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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 407 Documents
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Association Between HbA1c Levels and Stroke Risk Among Chronic Disease Program Participants: A Cross-Sectional Study Nurdini, Fella; Kurnia, Anna; Samiasih, Amin; Sukraeny, Nury
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.512

Abstract

Background: Stroke remains a significant global public health concern and a major cause of hospital-based mortality. Diabetes mellitus (DM) is a modifiable risk factor, and HbA1c is an important indicator of glycemic control. However, limited evidence exists regarding the association between HbA1c levels and stroke risk among Program for Chronic Disease Management (Prolanis) participants in Indonesia. This study examined the association between HbA1c levels and stroke risk among Prolanis participants. Methods: This quantitative correlational study used total sampling and included 150 active Prolanis participants who had available HbA1c measurements. We collected data from May to July 2025 at three Community Health Centers (Puskesmas) in Blora Regency (Kunduran, Sonokidul, and Ngawen). Stroke risk was assessed using the Stroke Risk Score Card (SRSC) questionnaire, while HbA1c values were obtained from recorded laboratory results. The data were analyzed using the Spearman Rank correlation test. Results: Most respondents were female (67.3%) with a mean age of 62.43 years. All respondents had a history of DM, and 64% had hypertension. The mean HbA1c level was 8.4%, and 76% of respondents were categorized as having diabetes based on HbA1c results. Based on the SRSC, 66.7% were categorized as having a high risk of stroke. The Spearman Rank test showed a significant positive correlation between HbA1c levels and stroke risk (p = 0.005; r = 0.228). Conclusion: HbA1c levels were significantly associated with stroke risk among Prolanis participants. Regular stroke risk screening should be integrated into routine Prolanis care.
Associations of Nurse Preparedness, Emotional Intelligence, and Resilience with Quality of Clinical Response among Emergency Nurses: A Cross-Sectional Study Maharani, Shinta Dian; Rosa, Elsye Maria
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.633

Abstract

Background: Quality of clinical response among emergency nurses is influenced by nurse preparedness, emotional intelligence, and resilience. However, few studies have examined these factors simultaneously in emergency settings. This study examined associations between nurse preparedness, emotional intelligence, and resilience and the quality of clinical response among emergency nurses. Methods: This quantitative cross-sectional study included 14 emergency department nurses selected through total sampling at Diponegoro Dua Satu General Hospital, Klaten. Nurse preparedness, emotional intelligence, and resilience were independent variables, while quality of clinical response was the dependent variable. We collected data using the EPIQ, WLEIS, and CD-RISC questionnaires and analyzed them using PLS-SEM in SmartPLS. Results: Most respondents were female (57.1%), aged 20–30 years (64.3%), held a bachelor’s degree in nursing (71.4%), and had >5 years of emergency department experience (42.9%). The model demonstrated strong explanatory power (Adjusted R² = 0.950). Resilience showed the strongest positive association with quality of clinical response (β = 0.840, 95% CI [0.31, 1.37], p < 0.01), followed by emotional intelligence (β = 0.556, 95% CI [0.08, 1.03], p < 0.05). Nurse preparedness showed a weak, non-significant negative association. Conclusion: Emotional intelligence and resilience significantly improved the quality of clinical response. Integrating psychological capacity-building into emergency nursing training may strengthen adaptive performance in emergency care.
Dietary Patterns, Psychological Stress, and Beverage Consumption as Determinants of Gastritis-Like Symptoms Among Adolescents: A Cross-Sectional Study Ponidjan, Tati Setyawati; Tamunu, Esther Novilian; Waworuntu, Angie Gisela
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.680

Abstract

Background: Gastritis-like symptoms among adolescents may be associated with unhealthy dietary habits and psychological stress. However, evidence on their behavioral determinants, including dietary patterns, stress, and beverage consumption, remains limited. This study aimed to identify factors associated with self-reported gastritis-like symptoms among adolescents. Methods: This study used a quantitative, cross-sectional analytic design. A total of 52 high school students were selected using total sampling. Inclusion criteria included active students willing to participate, while incomplete responses were excluded. The dependent variable was self-reported gastritis-like symptoms based on gastrointestinal complaints reported by adolescents, rather than clinically diagnosed gastritis. The independent variables included dietary patterns, psychological stress, coffee consumption, carbonated beverage consumption, breakfast habits, and sleep duration. Data were collected using structured questionnaires. Data were analyzed using univariate and bivariate analyses with Chi-square tests and Odds Ratios (ORs). Results: The prevalence of self-reported gastritis-like symptoms was 50%. Most respondents had unhealthy dietary patterns (67.3%), psychological stress (61.5%), frequently consumed coffee (51.9%), consumed carbonated beverages (76.9%), skipped breakfast (75%), and had poor sleep quality (57.7%). Dietary patterns (p=0.031), psychological stress (p=0.004; OR=5.724), and coffee consumption (p<0.001) were significantly associated with self-reported gastritis-like symptoms. No significant relationships were found for carbonated beverage consumption, breakfast habits, and sleep duration. Conclusion: Dietary patterns, psychological stress, and coffee consumption were significantly associated with gastritis-like symptoms among adolescents, with psychological stress showing the strongest association. These findings support adolescent nursing interventions focusing on stress management, healthy dietary habits, and coffee consumption.
Vicarious Experience and Verbal Persuasion as Key Determinants of Self-Efficacy Among Patients Receiving Pulmonary Tuberculosis Treatment in a Primary Health Center Setting Barkah, Asep; Mustika, Melinda; Juniarti, Desi; Nurhasanah , Sanah; Lestari, Cindy Ayu; Yusdalia, Ari
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.690

Abstract

Background: Pulmonary tuberculosis (TB) remains a major cause of infectious disease mortality worldwide. Beyond the Directly Observed Treatment, Short-course (DOTS) strategy, self-efficacy plays a crucial role in treatment adherence and is influenced by four sources: performance accomplishment, vicarious experience, verbal persuasion, and physiological information. However, evidence on the relative contributions of these sources among Indonesian TB patients remains limited. This study aimed to identify factors associated with self-efficacy among pulmonary TB patients receiving treatment. Methods: A quantitative, cross-sectional design following the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guideline was employed. The population comprised 95 pulmonary tuberculosis patients undergoing treatment during May–June 2025 at Babelan I Primary Health Center, Bekasi Regency, West Java, Indonesia. Purposive sampling yielded 76 participants. Inclusion criteria required patients to be ≥18 years old, in active treatment for at least two months, and able to read and write. Exclusion criteria included severe co-infections (TB-HIV advanced stage, uncontrolled TB-diabetes), cognitive or psychiatric impairment, terminal complications, or transfer to another facility. Data were collected via interviewer-administered Likert-scale questionnaires measuring performance accomplishment (10 items), vicarious experience (10 items), verbal persuasion (10 items), physiological information (10 items), and self-efficacy (15 items). The instruments were validated (r > 0.361) and showed excellent reliability (Cronbach's α: 0.843–0.967). Results: Most participants were aged 31–45 years and predominantly male. Of the 76 participants, most had high self-efficacy (72.4%). Bivariate analysis revealed significant associations between performance accomplishment and self-efficacy (p = 0.003; PR = 1.5, 95% confidence interval [CI]: 1.17–2.1), vicarious experience and self-efficacy (p = 0.0001; PR = 2.0, 95% CI: 1.4–3.0), verbal persuasion and self-efficacy (p = 0.0001; PR = 3.9, 95% CI: 1.4–10.7), and physiological information and self-efficacy (p = 0.002; PR = 1.5, 95% CI: 1.2–1.9). Multivariate analysis identified vicarious experience (OR = 14.2, 95% CI: 2.63–76.92) and verbal persuasion (OR = 7.7, 95% CI: 1.47–40.34) as the dominant independent predictors of self-efficacy; performance accomplishment was excluded from the final model, with physiological information acting as a confounding variable reflecting near-complete separation in the logistic regression model. Conclusion: High vicarious experience and strong verbal persuasion are the factors most strongly associated with self-efficacy in pulmonary tuberculosis patients. Healthcare providers should integrate peer-support programs and systematic motivational counseling into TB management to enhance patient self-efficacy and improve treatment outcomes. Future longitudinal and multi-site studies are recommended.
Association of Treatment Adherence and Hemodialysis Vintage with Hemodialysis Adequacy: A Cross-Sectional Study Ambarwati, Riza Arum; Kumboyono, Kumboyono; Ismail, Dina Dewi Sartika
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.703

Abstract

Background: Hemodialysis adequacy is a critical indicator of treatment success in chronic kidney disease (CKD) patients undergoing maintenance therapy. Although treatment adherence and hemodialysis vintage have individually been associated with dialysis outcomes, evidence regarding their combined influence on hemodialysis adequacy remains limited, particularly among Indonesian patients undergoing maintenance hemodialysis. Therefore, this study aimed to examine the association between treatment adherence, hemodialysis vintage, and hemodialysis adequacy. Methods: This study used an observational, cross-sectional analytical design. The study population comprised CKD patients undergoing routine hemodialysis at Dr. Saiful Anwar General Hospital. A sample of 102 respondents was selected using purposive sampling. Inclusion criteria included patients aged ≥18 years undergoing routine hemodialysis twice a week. The primary independent variables were treatment adherence and hemodialysis vintage. Age, sex, and vascular access were included as covariates in the multivariable logistic regression model. Data regarding adherence and hemodialysis duration were collected using observation sheets. Data were analyzed using the chi-square test and logistic regression at p<0.05. This study obtained ethical clearance under Number 400/117/K.3/102.7/2026. Results: Most respondents were aged 30–50 years (61.0%), male (68.0%), had good treatment adherence (54.9%), and had a hemodialysis vintage of ≥1 year (87.3%). Overall, 52.0% of respondents achieved adequate hemodialysis. Treatment adherence (OR = 5.855, 95% CI: 2.196–15.616, p < 0.001), hemodialysis vintage (OR = 6.532, 95% CI: 1.082–39.414, p = 0.041), and age (OR = 6.042, 95% CI: 2.146–17.012, p = 0.001) were independently associated with hemodialysis adequacy. Conclusion: These findings suggest that treatment adherence is an important modifiable behavioral factor associated with achieving adequate hemodialysis. At the same time, longer hemodialysis vintage and older age also independently contribute to favorable treatment outcomes. The results highlight the importance of integrating behavioral assessment and individualized supportive-educative nursing interventions into routine nephrology care to optimize hemodialysis adequacy.
Optimal Duration and Frequency of Buerger-Allen and Diabetic Foot Exercises for Foot Sensitivity in Diabetes Mellitus: A Scoping Review Lidiyana, Ika Arif; Nuzululail, Agung Subakti; Azizah, Prisa Tifa; Aulawi, Khudazi; Pangastuti, Heny Suseani
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.709

Abstract

Background: Diabetic peripheral neuropathy (DPN) reduces foot sensitivity and peripheral circulation, increasing ulceration and amputation risk. Buerger-Allen Exercise (BAE) and Diabetic Foot Exercise (DFE) are feasible non-pharmacological interventions. However, standardized evidence on their optimal duration and frequency remains unclear, limiting clinical decision-making and nursing protocols. This scoping review mapped evidence on BAE and DFE duration, frequency, and effects on foot sensitivity in people with diabetes Methods: This review followed Arksey and O’Malley’s framework, Joanna Briggs Institute methodology, Population, Concept, Context principles, and PRISMA-ScR guidelines. We searched PubMed, Scopus, ScienceDirect, ProQuest, and EBSCOhost from January to February 2025 and manually screened references. Eligible studies were English-language, open-access, full-text original studies from 2020 to 2025 that evaluated BAE or DFE duration or frequency and reported foot sensitivity, DPN, ankle-brachial index (ABI), peripheral circulation, plantar pressure, gait, or foot function outcomes. Two reviewers screened titles, abstracts, and full texts using Rayyan QCRI, and a third reviewer resolved disagreements. Data were charted using a standardized form, appraised using JBI checklists, and synthesized through descriptive mapping and thematic categorization. Results: Twelve studies met the criteria, including six DFE studies and six BAE studies. Evidence was organized into three themes: exercise prescription parameters, sensory outcomes, and circulatory or functional outcomes. BAE used variable short-duration protocols and mainly improved peripheral circulation, ABI, and short-term sensory response. DFE, commonly delivered for 20–30 minutes three to five times per week, consistently improved foot sensitivity, plantar balance, gait, and neuropathy outcomes. Gaps remained in standardized protocols, direct comparisons, combined interventions, long-term follow-up, and uniform measures. Conclusion: Moderate-duration DFE may provide consistent sensory benefits, while short-duration BAE may support immediate circulatory effects. Standardized nursing protocols and high-quality comparative trials are needed.
Effectiveness of Moringa-Fortified Local Food Combined with Iron Supplementation for Anemia in Pregnant Women in Tidore Islands-Indonesia Syarifa, Syarifa; Suryantara, Bima; Nurhayati, Nurhayati
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.724

Abstract

Background: Anemia during pregnancy remains a critical global health challenge. While iron tablet supplementation is the standard intervention, its effectiveness is often limited by poor adherence due to side effects. However, evidence comparing Moringa-fortified local supplementary food combined with iron supplementation with iron supplementation alone among anemic second-trimester pregnant women remains limited; therefore, this study aimed to compare their effectiveness in increasing hemoglobin levels. Methods: This quasi-experimental pretest–posttest control-group study, reported in accordance with the TREND guideline for non-randomized designs, recruited 56 anemic second-trimester pregnant women in Tidore Islands, Indonesia, using consecutive sampling. Participants received either Moringa-fortified local supplementary food plus iron tablets (intervention/exposure variable) or iron tablets alone for six weeks; the outcome variable was change in hemoglobin level (ΔHb). Fifty-three participants (intervention, n = 28; control, n = 25) completed the six-week follow-up and were included in the per-protocol analysis. Between- and within-group changes in hemoglobin were analyzed using the Mann–Whitney U and Wilcoxon signed-rank tests. Results: After six weeks, hemoglobin increased significantly within both groups (Wilcoxon signed-rank, both p < 0.001). The median increase was greater in the Moringa-fortified food plus iron group (1.40 g/dL) than in the iron-only group (0.80 g/dL), and the between-group difference was statistically significant (Mann–Whitney U = 138.0, p < 0.001; rank-biserial correlation r ≈ 0.61, a large effect. Conclusion: Moringa-fortified local supplementary food combined with iron tablets produced a greater increase in hemoglobin than iron tablets alone among anemic second-trimester pregnant women in this quasi-experimental study. The intervention may serve as a culturally acceptable adjunct—not a replacement—to standard iron supplementation; larger randomized studies are needed to confirm generalizability before broader implementation.
Development and Psychometric Validation of the Limov Scale for Assessing Sexual Function in Women Experiencing Domestic Violence Hastuti, Lidia; Mardiyani, Ridha; Rahmawati, Annisa; mumtahanah, Al; Hazilina, Hazilina; Haryanto, Haryanto
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.726

Abstract

Background: Domestic violence is a major public health problem with profound physical, psychological, and reproductive health consequences for women. Despite its significant impact, the limited availability of specific, culturally relevant, and practical instruments for assessing sexual function remains a barrier to early detection in primary health care settings. This study aimed to develop and evaluate the validity and reliability of the Limov Scale for measuring sexual function in women experiencing domestic violence. Methods: A quantitative research and development (R&D) design was employed. The Limov Scale was validated in a sample of 70 women aged 20–45 years with a history of domestic violence, recruited using purposive sampling. This study developed and validated the 17-item Limov Scale, which uses a 3-point response format. Psychometric evaluations were conducted to establish the scale's construct validity and internal consistency. Results: Content validity analysis yielded an Item Content Validity Index (I-CVI) of 0.80 and a Scale Content Validity Index (S-CVI) of 0.91. Construct validity was supported by a Kaiser-Meyer-Olkin (KMO) value of 0.88 and a significant Bartlett's Test of Sphericity (p < 0.05), confirming the data's suitability for factor analysis. Exploratory factor analysis (EFA) revealed two factors with eigenvalues > 1, explaining 64,63% of the total variance. The extraction communalities ranged from 0.411 (item v13) to 0.770 (item v3), demonstrating that all items retained substantial variance. Furthermore, the direct oblimin rotation revealed an inter-factor correlation of 0.304, justifying the use of an oblique rotation method. Conclusion: The Limov Scale demonstrates promising preliminary validity and reliability for assessing sexual function in women experiencing domestic violence.
Effect of the “Ruang Bidan” Android Application on IUD Contraceptive Knowledge Among Women of Reproductive Age Faizah, Ni’ma Tri; Kristiani, Juda Julia; Dedi, Blacius
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.729

Abstract

Background: Intrauterine Device (IUD) utilization remains low in Indonesia despite its effectiveness as a long-acting contraceptive method. Evidence on rigorously developed IUD education applications for women of reproductive age (WRA) remains limited. This study aimed to evaluate the association between the 'Ruang Bidan' Android application and IUD contraceptive knowledge among women of reproductive age. Methods: This pre-experimental one-group pretest and posttest study, reported according to TREND guidelines, enrolled 54 WRA using consecutive sampling; the “Ruang Bidan” Android Application was the intervention, and IUD contraceptive knowledge was the primary outcome, measured using a 30-item knowledge questionnaire before and after two weeks, with data analyzed using the Wilcoxon signed-rank test and multivariable binary logistic regression (Backward LR). Results: The application was rated valid and highly feasible by media/IT experts (mean 81.96%) and content experts (mean 86.51%), with an average content-validity Aiken’s V of 0.75. Practicality testing based on the Technology Acceptance Model (TAM) showed high acceptance, with 94.4% of respondents rating the application “practical.” The proportion of respondents with “good” knowledge increased from 35.2% (pretest) to 79.6% (posttest), while “poor” knowledge decreased from 64.8% to 20.4%. The Wilcoxon signed-rank test showed a statistically significant difference between pretest and posttest knowledge scores (Z = -4.536, p < 0.001). Binary logistic regression identified perceived ease of use (OR = 23.24, p = 0.015) and educational level (OR = 2.57, p = 0.030) as significant predictors of knowledge improvement. Conclusion: Use of the “Ruang Bidan” Android Application was associated with improved IUD contraceptive knowledge. The Application may complement conventional family planning counseling.
Changes in Clinical Indicators of Pathological Vaginal Discharge Following Basil (Ocimum Sanctum L.) Leaf Decoction Among Intrauterine Device Users Ifayanti, Titin; Indriani, Silfina; Arianti, Diana; Ulva, Fadillah
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.731

Abstract

Background: Pathological vaginal discharge is a common reproductive health concern among intrauterine device (IUD) users. Basil (Ocimum sanctum L.) contains bioactive compounds with potential antimicrobial and anti-inflammatory properties; however, clinical evidence regarding basil leaf decoction for pathological vaginal discharge among IUD users remains limited. This study aimed to assess changes in clinical indicators of pathological vaginal discharge following basil (Ocimum sanctum L.) leaf decoction among IUD users. Methods: A quantitative pre-experimental one-group pretest–posttest study was conducted among 30 IUD users recruited through total sampling at an independent midwifery practice in Padang, Indonesia. Eligible participants were women aged 20–45 years who had used an IUD for at least six months and experienced symptoms of pathological vaginal discharge; women who were pregnant, had recently used antibiotic or antifungal therapy, had reproductive organ cancer or severe systemic disease, or withdrew from the study were excluded. Participants received 150 mL of basil leaf decoction twice daily for three consecutive days. Clinical indicators of pathological vaginal discharge were assessed before and after the intervention using a researcher-developed structured observation instrument. Pretest–posttest differences were analyzed using a two-tailed paired t-test at α = 0.05. Ethical approval was obtained from the Research Ethics Committee of Universitas Alifah Padang (No. 004691/KEP Universitas Alifah Padang/2025). Results: Most participants were aged 26–30 years (40.0%), were housewives (53.3%), and had used an IUD for 6–12 months (40.0%). Before the intervention, 56.7% of participants had moderate pathological vaginal discharge, whereas after the intervention, 66.7% were classified as having no pathological vaginal discharge. The mean clinical indicator score of pathological vaginal discharge increased from 6.50 ± 1.144 at pretest to 8.41 ± 0.796 at posttest, representing a mean increase of 1.91 points (95% CI: 1.60–2.22). The paired t-test showed a statistically significant pretest–posttest difference (t(29) = 12.54, p < 0.001), with a large effect size (Cohen's dz = 2.29). Conclusion: Basil (Ocimum sanctum L.) leaf decoction was associated with improvement in clinical indicators of pathological vaginal discharge among IUD users following the three-day intervention. The preliminary findings support further investigation of basil leaf decoction as a potential complementary approach within reproductive healthcare. Larger controlled studies using standardized diagnostic assessments, microbiological outcomes, and longer follow-up are needed to establish its clinical effects and safety.

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