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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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The Relationship between Body Fat Percentage and Physical Fitness: A Cross-Sectional Study among Medical Students in Indonesia Batubara, Frisca Ronauli; Hendrika, Wendy; Prameswari, Shela A
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.v7i3.382

Abstract

Background: Physical fitness is the ability to carry out daily and leisure activities efficiently without excessive fatigue, thereby reducing the risk of chronic diseases. However, few studies in Indonesia have explored the link between body fat percentage and physical fitness among medical students. This study aims to analyze that relationship in students of the Faculty of Medicine, Indonesian Christian University. Methods: This observational cross-sectional study involved 57 university students selected using simple random sampling. Inclusion criteria were active medical students from the 2023 intake who were willing to participate. Exclusion criteria were students with musculoskeletal injuries or chronic diseases affecting physical performance. Body fat percentage was measured using skinfold calipers, and physical fitness was assessed using the Harvard Step Test. Data were analyzed using the Pearson correlation test. Ethical approval was obtained from the Health Research Ethics Committee of the Faculty of Medicine, Indonesian Christian University. Results: The analysis showed that the majority of students had a low physical fitness index, with 71.9% of participants having low physical fitness. A significant correlation was found between body fat percentage and physical fitness (p = 0.015), with increasing body fat percentage associated with decreased physical fitness. Conclusion: Increasing body fat percentage correlates with decreasing levels of physical fitness, suggesting that higher levels of body fat in college students are likely to negatively impact their ability to perform physical activity efficiently and reduce their risk of chronic disease.
Maternal Knowledge of Stunting in Toddlers: A Cross-Sectional Study in Indonesia Rosmiati, Rosmiati; Wulansari, Eka; Marhumi, Marhumi
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.v7i3.383

Abstract

Background: Stunting remains a major public health issue in Indonesia, where maternal knowledge is a critical factor for prevention. However, limited evidence exists regarding the specific knowledge gaps of mothers in semi-urban communities in Indonesia, which hampers targeted interventions. This study aimed to analyze maternal knowledge levels regarding stunting and its associated factors. Methods: This research utilized a descriptive cross-sectional design (reported according to STROBE guidelines) with 265 mothers of toddlers selected via stratified random sampling. Sample size justification and detailed inclusion/exclusion criteria were included. A validated and reliable questionnaire (Cronbach's α=0.87) was used. Data were analyzed using the Chi-Square test. Results: Most respondents (71.7%) had a good knowledge level. However, a statistically significant knowledge deficit was found concerning the specific causes of stunting (χ2=49.900;p<0.001). Factors such as education and employment status were significantly associated with knowledge levels. Conclusion: While general awareness of stunting is high, a critical gap exists in mothers' understanding of its complex causes. Educational interventions must become more focused. Future studies should employ longitudinal or interventional designs to assess the causal pathways between maternal knowledge and stunting prevention behaviors (Harmonized with Practical Implications).
Mothers’ Experiences in Implementing Responsive Feeding for Stunted Toddlers: A Qualitative Phenomenological Study Julianti, Erna; Elni, Elni; Azmy, Restu Amalia; Zamziri, Zamziri
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.v7i3.387

Abstract

Background: Reducing stunting rates is a priority for health programs in Indonesia, including in Bangka Belitung. One of the factors of stunting is a responsive feeding problem. The problems experienced by mothers related to responsive feeding are that the way of feeding according to age is not optimal, does not provide examples of healthy eating habits, does not encourage children to eat, and does not interact with children when eating, because they are busy with household chores. Methods: The research used a descriptive phenomenological approach, and the ethical considerations in the study were beneficence, justice, and Respect for human dignity.  The research participants involved were five mothers having stunting children, because saturation (data saturation) was achieved during data collection, so that no new information was obtained.  The sample was selected using a purposive sampling technique. Inclusion criteria included mothers with stunting toddlers who could express  their experiences and spoke Indonesian. Researchers also conducted in-depth interviews to collect data. Researchers used COREQ as a guideline. The data were analyzed using the Colaizzi method. Results: This research discovered five themes, including children's independence in eating versus being fed, refusal to eat, interaction between parents and children when eating, knowing signs of hunger and fullness in children, and eating texture according to the child's age. Conclusion: Eventually, it is expected that mothers can apply responsive feeding and use it as a nursing intervention to improve children's eating habits and abilities more optimally.
Determinants of Psychological Disorders Among Pregnant Women in Indonesia: A Cross-sectional Study on The Roles of Social Support, Parity, and Anxiety Budiarti, Astrida; Hastuti, Puji; Fatimawati, Iis; Sulistyawati, Rahmah
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.v7i3.388

Abstract

Background: Pregnancy involves physical and emotional changes that can impact a woman's psychological well-being. However, few studies have explored the combined influence of social support, parity, and anxiety on psychological disorders among pregnant women in Indonesia. This study aimed to examine the relationship between social support, parity, and anxiety with psychological disorders among pregnant women in Indonesia. Methods: A cross-sectional study was conducted among 114 pregnant women attending antenatal care at East Java, Indonesia, community health centers. Participants were selected using a simple random sampling technique. Inclusion criteria were pregnant women living with their husbands or family members, while those who declined participation were excluded. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS), Depression Anxiety Stress Scale-21 (DASS-21, anxiety subscale), and the Antenatal Risk Questionnaire (ANRQ). Data were analyzed using descriptive statistics and Spearman’s rho correlation. This study complied with the STROBE reporting guidelines. Results: Most respondents were aged 24–29 years (43.9%), had senior high school education (75%), were housewives (54.4%), and had moderate family income (46.5%). The results showed that low social support (p = 0.002), being multiparous (p = 0.003), and higher anxiety levels (p = 0.001) were significantly associated with increased psychological disorder risk. Women with low social support or severe anxiety had the highest risk. Multiparous women were more likely to report psychological distress compared to primiparous women. Social support, parity, and anxiety were significant factors associated with psychological disorders during pregnancy. Conclusion: Mental health should be an integral part of antenatal care. These findings underscore the need to integrate mental health screening and family-based support into routine antenatal care to improve maternal psychological well-being.
Effectiveness of a Nursing-Based Fast Track Surgery Protocol on Postoperative Pain Reduction: A Quasi-Experimental Study Ariani, Sri Purwanti; Yuhansyah, Yuhansyah; Ernawati, Ernawati; Jariyah, Ainun
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.v7i3.390

Abstract

Background: Ineffective management of postoperative pain can delay recovery, increase the risk of complications, and extend the length of hospital stay. Fast Track Surgery (FTS) is a multidisciplinary approach that speeds up recovery and reduces postoperative pain effectively. However, studies on the effectiveness of nursing-based FTS interventions in regional hospitals are still limited. This study examines the effectiveness of an innovative nursing-based FTS approach in reducing pain intensity among postoperative patients. Methods: This quasi-experimental study used purposive sampling and involved 30 participants, divided into intervention and control groups. The study was conducted at TK III Dr. R. Soeharsono Hospital in Banjarmasin, South Kalimantan. Inclusion criteria were patients aged 18 to 65 years, postoperative, able to communicate well, and willing to participate. Pain intensity was measured using the Visual Analog Scale (VAS) before and two hours after the Fast Track Surgery intervention. The nursing-based FTS intervention included preoperative education, early mobilization, and multimodal analgesia management. The study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines to ensure clarity and completeness. Results: Most participants were between 19 and 44 years old, 60% were male, and the majority had completed high school. Before the intervention, patients mainly reported moderate to severe pain; after the FTS intervention, most reported mild pain. Pain intensity was significantly different between the intervention and control groups (p < 0.001). Conclusion: The nursing-based Fast Track Surgery approach effectively reduces postoperative pain intensity. It is recommended that nurse-led FTS protocols be implemented in regional hospitals to improve pain management and accelerate patient recovery.
Effect of Family-Centered Nursing-Based Health Education on Activities of Daily Living among Elderly Hypertensive Patients in Indonesia: A Quasi-Experimental Study Suprayitno, Emdat; Hannan, Mujib; Hidayat, Syaifurrahman; Permatasari, Dian; Huzaimah, Nailiy
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.v7i3.392

Abstract

Background: Hypertension is a common chronic condition in the elderly, leading to decreased independence in performing Activities of Daily Living (ADL). Family support is a key determinant in maintaining the independence of the elderly. However, the family's role is still not optimal. Health education based on family-centered nursing (FCN) is expected to empower patients and families to manage hypertension and improve functional abilities. Methods: A quasi-experimental design with a non-equivalent control group was applied to evaluate the effect of Family-Centered Nursing (FCN)-based education on Activities of Daily Living (ADL) among elderly hypertensive patients. 64 participants meeting the inclusion criteria were selected using simple random sampling from the Rubaru Community Health Center, Indonesia. Data were collected using the validated Barthel Index questionnaire and analyzed with the Wilcoxon and Mann–Whitney tests using SPSS version 25. Results: Based on the paired t-test, the daily living activities score, p-value <.001, and the Independent test, p-value < .001 was obtained for both the control and treatment groups. This demonstrates the influence of family-centered nursing education on the independence of daily living activities of hypertension sufferers in the work area of the Rubaru Community Health Center. Conclusion: Family-centered nursing education has an impact and is effective on the daily living activities of older people with hypertension in the Rubaru Community Health Center (Puskesmas) area. It is recommended that the Community Health Center integrate family-based education programs into routine health services for the elderly.
Body Mass Index, Glucose, and Triglycerides as Predictors of HbA1c Control in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study Anwari, Farida; Octifani, Amellya
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.v7i3.393

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease with rising global and national prevalence. Glycemic control, measured by glycated hemoglobin (HbA1c), is essential to prevent complications. Previous studies showed inconsistent findings on the effects of age, gender, body mass index (BMI), and triglycerides on HbA1c levels, with limited use of logistic regression. This study examined the influence of age, gender, BMI, glucose, and triglyceride levels on HbA1c control in Indonesian patients with T2DM. Methods: A cross-sectional study was conducted using secondary medical records of 55 T2DM patients treated at RA Basoeni Clinic, Mojokerto, Indonesia, in 2024. Inclusion criteria included patients aged ≥18 without anemia or hemoglobinopathy; patients with incomplete data were excluded. HbA1c values were estimated from average fasting and postprandial glucose over the past three months using the American Diabetes Association (ADA) 2019 conversion table. HbA1c status was categorized as controlled (≤6.5%) and uncontrolled (>6.5%). Logistic regression analysis was performed using SPSS version 25.0. The study adhered to STROBE reporting guidelines. Results: Of the 55 patients, 24 (43.6%) had controlled HbA1c and 31 (56.4%) had uncontrolled HbA1c. Logistic regression showed that BMI (OR=1.192, p=0.047), glucose (OR=1.026, p=0.044), and triglycerides (OR=1.017, p=0.049) significantly predicted HbA1c status. Age (p=0.837) and gender (p=0.884) were not significant predictors. The model explained 68.9% of the variance (Nagelkerke R²=0.689) with an overall classification accuracy of 83.6%.. Conclusion: BMI, glucose, and triglycerides are significant predictors of HbA1c control in T2DM patients, while age and gender are not. To improve glycemic outcomes, clinical management should prioritize weight regulation, glucose monitoring, and triglyceride control.
Effectiveness of Progressive Muscle Relaxation on Pain and Sleep Quality in Lung Cancer Patients Undergoing Chemotherapy: A Quasi-Experimental Study Mira, Mira; Daud, Izma; Ruwaida, Laiya; Mahmud, Mahmud; Ariani, Mahrida Dwi
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.v7i3.395

Abstract

Background: Pain and sleep disturbances are common among lung cancer patients undergoing chemotherapy, negatively affecting comfort and quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention that potentially alleviates these issues. However, few studies have specifically examined the effects of PMR on chemotherapy-induced symptoms in lung cancer patients, particularly in Indonesia. Methods: A quasi-experimental pretest–posttest study with a control group was conducted in Banjarmasin, Indonesia, involving 60 purposively selected lung cancer patients. Participants were assigned to an intervention group (n = 30) and a control group (n = 30). The intervention group performed daily PMR exercises for 14 consecutive days, while the control group received standard care. Pain was measured using the Numeric Rating Scale (NRS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Wilcoxon signed-rank test, and ethical approval was obtained from the institutional review board. Results: Demographic characteristics were comparable between groups. After the intervention, pain levels decreased significantly in the intervention group, with 40% reporting mild pain and 53.3% moderate pain, compared to the control group, where 66.7% reported moderate pain and 33.3% severe pain. All participants in the intervention group achieved good sleep quality, while no improvements were observed in the control group. Between-group differences were statistically significant (p < 0.05). Conclusion: PMR effectively reduces pain and improves sleep quality in lung cancer patients undergoing chemotherapy. This study provides new evidence on the application of PMR in supportive care for lung cancer patients in Indonesia.
Effectiveness of the Early Warning Score in Enhancing Nurses’ Responsiveness to Critical Patients: A Quasi-Experimental Study in the Emergency Department Ernawati, Ernawati; Ariani, Sri Purwanti; Pramunika, Pramunika
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.v7i3.397

Abstract

Background: Emergency care services in Indonesia continue to face challenges in quickly identifying patients who are critically ill, which contributes to the high mortality rates in Emergency Departments (ED). While the Early Warning Score (EWS) has been proven effective for early detection of patient deterioration, there are limited studies on its implementation in Indonesian EDs, particularly in provincial hospitals. This highlights a gap in research that needs further attention. Methods: This study used a quasi-experimental design with a pre-test and post-test control group at Dr. H. Moch Ansari Saleh Regional General Hospital, Banjarmasin. Twenty-three ED nurses participated. We measured nurse responsiveness by examining how quickly and accurately they took clinical actions after monitoring EWS. A prototype guideline for using EWS was also developed and integrated into the hospital’s ED reporting system. The research followed CONSORT guidelines for quasi-experimental studies. Results: Most participants were female (60.9%), aged between 19 and 44 years (95.7%), with the majority holding a Diploma III in nursing (65.2%). Before introducing the EWS, 83.3% of nurses in the intervention group responded in one minute or longer, with only 25% accuracy. After the EWS implementation, 91.7% responded in under one minute, with 91.7% accuracy. In the control group, one-minute or longer response times remained high at 90.9%, and accuracy improved slightly from 18.2% to 27.3%. Statistical tests showed significant improvement in response time (p = 0.007) and accuracy (p = 0.005) in the intervention group. Conclusion: Introducing the Early Warning Score improved nurses’ responsiveness in the ED, making their clinical actions faster and more accurate. Integrating EWS into daily practice with clear guidelines can help enable timely interventions and improve patient safety during emergency care.
Implementing the KiVA Program to Prevent Bullying: A Qualitative Phenomenological Study in Indonesian Elementary Schools M.Noer, Rachmawaty; Agusthia, Mira; Dasaryandi, Kiki Rizki; Wulandari, Yulianti
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.v7i3.400

Abstract

Background: Bullying in Indonesian schools remains a major issue affecting children’s psychological, social, and academic well-being. Reports from KPAI and UNICEF indicate that prevention at the elementary level remains inadequate. While most studies focus on punishment and counseling, research on community-based programs such as the KiVA Method—promoting awareness, empathy, and conflict management—is limited, underscoring the need to explore their application in Indonesia’s socio-cultural context. Methods: This study employed a qualitative case study approach to explore the experiences of teachers, counselors, students, and parents in implementing the KiVA Method. Participants were selected purposively, including those actively involved in or experienced with the program for at least one semester. Individuals who were not actively participating or had communication barriers were excluded. Of 30 invited participants, 25 met the criteria and agreed to join, while 5 declined due to time, unwillingness, or health issues. Data were gathered through 45–60-minute interviews and field observations, with official approval from the Education Office and the school. Thematic analysis using NVivo 12 followed COREQ guidelines to ensure research transparency and credibility. Results: Of the 25 participants, consisting of 8 teachers, 4 counselors, 10 students, and 3 parents, it was found that implementing the KiVA Method increased school community awareness of bullying behavior, strengthened social empathy, and encouraged positive student interactions. Teachers and counselors reported a significant decrease in bullying incidents, while students felt safer and more supported in an inclusive learning environment. Thematic analysis revealed four main themes: increased social-emotional literacy, changes in classroom communication patterns, strengthening teachers' roles as empathetic facilitators, and parental support for implementing anti-bullying values. Conclusion: The research results indicate that the KiVA Method positively contributes to building collective awareness of bullying, strengthening empathy among school members, and creating a supportive and inclusive learning climate. However, the program's long-term effectiveness requires further research with a longitudinal design and a cross-school comparative approach to assess its sustainability in Indonesia's primary education context.

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