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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 311 Documents
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Effectiveness of a Warm Cinnamon Compress on Pain Intensity in Community-Dwelling Older Adults with Gout Arthritis: A Quasi-Experimental Study Gani, Abdul; Farama, Dodi Aprika; Pome, Gunardi; Mangunsong, Sonlimar
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.532

Abstract

Background: Gout arthritis is a chronic inflammatory joint disorder in older adults that causes persistent pain and limits daily functioning. Despite growing interest in non-pharmacological pain management, most available evidence comes from clinical or hospital-based settings, while evidence from community contexts in LMICs, including Indonesia, remains limited. This study aimed to evaluate the effectiveness of a warm cinnamon powder compress in reducing pain intensity among community-dwelling older adults with gout arthritis. Methods: This quasi-experimental study with a non-equivalent control group pretest–posttest design was conducted in accordance with the TREND reporting guideline at Pagar Agung Health Center, Lahat Regency. A total of 70 older adults with gout arthritis who met the inclusion criteria were recruited and allocated to an intervention group (n = 35) and a control group (n = 35). The independent variable was warm cinnamon powder compress therapy administered once daily for 15 minutes over seven consecutive days, while the dependent variable was pain intensity measured using the Numeric Rating Scale (NRS). The control group received routine care. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test for between-group differences. Results: The intervention group demonstrated a marked reduction in mean pain scores from 5.11 ± 0.82 at pretest to 2.14 ± 0.93 at posttest, representing a very large within-group effect (Cohen’s d = 3.38), while the control group showed only a minimal change from 5.03 ± 0.79 to 4.89 ± 0.88 (Cohen’s d = 0.17). Between-group comparison indicated a significantly greater reduction in pain in the intervention group than in the control group, with a large effect size (Cohen’s d = 1.54). Clinically, the intervention group predominantly shifted from moderate–severe pain to mild pain categories, indicating a meaningful improvement in pain experience. Conclusion: Warm cinnamon powder compress therapy is effective in reducing pain intensity among older adults with gout arthritis and can serve as a safe and practical complementary intervention in community healthcare settings.
Effectiveness of a Nature-Based Virtual Reality Intervention on Preoperative Anxiety among First-Time Major Surgery Patients: A Quasi-Experimental Study Farama, Dodi Aflika; Gani, Abdul; Wibowo, Wahyu Dwi Ari
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.535

Abstract

Background: Major surgery is frequently associated with high levels of preoperative anxiety, which can negatively affect physiological stability and postoperative recovery. Despite evidence supporting the effectiveness of nature-based virtual reality (VR) therapy in reducing anxiety in high-income settings, its applicability in low- and middle-income countries (LMICs), particularly district hospitals, remains unclear. This study aimed to evaluate the effectiveness of nature-based VR therapy in reducing preoperative anxiety among first-time major surgery patients. Methods: This study employed a quasi-experimental pre-test–post-test control group design, reported in accordance with the TREND guideline. A total of 104 adult patients scheduled for first-time elective major surgery were recruited using consecutive sampling and equally allocated to an intervention group (n=52) and a control group (n=52). The independent variable was nature-based VR therapy, and the dependent variable was preoperative anxiety. Anxiety was measured using the State Anxiety subscale of the State–Trait Anxiety Inventory (STAI), a validated instrument with good reliability (Cronbach’s α = 0.83). The intervention group received a single 5-minute nature-based VR session 20–30 minutes before surgery, while the control group received standard preoperative care. Data were analyzed using paired and independent t-tests, and effect size was calculated using Cohen’s d. Results: Participants were predominantly aged 46–60 years (39.4%), equally male and female, mostly classified as ASA II (69.2%), and commonly scheduled for abdominal surgery (40.4%). The intervention group showed a significant anxiety reduction (mean difference = −16.10; p < 0.001; Cohen’s d = 1.98), whereas the control group showed no significant change (−2.38; p = 0.062). Post-intervention anxiety scores were significantly lower in the VR group than in the control group (t = 9.074; p < 0.001; Cohen’s d = 1.78). Conclusion: Nature-based VR therapy is an effective, nurse-led, non-pharmacological intervention for reducing preoperative anxiety in first-time major surgery patients. Integration of VR into routine preoperative nursing care may enhance patient-centered care and support anxiety management in resource-limited hospital settings.
Association Between Daily Gadget Use and Anxiety Levels Among Indonesian Elementary School Children: A Cross-Sectional Study Rinjani, Santi; Fauziah, Yani Annisa; Winasari Dewi
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.536

Abstract

Background: Background: The use of digital gadgets among school-aged children has increased substantially and may contribute to psychological problems, particularly anxiety. However, empirical evidence examining the association between daily gadget use duration and anxiety levels among elementary school children in Indonesia remains limited. Therefore, this study aimed to examine the association between daily gadget use duration and anxiety levels among elementary school children in Garut, Indonesia using a cross-sectional design. Methods: This cross-sectional study was conducted among elementary school children aged 6–12 years in Garut, Indonesia. Participants were recruited using stratified random sampling. Inclusion criteria were students aged 6–12 years who consented to participate, while students with diagnosed neurological or psychiatric disorders were excluded. The independent variable was daily gadget use duration, and the dependent variable was anxiety level measured using the Spence Children’s Anxiety Scale (SCAS), which showed good reliability (Cronbach’s alpha = 0.938). Spearman correlation analysis was performed. This study adhered to the STROBE guidelines. Results: The median daily gadget use duration was 3.0 hours (IQR 2.0–4.0), and the median anxiety score was 51.0 (IQR 40.0–60.0), with a mean of 49.65 (SD 17.17). Spearman correlation analysis revealed a significant positive association between daily gadget use duration and anxiety level among elementary school children (r = 0.215, 95% CI 0.01–0.40, p = 0.040), indicating a weak but statistically significant correlation. This finding suggests that longer gadget use duration was associated with slightly higher anxiety levels among children. Conclusion: Higher daily gadget use duration was associated with increased anxiety levels among elementary school children. These findings underscore the importance of monitoring gadget use and implementing early mental health screening to identify anxiety symptoms. School-based and community-based interventions may help promote healthy digital habits and support child mental health, particularly in resource-limited settings.
Impact of Household Social Factors on Stunting among Under-Five Children in a Public Health Center: A Cross-Sectional Study Apripan, Rika; Rosmainun, Rosmainun; Permayasa, Nayodi
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.538

Abstract

Background: Stunting is a chronic growth disorder in young children characterized by height below age standards and is closely linked to household social conditions. Factors such as parenting practices, maternal education, employment, and family socioeconomic status are believed to influence stunting. However, evidence remains limited regarding which household-level social determinants exert the strongest influence on stunting within primary healthcare settings in Indonesia. This study aimed to analyze the impact of household social factors on stunting among children under five. Methods: This research employed an observational study with a cross-sectional design. A total of 215 mothers with children under five were selected from a population of 466 using purposive sampling. Data were collected through structured questionnaires. Statistical analysis was conducted using chi-square tests to examine associations and logistic regression to determine the most influential factors. Results: The findings revealed significant associations between stunting and parenting practice (p = 0.001), maternal education level (p = 0.002), family income (p = 0.001), and complementary feeding practices (p = 0.001). Logistic regression analysis indicated that complementary feeding practices were the most dominant factor influencing stunting, with an Exp(B) value of 12.927. Conclusion: Stunting among children under five is significantly influenced by household social factors, particularly complementary feeding practices, which play the most critical role. Strengthening nutrition education, promoting appropriate complementary feeding, and enhancing family support programs are strongly recommended to reduce stunting prevalence in the community.
Effect of Slow Deep Breathing on Muscle Pain Reduction among Adults with Myalgia: A Quasi-Experimental Study Rustini, Sri Anik; Taukhid, Taukhid; Hasanah, Uswatun; Sari, Ninik Ambar; Widyastuti, Merina
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.540

Abstract

Background: Relaxation techniques and slow deep breathing are known to activate the parasympathetic nervous system, making them an integral non-pharmacological intervention for musculoskeletal pain management. However, evidence regarding the effectiveness of slow deep breathing interventions in reducing muscle pain in adults with myalgia, particularly in primary care settings, is limited. This study aimed to examine the effect of slow deep breathing on reducing muscle pain in adults with myalgia. Methods: This study used a quasi-experimental pre-test-post-test control group design following TREND guidelines. Total sampling was used to recruit 36 myalgia patients at the Peneleh Community Health Center, Surabaya, who were divided into an intervention group (n = 18) and a control group (n = 18). Participants aged 17–65 years with pain intensity ≥3 on the Numeric Rating Scale (NRS) were included. The intervention group received slow deep breathing exercises for 15 minutes twice daily for five days, while the control group received standard care. Muscle pain intensity measured using the NRS was the outcome variable. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normal distribution and the Mann–Whitney U test, with p < 0.05 considered statistically significant. Results: Muscle pain intensity in the intervention group significantly decreased from 4.33 ± 0.84 to 2.50 ± 1.15, showing a mean reduction of 1.83 points (Wilcoxon Signed Rank Test, p < 0.001). The control group showed no significant change (from 4.22 ± 0.81 to 4.00 ± 0.80; mean reduction = 0.22; p = 0.102). Posttest comparison demonstrated significantly lower pain intensity in the intervention group than in the control group (mean rank 24.67 vs 12.33; Mann–Whitney U = 51.0, p < 0.001). Conclusion: Slow deep breathing for five days significantly reduced muscle pain intensity in patients with myalgia compared to standard care, suggesting it is an effective non-pharmacological intervention for pain management in primary care settings.
A Complementary Health Approach to Tuberculosis Care: Antimycobacterial Activity of Red Betel Leaf and Shallot Ethanol Extracts Bangun, Seri Rayani; Sinaga, Desriati; S, R. Oktaviance.; Novitarum, Lilis; Karo, Mestiana Br; EL- Matury, Herlina J.
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.545

Abstract

Background: Tuberculosis (TB) remains a major global health problem, particularly in low- and middle-income countries. The emergence of drug-resistant Mycobacterium tuberculosis has increased interest in alternative antimicrobial agents from medicinal plants. Red betel leaf (Piper crocatum) and shallot (Allium cepa L.) contain bioactive compounds with potential antibacterial activity. This study aimed to evaluate the inhibitory effect of ethanol extracts of red betel leaf and shallot at different concentrations on the growth of Mycobacterium tuberculosis in vitro. Methods: A pre-experimental one-group study was conducted in the Microbiology Laboratory of Santa Elisabeth School of Health Sciences, Medan. Mycobacterium tuberculosis isolates from sputum samples were cultured and tested using the disk diffusion method. Ethanol extracts of red betel leaf and shallot were prepared and tested at concentrations of 40%, 60%, 80%, and 100%. Phytochemical screening was performed, and inhibition zones were measured for three days. Data were analyzed using one-way ANOVA followed by Tukey’s HSD post hoc test. Results: Phytochemical analysis identified alkaloids, flavonoids, tannins, and saponins in the extracts. The mean inhibition zone diameters increased with extract concentration, ranging from 2.67 ± 0.58 mm at 40% to 11.67 ± 0.58 mm at 100%. One-way ANOVA showed a statistically significant difference among concentrations (F(3, 8) = 134.25, p < .001), and all pairwise comparisons were significant. Conclusion: Ethanol extracts of red betel leaf and shallot demonstrated significant, concentration-dependent inhibitory activity against Mycobacterium tuberculosis in vitro, supporting their potential as complementary antimicrobial agents and warranting further research in nursing and health sciences.
Pre-Clinical Laboratory Evaluation of Chlorhexidine for Disinfection of Semi-Critical Respiratory Equipment in Nursing Practice Ariningpraja, Rustiana Tasya; Ulfa, Marina; Jayadi, Lukky; Maslukha, Andini; Effendy, Nuraeni
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.546

Abstract

Background: Healthcare-associated infections (HAIs) remain a persistent challenge in nursing practice, particularly in the reprocessing of semi-critical respiratory equipment. Although chlorhexidine is widely used as an antiseptic, evidence regarding its pre-clinical disinfectant performance, physicochemical suitability, and waste safety within nurse-led device reprocessing workflows remains limited. This gap is especially relevant in settings where reusable respiratory devices are routinely handled by nurses. Methods: This study employed a pre-clinical experimental laboratory design. The independent variable was chlorhexidine concentration, while dependent variables included antimicrobial efficacy (phenol coefficient), physicochemical parameters (pH, specific gravity, viscosity), and acute toxicity. Antimicrobial testing was conducted against Staphylococcus aureus and Pseudomonas aeruginosa. Physicochemical assessments followed standardized laboratory procedures, and acute toxicity was evaluated using Danio rerio (zebrafish) larvae to inform waste disposal safety. Expert validation was conducted using the Content Validity Index (CVI). Descriptive and endpoint-based analyses were applied without inferential statistics. Results: Chlorhexidine demonstrated strong bactericidal activity against both test organisms, with phenol coefficient values indicating effective disinfectant performance. Physicochemical characteristics remained within acceptable ranges for semi-critical respiratory device reprocessing. Toxicity assessment showed dose-dependent larval mortality, indicating the need for dilution before waste discharge. Expert validation identified chlorhexidine 7.5% as the most clinically relevant concentration for nurse-led practice. No p-values were applied due to the endpoint-based experimental design. Conclusion: Chlorhexidine shows effective pre-clinical disinfectant potential for semi-critical respiratory equipment within controlled laboratory conditions. Its application in nursing practice should be accompanied by standardized concentration control and mandatory dilution before disposal to mitigate environmental toxicity. Further clinical and field-based validation is recommended.
Socioeconomic and Health-Related Factors Associated with Chronic Energy Deficiency among Pregnant Women: A Cross-Sectional Study Dewi, Eva Ratna; Pangaribuan, Ingka Kristina; Sinaga, Ribur; Miftasari, Kiki
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.548

Abstract

Background: Pregnant women are a vulnerable group to nutritional problems, particularly Chronic Energy Deficiency (CED). Despite various efforts to improve the nutritional status of pregnant women, the prevalence of CED in the Lintang region remains high. Evidence regarding the determinants of CED in remote and resource-limited areas is limited, and few studies have specifically examined this issue in this area. This study aimed to analyze factors associated with CED among pregnant women. Methods: This study used a cross-sectional design with a quantitative approach. The sample consisted of 60 pregnant women who met the inclusion and exclusion criteria. The variables studied included Education, income, parity, and history of infectious diseases as factors influencing CED. Data were analyzed using the chi-square test, with effect sizes in the form of odds ratios (ORs) and 95% confidence intervals. Results: This study showed a significant association between Education (OR = 3.25; p = 0.008), income (OR = 3.45; p = 0.007), parity (OR = 2.95; p = 0.007), and history of infectious diseases (OR = 2.85; p = 0.016) with the incidence of CED among pregnant women. Although these results were statistically significant, conclusions should be viewed with caution, given the observational nature of the analysis. Conclusion: Socioeconomic and health factors play a significant role in the incidence of CED among pregnant women in this area. To reduce the prevalence of CED, integrated interventions, including nutrition education, economic support, and infectious disease prevention, are needed, particularly in remote areas with limited access to health services. These findings provide important insights for health policy development and further research with more comprehensive designs.
Parental Support and School Environment as Determinants of Obesity Risk among School-Aged Children: A Cross-Sectional Study Nurharlinah, Nurharlinah; Athiutama, Ari; Karyatin, Karyatin; Herdiani, Rini
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.551

Abstract

Background: Childhood obesity is an increasing public health concern among school-aged children, particularly in low- and middle-income countries (LMICs). While parental support and the school environment are recognized as important determinants, evidence comparing their relative influence within a socio-ecological framework remains limited. This study aimed to examine the association between parental support, the school environment, and obesity risk among school-aged children in Indonesia. Methods: A cross-sectional study was conducted on 120 children aged 7–12 years using a purposive sampling method. Data were collected using a validated parental support questionnaire, school environment assessment instrument, and anthropometric measurements to determine the body mass index (BMI) for age. Associations were analyzed using the chi-square tests and multivariable logistic regression. This study was conducted in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results: Both parental support and school environment were significantly associated with obesity risk. Children with low parental support had higher odds of obesity (OR = 2.50; 95% CI: 1.20–5.10), whereas those exposed to less healthy school environments had even higher odds of obesity (OR = 2.80; 95% CI: 1.35–5.80). Among the examined factors, the school environment demonstrated the strongest independent association with the risk of obesity. Conclusion: Parental support and the school environment are important determinants of obesity risk among school-aged children; however, school-level factors appear to play a more dominant role in this regard. These findings highlight schools as a critical entry point for childhood obesity prevention within a socio-ecological framework, particularly in LMIC.
Happiness and Physical Discomfort as Determinants of Quality of Life Among Nursing Home Residents: A Cross-Sectional Study Masithoh, Anny Rosiana; Murdhiono, Wahyu Rochdiat; Nordin, Rusli Bin Nordin; Rahmawati, Ashri MaulidaRahmawati
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): 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.v8i1.555

Abstract

Background: QoL assessment is essential in delivering person-centered care for institutionalized older adults. However, evidence on the combined influence of happiness and physical discomfort on their QoL remains limited. This study aimed to examine the associations between happiness, physical discomfort, and QoL among nursing home residents. Methods: This cross-sectional study followed the STROBE guideline and was conducted at Nursing Home A in Jepara Regency. Of the 81 elderly residents, 68 participants were selected using Slovin’s formula and recruited through purposive sampling. Inclusion criteria were age ≥60 years, permanent residence in the nursing home, willingness to participate, and ability to communicate effectively. The independent variables were happiness and physical discomfort, while QoL was the dependent variable. The questionnaires were administered through face-to-face interviews to ensure comprehension. QoL was assessed using the SF-36, happiness using the Oxford Happiness Questionnaire (OHQ), and physical discomfort using the Visual Analogue Scale (VAS). Associations between variables were analyzed using Spearman’s rank correlation test. Results: The majority of elderly participants reported experiencing severe physical discomfort (33.8%) and demonstrated poor QoL (58.8%). A significant association was identified between physical discomfort and QoL (Spearman’s ρ = −0.37, 95% CI −0.56 to −0.14, p = 0.003). In addition, happiness was significantly correlated with QoL (Spearman’s ρ = 0.35, 95% CI 0.12 to 0.54, p = 0.004), with most participants who exhibited low happiness scores also reporting poor QoL. Conclusion: The findings underscore the importance of integrated nursing strategies that address both physical discomfort management and emotional well-being to improve elderly QoL. Routine assessment of discomfort and happiness should be incorporated into daily nursing care and institutional policies within nursing homes.

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