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INDONESIA
Indonesian Contemporary Nursing Journal (ICON Journal)
Published by Universitas Hasanuddin
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Nursing
Arjuna Subject : -
Articles 124 Documents
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The Implementation of Hand and Foot Massage Therapy for Hemodynamic Stability in Patients with Hemorrhagic Stroke: Case Study Sumardi, Sulistia Nur; Must, Akhmad
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.41855

Abstract

Introduction: Stroke is a neurological disease with approximately 13.7 million new cases annually. The hemodynamics of patients may be affected by stroke. Hand and foot massage therapy is required to complement the treatment and prevent hemodynamic instability. Aims: This study aimed to investigate the implementation of hand and foot massage therapy to lower blood pressure and improve MAP, breath rate, and oxygen saturation.  Methods: Two patients with hemorrhagic stroke were recruited through purposive sampling for this case study, following a nursing care approach. The inclusion criteria were as follows: hemorrhagic stroke, partially controlled ventilator, MAP >70 mmHg, heart rate > 60 beats/min, respiration rate > 12 breaths/min, oxygen saturation ≤100%, age between 55 and 64 years, no fracture, and did not get no sedation or muscle relaxants. The therapy was implemented for 40 minutes in three days, with a hemodynamic check-up every 30 min before and after the therapy (pre- and post-treatment).  Results: The findings showed that Hand and foot massage therapy considerably affected the hemodynamics. Patients' vital sign rates showed a reduction in blood pressure to 13.3 and 8.3 mmHg, MAP decreased to 13 and 2.3 mmHg, heart rate decreased to 14 and 21 beats/min, respiration rate decreased to 2 and 1 breath per minute; meanwhile, oxygen saturation improved to 1 and 0.3%, respectively.  Conclusions: Patients' hemodynamics could be stabilized within three days by hand and foot massage therapy for 40 min. To get the optimum results, the therapy could be given regularly
Herbal Therapy on Fasting Blood Glucose Levels and HbA1c in Type 2 Diabetes Mellitus Patients: A Systematic Review Dinatha, I Dewa Putu Narendra; Tarigan, Abraham Mulia; Irawan, Putu Ferdi; Raya, Nyoman Agus Jagat
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43134

Abstract

Aims: To investigate the effectiveness of herbal extracts in reducing Fasting Blood Glucose (FBS) and HbA1c levels in patients with type 2 Diabetes Mellitus (T2DM) and identify gaps in evidence-based practice for the use of herbal therapies in T2DM management. Methods: A literature search was conducted across three major databases: ProQuest, PubMed, and Google Scholar, using specific keywords combined with Boolean logic (“AND” and “OR”) to enhance search precision. The quality of the studies was assessed using the JBI Critical Appraisal tool and ROB 2.0, which evaluate the risk of bias across five domains. Eight studies that met the inclusion criteria were systematically analyzed. Results: The analysis revealed three main themes: (1) a decrease in FBS, (2) a decrease in both FBS and HbA1c, and (3) no significant decrease in either parameter. Certain herbal extracts, such as Bauhinia forficata, barberries, a combination of berries and fenugreek, and Jinlida have been shown to significantly reduce FBS and HbA1c levels. Conclusions: The findings of this study provide valuable insights into the potential use of herbal extracts as complementary therapies for T2DM. These results may contribute to the development of evidence-based nursing practices for the use of herbal treatments in T2DM care.
Comparison of Health Issues Faced by Business Leaders in Japan and Indonesia Hokama, Naoki
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43244

Abstract

Modern business leaders act as compasses for their companies, shouldering the responsibility to steer them. They are exposed daily to a multitude of pressures, including fierce market competition, constantly shifting economic landscapes, and increasing social responsibility. In such a demanding environment, the mental and physical health of leaders becomes an exceptionally critical resource that determines business sustainability. A leader's state of health directly affects their ability to make sound decisions, their capacity for leadership that boosts employee morale, and the overall productivity of the organization. Consequently, managing a leader's health is increasingly recognized not merely as a personal matter but also as a strategic imperative essential for corporate growth and stability.
The Effect of Colloid Therapy (Gelatin) in Maintaining Hemodynamic Stability in Patients at Risk of Intraoperative Hypovolemic Shock in the Central Surgical Installation (IBS): Case Study Krismayanti; Tahir, Takdir
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43358

Abstract

Aims: This case study investigated the effects of colloid therapy (gelatin) on maintaining hemodynamic stability in patients at risk of intraoperative hypovolemic shock during total hysterectomy and bilateral salpingo-oophorectomy.  Methods: A descriptive case study with a single case design was conducted on patient Mrs. S during the intraoperative phase, observing hemodynamics before and after colloid therapy (gelatin) administration. Results: During the intraoperative phase, in the first 40 min, there was a decrease in blood pressure to 92/52 mmHg, an increased heart rate of 117 beats/minutes, and an MAP of 65. Subsequently, blood pressure improved during the administration of colloid fluid therapy, with the patient's blood pressure reaching 113/72 mmHg, heart rate 84 beats per minute, and MAP 85 after 40 minutes. After 60 minutes of colloid fluid therapy, blood pressure was 110/62 mmHg, heart rate was 73 beats per minute, and MAP was 77.  Conclusion: Collaborative intervention with colloid therapy effectively restored and maintained the hemodynamic stability of patients at risk of hypovolemic shock during the intraoperative phase.
Exploring Spiritual Care Services in Hospital Settings: A Multiple-Perspective Interviews Qualitative Descriptive Study Nuridah, Nuridah; Yodang, Yodang
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43577

Abstract

Aims: This study explored spiritual care services in a hospital setting from multiple perspectives. Methods: We used a descriptive qualitative method based on a social-ecological model. Participants were selected using purposive sampling and classified into intrapersonal (five patients), interpersonal (five family members), community (five nurses in charge), institutional (three nurse leaders and managers), and regulation (protocol or spiritual care guidelines). Data were collected through semi-structured in-depth interviews. Data analysis was performed to identify themes using Colaizzi’s method. Results: Themes were extracted according to the socio-ecological model, which was classified into intrapersonal, interpersonal, community, institutional, and public policy-related themes. These themes are patients’ spiritual care needs, spiritual care barriers, spiritual care facilities, spiritual care support, and spiritual care regulation. Conclusion: Current study offers insights into spiritual care services, particularly in hospitals located in rural areas. We suggest that providing spiritual care among patients and family members is crucial as part of the patients’ needs while they are in the hospital. Thus, spiritual care should be considered as a priority in healthcare services by providing spiritual care facilities, support, and policies. However, many challenges in providing  spiritual care must be addressed.
Screening Diabetic Foot Ulcer using Artificial Intelligence Modelling based on Digital Image Analysis: A Systematic Review Purnama, Avief Destian; Yueniwati, Yuyun; Dina Dewi SLI; Kristianto, Heri; Irawan, Paulus Lucky Tirma; Rosandi, Rulli; Kapti, Rinik Eko; Ni Kadek Indah Sunar A
Indonesian Contemporary Nursing Journal (indones.contemp.nurs.j.) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43631

Abstract

Aims: This study conducted a systematic review with the aim of identifying the predictive models used in the development of AI-based digital image analysis in Diabetic Foot Ulcer cases and determining the features and segmentation used in the construction of Diabetic Foot Ulcer screening algorithm models. Methods: A systematic review was conducted by searching articles from ScienceDirect, PubMed, ProQuest, and CINAHL databases using a combination of relevant keywords. The selection process followed the PRISMA guidelines and article quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: A search of the electronic databases produced 374 research articles within the time range of 2019–2024, with an average article quality of 93% (strong). The results of this systematic review show that out of the eight articles, all were involved in developing an AI model, with seven articles developing convolutional neural network models and one article developing an artificial neural network model. Digital image analysis involved colour segmentation of tissues and areas of Diabetic Foot Ulcer, which can be used for screening. Conclusion: The convolutional neural network AI model was used in two-dimensional digital imaging modalities for patients with diabetic foot ulcers. The development of an accurate prediction model can provide an automated system for assessing and monitoring Diabetic Foot Ulcer.
Knowledge, Attitude, and Practice Related to Eating Behavior for the Prevention of Type 2 Diabetes Among High School Students Kusumawati, Nila; Glorie, Kim; Hamid, Abdul
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44053

Abstract

Aims: Diabetes mellitus is a major global public health concern, particularly in Indonesia. Eating behavior, particularly type 2 diabetes mellitus (T2DM), plays a crucial role in the prevention of diabetes. This study aimed to assess high school students’ knowledge of T2DM, attitudes toward healthy eating, and dietary practices related to diabetes prevention, as well as to examine the correlations among these variables. Methods: The study was conducted from May to October 2024 in three sub-districts of Kampar Regency, Riau Province, Indonesia. A total of 207 high school students were recruited through convenience sampling. Data were collected using a validated knowledge, attitude, and practice (KAP) questionnaire comprising four sections: Sociodemographic characteristics, Knowledge about T2DM, Attitudes toward healthy eating, and Dietary practices. Univariate analysis was conducted to describe the distribution of KAP levels, and Spearman’s rank-order correlation was used to examine the relationships among KAP scores. Results: Most senior high school students (80.2%) demonstrated a moderate overall KAP level. Specifically, 49.3% had moderate knowledge of T2DM, 81.2% exhibited a neutral attitude toward healthy eating, and 59.9% reported moderate dietary practices. Spearman’s rank correlation analysis revealed a weak but statistically significant positive correlation between knowledge and attitude (p=0.145, p=0.037), and between knowledge and practice (p=0.137, p=0.048). A moderate-to-strong positive correlation was found between attitude and practice (p=0.530), indicating a stronger association between these two variables. Conclusion: The findings indicate that students’ knowledge of T2DM is positively associated with both their attitudes toward healthy eating and their dietary practices, although the strength of these correlations is weak. In contrast, a moderate to strong positive correlation was observed between attitude and practice, suggesting that students with more positive attitudes toward healthy eating were more likely to engage in desirable dietary behaviors.
Triage Decision-Making Competencies among Nurses in Disaster Response: A Study from Hospitals Disaster Affected Areas Husna, Cut; Syakirah, Hilma; Ahyana, Ahyana
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44471

Abstract

Aims: This study aimed to compare triage decision-making skills among nurses at general hospitals (GH) and maternal and child hospitals (MCH) in Banda Aceh, Indonesia.  Methods: This comparative study used a cross-sectional design. A total sampling technique was used involving all nurses in General Hospital (GH) and Maternal and Child Hospital, comprising 169 nurses with the totally sample in GH and MCH hospitals were 104 and 65 respondents respectively. The sample inclusion criteria were as follows: last education minimum diploma, at least six months of work experience, and working in emergency departments and intensive care. The exclusion criteria were nurses who left or study assignments during the study period.  The questionnaire used was the Triage Decision-Making Inventory (TDMI), which consists of three sub-items: cognitive ability, experience, and intuition, totaling 27 items measured on a six-point Likert scale.  Results: Data were analyzed using the Mann-Whitney U-test. The results revealed a significant difference in triage decision-making competencies among nurses in disaster response between GH and MCH hospitals, with the mean and SD (136.98±12.47, 122.66±12.43, p=0.001), respectively. For each variable of the study, there was no significant difference in the cognitive abilities (p=0.180) and experience of nurses (p=0.562) between nurses in GH and MCH hospitals. However, there was a significant difference in nurses’ intuitions (p=0.001). Conclusion: The differences in triage decision-making skills between nurses in GH and MCH hospitals are related to their perceptions of intuition, clinical experience, and cognitive ability in caring for emergency cases in both hospitals. The cognitive abilities and clinical experience of nurses in caring for patients, particularly in emergency/health crisis/disasters, may help them in triage decision-making. Therefore, it is important for hospitals to have an effective triage information system and nurses with adequate knowledge and skills in triage.
The Effect of “Caregiver Care for Tuberculosis Program” on Improving Knowledge, Attitudes, and Skills in Caring for Children with Tuberculosis Nursasi, Astuti Yuni; Sartika, Sartika
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44559

Abstract

Aims: This study aimed to evaluate the effect of the Caregiver Care for TB Program on improving the knowledge, attitudes, and caregiving skills of mothers as primary caregivers of children diagnosed with tuberculosis in Depok, Indonesia. Methods: A quasi-experimental study was conducted with 80 mothers divided equally into intervention and control groups. The program included four structured educational sessions delivered in small support groups at a health center over four consecutive weeks. Data were collected at three points: before the intervention (pre-test), immediately after the completion of the sessions (post-test 1), and 10 days after the intervention (post-test 2). Knowledge, attitudes, and skills were measured using the Knowledge, Attitude, and Practice (KAP) questionnaire for Tuberculosis care. Results: Significant improvements were observed in the intervention group compared to the control group in knowledge (p=0.000) and attitudes (p=0.000) and skills (p=0.000), as well as improvements in knowledge, attitude, and skills 10 days later (p < 0.000). Conclusion: The Caregiver Care for TB Program effectively enhanced caregivers' knowledge, attitudes, and caregiving skills in preventing TB transmission among children. This program should be implemented as part of TB control strategies in high-burden areas
Stunting Prevention Policy Among Pregnant Workers: Content Policy Analysis in Indonesia Nurdiana, Astri; Ayuningtyas, Dumilah; Yuliatiningtyas, Solikhah; Nurhasana, Renny
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44672

Abstract

Aims: This study aims to analyze the extent to which national and regional stunting prevention policies in Indonesia, particularly in Karawang Regency, accommodate the needs of pregnant women working in industrial sectors. It examines whether current policy content effectively addresses occupational vulnerabilities and supports the first 1, 000 Days of Life initiative. Methods: A qualitative content analysis approach was employed using document analysis guided by the Ready, Extract, Analyze, and Distill (READ) method. Four policy documents were examined: Presidential Regulation No. 72 of 2021 and three regional policies in Karawang after 2021. Dunn’s Public Policy Analysis framework was used in this study. Results: The findings reveal seven themes of policy focus: government support, community empowerment, access to quality maternal healthcare, health human resource development, optimization of community health cadres, integration of data and information systems, and strengthening research and innovation. While pregnant women were identified as the target group, none of the policies explicitly included pregnant workers as a distinct subpopulation. The interventions mentioned in the policies are community-based and have a high risk of inaccessibility to industrial workers.   Conclusion: Stunting prevention policies in the Karawang Regency have yet to operationalize an inclusive, context-sensitive approach for pregnant workers. The revised policies must align with international maternity protection standards and adopt workplace-based intervention models.

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