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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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Lactate and SOFA Score as Predictors of Sepsis Mortality: A Retrospective Observational Study Hardianti, Anugerah; Ahsan, Ahsan; Kristianto, Heri; Lande, Hasriadi
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.v7i2.324

Abstract

Background: Managing sepsis in the emergency room presents a significant challenge, as the condition is often difficult to recognize, leading to a delay in identification and diagnosis, frequently only after the patient has reached a critical state. This study aims to analyze the correlation between lactate levels and Sequential Organ Failure Assessment (SOFA) scores with mortality risk in patients with sepsis: a retrospective study conducted in the emergency room of Dr. Wahidin Sudirohusodo Hospital, Makassar. This study follows the STROBE guidelines for observational research. Methods: This study employs a quantitative, analytical observational design with a retrospective approach. The sample consists of 321 sepsis patients diagnosed with sepsis or presenting comorbidities associated with sepsis in the Emergency Room of Dr. Wahidin Sudirohusodo Hospital, Makassar. The sample size was determined using the Slovin formula. Purposive sampling was employed as the sampling technique, while data analysis included descriptive statistics, chi-square tests, and binary logistic regression. Results: Elevated lactate levels and SOFA scores were significantly associated with increased mortality (p <0.05). Lactate levels demonstrated an odds ratio (OR) of 5.329, indicating that patients with low lactate levels were 5.3 times more likely to survive than those with high lactate levels. The SOFA score produced an OR of 10.058, suggesting that patients with lower SOFA scores had a 10.1 times greater chance of survival compared to those with higher scores. Lactate level was identified as the primary predictor of mortality. Conclusion: The results of this study indicate a significant correlation between blood lactate levels and SOFA scores with sepsis-related mortality in the Emergency Department (ED). Among these two parameters, blood lactate emerged as the most dominant predictor. These results underscore the importance of implementing early detection tools for sepsis, such as lactate testing and simplified SOFA assessments, as part of routine triage workflows, particularly at Dr. Wahidin Sudirohusodo General Hospital in Makassar.
A Pre-Experimental Study on the Effect of Proning Position on Oxygen Saturation in Pulmonary Tuberculosis Patients Rahmayanti, Yeni Nur; Nugroho, Yohanes Wahyu
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.v7i2.330

Abstract

Background: Pulmonary tuberculosis (TB) is an infectious disease that primarily affects the lung parenchyma. Common moderate symptoms include dyspnea and hypoxemia. Prompt and effective management of hypoxia is crucial to prevent further organ damage. One non-invasive and easily administered intervention is the use of the proning position, which facilitates improved oxygen intake. This study aims to examine the effect of the proning position on increasing oxygen saturation in patients with pulmonary tuberculosis. Methods: This pre-experimental study used a one-group pretest–posttest design. The study involved 35 patients with pulmonary TB treated in the Wijaya Kusuma 3 Ward of Kartini Karanganyar Regional Public Hospital during December 2023. Inclusion criteria were: drug-sensitive pulmonary TB, oxygen saturation <94%, fully conscious, no severe respiratory distress, and willingness to participate. Exclusion criteria included unstable hemodynamics, spinal injuries, or contraindications to positional changes. Each patient underwent a series of five proning positions (prone, right and left lateral, and right and left semi-sitting side-lying), with each position held for 30 minutes. Oxygen saturation levels were measured before and after the intervention. Data were analyzed using a paired t-test. Results: The mean oxygen saturation increased from 93.87% before the intervention to 96.97% after the proning technique. Post-intervention saturation ranged between 96% and 99%. Statistical analysis showed a significant improvement in oxygen saturation following the intervention (p < 0.001) Conclusion: The proning position significantly improves oxygen saturation in patients with pulmonary tuberculosis. It is recommended as a supportive, non-invasive intervention for managing hypoxemia in pulmonary TB cases.
Trabeculectomy Surgery in Primary and Secondary Glaucoma: Retrospective Cross-sectional Analysis Christine, Reinne Natali; Tanong, Nicolas Dwiki; Rombe, Claudia Valoryn Iona; Angreni, Frisca
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.v7i2.333

Abstract

Background: Glaucoma remains a leading cause of permanent blindness worldwide, with elevated intraocular pressure (IOP) as the most modifiable risk factor. When medical therapy fails, trabeculectomy is often the preferred surgical option, though its effectiveness may differ based on the type of glaucoma. Primary glaucoma is typically idiopathic, while secondary glaucoma results from identifiable causes such as trauma, inflammation, or diabetes. Understanding these distinctions is essential for optimizing surgical outcomes and tailoring patient-specific treatment strategies. This study aims to determine whether there is a difference between the reduction in intraocular pressure in primary and secondary glaucoma after undergoing trabeculectomy surgery. Methods: This descriptive cross-sectional study used purposive sampling to select medical records of patients who underwent trabeculectomy at the Christian University of Indonesia Teaching Hospital from July 2021 to June 2022. A total of 30 patients were included. Inclusion criteria were patients diagnosed with either primary or secondary glaucoma who underwent trabeculectomy and had complete pre- and postoperative IOP data. Exclusion criteria included patients with previous glaucoma surgery, incomplete medical records, or less than one month of follow-up. The primary outcome was the percentage reduction in IOP one month postoperatively.. Results: The results showed that the percentage reduction in IOP within 1 month in primary glaucoma was 43.54%, whereas in secondary glaucoma, it was 41.87%. P value > 0.05 in all postoperative IOPs between primary glaucoma and secondary glaucoma. Conclusion: Trabeculectomy is still the first choice to reduce IOP, which has failed pharmacological treatments. However, there was no significant difference between decreased intraocular pressure in patients with primary and secondary glaucoma.
Lifestyle Change Intervention with Modified Salt Substitution for Hypertension Patients: A Quasi-Experimental Study Rahayu, Trio Gustin; Ernawati, Ernawati; 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.v7i2.341

Abstract

Background: Hypertension is a major global health problem. Lifestyle changes, including reducing sodium intake, are important strategies for managing hypertension. This study aims to evaluate the effectiveness of an integrated lifestyle intervention focusing on the use of salt substitutes in controlling blood pressure in patients with hypertension. Methods: A quasi-experimental study design was used, involving 15 respondents. The study was conducted at the Singandaru Health Centre in Serang City, Banten. Participants were required to be over 40 years old, have a systolic blood pressure of over 40 years old, have a systolic blood pressure of over 140 mmHg and a diastolic blood pressure of over 90 mmHg, and have a history of hypertension. The respondent's blood pressure was measured before and after they underwent a 7-day course of modified low-sodium salt therapy.  Analysis in the study using the t-test with a normality test first. Results: The respondents with high blood pressure, 60% were male, with an average age of 62 years.  In terms of education, most respondents had attended junior high school or high school. Before the salt substitute modification intervention, the average blood pressure of respondents was categorized as grade 2 hypertension. After the intervention, it was classified as grade 1 hypertension. There was an effect of low sodium salt consumption on systolic (p<0.001) and diastolic blood pressure (p=0.045). Conclusion: Being disciplined in food choices and using low-sodium salt can significantly contribute to pressure reduction. Health professionals can provide structured education and counselling on low salt diets, appropriate use of salt substitutes, importance of physical activity, stress management, and other aspects of lifestyle change.
Determinants of Stunting among Children Aged 0–24 Months: A Cross-Sectional Study Nisa, Hainun; Kresnawati, Puri; rostianingsih, Dewi; Junita, Friska
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.v7i2.344

Abstract

Background: This study was conducted in response to the issue of stunting in Bekasi Regency, which had remained at a stagnant rate of 21.5%. Therefore, the local government aimed to continue reducing this figure to 4%. The purpose of this study was to determine the determinants of stunting in children aged 0-24 months. Methods: This study used analytical observation with a cross-sectional approach. The population of mothers who had children aged 0-24 months was 156 respondents, accidental sampling technique, with a sample size of 61 respondents, independent variables were history of Chronic Energy Deficiency (CED) pregnancy using medical record of MUAC (Mid-Upper Arm Circumference), using a questionnaire to exclusive breastfeeding, maternal education, age of pregnant women, and using Maternal and Child Health books (MCH books) to immunization historys and dependent variable are stunting using Maternal and Child Health books (MCH books). Results: It is known that the Chronic Energy Deficiency (CED) significance value is 0.009, exclusive breastfeeding is 0.006, maternal age is 0.0141, and immunization history is 0.005. Thus, the four factors have a p-value <0.05. At the same time, the significance value of maternal education is 0.358 > 0.05. Based on the results of the Odds Ratio (OR) CED obtained, 20.889, exclusive breastfeeding 19.500, and maternal age 15.300, which indicates that CED has a higher chance of affecting the incidence of stunting in children aged 0-24 months compared to other variables. Conclusion: The community should be able to take preventive steps to provide nutrition, ensuring that the fetus or baby born does not experience stunting.
Burnout and Human Needs Fulfillment Based on Watson’s Ninth Carative Factor: A Correlational Study Among Hemodialysis Nurses in Malang, Indonesia Sassanti, Suci Wulandari; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
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.v7i2.349

Abstract

Background: Burnout among hemodialysis nurses has reached critical levels globally. Grounded in Watson's Theory of Human Caring, this study examined the relationship between Watson's ninth carative factor (assisting with human needs gratification while preserving dignity and wholeness) and burnout levels among hemodialysis nurses. Methods: A cross-sectional correlational study was conducted among 113 hemodialysis nurses from the Indonesian Dialysis Nurses Association in Malang (April-May 2025). Stratified random sampling used Slovin's formula with 5% margin of error. Inclusion criteria: actively working hemodialysis nurses providing informed consent. Exclusion criteria: nurses on leave, retired, experiencing health issues, or in training programs. Burnout (independent variable) was measured using Professional Quality of Life Scale version V (ProQOL-V) burnout subscale (10 items, 5-point Likert, scores 10-55). Human needs fulfillment (dependent variable) used 10 items from Caring Nurse-Patient Interactions Scale (5-point Likert, scores 10-50). Both instruments underwent pilot testing (n=10), demonstrating validity (r>0.632) and reliability (Cronbach's α>0.6). Data collection utilized online surveys. Statistical analysis employed Spearman's correlation (α=0.05). . Results: Participants were predominantly female (59.3%), aged 36-45 years (48.7%), with bachelor's degrees plus nursing credentials (53.1%), and >5 years experience (65.5%). Burnout distribution: 56.6% low, 43.4% moderate, 0% high. Human needs fulfillment: 90.3% high, 9.7% moderate, 0% low. Spearman's analysis revealed significant negative correlation between burnout and human needs fulfillment (ρ=-0.446, p<0.001, moderate effect size). Conclusion: Higher implementation of Watson's ninth carative factor significantly reduces burnout among hemodialysis nurses. The theoretical model demonstrates that addressing patients' holistic needs while preserving dignity creates meaningful work experiences protecting nurses from burnout. Healthcare organizations should integrate Watson's Theory into professional development programs. Future longitudinal studies across diverse contexts are recommended to establish causal relationships.
Social Support, Psychological Distress, and Quality of Life in Patients with Diabetes Mellitus Living in the Community Suharsono, Suharsono; sunarko, sunarko; Faidah, Noor; Nur Izzati, Aisyah; Rojabtiyah, Rojabtiyah; Sarwono, Bambang
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.v7i2.356

Abstract

Background: Individuals living with diabetes mellitus (DM) often face psychological distress because of the disease's chronic progression and the complexity of its daily management. Distress has been linked to poor glycemic control and decreased quality of life. Therefore, these psychological distresses require social support. This study aimed to investigate the relationship between social support, psychological distress, and quality of life in patients with diabetes mellitus living in the community. Methods: A cross-sectional quantitative study was conducted with 250 diabetic patients recruited from five public health centers in Central Java, Indonesia using purposive sampling. Patients with severe cognitive impairment, psychiatric disorders, or comorbid conditions that could significantly affect psychological status were excluded. Data were collected through validated instruments: the Multidimensional Scale of Perceived Social Support (MSPSS), the Diabetes Distress Scale (DDS-17), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The data were analyzed using Spearman’s rank correlation, and statistical significance was determined at p < 0.05. Results: The findings revealed a significant negative correlation between social support and diabetes-related distress (r = -0.48, p < 0.001), and a significant positive correlation between social support and quality of life (r = 0.55, p < 0.001). Conclusion: There was a significant association between social support and reduced distress as well as enhanced quality of life in community-dwelling individuals with diabetes. Nursing interventions that enhance family involvement, peer support, and community engagement are essential in diabetes management. These findings highlight the importance of psychosocial components in chronic disease care.
The Application of GENRE KIT Snakes and Ladders to Enhance Adolescent Reproductive Health Knowledge: Quasi-Experimental Design Darmayani, Ckristy Diana; Kumboyono, Kumboyono; Nugroho, Fajar Ari
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.v7i2.360

Abstract

Background: Adolescents constitute a significant portion of the global population and fall within the age range of 10–19 years. During adolescence, individuals undergo various physical, social, emotional, and hormonal changes. A lack of knowledge regarding reproductive health among adolescents is partly attributed to limited access to accurate and comprehensive information. This study aims to evaluate the effectiveness of the GenRe KIT Snakes and Ladders as an interactive educational tool to improve adolescents' knowledge about reproductive health. Methods: The research design used was a quasi-experimental design, with two groups, pre-test and posttest. The population consisted of adolescents, with a sample of 72 participants selected through simple random sampling. The inclusion criteria were adolescents 14-19 years old. A pretest was conducted before the intervention, followed by a posttest after the intervention. The instrument used was a modified Tentang Kita module by BKKBN, consisting of 21 knowledge and 13 attitude items related to reproductive health. Validity was confirmed with Pearson correlation values (r = 0.364–0.807), and reliability was high, with Cronbach’s alpha of 0.889 for knowledge and 0.745 for attitude. Results: The pre-test score in the intervention group was 13.11 (SD = 1.75) and improved significantly to 19.86 (SD = 1.33) after the intervention (p< 0.001). Post-intervention, the intervention group’s knowledge score remained substantially higher than the control group’s (p < 0.001). The between-group effect size (Cohen’s d = 3.48) indicated a very large effect, confirming the GenRe KIT Snakes and Ladders game's superior effectiveness in enhancing adolescents’ reproductive health knowledge compared to traditional lecture-based methods. Conclusion: GenRe KIT Snakes and Ladders game is effective in increasing adolescents' reproductive health knowledge and shows potential as an engaging educational tool in schools and community-based programs. Despite limitations related to study design, sample scope, and short intervention duration, the findings support further research using larger, more diverse populations and randomized designs to assess long-term impacts and behavioral outcomes.
In-Silico Analysis of Costunolide and Dehydrocostuslactone Interactions with NAFLD-Related Proteins Pontjosudargo, Fransiska Ambarukmi; Priyadi, Hendri; Hermawanto, Agung; Bisri, Tatang
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.v7i2.361

Abstract

Background: Non-alcoholic Fatty Liver Disease (NAFLD) is a growing health problem, but there is no standard drug for its treatment. Costunolide and dehydrocostuslactone are compounds found in Saussurea costus, exhibiting antioxidant activities that include anti-hepatotoxic, anti-inflammatory, and immunostimulant properties, which have been proven both in vivo and in vitro. This study aims to identify the bioactive ingredients of S. costus that affect NAFLD and explore its therapeutic targets through pharmacological networking.  Various tissue databases were utilised to obtain the bioactive material from S. costus and identify potential therapeutic targets for NAFLD. Gene Ontology (GO) and the Kyoto Encyclopedia of Genes and Genomes (KEGG) were used to enrich the functions and molecular pathways of common targets. Methods: The analysis was conducted using a Structure-Activity Relationship (SAR) search to evaluate the biological potential of the studied compounds. The design of this study involved selecting costunolide and dehydrocostuslactone compounds as the subjects of analysis, with data collection conducted through public databases and relevant literature. SAR assessment was conducted using reporting standards, such as STITCH, to ensure transparency and reproducibility in the analysis. The score range used was 0-1, where the closer to 1, the better the value obtained. This process allows the identification of significant relationships between chemical structure and biological activity, as well as providing deeper insight into the potential of the compounds analysed. Thus, this method not only assesses the effectiveness of the compound but also provides a basis for further research in the development of therapy Results: The results of the Structure-Activity-Relationship (SAR) analysis were that the costunolide and dehydrocostuslactone compounds had scored <0.5 as a hepatoprotector and as a regulator of fat metabolism. The potential of these two compounds as TNF-alpha inhibitors and Interleukin-6 antagonists also shows a score <0.5. Conclusion: Costunolide and dehydrocostuslactone showed significant potential as anti-inflammatory agents and NF-κB transcription inhibitors. These findings indicate that both compounds may be promising candidates for NAFLD therapy, particularly through the mechanism of inhibition of the NF-κB transcription pathway. The implications of these results suggest the need for further studies to explore the efficacy and safety of these compounds in a clinical context, as well as their potential in the development of novel therapies for non-alcoholic fatty liver disease.
A Cross-Sectional Study: The Relationship Between Knowledge and Attitudes of Doctors Regarding the Principle of Autonomy for Patients with Sexually Transmitted Infections Taufan, Ali; Sari, Sylvia Mustika; Sari A, Devita
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.v7i2.362

Abstract

Background: Ethical dilemmas in handling cases of Exclusively Transmitted Infections (STIs) are often experienced by doctors due to their knowledge and attitudes in respecting the patient's right to autonomy. The objective of the research is to study the practitioners’ knowledge and attitudes concerning autonomy principles in facing STI patients. Methods: This cross-sectional analytical study involved a total sampling of 32 general practitioners at Dustira Hospital. A researcher-designed, validated, and reliability-tested questionnaire was used to measure doctors’ knowledge (independent variable) and attitudes (dependent variable) toward patient autonomy. Expert consultation and a pilot test at Cibabat Hospital were conducted to ensure instrument suitability. Data were analyzed using the Pearson correlation test, and ethical approval was obtained before the study.. Results: The results showed that 66% of general practitioners at Dustira Hospital had good knowledge of the principle of autonomy in managing patients with sexually transmitted infections (STIs). Doctors with over five years of experience demonstrated better knowledge (73%) compared to those with less experience (58.2%). Interestingly, among less experienced doctors who frequently treated STI patients, all had poor knowledge, whereas those who treated STI patients less often showed better knowledge (63%). Regarding attitudes, 53% of respondents had a good attitude toward autonomy-related ethical dilemmas. A greater proportion of doctors with more than five years of experience (60%) had good attitudes than those with less experience (47%). Notably, less experienced doctors who frequently managed STI cases showed entirely poor attitudes. Pearson correlation analysis indicated no significant relationship between knowledge and attitude (p = 0.425), with a very weak negative correlation (r = –0.146). Conclusion: General practitioners with more work experience tend to demonstrate better knowledge and attitudes regarding patient autonomy in STI cases. However, practitioners with less than five years of experience who frequently treat STI patients exhibit both poor knowledge and unfavorable attitudes. A tendency toward empirical, experience-based decision-making over rational, principle-based reasoning may influence this.

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