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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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Clinical Competence and Nursing Culture as Determinants of Standardized Pain-Sedation Assessment Compliance Among ICU Nurses: A Cross-Sectional Study Hafifah, Ifa; Prawira, Ricky; Risdianto, Risdianto
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.v8i2.641

Abstract

Background: Despite growing attention to ICU quality care, limited evidence has simultaneously examined the combined influence of nursing culture and clinical competence on compliance with standardized pain-sedation assessment among ICU nurses in developing healthcare settings. This study aimed to identify factors associated with ICU nurses’ compliance with standardized pain and sedation assessment using the COMFORT Scale and the Richmond Agitation-Sedation Scale (RASS), with a particular focus on the combined roles of nursing culture and clinical competence. Methods: A quantitative descriptive survey design was employed. This cross-sectional study was conducted and reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The study included 35 ICU nurses at a tertiary hospital in South Kalimantan, Indonesia, using a total population sampling method. All ICU nurses who met the inclusion criteria were eligible to participate. The dependent variable was ICU nurses' compliance with standardized pain and sedation assessment, measured using structured observation checklists based on the COMFORT Scale and the Richmond Agitation-Sedation Scale (RASS). The independent variables were nursing culture and clinical competence, measured using validated questionnaires. Observers were trained and standardized before data collection to ensure consistency of assessment. Data were analyzed using descriptive statistics, Spearman's rho correlation, and multiple linear regression after assessing model assumptions, including linearity, multicollinearity, normality of residuals, and homoscedasticity. Statistical significance was set at p < 0.05. Results: Most participants were female nurses (65.7%) aged 30–39 years (51.4%) with ≤5 years of ICU experience (62.9%). Observed compliance with standardized pain and sedation assessment was moderate and inconsistent (Mean = 3.59 ± 0.505 on a 1–5 scale), with documentation and scheduled tracking intervals being the weakest domains. Bivariate analysis revealed that both a supportive nursing culture (r = -0.001, p = 0.002) and higher clinical competence (r = 0.912, p < 0.001) were significantly correlated with compliance. However, in the multiple linear regression model (R2 = 0.574, F(2,32) = 21.562, p < 0.001). Individual clinical competence emerged as the sole significant independent predictor of compliance with standardized pain and sedation assessment (β = 0.759, p < 0.001; 95% CI: 0.54 to 1.27). After multivariate adjustment, nursing culture was not significantly associated with compliance with standardized pain and sedation assessment (β = -0.001, p = 0.993; 95% CI: -0.29 to 0.29). Conclusion: Clinical competence was the only independent predictor of compliance with standardized pain and sedation assessment among ICU nurses in multivariate model. Therefore, competency-based training and evaluation should be prioritized, while future longitudinal, multi-center studies should investigate the long-term effects of such interventions and other factors influencing compliance.
Mapping Self-Care Interventions for Improving Quality of Life Among Patients with Hypertension: A Scoping Review Pujikurniawati, Citra Reza; Ibrahim, Kusman; Purba, Chandra Isabella Hostanida; Fauzan, Naufal Hafizh
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.v8i2.642

Abstract

Background: Hypertension is a leading cause of cardiovascular disease and premature death worldwide. Despite the growing use of multidisciplinary self-care interventions to support patient-centred hypertension management, evidence on their effectiveness in improving quality of life remains fragmented. This scoping review aims to map and synthesise the available evidence on the effectiveness of self-care–based interventions in improving the quality of life of patients with hypertension. Methods: This scoping review followed PRISMA-ScR guidelines, the PCC framework, and the JBI-refined Arksey & O’Malley methodology. Literature searches were conducted in PubMed, ScienceDirect, Scopus, and EBSCOhost (2021–2026). Eligible studies included experimental studies and systematic reviews involving treated hypertensive patients. After independent PRISMA-based screening by four reviewers, 13 articles were included. Data were appraised using JBI tools and synthesised through thematic analysis to classify intervention models by lead professionals, delivery modes, and key self-care components. Results: From 1,328 identified records, the literature spans a broad international scope; however, it remains dominated by studies originating in High-Income Countries (HICs) or those using advanced digital health infrastructures. In contrast, evidence on the specific impact of these interventions on quality of life in Low- and Middle-Income Countries (LMICs), including Indonesia, remains relatively limited. The synthesis results identified three main categories of self-care-based intervention models: (1) professional-led models (facilitated by nurses, pharmacists, physicians, or community health workers and multidisciplinary collaborative care models), (2) digital health delivery modes (including mHealth, tele-nursing, and hybrid models), and (3) structured self-care components (focusing on self-monitoring, medication management, lifestyle modification, and psychosocial support). Although these models have proven effective in significantly lowering systolic and diastolic blood pressure while enhancing patient self-efficacy and quality of life, a research gap remains regarding the lack of direct comparative analysis between models in resource-limited settings and the systematic evaluation of long-term psychosocial outcomes. Conclusion: Nurse-led, multidisciplinary, and technology-supported interventions can improve blood pressure control and quality of life in hypertension. Future research should evaluate their effectiveness and efficiency across different settings, particularly in Indonesia.
Factors Associated with Midwives' Knowledge Regarding Congenital Hypothyroidism Screening and Early Neonatal Management: A Cross-Sectional Study Anggraini, Lili; Narsiah, Narsiah; Aryati, Aryati
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.v8i2.646

Abstract

Background: Congenital hypothyroidism is a preventable cause of intellectual disability in neonates. Although neonatal screening programs have been implemented in Indonesia, gaps in midwives’ knowledge of screening and early management may hinder timely diagnosis and referral. Evidence on factors associated with midwives’ knowledge in primary healthcare settings remains limited. This study aimed to analyse factors associated with midwives’ knowledge regarding congenital hypothyroidism screening and early neonatal management. Methods: A cross-sectional analytical study was conducted in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines among 78 midwives registered with the Indonesian Midwives Association of Indonesia Kedungwaringin Branch, Bekasi Regency, West Java, Indonesia, in 2025. Total sampling was applied. The dependent variable was knowledge level (good/fair/poor), and independent variables included age, education level, years of work experience, training attendance, and professional journal-reading habits. Data were collected using a validated questionnaire (20 items across 5 domains; Cronbach’s α = 0.82; Content Validity Index = 0.87). Bivariate analysis was performed using Chi-Square tests, reporting χ² statistics, degrees of freedom, p-values, and 95% confidence intervals. Multivariable logistic regression was additionally conducted. Results: Of 78 respondents, 44 (56.4%) had good knowledge, 25 (32.1%) fair, and 9 (11.5%) poor knowledge. The majority were aged ≥30 years (59.0%), held a Diploma III (D3) qualification (57.7%), had >5 years of work experience (62.8%), had not attended CH-related training (56.4%), and did not routinely read midwifery journals (61.5%). Statistically significant associations were found between knowledge level and age (p = 0.001, OR = 1.84, 95% CI: 1.12–3.02), education level (p = 0.002, OR = 3.76, 95% CI: 1.58–8.94), years of work experience (p = 0.001, OR = 0.27, 95% CI: 0.11–0.66), training attendance (p < 0.001, OR = 7.04, 95% CI: 2.68–18.49), and journal-reading literacy (p = 0.002, OR = 4.85, 95% CI: 1.82–12.92). Midwives with higher education and training demonstrated significantly greater odds of good knowledge. Conclusion: Strengthening continuing professional education and evidence-based literacy programs may improve the quality of congenital hypothyroidism screening and support earlier neonatal diagnosis. Targeted CH screening training programs and promotion of professional reading habits are recommended as priority interventions for primary healthcare midwifery services in Indonesia. Multicenter longitudinal and intervention studies are warranted to establish causal relationships and evaluate training program effectiveness
Association Between Reproductive Health Knowledge, Attitudes, and Premarital Sexual Behavior Among Adolescents: A Cross-Sectional Study in West Java, Indonesia Masluroh, Masluroh; Rismayanti, Tetin; Lestari, Heni; Latifah, Latifah; Suciati, Suciati; Rahayu, Maria
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.v8i2.647

Abstract

Background: Adolescence is a critical developmental stage associated with increased vulnerability to premarital sexual behavior (PSB). Limited reproductive health (RH) knowledge and negative attitudes are recognized risk factors, yet most Indonesian studies have been conducted in single-school settings. Therefore, this study aimed to examine the association between RH knowledge, attitudes, and PSB among adolescents across three senior high schools in West Java, Indonesia. Methods: A cross-sectional descriptive-correlational study was conducted among 108 adolescents from three senior high schools in West Java in 2025 (total sampling, n=36 per school). Data on reproductive health (RH) knowledge, attitudes, and premarital sexual behaviour (PSB) were collected using validated questionnaires and analysed using Chi-square (χ²) tests in SPSS v.26, with statistical significance set at p<0.05. Results: More than half of respondents demonstrated insufficient RH knowledge (55.5% at SMK Texmaco; 41.7% at SMAN 18; 44.5% at SMAN 2). Negative or insufficient attitudes toward RH were found in 38.9%, 44.5%, and 38.9% of adolescents at the three schools, respectively. High-risk PSB—defined as engagement in intimate contact beyond hand-holding, including hugging, kissing, or more advanced sexual contact, a classification grounded in Indonesian cultural and religious norms where any non-platonic physical contact outside marriage carries significant health and social risk—was prevalent across all sites (44.5%, 47.2%, and 38.9%). Chi-square analysis revealed statistically significant associations between RH knowledge and PSB at all three schools (χ²=8.43, df=2, p=0.015, V=0.28 at SMK Texmaco; χ²=7.21, df=2, p=0.027, V=0.25 at SMAN 18; χ²=6.89, df=2, p=0.032, V=0.24 at SMAN 2 Babelan), and between attitude and PSB at SMK Texmaco (χ²=9.67, df=4, p=0.008, V=0.29). Conclusion: Reproductive health knowledge and attitudes were significantly associated with premarital sexual behaviour (PSB) among adolescents. Strengthening school-based reproductive health education may help promote healthier behaviours, while further longitudinal studies are needed to confirm these findings.
Comparative Outcomes of Ginger Decoction and Lavender Aromatherapy on Emesis Gravidarum Among First-Trimester Pregnant Women: A Quasi-Experimental Study Tahun, Omega DR; Rahman, Eka Yuniarti; Putri, Ayu Tiara
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.v8i2.648

Abstract

Background: Emesis gravidarum affects 60–80% of first-trimester pregnancies and can reduce maternal quality of life. Evidence comparing ginger decoction and lavender aromatherapy remains limited, particularly in Indonesian primary maternal healthcare settings. This study compared their effectiveness in reducing the severity of emesis gravidarum among first-trimester pregnant women. Methods: A quasi-experimental design with two separate intervention groups was employed, adhering to Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines. Forty-four first-trimester pregnant women (≤12 weeks' gestation) experiencing emesis gravidarum were recruited via purposive sampling from Independent Midwifery Clinics in East Jakarta and Bekasi, Indonesia (November–December 2025). Group 1 (n=22) received ginger decoction; Group 2 (n=22) received lavender aromatherapy. The independent variable was intervention type; the dependent variable was emesis gravidarum severity, measured by the Pregnancy Unique Quantification of Emesis/Nausea (PUQE) instrument. Data were analysed using the Independent T-test, the Wilcoxon signed-rank test, and Cohen's d for effect size. Results: Post-intervention mean PUQE score was significantly lower in the ginger decoction group (Mean=5.50, SD=1.50) versus lavender aromatherapy (Mean=7.18, SD=1.62; p=0.001; Mean difference=1.68; 95% CI: 0.73–2.63; Cohen's d=0.76). Both interventions significantly reduced emesis severity from pre- (Mean=9.34, SD=1.72) to post-intervention (Mean=6.34, SD=1.75; p<0.001, Wilcoxon test). Conclusion: In this quasi-experimental study, ginger decoction demonstrated superior outcomes, serving as a low-cost, culturally adaptable non-pharmacological option for emesis gravidarum in Indonesian primary maternal healthcare. Lavender aromatherapy provided meaningful complementary benefit, particularly for women with psychosocial contributors to nausea or those intolerant of ginger. Findings should be interpreted within the limitations of the quasi-experimental design and the limited geographic scope.
Academic Stress and Achievement Motivation as Associated Factors of Burnout Among Vocational High School Students: A Cross-Sectional Study Suhardiningsih, AV Sri; Sustrami, Dya; Rustini, Sri Anik; Widianto, Ardin Putra
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.v8i2.649

Abstract

Background: Final-year vocational high school students are exposed to substantial academic and practical training demands that may be associated with burnout. Within the Job Demands–Resources (JD-R) framework, academic stress is an academic demand, whereas achievement motivation is a personal resource. However, limited studies have simultaneously examined the relationships among achievement motivation, academic stress, and Burnout among vocational high school students. Therefore, this study aimed to analyze these relationships using the JD-R framework. Methods: A quantitative cross-sectional study was conducted among 115 twelfth-grade vocational high school students selected through simple random sampling. Data were collected using the AMI, ESSA, and MBI-SS questionnaires. Scores were categorized for descriptive purposes, and associations among variables were analyzed using Spearman’s rank correlation test. Ethical approval was obtained before data collection. Results: Most participants reported moderate achievement motivation (73.9%) and moderate Burnout (62.6%), whereas 53.9% experienced high academic stress. Spearman’s correlation analysis revealed a significant negative association between achievement motivation and Burnout (r = −0.602, p < 0.001). In contrast, academic stress was significantly positively associated with Burnout (r = 0.275, p = 0.003). Conclusion: Higher achievement motivation is linked to lower Burnout, while higher academic stress is linked to higher Burnout among final-year vocational students. Improving motivation and managing stress may help reduce Burnout.
Effectiveness of Guided Imagery Therapy in Reducing Pain Among Adult Post-Appendectomy Patients: A Quasi-Experimental Study Rilla, Eldessa Vava; Fauzan, Suhaimi
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.v8i2.650

Abstract

Background: Pain is a common complaint among postoperative patients, including those undergoing appendectomy. Guided imagery therapy is a non-pharmacological intervention that can help reduce pain by diverting patients’ attention from discomfort with minimal side effects. However, evidence regarding its effectiveness in adult post-appendectomy patients remains limited. This study aimed to determine the effect of guided imagery therapy on reducing pain intensity in adult post-appendectomy patients. Methods: This study used a quasi-experimental design with a pretest-posttest control group, conducted in accordance with the TREND reporting guidelines. This study received ethical approval from the Research Ethics Committee of the Karsa Husada Garut College of Health Sciences. The sample consisted of 50 patients, equally divided into intervention and control groups (25 per group), recruited according to the inclusion and exclusion criteria. The independent variable was guided imagery therapy administered twice a day for 15–20 minutes over three consecutive days by the researcher, 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 Mann-Whitney test for differences between groups, with a significance level of 0.05. All statistical analyses were performed using IBM SPSS Statistics version 29. Results: The intervention group showed a significant reduction in pain intensity (p<0.05). The intervention group demonstrated a marked reduction in mean pain scores from 4.88 at pretest to 1.68 at posttest, representing a very large within-group effect. In contrast, the control group showed only a minimal change from 4.84 to 4.44. Between-group comparison indicated a significantly greater reduction in pain in the intervention group than in the control group. All main statistical results are presented with 95% confidence intervals to provide an estimate of precision and uncertainty around the observed effects. Conclusion: Guided imagery therapy has been shown to significantly reduce pain intensity in adult patients after appendectomy compared to the control group. It is recommended that nurses teach and provide guided imagery therapy regularly to reduce pain intensity in adult post-appendectomy patients
Nurse-Led Multidimensional Intervention Improves Symptom Burden and Quality of Life in Hemodialysis Patients: A Quasi-Experimental Study Fauzi, Achmad; Nurjana, Nurjana; Pardiansyah, Rustam; Hartini, Aan Nurhayati; Saptohari, Winta; Novayanti, Siska; Ningsih, Ira Kurnia
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.v8i2.651

Abstract

Background: Patients undergoing hemodialysis (HD) experience a high symptom burden that adversely affects health-related quality of life (HRQoL). Evidence on integrated nursing interventions to address these challenges remains limited, particularly in lower- and middle-income country (LMIC) settings. This study evaluated the effectiveness of a 12-week Multidimensional Integrated Nursing Intervention (MINI) in reducing symptom burden and improving HRQoL among HD patients in Indonesia. Methods: A multi-site quasi-experimental study with a non-equivalent pre-test/post-test control group design was conducted between November 2025 and March 2026 across three public hospitals in Indonesia. A total of 112 maintenance hemodialysis patients were allocated to either a 12-week Multidimensional Integrated Nursing Intervention (MINI; n=56) or a control group receiving usual care (n=56). The intervention integrated symptom management, psychosocial support, dietary coaching, intradialytic exercise, and self-management education. Symptom burden and health-related quality of life (HRQoL) were assessed using the MSAS-GDI and KDQOL-36, respectively, and analyzed using paired and independent t-tests, with effect sizes estimated by Cohen’s d. Results: Following 12 weeks, the MINI group demonstrated significantly greater reductions in MSAS-GDI compared to controls (1.59±0.33 vs 2.33±0.41; p<0.001; Cohen’s d=1.87). Significant improvements were observed across all five KDQOL-36 domains in the MINI group (all p<0.001; Cohen’s d=1.94), with no significant changes in the control group. Large, consistent effect sizes were observed across all three study sites. Conclusion: A 12-week nurse-led multidimensional intervention demonstrated promising reductions in symptom burden and improvements in HRQoL in HD patients across Indonesian public hospital settings. These findings suggest that MINI may be a feasible model for integration into HD nursing protocols in LMIC contexts. Confirmation through cluster-randomised or pragmatic multicenter trials with longer follow-up is warranted before routine implementation can be recommended.
Effectiveness and Implementation Barriers of Preoperative Education on Surgical Patient Outcomes: A Scoping Review Putri, Kartika Nurif Adeline; Rondhianto, Rondhianto; Rifai, Ahmad
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.v8i2.653

Abstract

Background: Preoperative education improves patients’ understanding and reduces anxiety before surgery. However, evidence regarding its effectiveness and contextual factors remains inconsistent and fragmented. Therefore, this scoping review aims to map the effectiveness and limitations of preoperative education on surgical patient outcomes. Methods: This study used a scoping review design based on PRISMA-ScR, the PCC (Population, Concept, Context) framework, and the Arksey & O’Malley method. A systematic search was conducted in four databases (Scopus, SpringerLink, PubMed, ScienceDirect) for articles published between 2022 and 2026. The study selection process included duplicate removal, title and abstract screening, and full-text review based on predefined eligibility criteria. Data were extracted using a standardised charting form by independent reviewers, with discrepancies resolved through discussion. The extracted data were analysed using thematic synthesis to identify key themes related to effectiveness and implementation barriers. Results: A total of 514 records were identified from four databases. After excluding articles that were not full-text, not open access, or not written in English (n=207), 307 articles remained for screening. During the screening stage, 263 records were excluded due to duplicate removal, irrelevant titles and abstracts, inappropriate population, intervention, or study type. A total of 44 full-text articles were assessed for eligibility, of which 24 were excluded for not explicitly addressing preoperative education as the primary focus. No studies were excluded based on quality assessment. Finally, 20 studies were included in the review. Three main themes emerged from the synthesis: (1) Cognitive and psychological effectiveness, where most studies reported improvements in patient knowledge and reduced anxiety, although some studies found limited or non-significant effects; (2) Clinical and health system outcomes, including pain reduction, reduced opioid use, postoperative recovery metrics, patient satisfaction, and healthcare service efficiency, although findings varied across contexts and populations; and (3) Implementation barriers and limitations, including variability in educational delivery, timing, digital technology effectiveness, patient characteristics, and methodological constraints. Overall, substantial heterogeneity in effectiveness was observed, along with gaps in integrating multidimensional outcomes and standardizing educational approaches. Conclusion: Preoperative education is a beneficial intervention that can improve clinical outcomes and healthcare efficiency, although its effects vary across populations and settings. These findings support the need for standardized, context-adaptive educational protocols and further high-quality studies to evaluate their effectiveness
Community-Based SENORITA Gymnastics for Improving Menopausal Symptoms and Quality of Life Among Postmenopausal Women: A Quasi-Experimental Study Ekayani, Ni Putu Karunia; Meliati, Linda; Sukaisi, Sukaisi
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.v8i2.654

Abstract

Background: Community-based, low-cost exercise programs are needed to support menopausal health in primary healthcare and resource-limited settings. SENORITA Gymnastics integrates low-impact aerobic exercise and breathing-focused Tera Gymnastics and may be feasible for delivery through community elderly health posts. This study aimed to evaluate SENORITA Gymnastics for its effects on menopausal symptoms and quality of life among postmenopausal women. Methods: A quasi-experimental non-equivalent pretest-posttest control-group study was conducted among 60 postmenopausal women at Posyandu Lansia in the working area of the Gunungsari Primary Health Care Center, West Lombok, Indonesia. Participants were allocated to the SENORITA Gymnastics group (n = 30) or the routine elderly gymnastics/control group (n = 30). SENORITA Gymnastics was delivered in eight sessions, twice weekly for four weeks. Menopausal symptoms were measured using the Menopause Symptom Questionnaire, and quality of life was measured using the WHOQOL-BREF. Data were analyzed using descriptive statistics, between-group comparisons, and exploratory logistic regression. Results: Menopausal symptom scores decreased descriptively in both groups, from 61.77 ± 16.26 to 53.93 ± 13.31 in the SENORITA Gymnastics group and from 67.03 ± 19.03 to 53.40 ± 13.87 in the control group. The numerically larger symptom reduction occurred in the control group. Post-test menopausal symptom scores differed significantly between groups (p = 0.035), with slightly lower scores in the control group. Quality-of-life scores increased descriptively in both groups, from 84.80 ± 10.23 to 88.70 ± 7.67 in the SENORITA Gymnastics group and from 78.93 ± 12.06 to 86.83 ± 8.43 in the control group. Post-test quality-of-life scores differed significantly between groups (p = 0.025). However, the SENORITA group already had higher baseline quality-of-life scores, and the descriptive improvement was larger in the control group. Age was the dominant factor associated with quality of life in the final logistic regression model (adjusted OR = 0.072; 95% CI: 0.019-0.273; p < 0.001). Conclusion: SENORITA Gymnastics is feasible as a community-based health promotion activity for postmenopausal women. However, this study did not demonstrate the superiority of SENORITA Gymnastics over routine elderly gymnastics for reducing menopausal symptoms or improving quality of life. Future randomized or cluster-randomized studies with baseline-adjusted repeated-measures analysis, standardized control conditions, intervention fidelity assessment, and larger multicenter samples are needed.

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