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Journal of Applied Nursing and Health
Published by Lembaga Chakra Brahmanda Lentera
ISSN : 26671609     EISSN : 28093208     DOI : 10.55018
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary
Journal of Applied Nursing and Health (JANH) (Prefix DOI: 10.55018) has published its first volume with p-ISSN: 2657-1609 (SK LIPI: 0005.26571609/JI.3.1/SK.ISSN/2019.05) in 2019 and e-ISSN: 2809-3208 (SK LIPI 005.28093208/K.4/SK.ISSN/2021.12) in 2021. JANH is a health journal that publishes scientific papers for nurses, health academics, and other health practitioners. This journal is published regularly in June and December every year. The Journal of Applied Nursing and Health (JANH) is a peer-reviewed scientific journal. JANH hopes to be able to contribute to increasing evidence-based knowledge in the realm of nursing and health, JANH hopes to be useful and used by the community to improve a better quality of life which in turn has the potential and impact on the advancement of knowledge in nursing and health practice. All JANH papers have a solid, critical, and scientifically sound scientific, evidence, theoretical or philosophical basis in their approach.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 255 Documents
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Allergic Rhinitis in Ghana: Knowledge, Prevention, and Management Among Community Residents Opoku, Oscar Agyemang; Opoku Agyemang, Cecilia; Nyarko Mensah, Olivia; Opoku, Albert; Agyenim Boateng, Linda; Kwakye, Shadrack
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.249

Abstract

Background: Allergic rhinitis is a common comorbidity associated with respiratory illnesses, including asthma, sinusitis, and otitis media with effusion, and significantly impacts patients’ quality of life. This study aimed to assess the knowledge, preventive practices, and management of allergic rhinitis among residents of Santasi-Apire in the Ashanti Region, Ghana. Methods: A descriptive cross-sectional study was conducted using a quantitative approach. The target population consisted of individuals aged 15 years and above residing in Santasi-Apire. A total of 100 participants were recruited through convenience sampling. The inclusion criteria included permanent residents aged 15 years or older; individuals with cognitive impairments or those who declined consent were excluded. Data were collected using a structured questionnaire based on the study objectives, which covered variables such as knowledge, preventive measures, and management practices related to allergic rhinitis. Ethical approval was obtained from the Kumasi Metropolitan Health Directorate. Data were analyzed using SPSS version 20.0, with results presented as frequencies and percentages. Results: A total of 48% of respondents misidentified allergic rhinitis as a common cold. Dust was identified as the most prevalent trigger (70%), followed by perfume (22%), pollen (5%), hay (3%), certain foods (3%), and specific drugs (2%). About 65% of participants reported avoiding dusty environments and smoke, while 15% did not engage in any preventive behavior. Sprinkling water on roads to reduce dust was the most commonly practiced preventive measure (52%). In terms of management, 47% used antihistamines, and 39% relied on over-the-counter medications. A minority (2%) reported no form of management. Conclusion:  The study indicates that dust is the primary trigger of allergic rhinitis among Santasi-Apire residents, who predominantly experience rhinorrhea as a symptom. While community members recognize allergic rhinitis as a serious condition, their efforts to prevent and manage it largely rely on environmental control and self-medication. Strengthening public health education on evidence-based management and clinical evaluation is recommended.
Exploring Pain Management Strategies and Their Influence on Patient Satisfaction After Abdominal Surgeries: A Qualitative Inquiry in Federal Teaching Hospitals, South-West Nigeria Dada, Rotimi Williams; Nwaomah, Esemota; Jummai, Wennie; Bello, Qazim; Abiodun, Titilayo; Opaleye, Temitope; Ogunleye, Adebisi; Omitogun, Olusola; Orunmuyiwa, Grace; Dada, Ayokunnumi
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.271

Abstract

Background: Patient satisfaction is a key indicator of healthcare quality, particularly about postoperative pain management. Abdominal surgery remains one of the most common major procedures performed in teaching hospitals across Nigeria. However, previous studies have reported prolonged hospital stays, delayed recovery, and increased postoperative complications due to inadequate pain control. Despite the high volume of abdominal surgeries, there is limited evidence on the most effective pain management strategies to improve patient satisfaction. Notably, many patients in federal teaching hospitals in South-West Nigeria continue to express dissatisfaction following surgery. This study examined pain management strategies that enhance patient satisfaction following abdominal surgery in selected federal teaching hospitals in South-Western Nigeria. Methods: A qualitative research design was employed. Twelve patients undergoing postoperative abdominal surgery were purposively selected until data saturation was achieved. Semi-structured interviews were conducted using an interview guide, and the data were analyzed thematically. Results: Six major themes emerged from the analysis: (1) patients’ experiences of abdominal surgical pain, (2) satisfaction with current pain management methods, (3) factors promoting coping mechanisms, (4) fear of drug-related adverse effects, (5) strategies adopted for pain management, and (6) patients’ suggestions for improving pain control. Conclusion: The study concluded that the use of a combination of pain management strategies significantly enhanced patient satisfaction following abdominal surgery. It is recommended that hospital management implement policies that support the use of multimodal pain management approaches by nurses, with a focus on personalized and compassionate care, to optimize postoperative outcomes and patient satisfaction.
Mortality Predictors in Trauma Patients in an Indonesian Emergency Department: A Retrospective Cohort Study Widiyawati, Kholisah; Lestari, Retno; Suryanto , Suryanto
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.303

Abstract

Background: especially in low- and middle-income nations. Identifying mortality-related factors in trauma patients is essential to enhance early management and reduce death rates. This retrospective cohort study follows the STROBE guidelines and analyzes factors associated with mortality among trauma patients in the emergency department (ED) of a resource-limited setting. Methods: This study included 356 trauma patients who presented to the ED of Bina Sehat Hospital in Jember between February 2023 and February 2025. Data were collected from electronic medical records. The variables assessed included age, gender, mean arterial pressure (MAP), systolic blood pressure, oxygen saturation, Glasgow Coma Scale (GCS), mechanism of trauma, and Revised Trauma Score (RTS). Bivariate and multivariate logistic regression analyses were conducted. A flow diagram was used to depict participant selection, and missing data were excluded listwise. Inter-rater agreement was ensured through standardized training of data collectors.. Results: Of 356 patients, 88.5% survived and 11.5% died. Bivariate analysis indicated that age, oxygen saturation, GCS, and RTS were significantly related to mortality (p < 0.001). Multivariate analysis identified that a low RTS (p = 0.002), a low GCS (p < 0.001), and high MAP (p = 0.041) were independent predictors of mortality. The RTS had the strongest association with mortality, reducing odds by 91.8% per unit increase. Conclusion: RTS is the most robust predictor of mortality in trauma patients in this resource-limited ED setting. Implementing RTS in triage protocols may enhance early risk identification and guide targeted interventions. A multicenter validation is recommended.
Improving Nutritional Intake During Pregnancy Through Targeted Nutrition Education: A Quasi-Experimental Study: The Effect of Providing Nutrition Education on Increasing Nutritional Intake in Pregnant Women Suriati, Israini; Juliani, Reski
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.310

Abstract

Background: Adequate nutritional intake during pregnancy is essential to support maternal health and fetal development. One of the main factors contributing to poor nutritional status among pregnant women is the lack of knowledge and understanding of balanced nutrition. Nutrition education serves as a key strategy to improve nutritional literacy and promote healthier dietary behaviors throughout pregnancy. This research aims to examine the effect of nutrition education on improving the nutritional intake of pregnant women. Methods: This quantitative study used a quasi-experimental pre-test and posttest design without a control group. A total of 50 pregnant women in their second and third trimesters were recruited through purposive sampling from Wara Selatan Health Center, Palopo City, Indonesia. Inclusion criteria were willingness to participate and no chronic diseases. The intervention consisted of three structured education sessions over two weeks, each lasting 45 to 60 minutes, delivered by trained health workers using visual aids and interactive discussions. Data were collected using a validated nutritional knowledge questionnaire and a 24-hour dietary recall form (α = 0.81; r = 0.84). Data analysis was performed using a paired t-test via SPSS version 26 with a significance level of p < 0.05 Results: Research has shown that a significant increase in mean nutrient intake after the intervention: carbohydrates from 180 ± 45 g to 210 ± 50 g, protein from 60 ± 12 g to 80 ± 16 g, iron from 18 ± 6 mg to 24 ± 8 mg, vitamin A from 700 ± 200 mcg to 950 ± 250 mcg, and calcium from 800 ± 180 mg to 1000 ± 200 mg. Research has shown that p-values < 0.05, indicating statistically significant improvements after nutrition education. Conclusion: This study shows that structured nutrition education can increase the intake of carbohydrates, protein, iron, vitamin A, and calcium in pregnant women. These findings support the importance of nutrition education as part of antenatal care. Practically, this intervention can be integrated into routine programs at Puskesmas and Posyandu through pregnancy classes and direct counseling by midwives or cadres. Simple and locally appropriate education has proven effective and can be widely applied, especially in primary health facilities.
Nurses’ Perspectives on Sleep Promotion Practices in Indonesian ICUs: A Multicenter Cross-Sectional Study Setiyarini, Sri; Listyaningrum, Desy; Hersinta Retno Martani; Sujalmo, Purwadi; Kusumawati, Happy Indah
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.311

Abstract

Background: Critically ill patients commonly experience sleep disturbance, which has the potential to increase mortality and morbidity. Therefore, implementing interventions to enhance sleep quality is crucial. This study aimed to explore Indonesian nurses' perceptions of patients' sleep and to investigate the relationship between sleep promotion practices and the quality of sleep of patients in the Intensive Care Unit (ICU). Methods: : A cross-sectional study design was used. A total of 211 nurses working in 10 ICU settings across 14 hospitals in Indonesia were involved using convenience sampling. The SLEEPii questionnaire was used to collect data from nurses who work in ICU for a minimum of one year.  Data was analyzed using frequency, mean (±SD), Median (±IQR), the Spearman Rank test, Kendal tau, and Kruskal-Wallis test. This study was reported in accordance with the STROBE guidelines. Results: 211 nurses from 14 hospitals in Indonesia reported that critically ill patients had sleep duration less than four hours (46.4%) and had fair sleep quality (58.8%). Sleep duration had significant differences between hospital status (p=0.004), and general hospital classification (0.002). Significant differences were also reported between sleep quality with ICU number of each Hospital (p=0.023), hospital status (p=0.047), and general hospital classification (0.032). Even though all participant reported that none of the ICU have protocol to promote sleep, this study found that duration of sleep correlate with control environmental noise levels (p=0.036), receiving medications for sleep (p=0.021), and activity to keeping ICU rooms dark at night (p=0.043), adhere to a clustered sleep protocol designed (p=0.001) and create conditions for a dedicated sleeping (p=0.004). Controlling environmental noise levels also correlated with sleep quality. Conclusion: Most of the critically ill patients had fair sleep quality. Findings suggest the urgent need for standardized sleep promotion protocols in Indonesian ICUs.
Stroke Type, Time to Care, and EWS as Predictors of Patient Outcomes: A Case-Control Study Megasari, Anis Laela; Wulandari, Ika Subekti
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.313

Abstract

Background: Stroke management requires speed in identification and action to improve stroke outcomes. Unfortunately, the identification of strokes is still slow. This study aims to determine the factors that influence the development of stroke patients. Methods: This study used a case-control design with a retrospective approach. This case-control study adheres to the STROBE reporting guidelines. Purposive sampling was applied with a sample size of 37 respondents. The variables studied were the type of stroke, the Early Warning Score (EWS), the time to seek health services, and the outcome of stroke patients. The Glasgow Outcome Scale Extended (GOSE) measures the effects on stroke patients. Spearman and Sommers's test analyzed data to determine the relationship between two variables, and the multiple regression test was used for multivariate analysis. Results: The results showed that the majority of stroke types were Non-Hemorrhagic Strokes (86.5%), the majority of EWS scores fell into the deficient category (51.4%), and the majority of the time spent seeking health services was less than 2 hours (94.6%). There is a significant relationship between the type of stroke (p-value 0.02), EWS score (p-value 0.01), and the time to seek health services and stroke outcome (p-value 0.03). Multivariate analysis revealed that the type of stroke, time to seek health services, and EWS scores were simultaneously or collectively associated with stroke patient outcomes (F count = 5.269 > F table = 2.88, with a coefficient of determination of 32.4%). This research showed that the type of stroke, time to seek health services, and the EWS score can be used as predictors of the outcome level of stroke patients. Conclusion: These findings highlight the importance of integrating Early Warning Score (EWS) into hospital protocols to support early recognition and timely response for stroke patients, potentially improving patient outcomes
Health Belief Model Analysis on the Relationship Between Ergonomic Behavioral Awareness and Low Back Pain in Pregnant Women: A Cross-Sectional Mediation Study Zuhri, Saifudin; Suwarni, Sri
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.315

Abstract

Background: Low back pain is a common health complaint experienced by pregnant women, both nationally and regionally. Its high prevalence highlights the need for attention to preventive strategies during pregnancy. This study aims to analyze the role of the Health Belief Model (HBM) in mediating the relationship between ergonomic behavioral awareness and the incidence of low back pain in pregnant women. Methods: A quantitative, cross-sectional survey was conducted among 140 pregnant women in their second or third trimester who reported low back pain. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling (SEM) based on Smart PLS. This study was reported following the STROBE guidelines for cross-sectional studies. Results: Ergonomic behavioral awareness had a strong negative effect on the incidence of low back pain (β = -0.715; p < 0.001), and a positive impact on the Health Belief Model (β = 0.801; p < 0.001). The Health Belief Model also had a statistically supported negative effect on low back pain (β = -0.264; p < 0.001). Furthermore, a significant indirect effect was observed between ergonomic awareness and back pain through the Health Belief Model as a mediating variable (β = -0.211; p < 0.001). Conclusion: Ergonomic awareness plays a crucial role in reducing low back pain in pregnant women, both directly and indirectly through improved health beliefs. Strengthening HBM components may enhance ergonomic practices, which could be integrated into routine pregnancy education and health promotion efforts.
Early Detection of Growth Impairment among Children and Adolescents with Eating Disorders: A Cross-Sectional Correlational Study Purnamasari, Anisa; Zoahira, Wa Ode Aisa; Romantika, I Wayan; Apriyanti, Apriyanti
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.316

Abstract

Background: The growth and development of children and adolescents are influenced by multiple factors, including nutrition, physical health, and psychosocial balance. Eating disorders (EDs) are among the conditions that can significantly disrupt this process, both physiologically and psychologically. Global and local data indicate a rising prevalence of eating disorders among adolescents, which negatively impacts nutritional status and physical growth. This study aims to identify and analyze the relationship between the risk of eating disorders and growth disturbances in children and adolescents based on anthropometric indicators. Methods: This study employed a quantitative, cross-sectional correlational design and was reported by the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. A total of 120 participants aged 10–18 years from three schools in Kendari City were included. The risk of eating disorders was measured using the Eating Attitudes Test (EAT-26), while growth status was assessed through measurements of body weight, height, and body mass index (BMI), based on WHO standards. Data were analyzed using Spearman’s correlation test and multiple linear regression to evaluate the association and predictive effect of EAT-26 scores on growth indicators, controlling for age and gender. Results: A total of 39.2% of respondents had EAT-26 scores ≥20, indicating a risk of eating disorders. There was a significant negative correlation between EAT-26 scores and BMI (r = -0.421; p < 0.01), height (r = -0.315; p < 0.01), and weight (r = -0.386; p < 0.01). Multiple linear regression analysis revealed that EAT-26 scores significantly predicted BMI (β = -0.373; t = -4.698; p < 0.001), after controlling for age and gender, with an R² of 0.198. In contrast, age (p = 0.125) and gender (p = 0.262) did not show significant effects. These findings indicate that the risk of eating disorders significantly contributes to decreased nutritional status, regardless of age and gender. Conclusion: Eating disorders significantly contribute to impaired nutritional status and growth in children and adolescents. EAT-26 scores were negatively correlated with BMI, body weight, and height, and served as a significant predictor of BMI, while age and gender showed no significant effects. Early detection of eating disorder risk within school settings is crucial to prevent long-term impacts on adolescents' physical growth and health. Screening tools such as the EAT-26 can serve as effective initial instruments in promotive and preventive health programs.
Midwifery Counseling Strategies to Prevent Unintended Pregnancies among Young Mothers Sitti Umrah, Andi; Dahlan, Andi Kasrida; Juliani, Juliani
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.319

Abstract

Background: Unintended pregnancy (UP) among young mothers is a pressing reproductive health issue that has drawn widespread attention globally. This phenomenon is deeply concerning as it poses serious physical and psychological risks, particularly for young mothers, and also endangers the well-being of their newborns. This study aims to analyze the effectiveness of behavior-based midwifery counselling interventions in preventing unintended pregnancies among young mothers. Methods: This pre-experimental pre-post-test study involved 102 randomly selected young mothers under 20 years old who were at risk of unintended pregnancy and not using contraception. The sample size was calculated using General Power Analysis. Data were collected using validated questionnaires and observation sheets. The intervention consisted of six weekly counseling sessions covering unintended pregnancy, contraception, reproductive health, attitude change, behavioral decision-making, and reinforcement. The study followed CONSORT guidelines for non-randomized trials and received ethical approval from Universitas Muhammadiyah Palopo (Protocol No. 045/KEP/III.3.AU/F/2024). Data were analyzed using the Wilcoxon test in SPSS v28.. Results: The findings revealed significant improvements in knowledge (from 33 to 83), attitudes (from 40 to 80), and behavior (from 30 to 70) after the intervention. Wilcoxon test results indicated statistically significant differences before and after the intervention across all three variables (ρ < 0.001; < α = 0.05). Conclusion: Behavior-based midwifery counselling is effective in preventing unintended pregnancy among young mothers. This study recommends implementing structured counselling programs and midwife training for more effective prevention strategies.
Parenting Styles And Gaming Duration In Adolescent Mental Health: A Cross-Sectional Study In Banten, Indonesia Riyanto, Dwi Agung
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.323

Abstract

Background: A national survey in Indonesia found that one in three adolescents faces mental health issues, with one in 20 diagnosed with a mental disorder in the past year. This study examines the relationship between online gaming duration, parenting styles, and adolescent mental health at SMA Negeri 1 Leuwidamar, Banten. Findings suggest that gaming dependence, especially with violent content, may trigger aggression and reduce social interaction. Policy recommendations include parental education on gaming impacts, time management, and promoting extracurricular activities, with schools collaborating to support adolescent mental well-being. Methods: This study employs a correlational design with a cross-sectional approach. It develops instruments concerning mental health and parenting styles to minimise memory distortion, utilising specific questions and allowing sufficient time for responses. Individuals conducted data collection without bias towards the hypotheses. The research population consists of all students in grades X and XI at SMA Negeri 1 Leuwidamar, totalling 494 students. The criteria for respondents are students in grades X and XI who enjoy online gaming, are in good health during data collection, and possess functioning devices. A sample of 91 respondents was selected from the population using purposive sampling.. Results: The findings reveal that nearly half of the respondents, specifically 48 individuals (52.7%), experience mental health issues. Additionally, the majority of respondents, 65 individuals (71.4%), spend more than 2 hours per day playing online games, and 51 individuals (56.0%) exhibit a democratic parenting style. Statistical tests indicate a significant relationship between the duration of online gaming and adolescent mental health, with a p-value of < 0.001, as well as between parenting styles and adolescent mental health, also with a p-value of < 0.001. Conclusion: This study underscores a significant interaction between the time spent on online gaming and parenting methods affecting the mental health of adolescents at SMA Negeri 1 Leuwidamar. The increasing dependence on online gaming complicates parenting challenges. Consequently, collaboration between schools and parents is essential to foster a supportive environment for mental health. Schools are advised to formulate policies regarding smartphone usage, while parents are encouraged to engage more actively in their children's education with a supportive approach.

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