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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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Social Media Use and Anxiety Levels Among Nursing Students in Indonesia: A Cross-Sectional Study Riyanto, Dwi Agung; Musfirowati, Fifi; Ernawati, Ernawati; Sumartini, Rina; Mulyati, Mulyati; Chairulfalah, Achmad Machron
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.v8i1.584

Abstract

Background: The widespread use of social media among students is associated with increased anxiety levels. In Indonesia, high social media use combined with limited institutional support may heighten students’ vulnerability. Although some studies report benefits such as social support and stress relief, evidence suggests negative impacts are more common. Therefore, this study examines the relationship between social media use and anxiety among nursing students. Methods: This study used a cross-sectional correlational design. A purposive sampling method was applied to select active students who use social media for at least three hours per day and were willing to participate, resulting in 57 respondents. Data were collected through an online questionnaire covering social media usage duration, platform types, and content types. Anxiety levels were measured using the validated Generalized Anxiety Disorder-7 (GAD-7) instrument and categorized into low (≤9) and high (≥10) anxiety. Data were analyzed using the Chi-Square test with Odds Ratios (OR) and 95% Confidence Intervals (CI) at a significance level of p < 0.05. Results: A significant relationship was found between social media usage duration and anxiety levels (p = 0.022). Students who utilized social media for less than three hours per day had a lower likelihood of experiencing high anxiety (OR = 0.254; 95% CI: 0.08–0.79). The type of platform was also significantly associated with anxiety (p = 0.038), where Instagram and WhatsApp users exhibited a greater proportion of high anxiety compared to TikTok users. Content type further demonstrated a meaningful relationship (p = 0.032); educational content was associated with a higher proportion of low anxiety compared to entertainment and informational content Conclusion: The use of social media among nursing students is related to anxiety dynamics influenced by usage duration, platform characteristics, and content types. These findings underscore the importance of a promotive approach based on digital capabilities and anxiety level screening within higher education settings to support students' psychological well-being.
Lived Experiences and Motivating Factors of Online Commercial Sex Work Among Adolescents: A Phenomenological Qualitative Study Saidah, Qori Ila; Puji, Hastuti; Elma , Irnanda
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.v8i1.585

Abstract

Background: Online commercial sexual activity among adolescents is an emerging public health concern in low- and middle-income countries (LMICs), increasing risks of sexually transmitted infections, unintended pregnancy, and psychosocial harm. This issue is highly relevant to nursing and community health practice, particularly in prevention and early identification efforts. However, the psychosocial and environmental factors driving adolescents to engage in online commercial sex remain insufficiently explored, especially within LMIC contexts. Therefore, this study aims to analyze the factors influencing adolescents’ involvement in online commercial sexual activities. Methods: This is a phenomenology research. The population in this study were adolescents and young age who made online worker of commercial sex in Surabaya region. The sample was five teenager with inclussion criteria aged 18-23 years old, using platform to offering sexual commercial and agree to share their experience selected with purposive sampling. Data were collected through in-depth interviews and recording and use data analize with Colaizi’s approach. Research team, study design, analysis and finding are stricly align with Consolidated Criteria for Reporting Qualitative Research (COREQ) standards. Results: There are five themes have been founded in this study. Most paticipantss engaged in online commercial sex due to economic and lifestyle factors. The income earned through online commercial sex was considered sufficient to support their lifestyle. This led to addiction, both economically and for pleasure, leading to continued online commercial sex activity. Conclusion: This study highlights three key factors influencing online commercial sex activity among adolescents. Economic incentives emerged as the primary driver, particularly in fulfilling lifestyle-related needs, while perceived enjoyment also motivated engagement. These findings underscore the need for targeted prevention strategies that address adolescents’ economic vulnerability, strengthen family communication, and develop digital-based health promotion and policy interventions to mitigate online sexual risk behaviors.
Effects of Video-Guided Digital Menstrual Exercise on Premenstrual Syndrome and Dysmenorrhea Among Adolescent Girls: A Quasi-Experimental Study Permatasari, Devi; Hamranani, Sri Sat Titi; Alfisyahrina, Zahra; Supardi, Supardi
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.v8i1.592

Abstract

Background: Adolescence is a transitional period of reproductive maturation in which many girls experience premenstrual syndrome and dysmenorrhea that can affect physical, psychological, and academic functioning. Video-guided digital menstrual exercise may help reduce these symptoms through relaxation and improved uterine circulation. However, evidence on nurse-led digital menstrual exercise remains limited; therefore, this study aimed to examine its effects on premenstrual syndrome symptoms and dysmenorrhea intensity among adolescent girls. Methods: This quasi-experimental pretest–posttest control group study followed TREND guidelines. From 237 female students, 70 were selected through purposive sampling and assigned to intervention and control groups. The intervention was video-guided digital menstrual exercise, while outcomes were premenstrual syndrome and dysmenorrhea intensity measured using validated questionnaires and the Numeric Rating Scale (NRS). Data were analyzed using McNemar, Wilcoxon Signed Rank, and Mann–Whitney tests with p < 0.05. Results: The intervention group showed a significant reduction in premenstrual syndrome symptoms, with 74.3% of participants reporting no premenstrual syndrome after the intervention video guided digital menstrual exercise program (p < 0.001). Dysmenorrhea intensity also significantly decreased, as 34.3% of participants reported no pain after the intervention, and a significant difference in pain intensity was observed between the intervention and control groups (p < 0.001). The results of the Mann–Whitney U test showed a statistically significant difference in pain intensity between the intervention and control groups (p < 0.001), with a very large effect size (r = 0.86). Conclusion: Video-guided digital menstrual exercise is effective in reducing premenstrual syndrome symptoms and alleviating dysmenorrhea among adolescent girls with its effects plausibly explained through physiological and neuroendocrine mechanisms. This intervention can be recommended as a safe, practical, and non-pharmacological strategy to be implemented in school health programs to support adolescent reproductive health and improve daily functioning
Factors Associated with Knowledge of Pregnancy Danger Signs and Antenatal Care Compliance: A Cross-Sectional Study S, R.Oktaviance.; Bangun, Seri Rayani; Sinaga, Desriati; Veronika, Anita; Martini, Sri
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.v8i1.593

Abstract

Background: Adequate knowledge of pregnancy danger signs plays a critical role in promoting antenatal care (ANC) compliance. Poor adherence to ANC visits remains a significant contributor to preventable maternal complications. Research aimed to analyze the association between maternal knowledge of pregnancy danger signs and ANC compliance and to identify the most dominant predictors. Methods: An analytical cross-sectional study was conducted among 249 pregnant women. Participants were selected using purposive sampling. Data were collected through structured questionnaire-based interviews and verification of ANC visits using medical records and Maternal and Child Health (MCH) books. Bivariate associations were tested using the Chi-square test. Variables with p < 0.25 were included in a multiple logistic regression analysis. Statistical significance was set at p < 0.05. Results: Of the respondents, 55.0% were aged <27 years, 57.0% had education below junior high school, 56.6% were primigravida, and 55.4% lived within 5 km of a health facility. ANC compliance was observed in 55.8% of participants, while 55.8% demonstrated low knowledge of pregnancy danger signs. Bivariate analysis showed significant associations between ANC compliance and maternal age, educational methods, motivation, attitude, parity, distance to health facility, and knowledge (all p = 0.001). Multivariate analysis identified knowledge as the strongest predictor of ANC compliance (p = 0.019; OR = 3.380; 95% CI: 1.222–9.348), adjusted for maternal age (p = 0.048). Conclusion: Maternal knowledge of pregnancy danger signs is the most influential factor associated with ANC compliance. Strengthening targeted health education strategies may improve maternal service utilization.
Effects of Flexible Transfemoral Prostheses on Dynamic Balance in Unilateral Amputees: A Quasi-Experimental Within-Subject Study Rachmat, Nur; Kuncoro, Bambang
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.v8i1.597

Abstract

Background: Dynamic balance impairment is a major functional challenge in individuals with transfemoral amputation and is closely associated with mobility limitations and increased fall risk. Flexible transfemoral prostheses are widely prescribed to improve ambulation. However, limited biomechanical evidence exists examining how flexible transfemoral prostheses influence dynamic balance performance using standardized functional clinical assessments. This study aimed to examine the effect of flexible transfemoral prosthesis use on dynamic balance in unilateral transfemoral amputees. Methods: This quasi-experimental within-subject study followed the TREND reporting guideline. Thirty unilateral transfemoral amputees were recruited using purposive sampling from the Department of Prosthetics and Orthotics at Poltekkes Kemenkes Surakarta, Indonesia. Inclusion criteria were medical stability and ability to perform multidirectional stepping; exclusion criteria included bilateral amputation and neurological disorders. The independent variable was ambulation condition (axillary crutch ambulation versus flexible transfemoral prosthesis use), and the dependent variable was FSST completion time. Dynamic balance was assessed using the Four Square Step Test (FSST). Analyses were conducted using paired t-tests with 95% confidence intervals. Results: Participants were predominantly male (76.7%) with a mean age of 33.6 ± 9.4 years and a mean post-amputation duration of 4.2 ± 2.1 years. FSST completion time significantly decreased during flexible transfemoral prosthesis use compared with axillary crutch ambulation (mean difference = 8.97 seconds; 95% CI, 7.72–10.22; p < 0.001), demonstrating a very large effect size (Cohen’s d = 2.68). Conclusion: Flexible transfemoral prosthesis use significantly enhances dynamic balance in unilateral transfemoral amputees. Flexible transfemoral prostheses should be considered an essential component of function-oriented rehabilitation strategies to optimize postural control and safe mobility. Future longitudinal and instrumented biomechanical studies are warranted to further elucidate underlying adaptation mechanisms.
What Are the Emerging Trends, Research Gaps, and Future Directions of Personalized Care in Nursing? Pranata, Satriya; Shu-Fang Vivienne Wu; Shu-Yuan Liang; Yeu Hui Chuang
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.v8i1.600

Abstract

Background: Trends show that research on personalized care continues to increase annually. In future studies, researchers need information on trends and innovations to inform personalized care research. The purpose of the study was to explore the trend of the number of publications, the trend of the number of citations, the journal with the highest number of publications, which field has the most consent to publish, network visualization, overlay visualization, and density visualization on the topic of personalized care through bibliometric analysis. Methods: This study qualifies as a bibliometric analysis. Papers in this study are restricted to those published from 2021 to 2026, with a focus on the fields of health sciences and nursing, and on publication types. The data sources used in this study are based on online searches via https://app.dimensions.ai/. Data was collected in January 2026. Researchers analyse the data using VOS viewer. Results: Research on personalized care began to increase in 2021, peaking in 2025. Through this study, we identified that the use of artificial intelligence can achieve the goal of personalizing patient needs. Numerous studies have been conducted on the development of artificial intelligence in nursing, but they are still limited to systematic reviews, scoping reviews, literature reviews, and meta-analyses. Moreover, the system surrounding the patient to achieve personalization comprises family, caregivers, health workers, and the patient. The tendency of which diseases are most often developed and discussed in the personalized care approaches is cancer (lung cancer and breast cancer), chronic diseases (diabetes, heart disease, and kidney disease), with cancer being the most frequently discussed topic. The focus of personalized care interventions across various diseases is on exercise, diet, medication adherence, and chemotherapy. Overall, personalization is expected to reduce levels of anxiety, fatigue, complications, and depression, as well as improve the quality of life of each patient. On the other hand, the least frequently discussed topics in personalized care are patients with mental disorders, dementia, cancer, self-care, and spiritual care. Conclusion: Personalized care emphasizes not only the use of artificial intelligence and genetic technology to identify each patient's individual needs but also considers patient preferences and health profiles. Personalized care is a challenge that must be addressed to improve patient satisfaction with healthcare services in the future.
Effectiveness of Participatory Education on Knowledge, Attitudes, and Malaria Prevention Practices in Endemic Communities in Indonesia: A Quasi-Experimental Study Kismiyati, Kismiyati; Utami, Theresia Febriana Christi Tyas; Nasrah, Nasrah
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.v8i1.602

Abstract

Background: Malaria remains a major public health problem in endemic areas of Papua, Indonesia, contributing substantially to morbidity and hindering community productivity. Effective, sustainable, and community-based prevention strategies are urgently needed to reduce transmission and improve preventive behaviors. This study aimed to assess the effectiveness of participatory education compared with conventional leaflet-based education in improving knowledge, attitudes, and malaria prevention practices among community members in an endemic area. Methods: A quasi-experimental study with a control group design was conducted involving 220 community members. Participants were assigned to an intervention group that received participatory malaria prevention education and a control group that received educational leaflets with minimal explanation. A structured Knowledge, Attitude, and Practice (KAP) questionnaire was administered before and after the intervention to measure changes in malaria-related knowledge, attitudes, and preventive practices. Data were analyzed using comparative statistical tests and paired t-tests to determine differences within and between groups. Results: The findings demonstrated a statistically significant increase in knowledge and malaria prevention practices in the intervention group (p < 0.001). In contrast, the control group showed a modest but significant improvement in knowledge (p = 0.006) and no significant change in prevention practices (p = 0.377). Neither group experienced a statistically significant change in attitudes toward malaria prevention (p > 0.05). Conclusion: Participatory education is more effective than conventional leaflet-based education in improving malaria-related knowledge and preventive practices. However, changing attitudes may require more intensive and sustained interventions. Integrating participatory approaches into routine public health programs is recommended to strengthen malaria prevention efforts in endemic community.
What Factors Drive Childhood Stunting? Examining Child Health Risks, Maternal and Early-Life Determinants, Nutrition, and Socioeconomic Influences Barkah, Asep; Usep, Usep; Sony, Ujang; Nugraha, Dani; Amin, Kamaludin Firdaus; Lestari, Vega; Fauzi, Achmad
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.v8i1.610

Abstract

Background: Childhood stunting remains a major global public health challenge driven by complex interactions among child health risks, nutritional status, maternal and early-life determinants, and socioeconomic conditions. Although the literature on stunting has expanded substantially, a comprehensive bibliometric mapping focusing on immunization, nutrition, and maternal determinants remains limited. This study aimed to map global research trends, thematic structures, and collaboration networks related to childhood stunting determinants. Methods: This study employed a bibliometric analysis of Scopus-indexed publications. Data were retrieved from the Scopus database in January 2026 using search terms related to childhood stunting, immunization, nutrition, and maternal factors. Eligible documents included journal articles and review articles published between 2010 and 2026 in English. After screening and data cleaning, 323 documents were included for analysis. Bibliometric indicators were analyzed using VOSviewer version 1.6.20, including publication trends, keyword co-occurrence, co-authorship networks, and thematic clustering. Results: The findings showed a growing volume of publications on childhood stunting determinants over time, indicating increasing global scholarly attention. Keyword co-occurrence analysis identified four major thematic clusters: child health risk factors, maternal and early-life determinants, socioeconomic influences, and nutritional status and malnutrition. The term “stunting” emerged as the central keyword with strong links to child health, maternal nutrition, breastfeeding, poverty, and sanitation. The results indicate that stunting research has evolved into an interdisciplinary field integrating biological, maternal, environmental, and structural perspectives. Conclusion: Research on childhood stunting has developed within an increasingly multidimensional and collaborative scientific landscape. Bibliometric mapping highlights the need for integrated research and policy strategies that connect maternal care, nutrition interventions, immunization services, and socioeconomic support. Future studies should strengthen cross-country collaboration, expand interdisciplinary approaches, and address research gaps in low- and middle-income settings.
How Is Mental Health Nursing Research Evolving? Advancing Collaboration, Community-Based Care, and Digital Mental Health Interventions Suara, Mahyar; Putri, Adelia; Putri, Natasyha Amalia Eka; Sintia, Putri Della; Faozy, Naomy Gita
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.v8i1.614

Abstract

Background: Mental health disorders represent a major global public health challenge and significantly affect quality of life and healthcare systems. Mental health nursing research has expanded rapidly in response to increasing global mental health needs. However, comprehensive bibliometric mapping of global research trends and collaboration networks in mental health nursing research remains limited. This study aimed to analyze global publication trends, research productivity, and collaboration networks in mental health nursing research indexed in Scopus. Methods: This study employed a bibliometric analysis approach informed by systematic review procedures. Data were retrieved from the Scopus database. The search included publications from 2000 to 2024. A total of 275 publications that met the eligibility criteria were included in the analysis. Bibliometric indicators analyzed included annual publication growth, citation patterns, co-authorship networks, and keyword co-occurrence. Metadata such as authors, institutions, countries, publication year, and keywords were extracted and organized for analysis. Network visualization and bibliometric mapping were performed using VOSviewer version 1.6.18. Results: The analysis identified 275 publications on mental health nursing research, demonstrating a notable increase in research output after 2022. Bibliometric mapping revealed several thematic clusters related to mental health disorders, psychological stress, social support, digital mental health interventions, and community-based mental health care. Collaboration network analysis showed increasing international research partnerships among authors, institutions, and countries, highlighting the growing importance of global collaboration in advancing mental health nursing knowledge. Conclusion: Mental health nursing research has experienced substantial growth globally, particularly in recent years. Bibliometric findings highlight the importance of international collaboration and interdisciplinary research in addressing global mental health challenges. Future studies should strengthen collaborative networks and focus on emerging research themes such as digital mental health interventions, community-based care, and culturally responsive mental health services to support evidence-based nursing practice and policy development.
Comparative Effects of Fenugreek and Moringa Extract Supplementation on Lactation Performance among Postpartum Breastfeeding Mothers: A Quasi-Experimental Study Fatwa, Dyah Mayasari; Fitriyani, Elsi Aprilia; Febriani, Dian; Wardhani, Ayudya Sihangga
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.v8i1.620

Abstract

Background: Inadequate breast milk production remains a frequent reason for early supplementation and discontinuation of exclusive breastfeeding. Fenugreek (Trigonella foenum-graecum) and moringa (Moringa oleifera) are widely used as natural galactagogues; however, comparative evidence examining their relative effectiveness within the same postpartum population remains limited, particularly in community maternal health settings. Methods: A quantitative quasi-experimental study with a posttest-only control group design was conducted in 2025 in Karawang Regency, Indonesia, and reported in accordance with the TREND statement. A total of 45 postpartum breastfeeding mothers were allocated consecutively by facility to three groups: control (n = 15), fenugreek (n = 15), and moringa (n = 15). No pretest was conducted; therefore, baseline equivalence was not confirmed. The fenugreek group received 500 mg fenugreek seed extract twice daily for 7 days; the moringa group received 250 mg moringa leaf extract twice daily for 7 days — both doses based on published therapeutic evidence. Lactation performance was assessed on day 8 using a validated structured questionnaire and observation sheet (Cronbach’s α = 0.81; CVI = 0.89). Data were analysed using the Kruskal-Wallis test, followed by Mann-Whitney U post hoc comparisons with Bonferroni correction Results: Post-intervention lactation performance scores (mean ± SD) were 5.93 ± 1.03 (control), 8.93 ± 1.03 (fenugreek), and 9.73 ± 0.46 (moringa). The Kruskal-Wallis test showed a significant overall difference (H = 34.21, df = 2, p < 0.001, η² = 0.76). Pairwise comparisons showed significant differences for control vs. fenugreek (U = 4.50, Z = −4.68, p < 0.001, r = 0.85), control vs. moringa (U = 0.00, Z = −5.20, p < 0.001, r = 0.95), and fenugreek vs. moringa (U = 54.00, Z = −2.87, p = 0.004, r = 0.52). Conclusion: Both fenugreek and moringa supplementation significantly improved lactation performance compared with routine care. Moringa demonstrated statistically significantly higher performance than fenugreek. Randomised controlled trials with objective lactation indicators and confirmed baseline equivalence are needed to confirm these findings.

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