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Nursing and Health Sciences Journal (NHSJ)
Published by KHD Production
ISSN : 27985059     EISSN : 27985067     DOI : https://doi.org/10.53713/nhs.v1i1.1
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences. NHSJ is published four times a year, March, June, September, and December.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 15 Documents
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Search results for , issue "Vol. 5 No. 4 (2025): December 2025" : 15 Documents clear
Abdominal massage to reduce constipation in the intensive care unit Dudella Desnani Firman Yasin; Eny Erlinda Widyaastuti; Christine Handayani Siburian; Arif Rahman Aceh
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.439

Abstract

Mechanical ventilation is a positive and negative pressure breathing aid that maintains and improves oxygen ventilation in long-term positions. One of the impacts of the ventilation Mechanism is constipation. Constipation can hinder the weaning process; management of non-pharmacological constipation is by performing abdominal massage intervention. This study aims to describe the use of abdominal massage in the treatment of constipation in patients undergoing mechanical ventilation in the ICU. Case studies were used in this study, using the approach of nurses who provide care. The Results show that in client 1, where no abdominal distension was found (score 5), no mass was felt on the rectal (score 5), peristaltic increased from Which No heard became 19 x/ minute (score 5), and the Chapter on day 3 (score 4) with soft and solid stool consistency (score 5). Client 2 with results showing no distension of the abdomen (score 5), no palpable mass in the rectum (score 5), intestinal peristalsis increased from 5x/minute to 23x/ minute (score 5), and defecation on the day to 3 (score 4) with consistency of feces soft and solid (score 5). The application of massage to the abdomen improves fecal elimination in constipated patients with mechanical ventilation installed in the ICU. Healthcare institutions should foster a culture that supports the integration of complementary therapies into standard nursing practices. This could involve developing guidelines and protocols for the use of massage therapy in various clinical settings, thereby standardizing care practices and ensuring that all patients receive the benefits of such interventions.
Risk factors associated with substance abuse and disruptive behavior disorders: A cross-sectional study among undergraduates of the University of Ibadan, Nigeria
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.527

Abstract

Substance abuse and disruptive behavior disorders (DBDs) are prevalent among university students and have significant health consequences. Despite various educational interventions on substance abuse, engagement in these behaviors remains high. This study assessed the factors associated with substance abuse and DBDs among undergraduate students at the University of Ibadan. A descriptive cross-sectional study design was employed, with 345 undergraduates selected. Data were collected using a structured questionnaire, cleaned, and analyzed using SPSS version 27.0. Descriptive statistics were presented in tables and figures, while Chi-square tests assessed associations between variables at p≤0.05. The study revealed that 64% of respondents had good knowledge of substance abuse and DBDs, and the prevalence of substance abuse and disruptive behaviour disorders among the students was 42%. Factors identified by students associated with substance abuse and disruptive behaviour disorders include Peer influence and academic stress, with most respondents claiming the assertions (150 (95%) and 129(82%) respectively). Additionally, sociodemographic factors such as religion (χ² = 20.659, p = 0.001), ethnicity (χ² = 11.324, p = 0.023), and financial support (χ² = 19.410, p = 0.001) were significantly associated with knowledge of substance abuse and DBDs. The study findings highlight the need for campaigns to create awareness about substance abuse and its effects among students and for the strict enforcement of substance abuse regulations. Universities should collaborate with all stakeholders, including student organisations, faculty staff, family, and local community organisations, to address underlying factors contributing to substance abuse and DBDs among students.
Correlation between sleep parameters and VO2max in physiotherapy students
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.533

Abstract

Sleep quality and quantity are essential for health and academic success in university students. This study examined the relationship between physical fitness and sleep parameters in physiotherapy students. Seventy-one healthy female physiotherapy students aged 18-24 from Walailak University participated in this cross-sectional study. Participants had normal BMI and mood conditions. The Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality and quantity. Physical fitness was measured using the Astrand-Rhyming test protocol to determine maximum oxygen consumption (VO2max). Spearman's rank-order correlation analysis was performed to examine associations between variables. The global PSQI score was significantly negatively correlated with age (r = −0.297, p = 0.01). However, VO2max showed no significant correlation with sleep quality (r = 0.133, p = 0.27) or sleep quantity (r = -0.026, p = 0.82). No significant associations were found between VO2max and the overall PSQI score or individual PSQI components. As measured by VO2max, physical fitness does not significantly influence sleep quality or quantity in healthy female physiotherapy students. These findings suggest that factors other than physical fitness may be more important determinants of sleep in this population.
Care-givers' attitude towards utilization of recovery-oriented practices for people living with mental ill-health
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.534

Abstract

Recovery-Oriented Practice (ROP) is an individualized approach aimed at enhancing the personal recovery journey of individuals with mental health conditions. Recovery-Oriented Training (ROT) equips the capacity of MHPs for effective implementation of ROP among MHPs at Community Mental Health Centers (CMHCs). This study investigated the effect of the ROT Program on the attitudinal disposition of MHPs at CMHCs in Ogun State, Nigeria. The study adopted a Quasi-experimental design, and multistage sampling was used to select 139 CMHCs who participated in the study. Pre- and post-data collection were conducted across the study center, yielding an 85.71% response rate. Data were analyzed using descriptive and inferential statistics at a 0.05 level of significance. The mean age of MHPs was 48.85 ± 9.93 years, with 87% of the participants being female. Among them, 57% had a diploma, 33% had a bachelor's degree, and 23% were mental health nurses. Notably, 100% had no prior training in ROP. Findings revealed that ROT improved the attitude of MHPs towards utilization of ROP at CMHCs. Changes in attitude towards ROP utilization were observed between P0 and P1, respectively, for the effects of stigma on recovery (2.17 ± 0.93 vs. 3.23 ± 0.53), the possibility of recovery (1.69 ± 0.68 vs. 3.11 ± 0.36), and unintended setbacks (2.18 ± 0.55 vs. 3.18 ± 1.00). We concluded that ROT improved the attitudinal response of MHP at CMHCs in Ogun State, Nigeria, towards the utilization of ROP. It is recommended that the government ensure continuous training of MHP across the nation and provide avenues and resources to enhance ROP implementation.
Determinants of quality of life among adolescents with irritable bowel syndrome symptoms
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.543

Abstract

Irritable Bowel Syndrome (IBS) can harm the quality of life, social, economic, and psychological aspects. The declining quality of life of adolescents with IBS will have a significant effect on the next stage of life. This study aims to identify the determinants of quality of life in adolescents with irritable bowel syndrome (IBS) symptoms in public senior high schools. The design of this study was a cross-sectional study with a sample size of 344 adolescents selected by consecutive sampling. Data collection employed self-report instruments, including demographic characteristics, the IBS Symptom Severity Score (IBS-SSS), the Big Five Inventory (BFI-10), the Hopkins Symptom Checklist (HSCL-25), the Patient Health Questionnaire (PHQ-15), and the Irritable Bowel Syndrome Quality of Life (IBS-QOL) scale. A multivariate analysis using multiple logistic regression shows a significant relationship between the severity of IBS symptoms, psychological distress, and somatic symptoms on the quality of life of adolescents with IBS symptoms (p-value < 0.001; < 0.001; < 0.001). From the results of the final modeling using multiple logistic regression, it is evident that somatic symptoms are the most influential determinant of the quality of life of adolescents with symptoms of IBS, with an Odds Ratio (OR) value of 0.620 (95% CI: 0.470-0.818). The Health Departments, health professionals, schools, and parents are encouraged to collaborate in designing consultation, education, intervention, and evaluation programs to manage IBS and somatic symptoms experienced by adolescents.
Grounding activities effectively lower blood pressure in elderly people with hypertension
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.550

Abstract

Hypertension is one of the most prevalent chronic conditions worldwide, particularly among elderly populations. The condition of blood pressure that is too high causes the heart to work harder in pumping blood throughout the body, which causes organ damage and several diseases, such as Congestive Heart Failure, Stroke, visual impairment, Heart Failure, Kidney Failure, and other diseases. Prevention of Hypertension can be achieved through both pharmacological and non-pharmacological treatments. Pharmacological treatment with antihypertensive drugs, non-pharmacological ones include doing physical activities, walking barefoot, also called grounding. The purpose of this study was to investigate the effectiveness of grounding on blood pressure in elderly individuals with hypertension. The research design employed a pre-experimental design, with a total of 32 respondents selected through simple random sampling. Blood pressure data was measured 30 minutes before and after grounding. Grounding was conducted over a period of 3 weeks, with sessions held three times a week, each lasting 30 minutes. The average decrease in systolic blood pressure was 7.81 mmHg, and in diastolic blood pressure was 2.66 mmHg. The paired t-test results yielded a p-value of 0.00 < 0.05 (alpha), indicating a significant effect of grounding activities on lowering blood pressure in elderly hypertensive individuals. The results of this grounding activity study suggest that it can be used as a non-pharmacological therapy to lower blood pressure.
The impact of psychosocial factors on diet compliance in breast cancer patients undergoing chemotherapy
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.558

Abstract

Diet adherence in breast cancer patients impacts their physical condition and quality of life. Psychosocial factors play a role in diet adherence in breast cancer patients, but the exact influence of each factor is still unclear. This study aims to investigate the impact of various psychosocial factors on dietary adherence among breast cancer patients undergoing chemotherapy. The research used a cross-sectional design with 98 respondents selected through simple random sampling. The dependent variable is diet adherence, and the independent variables are psychosocial factors (knowledge, motivation, coping, distress, spirituality, and social support). Data were collected using a questionnaire and analyzed both descriptively and inferentially (using multiple linear regression). The research results show that most respondents are aged 46–55 years (35.7%), have an elementary school education (41.8%), are housewives (51%), are married (84.7%), and have undergone their third chemotherapy visit (24.5%). Respondents have moderate knowledge, coping, and distress (51%, 56%, 55%), while also exhibiting high motivation, spirituality, and social support (71%, 75%, 78%). However, diet adherence is reported as low and high (34.7%, 34.7%). The analysis results indicate that psychosocial factors have a significant simultaneous influence on dietary adherence, accounting for 29.1% of the variance (F = 7.649; p < 0.000; R² = 0.291). However, partially, motivation and spirituality have a significant influence on dietary adherence (t = 2.726, p = 0.008 and t = 4.978, p = 0.000). The study concludes that psychosocial factors, including motivation and spirituality, are important components that influence dietary adherence in breast cancer patients undergoing chemotherapy. Therefore, efforts to improve dietary adherence in breast cancer patients should consider the patients' motivation and spirituality to enhance chemotherapy outcomes and quality of life.
Continuing professional development and its perceived benefits among midwives
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.569

Abstract

Midwife-nurses in the Cordillera Administrative Region are vital in delivering exceptional care to mothers and newborns. Their continuous professional development is paramount in a rapidly evolving healthcare landscape. This study aimed to understand midwives' experiences with CPD and how it bolsters skills, enhances well-being, and informs effective professional development. This quantitative descriptive study utilized a simple random probability sampling method, surveying 139 midwives in CAR from March to April 2025. A modified and validated survey tool assessed perceptions of CPD benefits. Descriptive and inferential statistics, including F-tests/ANOVA, were performed using SPSS version 20. Most of the 139 study participants were 28–32 years old with 1–5 years of work experience. The perceived benefits of Continuing Professional Development received a high overall average rating (2.53–2.75). Specifically, financial gain and professional network development obtained the highest average rating of 2.75. Midwives generally agreed that CPD positively influences career development and personal skills. While financial income was recognized, career advancement was prioritized over immediate financial gains, viewing CPD as a strategic investment. Enhanced personal competencies were seen as the most direct benefit of CPD—midwives in the Cordillera Administrative Region value CPD for personal growth, career advancement, and networking. Recommendations include designing CPD opportunities emphasizing skill enhancement and career progression to meet their perceived needs, ensuring these vital healthcare providers are equipped for their crucial roles.
Ankle pump exercise to reduce edema in congestive heart failure
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.588

Abstract

Fluid overload in the circulatory system is a common symptom of Congestive Heart Failure (CHF), often leading to the nursing problem of hypervolemia, characterized by pulmonary and lower extremity edema. One intervention that may reduce edema is the ankle pump exercise. This study aimed to evaluate changes in edema in a CHF patient with hypervolemia following the implementation of the ankle pump exercise. This study employed a descriptive method using a case study approach. The participant was a 67-year-old male diagnosed with CHF, presenting with apathetic consciousness, jugular venous pressure (JVP) of 9 cmH₂O, positive hepatojugular reflux, and lower extremity edema at grade +2. The intervention involved passive dorsiflexion and plantarflexion of the ankle for 5–10 minutes, once daily, over six consecutive days in a semi-Fowler’s position. A reduction in edema was observed from grade +2 to 0. Evaluation criteria showed improvement in paroxysmal nocturnal dyspnea and jugular vein distension (JVP reduced to 6 cmH₂O), with no tachycardia (pulse 80 bpm). However, dyspnea, orthopnea, and the S3 heart sound remained present. Ankle pump exercise may be considered as a supportive nursing intervention to reduce lower extremity edema in CHF patients with hypervolemia. However, as this is a single-case study, the findings cannot be generalized to other cases. Larger studies are needed to validate these outcomes.
Analysis of early puberty in girls leads to physical, psychological, and social consequences
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.591

Abstract

Early puberty in girls before the age of 9 may lead to physical, psychological, and social consequences, including risks of obesity, menstrual disorders, risky sexual behavior, as well as early marriage and pregnancy. This study aimed to analyze early puberty in girls leading to physical, psychological, and social consequences in Tanah Baru village, Beji subdistrict, Depok, West Java. This mixed-method research applied an exploratory sequential approach. The sample consisted of 100 participants selected through a total sampling approach. Core informants included four respondents, while key informants comprised four parents/guardians and three class teachers, all recruited using snowball sampling. Research instruments included questionnaires and interview guides. The data were analyzed using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. Qualitative analysis revealed that girls experiencing early puberty expressed feelings of anxiety, confusion, and embarrassment due to faster physical changes compared to their peers. Parents reported difficulties in providing education, particularly in areas such as reproductive health and emotional regulation. Teachers noted challenges in guiding children who appeared physically mature but were still psychologically immature, particularly in social interactions at school. Quantitative analysis revealed that factors significantly associated with early puberty included maternal age at menarche (p = 0.029), nutritional status (p = 0.002), fast food consumption (p = 0.001), physical activity (p = 0.001), stress (p = 0.001), and exposure to pornography (p = 0.001). Multivariate analysis indicated that the most dominant factors influencing early puberty were physical activity, stress, and exposure to pornography. Prevention efforts for early puberty in girls should focus on promoting physical activity, encouraging healthy eating habits, managing stress, and monitoring media exposure.

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