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Journal of Nursing Care
Published by Universitas Padjadjaran
ISSN : -     EISSN : 26141698     DOI : -
Core Subject : Health, Science,
Health Professions Nursing Physics Public Health
Journal of Nursing Care (JNC) is a journal of scientific publications that publish every four months (quarterly) using a peer review system for article selection. JNC intended for practitioners, academics, professionals, students or among the general public who are involved and interested in the development of Health and Nursing Science. It can receive relevant articles in the field of health and nursing, which includes research articles.
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Articles 7 Documents
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Search results for , issue "Vol 8, No 2 (2025): Journal of Nursing Care" : 7 Documents clear
Application of Foot Massage Therapy with Lavender Oil and Pursed Lip Breathing in Lung Cancer Patients : A Case Report Safitri, Dania Iva; Pahria, Tuti; Harun, Hasniatisari
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.64049

Abstract

 Lung cancer is one of the leading causes of cancer-related deaths worldwide. In advanced stages, patients often experience pain and shortness of breath, which significantly reduce their quality of life. Non-pharmacological interventions such as foot massage with lavender essential oil and pursed lip breathing (PLB) exercises offer potential supportive therapy, but evidence on their effectiveness remains limited. This case study aimed to describe the application of foot massage and PLB techniques in reducing pain and dyspnea in a 64-year-old male diagnosed with stage IVA squamous cell lung carcinoma. The intervention was conducted over six consecutive days. Foot massage was performed using five standard techniques—effleurage, petrissage, friction, tapotement, and vibration—while PLB was practiced for 10 minutes prior to each session. Pain intensity and oxygen saturation were measured using the Numeric Rating Scale (NRS) and pulse oximetry, respectively. The results showed a decrease in pain score from 7 to 3 and an improvement in oxygen saturation from 92% to 96%. The patient also reported improved comfort and the ability to perform light activities with assistance. These findings suggest that the combination of foot massage and PLB may be effective in managing pain and respiratory symptoms in advanced lung cancer. Further research with larger sample sizes and controlled study designs is recommended to confirm these outcomes and support broader clinical use.Keywords: Foot Massage Therapy, Lavender Oil , Lung Cancer, Pain, Pursed Lip Breathing, Shortness of Breath
The Relationship between High Altitude Work Environments and Anxiety among Employees Djula, Sapti Heru Widiyarti; Tambunan, Evelyn Hemme
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63040

Abstract

The present study examines the relationship between high altitude and anxiety levels among employees at one of Indonesia’s leading petrochemical company. Using a quantitative research design, the investigation focused on 42 employees working in distinct altitude zones within the facility. Data were collected over a six month period during normal operational hours, employing the Hamilton Anxiety Rating Scale (HARS) as the standardized psychological assessment tool. Altitude measurements for work zones were recorded precisely, with categorized levels defines as low, moderate, high and very high altitude zone. Descriptive statistics, including means, standard deviations, and range values, were computed and correlation tests conducted R programming to determine the strength and direction of the relationship between altitude and anxiety. Results revealed the mean HARS scores among 42 participants was 21.4 (SD = 5.7), with a range of 11 to 33 whilst a statistically significant positive correlation between increased altitude exposure and elevated anxiety scores (r = 0.68, p < 0.001), suggesting that higher work zone are associated with greater anxiety levels among employees. This study also discusses occupational health and safety concerns, ethical considerations, and the limitations intrinsic to a cross-sectional quantitative design. Implications for workplace design and employee well-being interventions are explored, with recommendations for future research addressing broader environmental and psychosocial variables.
The Effect of Hydrotherapy (Warm Water Feet Soaks) on Blood Pressure in Hypertension Patients Librianty, Rina; Lismidiati, Wiwin; Pangastuti, Heny Suseani
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63378

Abstract

Hypertension, if not treated immediately, can cause various complications. One non-pharmacological therapy that can lower blood pressure is hydrotherapy (soaking the feet in warm water). Hydrotherapy (warm water foot soak) is a water therapy that can dilate blood vessels so that it can improve blood circulation and reduce blood pressure. The intervention was given 6 times in a row using warm water with a temperature of 38°C- 40°C, duration 15-20 minutes, water height 25 cm from the soles of the feet to above the ankles without using footwear, to maintain the stability of the water temperature using aluminum foil which was covered over the surface of the basin. The sample in this study were 30 hypertensive patients in the intervention group and 30 in the control group. Data analysis used an independent T-test .There was an effect of hydrotherapy (warm water foot soak) on blood pressure in the intervention group, the results were obtained (p = 0.001). Hypertension if not treated immediately can cause various complications. One of the non-pharmacological therapies that can lower blood pressure is hydrotherapy (warm water foot soak). Hydrotherapy (warm water foot soak) is a water therapy that can dilate blood vessels so that it can smooth blood circulation and lower blood pressure. The intervention was given 6 times in a row using warm water with a temperature of 38 ° C- 40 ° C, a duration of 15-20 minutes, a water height of 25 cm from the soles of the feet to above the ankles without using footwear. The sample in this study were 30 hypertensive patients in the intervention group and 30 in the control group. Data analysis used an independent T-test. There was an effect of hydrotherapy (warm water foot soak) on blood pressure in the intervention group, the results were obtained (p = 0.001)
The Application of Origami Therapy in The Elderly with Impaired Cognitive Function: A Case Study Salsabila, Nada; Witdiawati, Witdiawati; Sari, Sheizi Prista
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63418

Abstract

Older adults are prone to cognitive decline, which impacts their quality of life. While origami therapy is known to improve concentration and fine motor skills, studies on its effect on cognitive function in older adults remain limited. As a non-pharmacological intervention, origami folding offers cognitive stimulation through enjoyable activities. Objective to determine the effectiveness of origami therapy in improving cognitive function in an older adult with cognitive impairment. This study employed a case study design involving a 71-year-old resident of Griya Lansia Garut. The intervention was carried out in six sessions over a period of ten days. Cognitive function was assessed using a standardized cognitive assessment tool on the first and last day of the intervention. The client’s score increased from 18 to 22, which remains within the mild cognitive impairment category but indicates improvement. Enhancements were observed in the client’s ability to follow instructions, recall folding steps, name objects, and orient to time. These findings suggest that origami folding may help enhance cognitive funtion in older adults, particularly in attention, memory, and orientation. Further research with a larger sample size is recommended to explore the broader effectiveness of this intervention.
Application of Hand Held Fan Therapy and Orthopneic Position to Reduce Dyspnea in Congestive Heart Failure (CHF) Patients: Case Report Salsabilla, Sausan Zahrah Salwa; Platini, Hesti; Sari, Eka Afrima
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63827

Abstract

Introduction: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively to meet the body’s needs, resulting in decreased cardiac output. This leads to fluid accumulation in the lungs due to increased pulmonary venous pressure, which subsequently triggers pulmonary edema. Pulmonary edema causes impaired oxygen diffusion in the alveoli, resulting in dyspnea as the primary complaint in CHF patients. The main nursing problem that arises is impaired gas exchange, indicated by an increased respiratory rate, decreased oxygen saturation, and the use of accessory respiratory muscles. To help address impaired gas exchange in CHF patients, non-pharmacological therapies such as the use of a hand-held fan and the implementation of an upright sitting position (orthopnea position) can be utilized. Purpose: To evaluate the effectiveness of the hand-held fan and orthopneic position interventions in CHF patients experiencing shortness of breath. Methods: This study employed a case study approach based on observation, interviews, and medical record reviews. The interventions hand-held fan and orthopneic position were administered over three days, with each session lasting 5 minutes. Results: Following the interventions, respiratory rate decreased from 30 breaths per minute to 25 breaths per minute, and oxygen saturation increased from 95% to 98%. The patient reported feeling more relieved, comfortable during breathing, and able to sleep more easily, although occasional shortness of breath persisted. Discussion: The interventions are physiologically beneficial: the orthopneic position helps reduce venous return to the heart, thereby lowering pulmonary pressure, while hand-held fan therapy alleviates the perception of breathlessness through sensory stimulation of the face, which activates the V2 branch of the trigeminal nerve. Conclusion: The combination of hand-held fan therapy and the orthopneic position is effective in relieving dyspnea, reducing respiratory rate, and improving oxygen saturation in patients with congestive heart failure
The Application of Crossword Puzzle Therapy (CPT) to Improve Cognitive Function in Older Adults in Griya Lansia Garut: A Case Study Pataya, Amalla; Witdiawati, Witdiawati; Sari, Sheizi Prista
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63994

Abstract

Introduction: Older adults are an age group that is vulnerable to a decline in cognitive function as they age. One of the efforts to slow down the process is through the provision of fun and structured cognitive stimulation, such as crossword puzzle games or Crossword Puzzle Therapy (CPT). Objective: : To determine the effectiveness ofthe application of CPT on improving cognitive function in older adults who experience mild cognitive function impairment. Methods: This study used a case study method with a nursing approach to a 74-year-old older adult with mild cognitive function impairment at Griya Lansia Garut. Cognitive function was measured using a questionnaire with the intervention given was Crossword Puzzle Therapy (CPT) for six times in ten days. Results: There was an increase in cognitive scores (from 18 to 21) before and after the intervention, especially in aspects of orientation and short-term memory. Clients can perform CPT exercises with assistance and only in the easiest CPT level. Conclusion: This study shows that CPT intervention can be an effective alternative nonpharmacological therapy to stimulate and improve cognitive function in older adults. A longer time and increase the sample size with various characteristics to determine the broader effectiveness of this intervention are recommended. The activity should begin with a low level of difficulty and be tailored to the individual’s ability in order to achieve more optimal outcomes. Keywords: Cognitive Function, Crossword Puzzle Therapy (CPT), Older Adult
The Effect of Diabetic Foot Exercise on Peripheral Perfusion and Fall Risk in Elderly with Diabetes Mellitus: Case Report Putri, Yuliana Eka; Sari, Sheizi Prista; Witdiawati, Witdiawati
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.64001

Abstract

risk of experiencing complications such as peripheral neuropathy. Diabetic foot exercises are an intervention to control blood sugar levels and reduce the risk of complications and limited study have been found that support the intervention on the risk of further falls. This study aims to determine the effect of foot exerciseson peripheral perfusion and fall risk in elderly with DM. The research employed a case report methodology, utilizing a nursing care approach for an elderly individual aged 65 years. The client experienced peripheral neuropathy and the assessment showed that the client was in the moderate fall risk category. The intervention was given for 7 days in the morning and evening for 10–15 minutes, and evaluation was conducted daily through observation, interviews, physical examinations, and objective assessment using questionnaires Tinetti Assessment Tool. Complaints of tingling and stiffness in the feet had decreased, acral temperature became warm, CRT was 2 seconds, SpO₂ in the toes increased to 96%, GDS was 136 mg/dL, and the Tinetti Assessment Tool score was 5 with an interpretation of low fall risk. The findings of this study indicate that practicing diabetic foot exercises can improve peripheral perfusion and reduce the risk of falls in the elderly. Further research is expected to be conducted with a larger sample size and a longer intervention duration to observe its long-term effects.Keywords: Diabetic Foot Exercise, Diabetes Mellitus, Elderly 

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