The Relationship between Sleep Quality and the Incidence of Gastroesophageal Reflux Disease (GERD): A Study on Clinical Clerkship Students, Faculty of Medicine, Universitas Prima Indonesia

Gastroesophageal reflux disease (GERD) is defined as a gastrointestinal motility disorder caused by the reflux of gastric contents into the esophagus or oral cavity. This results in symptoms or complications if persistent, resulting in a significant reduction in quality of life and morbidity. Several studies have reported an association between nocturnal GERD and sleep disturbances, which can significantly affect the quality of life. This study explores the relationship between sleep quality and the incidence of GERD in clinical clerkship students at the Faculty of Medicine, Universitas Prima Indonesia. This study is a cross-sectional observational study involving 144 clinical clerkship students. The GERDQ was used to diagnose GERD, and the PSQI questionnaire was used to measure sleep quality. Respondents who did not suffer from GERD with good sleep quality were 32 respondents (22.2%). Those who did not suffer from GERD with poor sleep quality were 65 respondents (74.8%), who suffered from GERD with good sleep quality only 1 respondent (10, 8), and 46 respondents (36.2%). There is a significant relationship between sleep quality and GERD in clinical clerkship students at the Faculty of Medicine, Universitas Prima Indonesia.


Introduction
Gastroesophageal reflux disease (GERD) is defined

A B S T R A C T
Gastroesophageal reflux disease (GERD) is defined as a gastrointestinal motility disorder caused by the reflux of gastric contents into the esophagus or oral cavity. This results in symptoms or complications if persistent, resulting in a significant reduction in quality of life and morbidity. Several studies have reported an association between nocturnal GERD and sleep disturbances, which can significantly affect the quality of life. This study explores the relationship between sleep quality and the incidence of GERD in clinical clerkship students at the Faculty of Medicine, Universitas Prima Indonesia. This study is a cross-sectional observational study involving 144 clinical clerkship students. The GERDQ was used to diagnose GERD, and the PSQI questionnaire was used to measure sleep quality. Respondents who did not suffer from GERD with good sleep quality were 32 respondents (22.2%). Those who did not suffer from GERD with poor sleep quality were 65 respondents (74.8%), who suffered from GERD with good sleep quality only 1 respondent (10,8), and 46 respondents (36.2%). There is a significant relationship between sleep quality and GERD in clinical clerkship students at the Faculty of Medicine, Universitas Prima Indonesia. depression), cardiovascular disease (heart), and coronary heart disease) and gastrointestinal diseases, including GERD and irritable bowel syndrome. [8][9][10] Clinical clerkship students of the Faculty of

Methods
This study is an analytic observational study with a whether there is a significant relationship between the two variables, was tested using the Chi-Square with an error rate of 5% (p<0.05).

Results and Discussion
The female gender has a higher number of 98 respondents (68.1%), compared to males with 46 respondents (31.9%), and the age of most respondents is 22 years old, with a total of 63 respondents (43.8%).   Table 4 shows that respondents do not suffer from GERD with good sleep quality, as many as The results of this study indicate that the prevalence of GERD in clinical clerkship students is 32.6%. This prevalence rate is not much different from the results of other studies on medical students, which showed a prevalence of 31.8% of 365 respondents who were diagnosed based on the Gastroesophageal Reflux Disease Questionnaire (GERDQ) score. [11][12][13] Another study among medical students using the Frequency Scale for the Symptoms of GERD (FSSG) questionnaire found that the prevalence of GERD was 25% out of 500 respondents. [14][15][16] Sleep quality with GERD is associated with the presence of acid regurgitation as an independent factor in the occurrence of sleep disturbances. There is a reciprocal relationship between these two conditions. Stress conditions can cause poor sleep quality, and GERD worsens sleep quality. In addition, poor sleep habits such as sleeping late, daytime sleepiness, and waking up late in the morning can cause changes in the timing of food intake and consumption of fast food, which can worsen GERD. 17

Conclusion
There is a relationship between sleep quality and the incidence of gastroesophageal reflux disease (GERD) in clinical clerkship students at the Faculty of Medicine, Universitas Prima Indonesia.