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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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Effect Of Classical Music And Progressive Muscle Relaxation On Anxiety Levels In Laboring Mothers Qonitun, Umu; Munir, Miftahul
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.v7i2.365

Abstract

Background: Anxiety is a feeling that is most commonly experienced by pregnant women when approaching childbirth; what's more, childbirth is already known to require a cesarean surgery. Anxiety during pregnancy can harm the mother and fetus, such as increasing the risk of premature birth, impaired fetal development, and psychological disorders in the mother. The purpose of this study was to determine the effect of classical music therapy and progressive muscle relaxation on anxiety levels in pre-section cesarean patients in the delivery room of Tuban Hospital.. Methods: This study employed a pretest-posttest quasi-experimental design. The sample consisted of 44 pre-section cesarean patients from two hospitals in Tuban Regency in January and February 2024, selected using simple random sampling. Respondents were divided into two groups: classical music therapy (n = 22) and progressive muscle relaxation (n = 20). Anxiety level was measured with HARS and analysed using the Wilcoxon test. This study underwent ethical review by the Health Research Ethics Institute of IIK NU Tuban. Results: The results showed that classical music therapy and progressive muscle relaxation effectively reduce anxiety in pre-section cesarean delivery mothers. The Wilcoxon test in both groups showed a value of ρ <0.001 (<0.05), indicating a significant effect on reducing anxiety levels at Tuban Regency Hospital. Conclusion: Both interventions proved to be significantly effective in reducing anxiety. Based on the results of this study, classical music therapy and progressive muscle relaxation are expected to be non-pharmacological alternatives to reduce anxiety levels in pre-section cesarean patients.
Assessing Early Marriage with Adolescent Girls' Reproductive Health and Healthy Pregnancy Planning sary, yessy nur endah; Iriyani, Tri; Siwi, Retno Palupi Yonni; Wulandari, Umianita Risca; Anggraini, Putri Dewi; Fatmawati, Rizka
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.v7i2.367

Abstract

Background: Early marriage poses a health risk, especially if pregnancy occurs because the reproductive organs, especially the uterus and other reproductive organs, are not yet fully developed. The purpose of this study was to analyze the relationship between early marriage and adolescent girls' reproductive health and healthy pregnancy planning. Methods: This research is quantitative research. The research design used in this study was cross-sectional. The sampling technique used was total sampling, all married adolescent girls in Kraksaan Wetan Village, Probolinggo Regency, Indonesia, totaling 37 people. This study used a research instrument in the form of a questionnaire to measure general data in the form of age, education, and occupation. In addition to questionnaires for general data, there were also questionnaires used to measure specific data, such as the variables of adolescent girls' reproductive health and pregnancy planning—univariate data analysis with frequency distribution, bivariate data analysis with chi-square. Results: The results showed that the majority of respondents' reproductive health was in an unhealthy condition, with as many as 20 people (54.05%). The majority of respondents had poor pregnancy planning, as many as 23 people (62.16%). The results of data analysis with SPSS using chi square informed that the p value was 0.582 (α=0.05). Conclusion: The results showed that there is no correlation between early marriage and adolescent girls' reproductive health and healthy pregnancy planning in Kraksaan Wetan Village, Probolinggo Regency. Teenage girls should get enough information about reproductive health before marriage, and parents should delay early marriage before they are more than 19 years old.
E-Leaflet-Based HIV/AIDS Education and Adolescent Knowledge Hamalding, Hermawati; Makmur, Fadilla; Sumiati, Sumiati; Batubara, Khairunnisa
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.v7i2.368

Abstract

Background: HIV/AIDS continues to be a threat to public health worldwide, including in Indonesia, particularly among the elderly population, who are particularly vulnerable to the risks associated with inadequate knowledge and information access. Purpose: This study aims to understand the impact of e-leaflet media on Adolescent understanding about HIV/AIDS Methods: The study's design uses a quantitative approach with a quasi-experimental methodology and a single-group pretest-posttest design. With a one-group pretest-posttest design and inclusion criteria that included being between the ages of 15 and 18, registered as active students, eager to participate, and able to read and comprehend Indonesian, 62 teenagers in all were chosen at random to join in the quasi-experiment. Students who did not finish the questionnaire or were enrolled in other HIV/AIDS education programs were excluded. A knowledge questionnaire regarding HIV/AIDS with 15 multiple-choice and true/false items served as the tool. Three experts used Aiken's V to examine the content validity of this questionnaire, which was adapted and adjusted from Ministry of Health recommendations and prior research material. Results: The results showed that the instrument was valid, with results >0.85. The Kuder-Richardson 20 (KR-20) method was used for reliability testing, and the results showed a high dependability rating of 0.78. Three steps were used to obtain the data: the pretest, the intervention (digital e-leaflets), and the posttest five days later. The Wilcoxon Signed Rank Test data analysis revealed a significant difference (p <0.001), suggesting that e-leaflet media education was successful in raising adolescents' awareness of HIV/AIDS prevention. Kurnia Jaya Persada University's Health Research Ethics Committee has approved this study, and prior to participation, each subject gave their informed consent. Conclusion: Based on these results, e-leaflets are a useful educational tool that should be incorporated into adolescent health promotion initiatives in order to stop the early spread of HIV/AIDS
Impact Of Socio-Economic Factors On Postpartum Haemorrhage in Three Health Centres In Dili, Timor Leste- Cross-Sectional Study Fernandes, Alcinda Pinto; Ariani, Novida; Wardani, Diadjeng Setya; Peguinho, Hermes; da Silva, Zelita Fernandes; da Silva, João Francisco Lela
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.v7i2.369

Abstract

Background: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality in low- and middle-income countries, including Timor-Leste. Socioeconomic factors may significantly influence the risk of PPH, yet limited local evidence is available. This study aimed to analyse the influence of education, occupation, and household income on the incidence of PPH in three Community Health Centres (CHCs) in Dili City, Timor-Leste. Methods: A cross-sectional study was conducted from January to December 2024, involving 130 postpartum mothers who delivered at CHC Comoro, CHC Becora, and CHC Vera-Cruz. Inclusion criteria were postpartum mothers aged ≥19 years, vaginal delivery at ≥37 weeks gestation, and complete medical records, including maternal and child health books or Liziu, and family socioeconomic data. Exclusion criteria included mothers with incomplete records or those who underwent medical interventions such as oxytocin induction or vacuum extraction. Data were collected retrospectively from medical records, KIA books, and antenatal care cohorts. Socioeconomic variables (education, occupation, household income) were categorised using standardised criteria. Data were analysed using chi-square tests and simple logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CI). This report follows the STROBE guidelines for observational studies. Results: Most mothers (84.6%) were aged 19–34 years, and 61.5% had high-risk obstetric factors. Among respondents, 54.6% had high education, 62.3% were employed in the non-formal sector, and 64.6% had household income at or below the national minimum wage (USD 115). Only household income was significantly associated with PPH (OR = 3.309; 95% CI: 1.429–6.465; p = 0.006), indicating that mothers from low-income families had over three times higher risk of PPH. Education and occupation were not significantly associated with PPH. Conclusion: Household income is a significant socioeconomic determinant of postpartum haemorrhage in Dili, Timor-Leste. Strengthening community-based interventions targeting low-income families, including improved access to maternal health services and socioeconomic support is recommended to reduce PPH incidence
Post-Anesthesia Recovery Experience Following Cesarean Section with ERACS Protocol: A Phenomenological Study in Indonesia Kurniawan, Arief; Pratiwi, Nur Pudyastuti
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.v7i2.370

Abstract

Background: Enhanced Recovery After Cesarean Section (ERACS) is a perioperative care protocol aimed at improving clinical outcomes and patient experience. Understanding both quantitative outcomes and qualitative experiences is essential to evaluate its comprehensive impact on maternal recovery. Methods: This study was conducted on post-anesthesia cesarean section patients using the ERACS protocol at RS Tk.II 03.05.01 Dustira, Cimahi. In addition to observing clinical parameters such as hemodynamic stability, side effects, and recovery duration, qualitative narratives were collected to explore patient experiences during the recovery process. Results: While the majority of patients were multiparous and of reproductive age with stable intraoperative hemodynamics and low incidence of side effects, the qualitative narratives revealed meaningful insights. Patients described feeling empowered by early mobilization and the ability to initiate immediate breastfeeding (IMD), which enhanced maternal confidence and emotional bonding. Pain reduction and shorter recovery times were viewed not only as clinical improvements but as milestones toward regaining autonomy. The structured ERACS approach and supportive healthcare team fostered a sense of safety and trust. Conclusion: The ERACS protocol contributes to a patient-centered recovery experience that goes beyond clinical outcomes. It enhances emotional well-being, promotes active participation in recovery, and supports the mother’s role from the earliest postpartum moments. These insights suggest that integrating qualitative feedback into clinical protocols can lead to more empathetic, efficient, and personalized perioperative care models.
Determinants of Self-Medication Practices among Nursing and Midwifery Students: A Cross-Sectional Study from Ghana Opoku, Oscar Agyemang; Agyiriba, Juliet; Okudzeto, Henry
Journal of Applied Nursing and Health Vol. 7 No. 3 (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.v7i3.250

Abstract

Background: Self-medication is a growing public health concern, particularly among healthcare students. Despite its risks, including adverse drug reactions and antibiotic resistance, little is known about the behavioral and socioeconomic factors influencing self-medication among nursing and midwifery students in sub-Saharan Africa. This study assessed the prevalence and determinants of self-medication among students at the Nursing and Midwifery Training College in Koforidua, Ghana. Methods: A cross-sectional quantitative design was adopted, involving 275 students selected through stratified random sampling. Data were collected using a structured and pretested questionnaire covering demographic characteristics, knowledge, and self-medication practices. Descriptive statistics were performed using SPSS version 26 to summarize frequencies and percentages related to knowledge, behavior, and influencing factors. Results: Self-medication was highly prevalent (94.3%) among respondents, with painkillers (52.2%), cold and flu medications (22.6%), and antibiotics (20.0%) being the most commonly used drugs. The main factors influencing self-medication were time constraints (91.7%), financial barriers (81.3%), family history (53.9%), and advice from friends or relatives (87.8%). Although 91.8% of respondents recognized the risks associated with self-medication, many continued the practice due to perceived convenience and cost-saving benefits. Conclusion: Self-medication is widespread among nursing and midwifery students in Ghana, primarily driven by financial and time constraints as well as social influences. Educational interventions and institutional policies promoting rational drug use are urgently needed. Collaboration between nursing schools and the Ghana Health Service could enhance awareness and ensure responsible self-care behaviors among future healthcare professionals.
Resilience, Psychological Well-Being, and Academic Success in Blended Learning: A Cross-Sectional Study among Healthcare Students Effendy, Nuraeni; Ariningpraja, Rustiana Tasya; Lestari, Retno
Journal of Applied Nursing and Health Vol. 7 No. 3 (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.v7i3.275

Abstract

Background: Students in healthcare are expected to face high clinical and academic stressors that may influence their psychological well-being and academic achievement. Resilience plays a significant role in helping students navigate these challenges while maintaining their well-being. The research examines the relationship between psychological well-being, resilience, and academic achievement among Universitas Brawijaya healthcare students in a blended learning environment. Methods: A cross-sectional research design was employed, and 302 students participated through purposive sampling. Data were collected through the Academic Resilience Scale (ARS-30) and Ryff's Psychological Well-Being Scale, with GPA as an indicator of academic performance. This study was reported in accordance with the STROBE guidelines. Results: A strong positive relationship between resilience and psychological well-being (r = 0.615, p < 0.01), highlighting the focus on resilience as an effective protective factor. There was, nonetheless, no significant correlation between resilience and GPA (r = -0.006, p = 0.913).. Conclusion: Among the psychological well-being factors, environmental mastery, autonomy, and purpose in life contributed significantly to academic resilience. These findings suggest that cultivating psychological well-being, particularly ecological mastery and self-acceptance, can enable resilience in online learning environments.
Behavior Disorders in Early Childhood and Maternal Anemia History: A Cross-Sectional Study in Indonesia Dewi, Noviana; Awanis, Almas; Astriyana, Sevy; Musslifah, Anniez Rachmawati
Journal of Applied Nursing and Health Vol. 7 No. 3 (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.v7i3.342

Abstract

Background: Anemia is a health condition caused by genetic factors, infectious disorders, and the environment. Lead exposure increased the risk of anemia, with several sources including cigarette smoke, motor vehicle exhaust, pesticide residues, and contamination from synthetic textile dyes. Mothers with anemia frequently give birth to children who also experience the same condition, thereby disrupting growth and development and causing behavioral disorders. Therefore, this study aimed to examine the relationship between maternal anemia and behavioral disorders in early childhood in areas with high lead exposure. Methods: A cross-sectional analysis was conducted, and samples were selected using purposive non-random sampling. This study included 16 early childhood education (PAUD) students, 16 parents, and 4 PAUD teachers. Data analysis included descriptive and correlational analyses using SPSS 23. Results: The results showed a correlation between maternal hemoglobin levels and emotional and behavioral disorder scores (-0.508, p < 0.05), as well as autism risk detection (-0.610, p < 0.05). There was also a correlation between the pre-screening child development questionnaire and autism risk detection scores (-0.525, p <0.05).. Conclusion: Mothers with anemia tend to give birth to children who also develop the same condition. The condition disrupts growth and development in children, contributing to behavior disorders.
The Effect of Digital Media-Based Nutrition Education on Animal-Based Food Feeding Behavior Among Parents of Toddlers: A Quasi-Experimental Study Wibowo, Daniel Akbar; Zen, Dini Nurbaeti
Journal of Applied Nursing and Health Vol. 7 No. 3 (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.v7i3.377

Abstract

Background: Low consumption of animal source foods (ASF) among children under five years children in Indonesia contributes to the high prevalence of stunting. Digital media–based nutrition education can potentially improve parental ASF feeding behavior. However, empirical evidence on its effectiveness in semi-urban and rural settings, particularly studies directly measuring parental behavioral change, remains limited. This study aimed to analyze the effect of digital media–based nutrition education on parental ASF feeding behavior among under-five children. Methods: This quasi-experimental one-group pretest–posttest study involved 150 parents of under-five children in Sukadana Village, Ciamis Regency, West Java, Indonesia, selected through stratified purposive sampling by hamlet. Inclusion criteria: parents with children <5 years old, having smartphone access, willingness to participate in the intervention, and provision of written informed consent. Exclusion criteria: incomplete pretest or posttest questionnaire data. The intervention consisted of a ±10-minute educational video on the importance of ASF, its sources, safe preparation, and tips to increase consumption, validated by nutrition experts. Feeding behavior was measured using a structured questionnaire (20 items; 3-point Likert scale; Cronbach’s alpha = 0.82). Data were analyzed using paired sample t-tests and effect size calculation (Cohen’s d) with 95% confidence intervals (CI) in SPSS v26. Results: Digital media–based nutrition education significantly improved parental ASF feeding behavior (p < 0.001), with a large effect size (Cohen’s d = 0.91; 95% CI: 0.69–1.12). The proportion of good behavior increased from 28.0% to 84.0%, while fair and poor behaviors decreased from 43.3% to 12.7% and from 28.7% to 3.3%, respectively. Conclusion: Digital media–based nutrition education is efficacious in improving parental ASF feeding behavior in semi-urban settings. This strategy has the potential to be integrated into stunting prevention programs in primary healthcare, community health posts, and community-based interventions. Recommendation: Implementation should be accompanied by healthcare worker support and continuous monitoring to ensure sustainable behavior change
The Relationship Between Diet and the Incidence of Dyspepsia in School-Age Children (6-18 years) at the Sukabumi Health Center, A Cross-Sectional Study Anggraeni, Reni
Journal of Applied Nursing and Health Vol. 7 No. 3 (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.v7i3.379

Abstract

Background: Dyspepsia, a disorder of the upper gastrointestinal tract, is a worldwide health problem. In Indonesia, it ranks among the most frequent conditions in primary healthcare. Research on the relationship between dietary habits and dyspepsia in school-aged children, particularly in primary health centers in Sukabumi, is limited. This study aims to explore the association between irregular eating patterns and dyspepsia in this age group. Methods: This study used quantitative research with a cross-sectional design, involving 51 purposively selected children aged 6–18 years visiting the Sukabumi Public Health Center between January and March 2025. Inclusion criteria were children aged 6–18 years, with a history of dyspepsia, and willingness to participate by completing questionnaires. Exclusion criteria included diagnosis of Helicobacter pylori infection, use of gastrointestinal-impacting medications, or presence of malignant or chronic upper gastrointestinal diseases. Data were collected using a validated questionnaire adapted from prior research, demonstrating good validity and reliability. Results: From the results obtained, 12 children had a good diet was 12 people (23.5%), and 39 children had poor diets (76.5%). Meanwhile, 35 children with dyspepsia (68.6%) and children who did not experience dyspepsia were 16 people (31.4%). There was a relationship between diet and the incidence of dyspepsia in school-age children (6-18 years) at the Sukabumi Health Center, with a p-value = 0.003, which could be interpreted as (p < 0.05) or (0.003 < 0.05) Conclusion: Irregular dietary habits are linked to dyspepsia in school-aged children at the Sukabumi Health Center, emphasizing the need for healthy eating promotion in local, resource-limited settings of middle- and low-income countries.

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