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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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Effectiveness of Foxy Oil Combined with Oxytocin Massage on Breast Milk Production among Postpartum Mothers in Indonesia: A Quasi-Experimental Study Silaban, Marta Armita Br; Manjorang, Novita Andriani Br; Yun, Debby Chintya; Siregar, Erin Padilla; Pratiwi, Mutia; Sihombing, Sri Nengsih
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.v7i3.420

Abstract

Background: Optimal breast milk production meets infants’ nutritional needs, crucial in stunting prevention. Many postpartum mothers face insufficient milk production, which can affect infant weight gain and increase the risk of stunting. The innovation of combining oxytocin massage with Foxy Oil is expected to enhance breast milk volume, frequency of wet diapers, and infant weight gain—key indicators in stunting prevention. Methods: This study used a quasi-experimental design with purposive sampling, involving 60 postpartum mothers: 30 in the intervention group and 30 in the control group. Statistical analyses were conducted using SPSS 26 for univariate and bivariate data. Data normality was tested using the Kolmogorov-Smirnov test and bivariate analysis with the Mann-Whitney test. Breastfeeding optimisation was assessed based on breast milk volume, number of wet diapers, and infant weight over one month in the working area of Tanjung Morawa Community Health Centre. The husband or a close family member performed an Oxytocin massage twice daily for 10–15 minutes. Results: Bivariate analysis after oxytocin massage showed significant effects on breast milk volume (p = 0.000), number of wet diapers (p = 0.000), and infant weight (p = 0.039). The analysis indicates that the combination of Foxy Oil and oxytocin massage positively affects breast milk production, frequency of wet diapers, and infant weight gain. Conclusion: Foxy Oil's innovation, combined with oxytocin massage, can be widely applied in midwifery practice to support successful exclusive breastfeeding and contribute to stunting prevention.
Effectiveness of Foot Soaking Therapy Using Lemongrass (Cymbopogon citratus) Decoction to Reduce Blood Pressure among Pregnant Women with Mild Hypertension Situmorang, Friza Novita Sari; Fauzianty, Ariska; Purba, Hariati Eliana; Purba, Pitri Indriani Br; Zega, Novitaria
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.v7i3.421

Abstract

Background: Hypertension in pregnancy is a major contributor to maternal morbidity and mortality. Pharmacological therapy is common; however, evidence on safe and affordable non-pharmacological alternatives—such as lemongrass (Cymbopogon citratus) foot soaking—remains limited among pregnant women. Lemongrass contains citral and flavonoids that promote vasodilation and relaxation, potentially reducing blood pressure.. Methods: A quasi-experimental one-group pretest–posttest design following the TREND guideline was conducted at Sarfina Primary Outpatient Clinic, Medan, Indonesia (February–April 2025). Thirty pregnant women with mild hypertension (140–159/90–99 mmHg) participated voluntarily after providing informed consent. Exclusion criteria were preeclampsia, chronic illness, or lemongrass allergy. Participants soaked their feet daily for 15 minutes in 1 L of warm lemongrass decoction (38–40 °C) for four weeks. Blood pressure was measured twice using a validated Omron HEM-7130 device, and the mean was analyzed with the Wilcoxon signed-rank test. Results: Mean systolic pressure decreased from 147.6 ± 5.8 mmHg to 132.4 ± 6.3 mmHg, and diastolic pressure from 93.8 ± 3.9 mmHg to 83.7 ± 4.2 mmHg (Z = –3.21, p < 0.001). The effect size (r = 0.59; 95% CI [–18.5, –11.3]) indicated a moderate clinical effect Conclusion: Lemongrass foot soak therapy effectively lowers mild hypertension in pregnancy through vasodilatory and relaxation mechanisms. It represents a safe, simple, and culturally appropriate complementary method that midwives can integrate into antenatal care. Larger controlled trials are recommended to confirm its long-term efficacy.
The Experience of Nurses Transitioning to Primary Nursing in Indonesia: A Hermeneutic Phenomenological Study Rantung, Gilny Aileen Joan; Sitanggang, Septyarani
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.v7i3.426

Abstract

Background: Primary nursing is promoted globally for better continuity, accountability, and engagement,, butthere is limitede is limited evidence from Indonesia on nurses' transition from team to primary care. This study explored the lived experiences of nurses transitioning from team nursing to primary nursing in Indonesia, aiming to understand how they adapt, the barriers they encounter, and the impact of this shift on nurse–patient relationships. Methods: A qualitative approach was used, employing Van Manen’s hermeneutic phenomenology. Ten registered nurses working in medical–surgical wards of a tertiary hospital in Bandung, Indonesia, were purposively sampled. Inclusion criteria included registered nurses with experience in both team and primary nursing models. Nurses in managerial roles without bedside duties were excluded. Data were collected through in-depth semi-structured interviews lasting 45–60 minutes, conducted face-to-face or via secure online platforms. These interviews were audio-recorded, transcribed verbatim, and member-checked. Analysis followed Van Manen’s reflective approach, with thematic analysis supported by NVivo (QSR International, version 12) for data organization. Trustworthiness was maintained through audit trails, reflexivity, peer debriefing, and thick description. Ethical approval was obtained (No. 513/KEPK-FIK.UNAI/EC/VI/25). Reporting followed COREQ. Results: Three themes emerged: (1) Readiness and adaptation to change, where nurses emphasized mindset and gradual learning as essential to adaptation; (2) Challenges in practice and system limitations, including high nurse-to-patient ratios, administrative burden, delayed support services, and training misaligned with practice; and (3) Strengthened nurse–patient relationships, reflecting improved trust, openness, and professional accountability, which sustained motivation despite systemic barriers. Conclusion: This study reveals how Indonesian nurses manage transitioning to primary nursing. Despite systemic challenges that affect continuity and workload, nurses' commitment and strong patient ties sustain their efforts. The findings highlight the importance of aligning training with practice, improving staffing ratios, and ensuring consistent patient assignments to support primary nursing
Effectiveness of Health Belief Model–Based Psychoeducation in Enhancing Adolescent Mental Health Accessibility Sembiring, Isyos Sari; Manurung, Basaria; Manurung, Herna Rinayanti; Sinuhaji, Lidya Natalia; Ginting, Perkasa; Pane, Grace Laura Fidela; Zebua, Oktaviani; Pakpahan, Juwita 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.v7i3.429

Abstract

Background: Adolescent mental health is a growing public health concern, yet behavioral interventions addressing help-seeking barriers remain limited in low-resource settings. While the Health Belief Model (HBM) has been extensively applied to physical health behaviors, its relevance for improving mental health accessibility among adolescents is underexplored. This study aimed to evaluate the effectiveness of HBM-based psychoeducation in enhancing adolescents’ self-awareness, self-efficacy, and emotional regulation. Methods: A quantitative pre-experimental two-group pretest–posttest design was conducted in Bangun Rejo Village, North Sumatra, Indonesia, following the TREND reporting guideline for non-randomized evaluations. Participants included 50 adolescents aged 12–16 years, selected through cluster sampling. Inclusion criteria were residence for at least six months and parental consent, while adolescents with prior psychiatric treatment were excluded. Data were collected using an HBM-based Mental Health Accessibility Questionnaire (Cronbach’s α = 0.87), with self-awareness and self-efficacy as independent variables and mental health accessibility as the dependent variable. Results: The experimental group showed a higher posttest score (87.60 ± 7.45; 95% CI [84.51, 90.69]) compared to the control group (76.48 ± 11.98; 95% CI [71.58, 81.38]). Between-group differences were significant (t(48) = 3.75, p < 0.001, Cohen’s d = 1.06), indicating a large effect size.. Conclusion: HBM-based psychoeducation effectively enhances adolescents’ accessibility to mental health services by improving self-awareness, self-efficacy, and emotional regulation. The findings support incorporating HBM-based approaches into school and community health programs as low-cost, culturally adaptable strategies to promote adolescent mental health in resource-limited settings.
Effectiveness of Lemongrass (Cymbopogon citratus) Decoction as a Non-Hormonal Therapy for Preventing Early Menopause Among Women Aged 40–45 Years in Indonesia: A Randomized Controlled Trial Sembiring, Mediana Beru; Simamora, Lasria; Hutabarat, Dewi Sartika; Panjaitan, Polma Ria Metawati; Tarigan, Imarina; Nisa, Rika Khairatun; Arjuna, Ratu Putri
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.v7i3.434

Abstract

Background: Early menopause (before age 45) increases risks of osteoporosis, cardiovascular disease, and reduced quality of life. Although hormonal therapy is effective, its adverse effects have driven interest in safer alternatives. However, evidence on community-based herbal interventions for preventing early menopause is scarce in Indonesia. This study examined the effectiveness of Cymbopogon citratus (lemongrass) decoction as a low-cost, non-hormonal preventive therapy for early menopause. Methods: This parallel two-arm randomized controlled trial, conducted in Perbulan Village, Karo Regency, involved 30 women aged 40–45 years, randomly assigned to an intervention group receiving lemongrass decoction and a control group. Participants consumed 250 ml of decoction daily for 30 days. Menopausal symptoms were measured using the Menopause Rating Scale (MRS) and menstrual cycle regularity was recorded. Data were analyzed with the Mann–Whitney U test following the CONSORT 2010 guidelines, with statistical significance set at p < 0.05 and 95% confidence intervals (CI) reported. Ethical approval was obtained from the institutional review board. Results: Mean MRS scores in the intervention group decreased significantly from 20.5 ± 2.0 to 13.4 ± 1.6 (p < 0.001, 95% CI [5.7, 8.4], d = 1.45, large effect), while the control group showed no significant change. Menstrual cycle regularity improved in 73.3% of intervention participants compared with 13.3% in controls (p < 0.001). Compliance was high (86.7%) and no adverse events were reported. Conclusion: Lemongrass decoction effectively reduced menopausal symptoms and regulated menstrual cycles, supporting its use as a safe, acceptable, and affordable non-hormonal option for community-based women’s health promotion. The findings suggest potential integration of herbal therapy education into midwifery and public health programs to strengthen preventive reproductive care.
Comparative Effectiveness of Haruan and Salmon Fish Extracts in Preventing Stunting Among Toddlers: A Quasi-Experimental Study Warastuti, Widya; Ariestini, Tri Ratna; Rahmawati, Fetty; Elisa, Elisa
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.v7i3.438

Abstract

Background: Stunting, a condition characterized by impaired growth and short stature in toddlers resulting from chronic malnutrition, remains a primary health concern in Indonesia, including Central Kalimantan. A significant contributing factor is the inadequate consumption of animal protein. Fish, such as haruan (Channa striata) and salmon, are excellent sources of protein and essential nutrients crucial for growth. However, comparative studies examining the efficacy of the local haruan fish extract and imported salmon fish extract in preventing stunting are scarce. This study aims to compare the effectiveness of these two fish extracts among toddlers in the operational area of the Pahandut Community Health Center, Palangka Raya City. Methods: This quasi-experimental study followed TREND reporting guidelines. The study involved 100 toddlers, selected by purposive sampling based on specific inclusion/exclusion criteria. Participants were divided into two groups: one group receiving haruan fish extract and the other group receiving salmon extract. The intervention was conducted for three months (June to August 2023). Anthropometric measurements of mid-upper arm circumference (MUAC), body length, and body weight were taken monthly. Data were analyzed using the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test. Results: The Wilcoxon Signed-Rank Test showed that both haruan and salmon fish extracts significantly increased MUAC, Body Length, and Body Weight in each group (p < 0.001). The average increase in MUAC was 0.8 cm for the haruan group and 0.9 cm for the salmon group. However, the Mann-Whitney U Test did not show a statistically significant difference between the two treatment groups in terms of increases in MUAC (p = 0.452) and Body Weight (p = 0.387). These findings indicate that both extracts are equally effective in improving the nutritional status of stunted children. Conclusion: Haruan and salmon fish extracts are equally effective in improving the anthropometric status of stunted toddlers, suggesting that locally sourced haruan can serve as a cost-effective, sustainable alternative to imported salmon in stunting prevention programs.
The Comparative Effects of Hatha Yoga and Prenatal Exercise on Physiological and Psychological Outcomes in Primigravid Women: A Randomized Controlled Trial Fernandez, Veronica; Lesmana, Ronny; Krisnadi, Sofie R.; Susiarno, Hadi; Iskandar, Shelly; Tarawan, Vita Muniarti
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.v7i3.445

Abstract

Background: Primigravid women are prone to stress due to physical and psychological changes during pregnancy, which can lead to hypertension, preeclampsia, preterm birth, fetal growth restriction, and postpartum depression. While non-pharmacological interventions like hatha yoga and prenatal exercise are used to reduce stress, comparative evidence—especially on oxygen saturation (SpO₂)—is limited. This study analyzes the effects of hatha yoga and prenatal exercise on stress, blood pressure, and SpO₂ among primigravid women, and compares both interventions across these outcomes. Methods: This randomized controlled trial (RCT) followed the CONSORT 2010 guidelines. Forty-eight eligible primigravid women were selected using a probability sampling technique, specifically the simple random sampling method. Random numbers were generated using Microsoft Excel to determine participant selection from the maternal cohort register. Inclusion criteria were a normal singleton pregnancy at 24–28 weeks of gestation, maternal age 20–35 years, and normal Body Mass Index (BMI) (18.5–24.9 kg/m²). Exclusion criteria included regular exercise more than twice a week, abnormal fetal heart rate, and scheduled elective cesarean delivery. Participants were randomly assigned to either a hatha yoga group or a prenatal exercise group (24 each). Both interventions were conducted twice weekly for four weeks. Data were analyzed using the Wilcoxon and Mann–Whitney tests. Results: Data were analyzed using the Wilcoxon and Mann-Whitney tests. Median stress scores decreased from 22 to 12 in the hatha yoga group and from 22 to 17 in the prenatal exercise group (p < 0.001). Median SpO₂ increased from 96.88% to 98.38% and from 96.81% to 97.00%, respectively (p = 0.002). Median systolic pressure changed from 120.06 to 121.31 mmHg and 118.75 to 117.44 mmHg (p = 0.009), while diastolic pressure showed no significant difference (p = 0.076). Overall, hatha yoga showed greater improvements in stress, SpO₂, and blood pressure stability than prenatal exercise. Conclusion: Hatha yoga proved more effective than prenatal exercise in reducing stress, increasing SpO2, and stabilizing systolic blood pressure among primigravid women, although no significant difference was found in diastolic pressure. These findings strengthen the evidence supporting yoga as a safe, non-pharmacological approach to enhance maternal physiological and psychological well-being during pregnancy.
Effectiveness of Game Health Education Anemia (GHEA) Guided by the Health Belief Model on Improving Knowledge and Attitudes Toward Iron-Deficiency Anemia Prevention Among Adolescent Girls: A Quasi-Experimental Study Fauzi, Imam Nur; Kumboyono, Kumboyono; Fevriasanty, Fransiska Imavike
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.v7i3.448

Abstract

Background: Iron-deficiency anemia (IDA) remains a significant health problem among adolescent girls, affecting growth, academic achievement, and reproductive health. Traditional education methods like lectures and booklets are often less engaging and ineffective in changing behavior. Few studies have tested gamified, theory-based health education for anemia prevention in Indonesian adolescents. This study evaluated the effectiveness of the Game Health Education Anemia (GHEA) compared with a Digital Pocket Book in improving knowledge and attitudes toward IDA prevention among adolescent girls. Methods: A quasi-experimental study, guided by the Health Belief Model (HBM) and reported according to the TREND checklist, was conducted at SMP Islam Ma’arif 02 Malang, Indonesia, in June 2025. Sixty female adolescents were selected through purposive sampling based on power analysis (effect size = 1.12, α = 0.05, power = 0.95). Inclusion criteria were female students aged 12–18 years, healthy, and owning a digital device; exclusion criteria were prior exposure to digital anemia education or incomplete participation. Participants were equally assigned to an intervention group (GHEA) and a control group (the Digital Pocket Book). Data were collected using a validated questionnaire and analyzed with Wilcoxon signed-rank, paired t-, and Mann–Whitney U tests at a 0.05 significance level. Results: The mean age of participants was 14 years (range 13–15). The GHEA group showed significant improvements in knowledge (Z = -4.847, p < 0.001) and attitudes (Z = -4.275, p < 0.001), while the control group showed smaller yet significant gains. Between-group analysis revealed higher post-test scores in the intervention group for both knowledge (Z = -5.284, p < 0.001) and attitudes (Z = -3.081, p = 0.002). Conclusion: The GHEA intervention was more effective than the Digital Pocket Book in improving adolescents’ knowledge and attitudes toward IDA prevention, indicating that gamification-based education can serve as an engaging and effective tool for school-based health promotion
The Relationship Between Work Environment, Occupational Safety and Health Implementation, and Employee Performance: A Cross-Sectional Study Simarmata, Vidi Posdo A.; Marantuan, Randolph Serep; Hutagalung, Patar
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.v7i3.462

Abstract

Background: A safe and comfortable work environment, along with effective OHS implementation, is essential for maintaining healthcare personnel productivity and performance; however, studies on the combined effect of both on employee performance in community health centers remain limited. At the same time, inadequate facilities, inconsistent procedural compliance, and minimal OHS socialization continue to hinder optimal service delivery. This study aims to analyze the relationship between the work environment and OHS implementation on employee performance at the East Bogor Community Health Center. Methods: A quantitative, correlational analytical design was employed, involving all 51 employees of the East Bogor Community Health Center as the total population sample. Data were collected through a structured and validated questionnaire, which was tested for reliability using Cronbach’s alpha (α > 0.80). The questionnaire measured three primary variables: work environment, OHS implementation, and employee performance. Data were analyzed using Pearson correlation and multiple linear regression at a 95% confidence level, following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.. Results: The findings revealed a positive and statistically significant relationship between the work environment and employee performance (p = 0.012; r = 0.412, indicating a moderate correlation), as well as between OHS implementation and employee performance (p = 0.008; r = 0.436, also moderate). Together, both variables explained 38% of the variance in employee performance (R² = 0.38), suggesting that improvements in environmental and safety management factors can meaningfully enhance staff outcomes. Conclusion: A conducive work environment and sound OHS implementation jointly contribute to improved employee performance at the East Bogor Community Health Center. Management is recommended to strengthen OHS policies, improve work facilities, and enhance safety training to support optimal performance among healthcare workers.
Individual and Environmental Factors Associated with Pulmonary Tuberculosis: A Cross-Sectional Study in an Urban Community Zahroh, Chilyatiz; Sudarianik, Sudarianik; Ainiyah, Nur; Setiyowati, Eppy; Soleha, Umdatus; Mulyadi, Mulyadi
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.v7i3.286

Abstract

Background: Tuberculosis is a contagious disease caused by the bacterium Mycobacterium tuberculosis. TB cases have increased at the Balongsari Health Center in recent years. The research aims to analyze individual and environmental factors related to pulmonary tuberculosis incidence at the center. Methods: This study applied the STROBE guidelines. It was an analytical observational study using a cross-sectional design. The study population comprised 152 tuberculosis (TB) patients and TB suspects registered at the Balongsari Health Center between January and December 2022. The sample consisted of pulmonary TB patients (TCM+) and TB suspects (TCM−) in a 1:1 ratio, selected through simple random sampling. The variables assessed included age, sex, HIV/AIDS status, diabetes mellitus, nutritional status, smoking history, lighting conditions, and housing occupancy density. Data were analyzed using the Chi-Square test. Results: The analysis showed that the factors significantly associated with the incidence of pulmonary tuberculosis at the Balongsari Health Center were age (p = 0.01), diabetes mellitus (p < 0.001), nutritional status (p < 0.001), smoking history (p < 0.001), and lighting conditions (p < 0.001). In contrast, gender (p = 0.15), HIV/AIDS status (p = 0.08), and occupancy density (p = 0.10) were not significantly associated with the incidence of pulmonary tuberculosis. Conclusion: Factors associated with the incidence of pulmonary tuberculosis included age, diabetes mellitus, smoking history, nutritional status, and lighting conditions. Conversely, gender, HIV infection, and occupancy density were not associated with pulmonary tuberculosis incidence.

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