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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 379 Documents
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Effectiveness of Allium cepa L. Compress in Reducing Body Temperature Among Under-Five Children with Acute Respiratory Infections: A Quasi-Experimental Study Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Ginanjar, Yoga
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.v8i1.626

Abstract

Background: Acute Respiratory Infections (ARI) are among the most common illnesses affecting children under five and are often accompanied by fever. Inadequately managed fever may lead to discomfort and potential complications. One complementary therapy widely used in communities is the application of shallot (Allium cepa L.) compresses. This study aimed to analyze the effectiveness of Allium cepa L. compresses in reducing body temperature among toddlers with ARI. Methods: A quasi-experimental design with a pretest–posttest control group approach was employed. The study involved 48 toddlers, divided into 24 intervention and 24 control groups, selected using purposive sampling. Body temperature was measured using a digital thermometer. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The mean body temperature in the intervention group decreased from 38.2°C before intervention to 36.6°C after intervention, with an average reduction of 1.63°C. Statistical analysis showed a significant effect (p < 0.05). The control group experienced a smaller decrease (0.28°C). There was a significant difference between the intervention and control groups, with a large effect size (r = 0.87). Conclusion: Allium cepa L. compresses are effective in reducing body temperature among toddlers with ARI and can be considered a non-pharmacological intervention in pediatric nursing practice, particularly in primary healthcare settings.
Willingness, Knowledge, and Skills of Nurses in the Prevention and Management of Diabetic Foot Ulcers: A Cross-sectional Study in Indonesia Suryani, Maria; Marwaningsih, Ririn; Winarni, Ida Nur Setia Budi; Hadjiman, Hadjiman; Andriyani, Erni Triyono
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.282

Abstract

Background: Nurses play a crucial role in the prevention and management of diabetic foot ulcers (DFUs); therefore, they should possess adequate knowledge, skills, and a willingness to do so. However, limited evidence exists on Indonesian nurses’ willingness, knowledge, and skills in the prevention and management of DFU. The study aimed to evaluate willingness, knowledge, and skills in the prevention and management of DFU among Indonesian nurses and to identify factors associated with these. Methods: A cross-sectional survey study was conducted. A total of 549 nurses working in medical-surgical inpatient units at four hospitals in Central Java, Indonesia, were selected using convenience sampling, given ease of online access and willingness to participate. Data on willingness, knowledge, and skill in the prevention and management of DFU were collected using an online survey. The Chi-square and logistic regression tests were used for data analysis. This study was reported in accordance with the STROBE guidelines. Results: The majority of nurses had no DFU training (65,2%), but had a bachelor's education level (51.9%) and were involved in DFU patient care (92.7%). Approximately 45.9% of nurses have adequate willingness, while 33.2% and 32.2% have adequate knowledge and skill, respectively. Higher education was associated with an adequate willingness (aOR 1.91, 95%CI:1.26-2.90, p=0.002), knowledge (aOR 1.55, 95%CI:1.07-2.26, p=0.020), and skills (aOR 1.72, 95%CI:1.18-2.51, p=0.005), among nurses. The DFU training was associated with adequate knowledge (aOR 2.71, 95%CI:1.86-3.95, p<0.001), and skills (aOR 2.63, 95%CI:1.81-3.85, p<0.001) of nurses. The DFU caring experience was also associated with nurses' knowledge (aOR 3.61, 95%CI:1.06-12.62, p=0.039) and skills (aOR 3.41, 95%CI:1.01-11.57, p=0.049). Furthermore, adequate knowledge (aOR 1.35, 95%CI:1.47-7.65, p=0.004) and adequate skills (aOR 5.60, 95%CI:2.41-13.01, p<0.001) were associated with willingness. Conclusion: Under half of nurses in hospital settings had adequate willingness, knowledge, and skill in the prevention and management of DFU. Higher education level, practical training, and caring experience were associated with the nurses’ willingness, knowledge, and skills. Adequate willingness was also associated with adequate knowledge and skill.
Application of Dorothea Orem's Self-Care Theory in Patients with Diabetic Ulcers: A Mixed-Methods Case Study Suciana, Fitri; Rayasari, Fitrian
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.285

Abstract

Background: Diabetes Mellitus is a metabolic disease with an increase in blood sugar levels above normal, which can cause complications if not properly managed. One of the complications that can arise is diabetic ulcers, which require nursing interventions after debridement or post-amputation. Methods: This study employed a mixed-methods approach, combining both quantitative data and a case study design. Following STROBE guidelines, the quantitative component included 19 individuals diagnosed with diabetes mellitus. Using purposive sampling, 7 participants were selected based on the inclusion criteria of having diabetic ulcers and being hospitalised for at least 3 days, and 5 nurses who cared for the patients. Data were collected using structured observation sheets and nursing care records. For the qualitative component, guided by COREQ criteria, in-depth interviews were conducted using semi-structured interview guides to explore patients' experiences and perceptions. Data analysis for the qualitative data used grounded theory methodology, while descriptive statistics were applied to the quantitative data. NVivo software was used for qualitative coding, while SPSS was employed for descriptive analysis.  Results: Orem's theory can be used in self-care efforts by carrying out wholly compensatory system nursing interventions, such as wound care, monitoring infections, and carrying out antibiotic treatment, while partially compensatory systems can be carried out by patients independently, such as insulin treatment at home, physical activity, and not smoking, while supportive educative systems by providing foot care education by assessing foot health status. Orem's theory can be used in self-care efforts by performing wholly compensatory system nursing interventions with education, and patients can perform self-care with partially compensatory systems, such as physical activity, not smoking, and insulin use. Conclusion: Self-care nursing interventions for diabetic ulcers include partially compensatory and totally compensatory systems.
Psychosocial Education for Families in Caring for Patients with Schizophrenia: A Systematic Review Pires, Alexandra Maria; Lesmana, Cokorda Bagus Jaya
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.351

Abstract

Background: Schizophrenia is a chronic mental disorder that significantly impacts both patients and their families. Psychosocial education for families plays a crucial role in improving caregivers’ knowledge, reducing burden, and enhancing patient outcomes. This systematic literature review examines studies on family psychoeducation interventions for schizophrenia, focusing on their effectiveness and implementation challenges. Methods: This systematic review followed PRISMA guidelines. We searched Google Scholar, Scopus, Web of Science, and Crossref for peer-reviewed English-language articles from 2003 to 2023, using Boolean operators and keywords such as “family psychoeducation,” “schizophrenia,” and “caregiver burden.” Two reviewers independently screened and extracted data to ensure accuracy and reduce bias. Results: The review includes 15 studies published between 2003 and 2023 that analyse various psychoeducational approaches, study designs, and outcomes. Findings indicate that family psychoeducation significantly reduces caregiver burden, improves family cohesion, and enhances patients’ symptom management and relapse prevention. However, despite its proven effectiveness, the implementation of psychoeducation remains inconsistent due to barriers such as limited resources, lack of structured programs, and cultural variations. Conclusion: The review emphasises the need to integrate psychoeducation into routine mental health services and to train healthcare providers to deliver structured, evidence-based interventions. Future research should explore digital-based psychoeducation to improve accessibility and sustainability. Strengthening family psychoeducation can lead to better patient care, reduced stigma, and improved quality of life for both patients and caregivers
Association Between Blood Glucose Levels and Leukocyte Counts in Patients with Diabetic Gangrene: A Cross-Sectional Study Nurseskasatmata, Satria Eureka; Sulistyawati, Wiwin; Christianingsih, Siska; Sulistyana, Caturia Sasti; Fauzi, Abdul; Jayani, Indah; Etika, Arif Nurma
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.389

Abstract

Background: Diabetic gangrene is a severe complication of diabetes mellitus (DM) that often leads to amputation. DM increases susceptibility to infection by impairing leukocyte function. Although hyperglycemia is known to weaken innate immunity, its association with leukocyte count remains unclear, particularly in low- and middle-income country (LMIC) settings. This study aimed to assess the association between admission blood glucose levels and leukocyte counts in patients with diabetic gangrene. Methods: This study utilized a retrospective cross-sectional design and was prepared in accordance with the STROBE guidelines. Secondary data were extracted from the medical records and laboratory reports of patients hospitalized at Kertosono Regional General Hospital in East Java, Indonesia, from January to December 2022. A purposive total sampling approach was applied. Inclusion criteria required an inpatient diagnosis of diabetes mellitus with diabetic gangrene, alongside the availability of both random blood glucose and total leukocyte count results for the same admission. Exclusion criteria eliminated records with missing or illegible key laboratory values, duplicate records, and records lacking diagnostic confirmation in the discharge summary. The independent variable assessed was admission random blood glucose (mg/dL), and the dependent variable was the total leukocyte count (cells/µL). Results: From an initial pool of 50 records, a final sample of 38 medical records was selected for analysis. Spearman’s rank correlation indicated that there was no significant association between random blood glucose levels and total leukocyte counts (r = -0.031; p = 0.853). Conclusion: Admission blood glucose does not meaningfully track or correlate with total leukocyte count in patients presenting with diabetic gangrene. Clinically, this suggests that leukocyte count should not be used as a proxy or surrogate for acute glycemic status. Therefore, comprehensive infection severity assessments in these patients require integrating clinical evaluation with additional, more specific inflammatory indices.
The Influence of Water Quality Based on BOD (Biochemical Oxygen Demand), COD (Chemical Oxygen Demand), and DO (Dissolved Oxygen) Values on the Health Level Hariyono, Hariyono; Yudana, Amarin; Peristiowati, Yuly; Saryono, Hari
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.424

Abstract

Background: Poor water quality can have a significant impact on public health. BOD (Biochemical Oxygen Demand), COD (Chemical Oxygen Demand), and DO (Dissolved Oxygen) are important indicators of water quality. This study aims to analyze the effects of water quality, as measured by BOD, COD, and DO, on the health status of the Kediri City community. Methods: This study uses an observational quantitative research design with a cross-sectional approach. The sample comprised 100 respondents, selected using a cluster random sampling technique across 3 sub-districts in Kediri City. The data analysis uses a linear regression statistical test to examine the correlation between BOD, COD, and DO values and the health status of the Kediri City community. Results: The study showed that the average BOD value was ± 11.8 mg/L, the average COD value was ± 27.87 mg/L, and the average DO value was ± 4.81 mg/L. For the average health degree based on the water quality of the Kediri city community, the average was ± 30.3 (max. score 40). From statistical analysis, the influence of BOD, COD, and CO levels on the degree of health based on the water quality of the Kediri city community, the data obtained BOD p-value <0.01, COD p-value <0.07, and DO p-value <0.00 (sig. ≤ 0.05). Conclusion: BOD and DO levels influence the degree of health based on water quality in the Kediri city community. At the same time, the COD value does not affect the degree of health based on the water quality of the Kediri city community. This study shows that water quality in the city, as measured by BOD and COD values, still does not meet the Quality Standards, which can have a significant impact on the health of Kediri City's residents.
Effectiveness of a Culturally Adapted Mindfulness-Based Intervention on Blood Pressure, Medication Adherence, and Self-Management: A Quasi-Experimental Study Ady Irawan.AM; Artini, Kusumaningtyas Siwi; Putri, Anggie Pradana
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.427

Abstract

Background: Hypertension is a leading global health problem, with poor adherence to treatment remaining a major barrier to effective control. Mindfulness has emerged as a supportive strategy for improving adherence and self-care. However, the effectiveness in non-Western hypertensive populations remains unclear. This study aimed to evaluate the effectiveness of a culturally adapted mindfulness intervention on blood pressure, medication adherence, and self-care in patients with hypertension in Indonesia. Methods: A nonrandomized quasi-experimental pretest-posttest control group design was employed. 40 adults aged 18-40 years with stage 1 hypertension were recruited through purposive sampling, and the minimum sample size was determined using power analysis (G*Power 3.1), resulting in a minimum of 15 participants per group. To account for attrition, 20 participants were recruited per group. We excluded adults with coronary heart disease, pregnancy, concurrent complementary therapies, or prior mindfulness experience. The study followed the TREND guideline for nonrandomized evaluations. Participants were allocated to an intervention group (n = 20) that received an eight-week culturally adapted mindfulness program delivered in group and individual sessions, or to a control group (n = 20) that received standard care. Data were collected at baseline, post-intervention, and one-month follow-up, using a validated digital sphygmomanometer (blood pressure), the Morisky Medication Adherence Scale-8 (medication adherence), and the Self-Care of Hypertension Inventory (self-care). Ethical clearance was obtained from the institutional review board (No. 109/VII/AUEC/2024), and data were analysed using repeated-measures ANOVA and independent t-tests. Results: Participants in the intervention group experienced significant reductions in systolic and diastolic blood pressure and improved medication adherence compared with the control group, with effects sustained at follow-up (time x group interaction: SBP F = 8.33, p < 0.001, η² = 0.15; DBP F = 7.01, p = 0.002, η² = 0.13; MMAS-8 F = 15.27, p < 0.001, η² = 0.24). Self-care scores increased significantly post-intervention (p = 0.030) but declined at follow-up, with no significant group difference at T2 (p > 0.05). Baseline characteristics were comparable between groups, ensuring equivalence. Conclusion: A culturally adapted mindfulness program effectively improved blood pressure control and medication adherence in Indonesian patients with hypertension, although self-care benefits diminished over time. These findings suggest that mindfulness-based interventions can be a feasible, low-cost complement to standard care, particularly in resource-limited settings. Future studies with larger samples, longer follow-up, and reinforcement strategies are recommended to sustain self-care behaviours.
The Effectiveness of Digital-Based Preconception Education in Improving Adolescent Girls’ Reproductive Knowledge Rezeki, Sri; Lubis, Desi Handayani; Suhartini, Suhartini; Lumbantobing, Pratiwi; Nasution, Herlia Sumardha
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.491

Abstract

Background: Adolescent reproductive health literacy is an important determinant of future maternal and neonatal outcomes. However, limited reproductive health knowledge among adolescents remains a major public health concern, particularly in areas with restricted access to reproductive health information. Digital-based preconception education offers a promising strategy to enhance adolescents’ reproductive health knowledge through accessible and engaging learning media. This study aimed to evaluate the effectiveness of digital-based preconception education in improving reproductive health knowledge among adolescent girls. Methods: This study employed pre pre-experiment one-group pretest–posttest design involving 70 adolescent girls aged 15–19 years in Bangun Rejo Village. Respondents were selected using purposive sampling based on inclusion criteria, including smartphone ownership and active social media use. The intervention consisted of structured digital-based preconception education delivered through educational videos for approximately 30–45 minutes. Data were collected using a validated reproductive health knowledge questionnaire administered before and after the intervention. Data analysis was performed using descriptive statistics and the Wilcoxon Signed-Rank Test at α < 0.05. Results: Before the intervention, most respondents had a moderate level of knowledge (67.1%), whereas after the intervention, the majority demonstrated a good level of knowledge (90%). Statistical analysis revealed a significant improvement in reproductive health knowledge following the digital-based preconception education intervention (p < 0.001). Conclusion: Digital-based preconception education is effective in improving reproductive health knowledge among adolescent girls and may serve as an accessible and practical strategy for strengthening adolescent reproductive health promotion.
Age and Sex Differences in the Association Between Online Gaming Duration and Adolescent Mental Health: A Cross-Sectional Study Sipahutar, Ida Erni; Suardana, I Ketut; Hartati, Ni Nyoman; Harini, I Gusti Ayu; Gama, I Ketut; Suardani, Ni Luh Ketut; Dewi, Desak Gede Mirah Puspita
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.522

Abstract

Background: Online gaming is common among adolescents and may be associated with emotional and behavioural problems. However, evidence from Indonesia remains limited, particularly regarding whether age and sex modify the relationship between gaming duration and adolescent mental health outcomes. To examine whether age and sex moderate the association between online gaming duration and Strengths and Difficulties Questionnaire (SDQ) domains among Indonesian adolescents. Methods: This cross-sectional study followed the STROBE reporting guideline. Participants were students aged 15–18 years who reported playing online games at a public senior high school in Bali, Indonesia (n = 109; total sampling). Online gaming duration (independent variable) was categorized as <1 hour, 1–2 hours, 2–3 hours, 3–4 hours, and >4 hours per day. SDQ domains (dependent variables) included prosocial behavior, hyperactivity/inattention, emotional problems, conduct problems, and peer relationship problems. Moderators were age and sex. Data were analyzed with statistical significance set at p < 0.05. Moderation was tested using a two-way MANOVA with interaction terms. Results: Online gaming duration showed a significant multivariate association with the combined SDQ domains (p < 0.001; partial η² = 0.277). Significant interaction effects were observed for Age × Gaming Duration (p < 0.001; partial η² = 0.433) and Sex × Gaming Duration (p < 0.001; partial η² = 0.376). SDQ total difficulties were classified as abnormal in 81.6% of participants, which was interpreted cautiously as a potential measurement/contextual issue. Conclusion: Gaming duration was associated with adolescent mental health indicators, and the association varied by age and sex. School- and family-based guidance should emphasize balanced digital recreation alongside sleep, study, and offline social activities, with screening and referral pathways for adolescents reporting emotional or behavioral difficulties
Menopausal Symptom Severity, Family Support and Coffee Consumption as Determinants of Sleep Quality among Menopausal Women in Indonesia Diyu, Ida Ayu Ningrat Pangruating; Agustini, Ni Komang Tri; Sagitarini, Putu Noviana; Kamaryati, Ni Putu
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.580

Abstract

Background: Menopause represents a critical transition in women’s lives during which poor sleep quality is commonly reported yet often overlooked. However, limited evidence exists regarding factors associated with sleep quality among menopausal women in Indonesia, particularly from a biopsychosocial perspective. Therefore, this study aimed to identify factors associated with sleep quality among menopausal women. Methods: This cross-sectional study, reported in accordance with the STROBE guidelines, included 277 women aged ≥40 years recruited from the service areas of community health centres (Puskesmas) in Denpasar, Indonesia, using convenience sampling. Women receiving hormone replacement therapy, using medications for menopausal symptom relief, or with a history of hysterectomy or oophorectomy were excluded. Data were collected through self-administered questionnaires, including the Menopause Rating Scale (MRS), Family Support Scale (FSS), and Pittsburgh Sleep Quality Index (PSQI), all of which demonstrated acceptable validity and reliability. Sleep quality was the dependent variable, while menopausal symptom severity, family support, coffee consumption, physical activity, employment status, menopausal status, and comorbid conditions were examined as independent variables. Data were analysed using descriptive statistics, chi-square tests, and multivariate logistic regression. Results: Nearly half of the women reported poor sleep quality (49.5%).  Multivariate logistic regression analysis identified menopausal symptom severity, family support and coffee consumption as significant factors associated with sleep quality. Women with moderate-to-severe menopausal symptom severity had 7.42 times higher odds of poor sleep quality than those with none-to-mild symptoms (OR=7.42; 95%CI: 3.95–14.70; p<0.001. Women with low family support had 5.98 times the odds of poor sleep quality than those with adequate family support (OR=5.98; 95% CI: 3.21–11.14; p<0.001). In addition, women who consumed coffee had 3.35 times higher odds of poor sleep quality compared with non-consumers (OR=3.35; 95%CI:1.90–6.56; p<0.001). Conclusion: Menopausal symptom severity, family support and coffee consumption were significantly associated with sleep quality among menopausal women. These findings may underscore the importance of considering biological, behavioural, and social factors when assessing sleep-related concerns and developing supportive care strategies for menopausal women.

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