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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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Qualitative Policy Analysis of Hypertension Disease Control at Primary Health Centers in Surakarta, Indonesia Hastuti, Rini Tri; Dewi, Indri Kusuma; Rachmat, Nur; Setyorini, Yuyun Setyorini; Mulyaningrum, Haryanti Katini; Subagiyo, Didik; Suryaningsih, Anthik Fajar
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.v7i3.405

Abstract

Background: Hypertension is a leading global health issue and a primary risk factor for cardiovascular disease. Despite national strategies in Indonesia, evidence on hypertension control implementation at the district and community levels remains scarce. Surakarta reports hypertension as the most common non-communicable disease (NCD), yet little is known about how policies are translated into practice at primary health centers. Methods: This qualitative descriptive study applied a policy analysis approach, guided by the COREQ reporting standard. Five purposively selected participants (three health workers, one patient, and one district health officer) were interviewed between June and September 2023. Data were collected through in-depth interviews (30–60 minutes) and document reviews, and were analyzed thematically using Creswell’s framework. Results: Three themes emerged: (1) hypertension control policies operationalized at the primary healthcare level and supported by innovations such as BU DESI (Buru Diabetes dan Hipertensi); (2) health promotion through Posbindu PTM and cadre empowerment; and (3) monitoring and evaluation via regular monthly reviews, though patient adherence and multisectoral collaboration remain limited. Conclusion: While hypertension control in Surakarta aligns partially with national strategies, its novelty lies in integrating locally driven innovations such as BU DESI. The study highlights the need to strengthen community empowerment and multisectoral collaboration.
Caregiver Knowledge and Functional Status in Preventing Pressure Ulcers among Stroke Patients: A Cross-Sectional Study Damanik, chrisyen; Pratama, Salwa Setya Anggun
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.v7i3.408

Abstract

Background: Stroke is a leading cause of death and disability, often reducing patients' quality of life and increasing caregiver burden. Immobility after stroke raises the risk of pressure ulcers, worsening outcomes, and prolonging hospital stays. Caregivers are crucial in prevention, as their knowledge and functional ability affect care effectiveness. However, few studies have explored the direct link between caregiver knowledge and functional status in pressure ulcer prevention, particularly in home or community settings. This study aims to examine that relationship. Methods: This cross-sectional study (June–July 2025) in Indonesia involved 38 primary caregivers of stroke patients, selected via consecutive sampling. Eligible caregivers were ≥18 years old, had ≥1 month of caregiving experience, and consented; professional caregivers and those caring for acute-phase patients were excluded. Data were collected using bilingual questionnaires on caregiver knowledge (15 items, α = 0.739) and functional status (18 items, α = 0.878). Descriptive statistics summarized participant characteristics, and Pearson’s correlation analyzed the relationship between knowledge and functional status. Results: Most caregivers were aged 46–55 (42.1%), female (76.3%), educated to junior/high school level (71.1%), and predominantly housewives (47.4%). A majority (76.3%) had no prior caregiving experience. The mean knowledge and functional status scores were 10.58 ± 1.605 and 61.95 ± 4.550, respectively. Pearson’s correlation revealed a strong, significant positive relationship between caregiver knowledge and functional status (r = 0.634; p < 0.001), suggesting that greater understanding of pressure ulcer prevention is associated with improved caregiving performance in stroke care. Conclusion: Caregivers’ knowledge and functional status directly affect their effectiveness in stroke care. Better-informed caregivers more successfully prevent pressure ulcers, emphasizing the need for structured training programs that build skills and confidence, improve patient outcomes, and reduce complications.
Effect of Blanched Pineapple and Massage Therapy on Uterine Involution and Breast Milk Production: A Quasi-Experimental Study in Postpartum Mothers Aryani, Yeni; Yustita, Annisa Tri
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.v7i3.413

Abstract

Background: Optimal postpartum recovery and lactation are vital for maternal and neonatal health. Pineapple, rich in bromelain and bioactive compounds, may aid uterine involution and lactogenesis, while massage therapy promotes oxytocin release and milk production. Evidence on their combined effect remains limited. This study examined the impact of blanched pineapple consumption with massage therapy on uterine fundal height reduction and breast milk production in postpartum mothers. Methods: A quasi-experimental study with a two-group pretest–posttest design followed the TREND reporting guideline. 50 postpartum mothers were recruited using purposive sampling (25 intervention, 25 control). Inclusion criteria included mothers within 24–48 hours postpartum, aged 20–35 years, with a singleton birth and no obstetric complications; exclusion criteria were allergy to pineapple, postpartum hemorrhage, or medical contraindications for massage. The intervention group received blanched pineapple consumption (200 g/day for 7 days) combined with standardized massage therapy, while the control group received routine postpartum care. UFH was measured using a non-elastic tape, and breast milk production was assessed through maternal report and expressed volume (validated measurement protocol). Ethical approval was obtained from the institutional review board. Data were analyzed using paired and independent t-tests, and effect sizes (Cohen’s d, 95% CI) were calculated. Results: Mothers in the intervention group experienced a significantly greater reduction in UFH (mean difference = 2.1 cm, p < 0.01, Cohen’s d = 0.78) compared to the control group. Breast milk production was also higher in the intervention group, both in average volume (+45 mL/day, p < 0.01, Cohen’s d = 0.72) and frequency of breastfeeding episodes (OR = 2.3, 95% CI: 1.4–3.8). These findings indicate a synergistic effect of pineapple’s enzymatic properties and massage-induced oxytocin release on uterine involution and lactogenesis. Conclusion: Blanched pineapple consumption combined with massage therapy effectively accelerates uterine involution and enhances breast milk production in postpartum mothers. This integrated, non-pharmacological approach can be considered a safe and culturally adaptable adjunct to routine postpartum care. Healthcare providers are encouraged to incorporate such interventions into maternal recovery programs to support exclusive breastfeeding and improve maternal health outcomes.
Effectiveness Of Health Education Through Video And Leaflets On Knowledge And Waste Sorting Behavior Among Elementary School Students: A Quasi-Experimental Study Bustomi, Sadya; Sulistiana, Della
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.v7i3.416

Abstract

Background: Waste sorting has not been widely understood or implemented among elementary school students, resulting in poor waste management in the school environment. However, evidence comparing the effectiveness of video-based versus leaflet-based health education interventions in elementary school settings remains limited. This study aimed to determine the effectiveness of health education on waste sorting on students' knowledge and behavior in State Elementary Schools. Methods: This quantitative study employed a quasi-experimental two-group pretest–posttest design with no control group, following the TREND reporting guidelines. The sample comprised 60 grade V students (30 from SDN Panggung Rawi and 30 from SDN Sukmajaya 1), selected through a total sampling method. Inclusion criteria were active enrollment as grade V students, ability to read and write, and provision of parental consent, while absent students were excluded at the time of data collection. SDN stands for Sekolah Dasar Negeri, which means State Elementary School (public primary school) in Indonesia. Data were collected using a 16-item, expert-validated questionnaire and tested for reliability (Cronbach’s alpha = 0.82 for knowledge and 0.79 for behavior). Univariate analysis used median values, while bivariate analysis applied paired t-tests/Wilcoxon signed-rank tests and independent t-tests/Mann–Whitney U tests, with effect sizes reported as Cohen’s d. Results: At α = 0.05, there was a significant difference in knowledge between the video and leaflet groups (p = 0.012; Cohen’s d = 0.54, medium effect). Similarly, there was a significant difference in behavior change between the video and leaflet groups (p = 0.001; Cohen’s d = 0.71, large effect). No participants dropped out, and complete data were obtained from all respondents.. Conclusion: Health education through videos was more effective than leaflets in improving elementary school students' knowledge and behavior regarding waste sorting. Waste sorting interventions can be effectively integrated into school-based waste management programs.
Effect of the Antenatal Care Group Model on Childbirth Preparedness among Pregnant Women: A Quasi-Experimental Study Budiarti, Kurniawan Dewi; Sulliyawati, Eti; Sulastin, Sulastin; Badriyah, Suci
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.v7i3.422

Abstract

Background: Childbirth preparedness is essential to prevent complications and improve the safety of both mothers and infants. Knowledge, attitudes, and social support strongly influence maternal readiness. Group antenatal care (ANC) has been shown to enhance maternal engagement, but most studies have focused on face-to-face services. However, limited studies have examined digital ANC groups in Indonesian primary care settings. Therefore, this study aimed to analyze the effect of WhatsApp-based group ANC on maternal readiness for childbirth.. Methods: This study employed a quasi-experimental pre–post design with a control group, following the TREND reporting guideline. A total of 40 pregnant women in their second or third trimester were purposively selected. Inclusion criteria were residence in Samarang, no medical complications, and willingness to participate; exclusion criteria included refusal or diagnosed complications. The instrument was a validated childbirth preparedness questionnaire (15 items, Cronbach’s alpha = 0.87). The intervention was delivered via a WhatsApp group over two weeks (six sessions), facilitated by trained midwives using validated materials. Data were analyzed using independent t-tests after testing normality and homogeneity, with a significance level of 0.05, 95% confidence interval (CI), and effect size calculated using Cohen’s d.   Results: The mean preparedness score was higher in the experimental group (58.80 ± 5.01) compared to the control group (54.35 ± 6.43). The mean difference of 4.45 points was statistically significant (p < 0.001; 95% CI [2.1–6.7]) with a moderate-to-large effect size (Cohen’s d = 0.78). These findings indicate that WhatsApp-based ANC groups significantly improved maternal knowledge and childbirth preparedness.. Conclusion: WhatsApp-based group ANC effectively enhances maternal childbirth preparedness and is feasible for implementation as a maternal health education strategy in primary care settings.
Exploring Parent-Based Health Promotion Models For The Prevention Of Sexual Violence Against Children In Bekasi City: An Exploratory Sequential Mixed Study Handayani, Handayani; Lail, Nurul Husnul
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.v7i3.428

Abstract

Background: Child sexual abuse (CSA) is a serious problem that continues to increase and is often perpetrated by people close to the child, making it difficult to detect. It has a long-term impact on child development. However, systematically tested parent-based interventions are still limited, especially in Indonesia. This study aims to develop and evaluate a parent-based health promotion model to prevent CSA in Bekasi City.. Methods: This study used a sequential exploratory mixed methods design in accordance with GRAMMS guidelines. The qualitative stage involved in-depth interviews with 12 informants (perpetrators, parents of victims, and child victims of KSPA) which were analyzed thematically. The quantitative stage used a cross-sectional design with 209 respondents selected through proportional sampling in each sub-district and simple random sampling. The inclusion criteria were parents with children aged 6–13 years, cooperative, residing in Bekasi, and willing to be respondents. The data were analyzed using multivariate logistic regression (p-value) and paired samples test. Results: Qualitative analysis identified three main themes: children's vulnerability due to lack of early sex education, permissive parenting, and parental adaptive strategies. The Handayani model identified perpetrator, child, and parental factors that influence KSPA prevention. Quantitative analysis showed that parenting (p<0.001), attitudes, perceptions, and knowledge (p<0.01) were significant. The paired samples test confirmed an increase in all variables after the intervention (p<0.001). The Handayani model proved effective as a guide for parents in improving KSPA prevention through parenting, attitudes, perceptions, and knowledge.. Conclusion: The Handayani model has been proven effective in improving parenting, attitudes, perceptions, and knowledge of parents, so that children are more aware of predators. These findings emphasize the importance of early sex education and protective parenting in family-based prevention programs
Cultural and Academic Adaptation Experiences of Timor-Leste Nursing Students in Indonesian Universities: A Qualitative Phenomenological Study Mulyadi, Eko; Permatasari, Dian; Soares , Domingos; Syarifudin , Muhamad; Sarmento, Julio
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.v7i3.335

Abstract

Background: International education is rapidly expanding, with more students seeking study opportunities abroad. Timor-Leste students in Indonesia often face challenges involving language, academic expectations, and cultural adjustment. However, limited studies have explored their lived experiences. This study aims to explore the cultural and academic adaptation of Timor-Leste students in Indonesian universities. Methods: This study employed a qualitative phenomenological design using Colaizzi’s approach. The population comprised Timor-Leste students currently studying at Indonesian universities. Participants were selected using purposive sampling, with inclusion criteria focusing on students who had studied for at least one academic year, while those with less than six months of experience were excluded. A total of ten participants were included. Data were collected through semi-structured interviews and direct observations. Instruments included an interview guide validated through expert review. Ethical approval number 3470/UN25.8/KEPK/DL/2025.  Given that the study was interview-based, its design, conduct, and reporting adhered strictly to the Consolidated Criteria for Reporting Qualitative Research (COREQ) to ensure transparency, reflexivity, and rigor in qualitative interview research. Data were analyzed following Colaizzi’s seven-step method. Results: Thematic analysis revealed three core themes: (1) Cultural and academic shock — students experienced challenges adapting to local customs, social norms, and complex academic language; (2) Differences in learning systems — participants struggled with the shift from teacher-centered to independent learning approaches; and (3) Coping and adaptation strategies — students demonstrated resilience through peer networks, social engagement, and self-adjustment. These themes collectively highlight the dynamic process of cross-cultural adaptation among Timor-Leste students in Indonesian universities. Conclusion: Timor-Leste students in Indonesia encounter significant cultural and academic adaptation challenges. Universities should strengthen inclusive support through structured orientation, language assistance, intercultural mentorship, and psychosocial programs to enhance their academic success and well-being.
Effects of Audiovisual Education on Community Knowledge of Snakebite Management Anggraini, Novita Ana; Afiani, Nurma; Ambarika, Rahmania; Fauziah, Wardah; Haryani, Mukti Sri
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.v7i3.343

Abstract

Background: Snakebites are an emergency that can cause death if not treated immediately. Lack of community knowledge on first aid for snakebites can increase the incidence of infection or death. Education is needed to improve community knowledge. However, community education using audiovisual methods for snakebite prevention remains limited. The purpose of this study was to analyze the effects of audiovisual education on knowledge of handling snakebites in the community at UPT Puskesmas Kepanjenkidul, Blitar City. Methods: A quasi-experimental one-group pre–posttest design was used. Participants were ≥18 years old community members recruited from the outpatient registry using simple random sampling. A validated 15-item knowledge questionnaire was administered before and after a 5-minute audiovisual educational intervention. Inclusion criteria: consent to participate; exclusion: prior training on snakebite management. Data was collected using a knowledge questionnaire used to assess community knowledge regarding snakebite management. The study reporting followed the TREND Statement for non-randomized evaluations of behavioral interventions. Data were analyzed using the Wilcoxon rank test with α < 0.05.. Results: The level of knowledge of handling snakebites before education was in the fair category for most of the respondents (45 respondents or 51.1%). After education, almost all respondents (80 respondents or 90.9%) had a good level of knowledge. Results of the Wilcoxon test showed a p < 0.001. Conclusion: Health education using audiovisual media influences knowledge of handling snakebites. Audiovisual media can display elements of images and sound simultaneously in conveying information. Video media in the learning process is more effective in increasing knowledge. Thus, health workers are expected to provide education using audiovisual media since it is easy to receive and understand by the community.
Profile of Post-Ischemic Stroke Patients: A Retrospective-Crossectiona Yudawijaya, Agus; Wibhawa, Patria Adri; S., Febriani
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.v7i3.403

Abstract

Background: Stroke remains a major health issue in Indonesia, with ischemic stroke being the most common type. Evidence on the demographic characteristics and risk factors of post-ischemic stroke patients in outpatient settings is still limited, indicating a gap in secondary prevention efforts. This study aimed to describe the profiles of post-ischemic stroke patients treated at the neurology outpatient unit of Dr. Suyoto Hospital between December 2023 and December 2024. Methods: This study employed a retrospective descriptive-analytical design using patient medical records. The study population was all patients with post-ischemic stroke treated in the neurology outpatient clinic during the study period. Inclusion criteria were patients aged ≥18 years with a confirmed diagnosis of ischemic stroke documented in their medical records, while exclusion criteria included incomplete or missing records and concomitant neurodegenerative disorders. A total of 115 patients met the requirements. Data analysis included descriptive univariate statistics and bivariate analysis (Chi-square and Fisher’s exact test) to assess associations between demographic characteristics and risk factors. The study followed the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guideline for observational research reporting.. Results: The study found that age over 65 years (35.7%), male sex (66.1%), and hypertension (78.3%) were predominant. Other risk factors included obesity (45.2%), total cholesterol above normal (53.9%), LDL cholesterol above normal (66.1%), normal HDL cholesterol (58.3%), normal triglyceride cholesterol (62.6%), hyperglycemia (59.1%), and hyperuricemia (55.7%). Most patients had no prior history of heart disease (65.2%). Conclusion: This study concludes that uncontrolled risk factors in post-ischemic stroke patients, namely hypertension, obesity, elevated total cholesterol, high LDL cholesterol, hyperglycemia, and hyperuricemia, contribute to the risk of recurrent stroke and require more effective outpatient management strategies.
Interactive Counseling Skills Method to Improve Parental Compliance and Self-Efficacy in Child Tuberculosis Prevention Therapy: A Mixed Methods Study Sari, Ethyca; Siagian, Martha Lowarni; Aprilia, Devi
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.v7i3.417

Abstract

Background: Tuberculosis (TB) is transmitted through saliva droplets containing Mycobacterium tuberculosis. TB Preventive Therapy (TPT) is provided to individuals infected with M. tuberculosis who do not show symptoms of active disease, particularly as part of a child contact investigation. The success of TPT largely depends on parental self-efficacy and adherence in supporting their children throughout therapy. The Interactive Counseling Skills (ICS) strategy is proposed to strengthen these factors. The aim is to examine the effect of ICS on parents’ self-efficacy and adherence in accompanying their children during TPT.. Methods: This study used a mixed-methods approach with quantitative and qualitative data, applying a sequential explanatory design. Sampling was conducted using a quasi-experimental method with a total of 60 participants divided into intervention and control groups. Instruments used included questionnaires and interview guides, with validity tested through Cronbach’s Alpha and triangulation. Data analysis was conducted using the Paired T-Test/Wilcoxon test and thematic analysis. Results: The findings showed a significant increase in parental self-efficacy (p = 0.001) and treatment adherence (p = 0.002) in the intervention group compared to the control group. Qualitative findings supported the quantitative results, with parents in the intervention group stating that the interactive counseling sessions provided them with a better understanding of TB, increased their confidence in supporting the therapy process, and helped them understand the importance of regular TPT administration after attending the ICS sessions. Conclusion: This study demonstrates strong convergence, where the parents’ experiential narratives reinforce significant statistical data. The intervention not only increased self-efficacy and adherence rates but also fostered changes in attitude, understanding, and confidence. It is necessary to develop ICS training modules for healthcare workers so that this intervention can be implemented sustainably and consistently within family-based health services

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