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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 300 Documents
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The association between caregiver burden and behavioral and psychiatric disorders in dementia patients Nguyen, Le Phi Nguyen; Duong, Thi Thu Huong; Hoang, Tien Trong Nghia; Nguyen, Thi Tien; Phan, Thi Thu Huong
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.612

Abstract

Millions of people worldwide have dementia, a progressive loss of cognitive abilities that interferes with day-to-day functioning. Long-term caregiving frequently results in chronic stress and lower care quality, even though caregivers are crucial in addressing daily living and health care needs. Therefore, it is essential to assist caregiver and alleviate their load. This study aimed to quantify caregiver burden and examine its association with behavioral and psychiatric symptoms in dementia. A cross-sectional study was conducted with 94 patient–caregiver pairs from two dementia units. Behavioral and psychiatric symptoms were assessed using the Neuropsychiatric Inventory Questionnaire (NPI-Q), and caregiver burden was measured with the Zarit Burden Interview (ZBI-22). Results showed that 60.6% of caregivers reported burden. Subsequent analysis indicated a statistically significant association (p<0.05) between caregiving burden and several neuropsychiatric symptoms in care recipients, specifically hallucinations (OR = 3.85; 95% CI: 1.45-10.20), delusions (OR = 3.85; 95% CI: 1.45-10.20), motor disturbances (OR = 3.45; 95% CI: 1.38-8.61), irritability (OR = 3.99; 95% CI: 1.62- 9.78), and disinhibition (OR = 3.34; 95% CI: 1.26-8.87). Burden was also higher among caregivers of patients in middle or late stages of dementia (p<0.001), those providing care for longer durations (p<0.05), and those assisting with activities of daily living (p<0.05). In conclusion, caregiver burden is common and strongly related to patients’ behavioral and psychiatric symptoms. The study emphasizes the importance of developing interventions that target these symptoms and providing greater support for caregivers to reduce stress and improve overall care quality. Future research should focus on treatments for specific neuropsychiatric symptoms and on supporting caregivers to reduce their burden.
Analysis of the causative factors of chronic energy deficiency and the health impact on adolescent girls Handayani, Delly; Widowati, Retno; Silawati, Vivi; Rukmaini
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.613

Abstract

Chronic Energy Deficiency (CED) among adolescent girls remains a major public health concern. This condition affects not only physical health but also psychological well-being and overall quality of life, necessitating a comprehensive study of its contributing factors and impacts. This study aimed to identify the factors contributing to CED and assess its impact on the health of adolescent girls. A quantitative design with a descriptive correlational approach was employed. Using stratified random sampling by grade level, 184 respondents were selected using Slovin's formula. Data were collected via standardized questionnaires, Mid-Upper Arm Circumference (MUAC) measurements, and hemoglobin examinations. Data analysis used Pearson's Correlation and multiple linear regression. The prevalence of CED among adolescent girls was 60.9%. Significant factors associated with CED included knowledge, nutritional intake (energy, carbohydrates, protein, fat), sleep quality, stress, and family support (p < 0.05), which collectively accounted for 77% of the variance in CED incidence. Conversely, body image showed no significant association. Regarding health impacts, CED was significantly correlated only with self-efficacy (r = -0.270; p < 0.001); hemoglobin levels, menstrual cycles, and academic performance showed no significant associations. Nutrition education programs are needed to improve balanced dietary intake. Furthermore, strengthening the roles of families and schools is recommended to support the prevention and management of CED among adolescent girls.
Social media addiction and its association with interpersonal communication skills among university students Qasim Mohammed, Qahtan; Taha Ahmed Faraj
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.617

Abstract

Social media addiction has become a significant mental health concern among university students, with studies indicating that approximately 30% to 40% of students exhibit signs of addiction. This phenomenon affects emotional well-being and social interaction. This study aims to assess the levels of social media addiction and communication skills (verbal, non-verbal, and written) among students at the University of Baghdad and explore their correlation, alongside sociodemographic variables. A quantitative, correlational study was conducted from November 22, 2024, to April 1, 2025. A convenient sample of 200 undergraduate students from four colleges was surveyed. Data collection tools included the Bergen Social Media Addiction Scale and the Communication Skills Scale, and data were analyzed using SPSS version 26.0. A moderate level of social media addiction was observed in 57% of students (M ± SD = 17.66 ± 4.965), and 92% exhibited moderate communication skills (M ± SD = 95.32 ± 11.118). The study found a weak positive correlation between social media addiction and communication skills (r = 0.18, p = 0.013). The mean social media addiction score was M = 17.66, with a standard deviation of SD = 4.97. While a slight positive correlation exists, sociodemographic factors did not significantly influence communication skills. Educational programs should consider strategies to improve both social media management and students' communication skills. The study recommended developing an intervention program to help students manage their social media use and implementing a training program to enhance communication skills across all student groups.
Transforming nursing education through caring pedagogy: A systematic review of the experiential learning approach Priyantini, Dwi; Hafizah Che Hassan
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.623

Abstract

The increasing complexity of healthcare demands nursing education that effectively bridges the theory-practice gap while cultivating caring competence and professionalism. Traditional didactic methods often fail to adequately prepare students for clinical realities, necessitating a shift toward innovative pedagogical strategies. This systematic review evaluates the effectiveness of caring pedagogy and experiential learning approaches in transforming nursing education outcomes. Following the PRISMA 2020 guidelines, a comprehensive search was conducted across Scopus, PubMed, and ProQuest for studies published between 2022 and 2026. Methodological quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tools specific to each study design. From 250,393 identified records, 11 studies met the inclusion criteria. The included studies comprised seven randomized controlled trials, two quasi-experimental studies, one prospective cohort study, and one non-equivalent control group study. Quality appraisal rated three studies as high, seven as moderate, and one as low-moderate. Interventions included simulation-based learning, problem-based learning, role-play, peer education, and structured training programs. Synthesis of findings demonstrated significant improvements in professional competence, communication skills, psychomotor skills, critical thinking, self-efficacy, creativity, and patient safety adherence among nursing students and nurses. Caring pedagogy and experiential learning approaches are effective strategies for enhancing nursing competence and professionalism. Educational institutions should integrate these evidence-based interventions into curricula to better prepare nurses for contemporary healthcare challenges and ensure a workforce capable of delivering compassionate, high-quality care.
Determinants of personal protective equipment utilization among healthcare workers Ismarina; Dini Rachmaniah; Rita Ramayulis
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.634

Abstract

Despite established guidelines, non-compliance with personal protective equipment (PPE) protocols remains a persistent challenge in healthcare settings, posing risks to occupational safety and infection prevention. This study examined factors associated with PPE use behavior among healthcare workers in inpatient units. An analytical cross-sectional study was conducted involving 260 healthcare workers. Data were collected via structured questionnaires and observational checklists. Associations between independent variables and PPE use behavior were assessed using chi-square tests. Inappropriate PPE use was observed in 60.8% of respondents. Bivariate analysis identified supervisory support (p = 0.011; OR = 2.315) and peer support (p < 0.001; OR = 4.470) as significant predictors of compliance. Conversely, age, education, knowledge, length of service, attitudes, comfort, and facility availability showed no significant association. Workplace social support, particularly from supervisors and colleagues, is a critical determinant of PPE compliance. Strategies to improve PPE adherence should prioritize strengthening organizational support systems rather than focusing solely on individual knowledge or resource availability.
Factors associated with diabetes self-care activities in patients with type 2 diabetes mellitus Hisni, Dayan; Wowor, Tommy JF; Syamsiah, Siti; Lubis, Rosmawaty
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.657

Abstract

The chronic nature of Type 2 diabetes mellitus (T2DM) necessitates management strategies beyond pharmacotherapy, specifically consistent self-care and family support. While self-care is critical for glycemic control, the influence of urban sociocultural and family dynamics remains underexplored. This study aimed to evaluate diabetes self-care levels and their associations with demographics, disease knowledge, and family support among adults. A STROBE-compliant cross-sectional study was conducted with 89 purposively sampled adults at a public health center. Instruments included the Diabetes Knowledge Questionnaire (DKQ-24), Family Support Scale (HDFSS), and Summary of Diabetes Self-Care Activities (SDSCA). Reliability was established (Cronbach's α = 0.73–0.96). Data were analyzed using the Mann-Whitney U test and Spearman's rho test. The mean SDSCA score was 71.4 (SD=13.7). Self-care behaviors were significantly associated with university education (p=0.048), disease duration ≥5 years (p=0.002), and older age (r=0.73, p<0.001). Diabetes knowledge (r=0.285, p=0.007) and family support (r=0.219, p=0.039) showed weaker, yet significant, positive correlations. No significant gender differences were observed (p=0.527). Age emerged as the strongest predictor of self-care. These findings highlight the need for age-stratified interventions that integrate family support to optimize T2DM management.
Overview of dietary patterns and vegetable/fish preferences among autistic children Ilmi, Ibnu Malkan Bakhrul; Octaria, Yessi Crosita; Majida, Lia Awwalia; Olivia, Monica Viorafanti
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.661

Abstract

Global autism prevalence is rising, necessitating specialized dietary management. While gluten-free and casein-free (GFCF) diets, along with Omega-3 and antioxidant-rich foods, are recommended to manage symptoms and support brain development, many children with ASD still face significant nutritional challenges. This study aims to describe dietary patterns and preferences for vegetables and fish among children with autism in the Jabodetabek area. This mixed-methods cross-sectional study involved 112 parents of children with autism, selected via cluster random sampling. Data were collected using Food Frequency Questionnaires (FFQ), 2x24-hour food recalls, and in-depth interviews. White rice, tempeh, chicken, and spinach were the primary food sources consumed. Notably, 97% of children still consumed gluten and casein. While a majority expressed a preference for vegetables (61.6%) and fish (81.25%), driven by daily consumption habits, significant macronutrient deficiencies were identified. Specifically, 76.7% of children had insufficient carbohydrate intake, 60.7% lacked adequate fat, and 46.4% were protein-deficient. Autistic children exhibit substantial macronutrient deficits and low adherence to GFCF diets. These findings highlight a critical need for improved dietary education and nutritional interventions for this population.
Family support as a predictor of breastfeeding self-efficacy among postpartum mothers Purba, Tetty Junita; Peny Ariani; Mutiara Dwi Yanti; Putri Ayu Yessy Ariescha; Friska Ernita Sitorus; Jekson Martiar Siahaan
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.665

Abstract

While family support is widely acknowledged as a critical determinant of breastfeeding self-efficacy, research on its independent predictive effect remains sparse. This limitation is particularly pronounced among postpartum mothers in Indonesia, where context-specific evidence is currently insufficient. This study aimed to analyze the relationships and effects of family support, educational level, and parity status on postpartum mothers' breastfeeding self-efficacy. A multicenter cross-sectional study was conducted among 180 postpartum mothers recruited from nine primary health centers across urban, semi-urban, and rural areas using purposive sampling. Family support was measured using a Friedman-based questionnaire, and breastfeeding self-efficacy was assessed using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Spearman correlation and multiple linear regression were performed. Family support showed a moderate positive correlation with breastfeeding self-efficacy (rs = 0.559, p < 0.01). In multivariate analysis, family support remained the strongest predictor of breastfeeding self-efficacy (β = 0.509, p < 0.01), followed by parity (β = 0.255, p < 0.001), whereas maternal education was not statistically significant. Family support is the primary determinant of breastfeeding self-efficacy among postpartum mothers. Interventions to improve breastfeeding outcomes should integrate family-centered support strategies, particularly for first-time mothers.
Influence of nursing competence, leadership, team coordination, and resources on flood disaster nursing effectiveness Hutajulu, Johansen; Ivan Elisabeth Purba; Henny Syapitri; Tanti Yosepha Ompusunggu
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.671

Abstract

Flood disasters represent a prevalent global hazard that imposes significant strain on healthcare systems, necessitating robust nursing management to ensure timely and effective service delivery. This study examined the influence of nursing competence, leadership, team coordination, and resource availability on disaster nursing management effectiveness during flood responses. Using a quantitative cross-sectional design, data were collected from 96 nurses with direct flood response experience using a validated, structured questionnaire. Multiple linear regression analysis was employed to assess the individual and simultaneous effects of the independent variables. Results demonstrated that nursing competence, leadership, team coordination, and resource availability all exerted a positive and significant influence on management effectiveness (p < 0.05). Collectively, these variables accounted for 55.6% of the variance in effectiveness, with team coordination and leadership as the strongest predictors. These findings underscore that optimal disaster nursing management relies on an integrated approach combining individual competency with strong leadership structures, cohesive teamwork, and adequate logistical support. Consequently, disaster preparedness strategies should prioritize leadership development and coordinated team protocols alongside clinical training to enhance resilience in flood-prone regions.
Electroacupuncture for blood pressure control in elderly hypertensive patients Sang Ayu Ketut, Candrawati; Ni Komang Sukra Andini; Desak Made Ari Dwi Jayanti
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.675

Abstract

Hypertension is a major global health problem and a leading risk factor for cardiovascular diseases, especially among the elderly, due to decreased vascular elasticity, increased peripheral resistance, and autonomic dysfunction. Despite pharmacological therapy, poor adherence and side effects highlight the need for complementary non-pharmacological interventions. Electroacupuncture has emerged as a potential therapy to support blood pressure control in elderly hypertensive patients. This study aimed to evaluate the effectiveness of electroacupuncture in reducing blood pressure among elderly patients with hypertension. A quantitative pre-experimental one-group pretest–posttest design was conducted on 20 elderly hypertensive patients. Electroacupuncture was applied to GV20, ExHN3, ExHN5, LI4, LI11, PC6, ST36, LR3, and KI3 points for 30 minutes per session over six sessions in three weeks. Blood pressure was measured before and after the intervention using a calibrated sphygmomanometer. Data analysis was performed using the Wilcoxon Signed Rank Test for systolic blood pressure and the Paired Sample T-Test for diastolic blood pressure with α = 0.05. Systolic blood pressure decreased significantly from 133.27 ±16.59 mmHg to 128.85 ±15.97 mmHg (p=0.011), while diastolic pressure decreased from 76.04 ±9.08 mmHg to 74.90 ±7.43 mmHg without statistical significance (p=0.240). Electroacupuncture is effective, safe, and economical in reducing systolic blood pressure in elderly hypertensive patients. It is recommended as a complementary therapy integrated with conventional management for holistic hypertension control and improving quality of life among the elderly.

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