Students

Introduction

Effectiveness of pandan leaf decoction on sleep quality among nursing students . Discover how pandan leaf decoction significantly improves sleep quality in nursing students. A natural herbal remedy, it offers calming effects for better concentration & well-being.

Abstract

Nursing students are a productive population that often experiences sleep disturbances triggered by academic pressure, social demands, and emotional stress. When left unmanaged, sleep problems can impair concentration, academic achievement, and overall mental well-being. Pandan leaves contain various bioactive constituents, including flavonoids, alkaloids, tannins, saponins, and 2-acetyl-1-pyrroline, which may provide calming and sedative effects that support better sleep. This study aimed to examine the effectiveness of pandan leaf decoction in improving sleep quality among nursing students. A pre-experimental one-group pretest–posttest design was used with 30 students from the Indonesian University of Education, selected via quota sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Prior to the intervention, 83.3% of participants exhibited poor sleep quality with a mean PSQI score of 7.23. After consuming the pandan leaf decoction for 14 days, 73.3% of participants shifted into the good sleep category, yielding a reduced mean posttest score of 4.73. A paired sample t-test indicated a significant improvement in sleep quality (p=0.000; p<0.05). These findings show that pandan leaf decoction can help improve sleep quality among nursing students. As a safe and natural herbal option, it may be recommended as a complementary strategy to support holistic nursing care for managing sleep disturbances.

Review

This study addresses a pertinent and critical issue concerning the sleep quality of nursing students, a demographic particularly susceptible to sleep disturbances due to academic and emotional stressors. The rationale for investigating pandan leaf decoction as a potential intervention is well-justified by its rich profile of bioactive constituents, which are hypothesized to exert calming and sedative effects. Recognizing the detrimental impact of poor sleep on concentration, academic performance, and overall mental well-being, the study's objective to examine the effectiveness of this natural remedy is highly relevant and aligns with the need for accessible, complementary strategies in healthcare education. Methodologically, the study employed a pre-experimental one-group pretest–posttest design with 30 nursing students. Sleep quality was rigorously assessed using the Pittsburgh Sleep Quality Index (PSQI) both before and after a 14-day intervention of pandan leaf decoction. The baseline data revealed a substantial prevalence of poor sleep quality, with 83.3% of participants scoring in the poor sleep category and a mean PSQI of 7.23. Following the intervention, a notable shift was observed, with 73.3% of participants moving into the good sleep category and a significantly reduced mean PSQI score of 4.73. The paired sample t-test further substantiated these findings, indicating a statistically significant improvement in sleep quality (p=0.000; p<0.05), suggesting that pandan leaf decoction indeed holds promise in ameliorating sleep disturbances. While the findings strongly suggest that pandan leaf decoction can improve sleep quality among nursing students, offering a safe and natural option, the study's pre-experimental design presents a limitation. The absence of a control group makes it challenging to conclusively attribute the observed improvements solely to the intervention, as placebo effects or other confounding variables cannot be entirely ruled out. Future research would significantly benefit from employing a randomized controlled trial (RCT) design with a larger and more diverse sample size to enhance the generalizability and robustness of the findings. Additionally, incorporating objective sleep measures alongside self-reported data, and investigating optimal dosage and long-term efficacy, would further strengthen the evidence base for pandan leaf decoction as a complementary strategy in promoting holistic sleep health.

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