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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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Self-Efficacy and Emotion Regulation as Correlates of Psychological Distress among Family Caregivers of Working-Age Hemodialysis Patients in Indonesia: A Cross-Sectional Study Supriati, Lilik; Sunarto, Muhammad; Nova, Renny; Kapti, Rinik Eko; Rismayanti, I Dewa Ayu
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.v8i1.557

Abstract

Background: The increasing prevalence of chronic kidney disease among working-age populations has heightened psychological distress among family caregivers, especially in low- and middle-income countries. However, the roles of self-efficacy and emotion regulation in influencing this distress remain unclear. This study aimed to examine the relationships between self-efficacy, emotion regulation, and psychological distress among family caregivers of patients undergoing hemodialysis. Methods: This cross-sectional study, reported in accordance with STROBE guidelines, involved 201 family caregivers recruited through convenience sampling to ensure accessibility in hemodialysis settings. Self-efficacy and emotion regulation were independent variables, while psychological distress was the dependent variable. Data were collected using validated and reliable instruments General Self Efficacy Scale (GSE), Emotion Regulation Questionnaire (ERQ), The Kessler Psychological Distress and analyzed using Spearman’s rank correlation tests. Results: The results show significant negative correlations between psychological distress and both self-efficacy (r = −0.346, p < 0.001) and emotion regulation (r = −0.217, p < 0.001). These findings indicate that higher levels of self-efficacy are associated with lower psychological distress. Similarly, better emotion regulation is associated with reduced psychological distress, with self-efficacy demonstrating a stronger association. Conclusion: These findings highlight the importance of psychosocial resources in supporting caregiver well-being in family-centered care contexts. It is recommended to integrate psychological counseling programs for families of patients with chronic kidney disease undergoing hemodialysis, along with structured educational interventions emphasizing the importance of emotion management.
Effect of Brassica Oleracea Biscuit Supplementation on Immunity and Hemoglobin Levels in Pregnant Women: A Quasi-Experimental Study Sari, Febriana; Simbolon, Rolasnih Lilista; Subroto, Edi; Trisnawati, Trisnawati; Sembiring, Jemalemna; Simanullang, Oca Floren; Ginting, Kartika Ovalia
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.v8i1.561

Abstract

Background: Maternal mortality remains a major concern, with anemia as a key contributing factor during pregnancy. Limited adherence to iron supplementation highlights the need for alternative approaches. Brassica oleracea, rich in essential nutrients, may support immune function and hemoglobin synthesis. This study aimed to evaluate the effect of this product in biscuit form on immunity and hemoglobin levels in pregnant women. Methods: A quasi-experimental study with a pre-test–post-test control group design was conducted. Baseline measurements were obtained from both intervention and control groups. The intervention group received Brassica oleracea biscuits in addition to standard care, while the control group received standard care alone. Post-intervention assessments were conducted in both groups. Results: There was a statistically significant difference in immune status between the intervention and control groups (p = 0.044). However, no significant difference in hemoglobin levels was observed between groups (p = 0.560). Conclusion: Brassica oleracea biscuit supplementation significantly improved immune status in pregnant women but did not result in a statistically significant difference in hemoglobin levels compared to standard care. These findings suggest that Brassica oleracea–based functional foods may serve as a complementary strategy to enhance maternal immunity during pregnancy.
Association of Total Ischemic Time With Hospital Length of Stay and Early Graft Function After Living-Donor Kidney Transplantation: A Retrospective Cohort Study Kusuma, Ardika Satria; Indrawarman, Indrawarman; Ghinorawa, Tanaya
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.v8i1.566

Abstract

Background: Total Ischemic Time (TIT) is a critical determinant of graft survival in deceased-donor transplantation. However, its specific impact on hospital Length of Stay (LOS) and immediate postoperative renal function remains unclear in the context of living-donor transplantation, where ischemic intervals are typically shorter, and graft quality is higher. Methods: This retrospective cohort study, reported according to STROBE guidelines, employed a total sampling technique to analyze 40 living-donor kidney transplant recipients at Dr. Sardjito Hospital. Adult patients with complete operative and laboratory records were included, while pediatric cases and incomplete datasets were excluded. We evaluated the relationship between the independent variable (TIT) and dependent variables (LOS and serum creatinine at Day 1 and Day 7) using Pearson correlation analysis to determine effect sizes and statistical significance. Results: The mean TIT was 90.7 ± 24.0 minutes. Analysis revealed a statistically significant, moderate positive correlation between TIT and LOS (r=0.58, p<0.001). Conversely, the associations between TIT and serum creatinine at Day 1 (r=0.22, p=0.17) and Day 7 (r=0.27, p=0.11) indicated weak positive trends that did not reach statistical significance. Conclusion: While prolonged ischemic time did not immediately compromise graft function in this living-donor cohort, it served as a significant predictor of extended hospitalization. These findings underscore that minimizing ischemic time is crucial not only for biological safety but also for optimizing Kidney Transplantation; Ischemia; Length of Stay; Creatinine; Graft Function.
The Relationship Between Perceptions and Experiences of Diploma Nursing Students in Chronic Disease Patient Education in Community Settings: A Cross-Sectional Study Sustiyono, Agus; Musfirowati, Fifi; Asra, Asra
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.v8i1.567

Abstract

Background: The increasing burden of chronic diseases requires nurses to play an active educational role in empowering patients and supporting self-management. Therefore, nursing students must develop appropriate perceptions and gain practical experience in patient education. This study aimed to analyze the relationship between perceptions and experiences of Diploma Nursing students in providing chronic disease education in community settings. Methods: A quantitative cross-sectional study was conducted in accordance with the STROBE guidelines. The study involved 73 final-year Diploma Nursing students who had completed family and community nursing practice. Participants were selected using proportionate stratified random sampling. Students’ perceptions of patient education were treated as the independent variable, while their educational practice experiences were considered the dependent variable. Data were collected using a structured questionnaire with confirmed validity and reliability, and were analyzed using Pearson’s correlation test with a significance level of 0.05. Results: The majority of students demonstrated high perceptions regarding the importance of chronic disease patient education in community settings (76.8%) and reported favorable educational practice experiences (65.7%). Statistical analysis revealed a significant positive correlation between perceptions and experiences (r = 0.612; p < 0.001), indicating a moderate to strong association. Conclusion: Positive perceptions of the nurse’s educational role are associated with better educational practice experiences among Diploma Nursing students in community settings. These findings highlight the importance of strengthening community-based nursing education and integrating theoretical learning with practical patient education experiences to enhance students’ preparedness to function as effective health educators.
Effectiveness Of Movement-Based Relaxation And Positive Affirmation Therapy in Reducing Anxiety And Pain Among Cancer Patients: A Quasi-Experimental Study Candra, Muhamad Candra Romadon; Rochmawati, Erna
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.v8i1.569

Abstract

Background: Cancer patients frequently experience anxiety and pain that may negatively affect treatment adherence and quality of life. Complementary non-pharmacological interventions integrating relaxation, physical movement, and positive affirmation have shown potential benefits in symptom management. However, most previous studies evaluated relaxation, movement, or affirmation separately, and evidence regarding integrated mind–body interventions remains limited. This study aimed to examine the effectiveness of movement-based relaxation and positive affirmation therapy in reducing anxiety and pain among cancer patients. Methods: A quasi-experimental pretest–posttest control group design was conducted in an oncology inpatient unit of a tertiary hospital in Indonesia. This study adhered to the TREND guideline. The independent variable was movement-based relaxation combined with positive affirmation therapy, while the dependent variables were anxiety and pain levels. Forty-eight adult cancer patients were recruited using consecutive sampling and allocated into intervention (n = 24) and control groups (n = 24). The intervention group received six sessions (three times per week for two weeks; 25–30 minutes per session), while the control group received standard hospital care. Data were analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. Results: Anxiety scores significantly decreased in the intervention group. Anxiety decreased from 61.3 ± 6.2 to 47.4 ± 7.1, and pain decreased from 6.9 ± 1.2 to 4.1 ± 0.9 in the intervention group. The mean difference in anxiety was 14.25 ± 5.18 (p < 0.001; 95% CI 11.82–16.68), while pain showed a mean difference of 2.67 ± 0.98 (p < 0.001; 95% CI 2.18–3.16), compared to the control group. Large effect sizes were observed for anxiety (d = 2.68) and pain (d = 2.54). Conclusion: Movement-based relaxation and positive affirmation therapy effectively reduced anxiety and pain among cancer patients. This integrated mind–body intervention represents a feasible complementary nursing strategy to enhance holistic oncology care.
Effectiveness Of Animation-Based Psychoeducation On Adolescent Mental Health And Risk Behavior: A Quasi-Experimental Study Sinaga, Rosmani; Pangaribuan, Ingka Kristina; Sembiring, Isyos Sari; Simbolon, Marlina Lasmawati; Manurung, Indra Septiady; Hia, Lidia Widarni; Gulo, Fransiska
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.v8i1.575

Abstract

Background: Adolescent mental health and risky behaviors, including the KRR TRIAD (Risky Sexual Behavior, Drug Abuse, and HIV/AIDS), remain significant public health challenges in Indonesia that contribute to school dropout rates. This study aimed to evaluate the effectiveness of PENA (Education and Animation)-based psychoeducation in improving knowledge and behavior related to mental health, TRIAD KRR, and dropout prevention. Methods: This quasi-experimental study with a pretest-posttest control group followed the TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) reporting guideline. A sample of 124 students was selected using a simple random sampling technique. The intervention group received PENA-based psychoeducation for a duration of 4 weeks (two sessions per week), while the control group received leaflets. Data were collected using a questionnaire that had been tested for validity and reliability. Data were analyzed using the Mann-Whitney test. Results: The intervention group showed a significant increase in knowledge (Median 80, IQR: 75–85) compared to the control group (Median 45, IQR: 40–50) with $p = 0.015$. Furthermore, the intervention group demonstrated better behavior in preventing TRIAD KRR and school dropout with p < 0.001. Conclusion: PENA-based psychoeducation is more effective than traditional leaflets in improving knowledge and fostering positive behavioral changes among adolescents.
Effects of Maternal Storytelling-Based Stimulation on Language Development among Preschool Children: A Quasi-Experimental Study Sinaga, Desriati; S, R. Oktaviance.; Bangun, Seri Rayani; Tarigan, Rica Vera Br; Derang, Imelda; 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.v8i1.577

Abstract

Background: The age of 3–4 years is a critical period for children’s language development, strongly influenced by environmental stimulation, particularly from mothers as primary caregivers. Storytelling is a simple and practical method for language stimulation, yet quantitative evidence of its effectiveness in community or family settings remains limited. Therefore, this study aimed to analyze the effect of maternal storytelling stimulation on the language development of children aged 3–4 years. Methods: This study employed a quasi-experimental design using a one-group pretest–posttest approach. A total of 44 mother–child pairs with children aged 3–4 years were selected through purposive sampling. Participants received education and structured guidance to implement storytelling-based language stimulation over four weeks. Children’s language development was assessed using a language screening instrument adapted from the KPSP. As the data were not normally distributed, the Wilcoxon signed-rank test was used for analysis with a significance level of 0.05. Results: The findings demonstrated a statistically significant increase in children’s language development scores following the intervention. Conclusion: Maternal stimulation using the storytelling method significantly improves language development in children aged 3–4 years. This approach is recommended as an evidence-based language stimulation strategy at the family and community levels
Community-Based Mobile Self-Assessment for Tuberculosis Screening Among Parents and Children: A Cross-Sectional Study Warastuti, Widya; Sulistyowati, Reny; Ariestini, Tri Ratna
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.v8i1.579

Abstract

Background: Conventional tuberculosis screening is often limited by reporting delays and low accessibility. This study evaluates a digital solution to address this gap by integrating behavioral assessment and screening of two populations into a single community-based platform. The study aimed to evaluate the NOR TBC mobile app in identifying suspected tuberculosis cases and analyze the relationship between cognitive factors and preventive behaviors. Methods: This cross-sectional observational study followed STROBE guidelines. Using convenience sampling, 70 parents, were recruited. Data were collected via the app’s integrated modules for Knowledge, Attitude, and Practice and self-screening. App quality was validated using ISO 25010 and expert review. Data were analyzed using descriptive statistics and Chi-Square tests (p < 0.05). Results: The NOR TBC mobile identified 5.7% adult and 14.3% child presumptive TB cases. Technical evaluation rated the app as "Good" (76.67%), with expert validation confirming it as "Very Feasible" (60%) and "Feasible" (40%). Most respondents exhibited good knowledge (58.6%), positive attitudes (94.3%), and favorable behaviors (82.9%). Chi-square analysis showed significant associations: respondents with good knowledge were 4.2 times more likely to engage in tuberculosis prevention (p=0.012; OR=4.2), and those with positive attitudes had 3.8 times higher odds of favorable behavior (p=0.034; OR=3.8). Conclusion: The NOR TBC mobile application demonstrates strategic potential in strengthening community-level tuberculosis detection and improving health literacy. This digital innovation reaches vulnerable populations that may be missed by conventional surveillance. Further development and controlled trials are recommended to evaluate long-term effectiveness
Sociodemographic and Cultural Determinants of Hypertension-Controlling Beliefs Among Older Adults: A Cross-Sectional Study Based on the Health Belief Model Susilawati, Endang Fauziyah; Hidayat, Syaifurrahman; Amin, Edy Suryadi; Hakim, Arif Rahman; Nindawi, Nindawi
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.v8i1.581

Abstract

Background: Hypertension control among older adults in Indonesia is hindered by low adherence and strong cultural beliefs. However, there is insufficient evidence on how sociodemographic and cultural determinants interact with health belief constructs to influence hypertension-control beliefs in older populations. This study examines sociodemographic and cultural determinants of hypertension-controlling beliefs using the Health Belief Model (HBM). Methods: A cross-sectional study was conducted among 232 older adults (≥60 years) in coastal Madura, Indonesia. Data were collected via structured interviews using the HBM Questionnaire (HBMQ) and cultural belief items. Descriptive, bivariate, and multivariate analyses were performed. Results: Higher education, retirement, and perceiving hypertension as a lifestyle consequence were significantly associated with stronger beliefs (p < 0.05). Although 76.3% trusted doctors, 40.9% still visited traditional healers. Belief in lifestyle etiology was the strongest predictor (β = 0.20, p = 0.002). Conclusion: Cultural and educational factors significantly shape hypertension beliefs. Interventions should integrate biomedical education with cultural sensitivity to improve self-management in older populations.
Emergency Psychiatric–Mental Health Nursing Interventions for Older Adults: A Systematic Review and Meta-Analysis Marliana, Thika; Metz-Ruszkai, Szilvia; Purebl, György; Binti Osman, Suhaila; Safitri, Yunita Restu; Octavia, Lia
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.v8i1.582

Abstract

Background: Older adults represent a highly vulnerable population in psychiatric emergency settings due to cognitive decline, multimorbidity, and psychosocial instability. Although psychiatric emergency nursing interventions are increasingly implemented, existing evidence remains fragmented and lacks comprehensive synthesis focusing specifically on nursing-led, non-pharmacological approaches in emergency contexts. The research aimed to evaluate the effectiveness of psychiatric emergency nursing interventions in reducing agitation, physical restraint use, and emergency pharmacotherapy among older adults, and to identify the most effective intervention components. Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The protocol has been submitted to PROSPERO and is currently under review. A comprehensive search was performed in PubMed, CINAHL, PsycINFO, and Scopus for studies published between January 2013 and December 2023, with the final search conducted in December 2023. A total of 1,246 records were identified; 27 studies met the inclusion criteria and were included in the meta-analysis. Risk of bias was assessed using design-appropriate appraisal tools. Data were synthesized using a random-effects model. Statistical heterogeneity was evaluated using the I² statistic, and sensitivity analyses were performed to assess robustness. Results: Psychiatric emergency nursing interventions including intensive therapeutic communication, structured de-escalation strategies, and family involvement significantly reduced agitation among older adults (pooled effect size = -0.68; 95% CI: -0.84 to -0.52; I² = 75%). These interventions were also associated with decreased use of physical restraints and emergency pharmacological management. Most randomized studies demonstrated low risk or some concerns, while non-randomized studies exhibited moderate risk of bias. Conclusion: Nursing-led psychiatric emergency interventions are effective in reducing agitation and minimizing restrictive practices among older adults in emergency settings. However, substantial heterogeneity across studies limits the certainty of evidence. These findings support the development of standardized evidence-based clinical protocols and targeted geriatric psychiatric nurse training, particularly in resource-constrained emergency systems. Further high-quality randomized trials are required to strengthen the evidence base and inform policy implementation

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