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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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Preoperative Platelet Count as a Marker of Postoperative Complications Among Patients Undergoing Orthopedic Surgery: A Retrospective Secondary Analysis Rahayu, Urip; Ibrahim, Kusman; Rahman, Abdul
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.v8i3.780

Abstract

Background: Postoperative complications remain a concern in orthopedic surgery. Preoperative platelet count may reflect physiological vulnerability and provide additional information for perioperative risk assessment. However, evidence regarding its association with postoperative complications in heterogeneous orthopedic populations remains limited. This study examined the association between preoperative platelet count and postoperative complications. Methods: This retrospective secondary analysis included 125 adult patients undergoing orthopedic surgery at a tertiary referral hospital in West Java, Indonesia, from January 1 to January 31, 2024. We defined postoperative complications as at least one clinically documented event before discharge and analyzed them as a binary composite outcome. We analyzed platelet count continuously per 50 ×10³/µL increase. We performed univariable and multivariable binary logistic regression, with the latter adjusted for BMI and operative time. Results: Sixteen patients (12.8%) experienced postoperative complications. Median platelet count was 279 ×10³/µL (IQR, 225–346). Patients with complications had higher platelet counts than those without complications (416.0 vs. 270.0 ×10³/µL; p<0.001). Each 50 ×10³/µL increase in platelet count was associated with higher odds of complications in univariable analysis (OR, 1.47; 95% CI, 1.18–1.83; p=0.001) and remained associated after adjustment for BMI and operative time (aOR, 1.44; 95% CI, 1.17–1.78; p=0.001). Conclusion: Higher preoperative platelet counts were associated with postoperative complications. Platelet count may serve as a complementary marker for perioperative risk assessment but should not be interpreted as a causal risk factor or used in isolation. Further studies should assess nonlinear associations and characterize specific complications.
APROKSI Spiritual Self-Efficacy Module and Drug Prevention Behavior Among Adolescents in an Indonesian Border Region: A Quasi-Experimental Study Ulandari, Margaretha; Dedi, Blacius; Susilowati, Kristiana
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.v8i3.783

Abstract

Background: Adolescents in border regions may face heightened substance-use risks, while school-based prevention often emphasizes cognitive knowledge rather than structured spiritual self-efficacy and refusal skills. This study evaluated changes in spiritual self-efficacy and drug prevention behavior following a six-week APROKSI module among adolescents in an Indonesian border region. Methods: This quasi-experimental nonequivalent control group pretest-posttest study, reported according to TREND, included 150 Grade X–XI students purposively assigned to intervention and control groups (75 each). The intervention group received the six-week APROKSI module, comprising four 60–90-minute sessions, while the control group received printed health leaflets. Drug prevention behavior was measured using a 25-item questionnaire (Cronbach’s α = 0.892), and spiritual self-efficacy using an 8-item scale (Cronbach’s α = 0.842); paired and independent t-tests were performed. Results: Among 150 adolescents, drug prevention behavior increased from 64.25 to 84.44 in the intervention group (mean difference=20.19; p<0.001) and from 63.75 to 64.96 in the control group (mean difference=1.21; p=0.001). Spiritual self-efficacy increased from 18.41 to 28.71 in the intervention group (mean difference=10.30; p<0.001) and from 18.43 to 19.07 in the control group (mean difference=0.64; p=0.001). Posttest scores differed significantly between groups for drug-prevention behavior and spiritual self-efficacy (both p < 0.001). Conclusion: The APROKSI module was associated with greater improvements in drug prevention behavior and spiritual self-efficacy than leaflet-based education among adolescents in this single-school quasi-experimental study. Further multicenter research with longer follow-up is needed to assess the durability and generalizability of these findings.
Overcoming Students’ Anxiety and Readiness Problems for Objective Structured Clinical Examination With Counseling Motivation Applications Suzanna, Suzanna; Fadlilah, Arif; Efroliza, Efroliza
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.v8i3.789

Abstract

Background: Educational institutions have an important role in preparing students to achieve national educational goals, including completing undergraduate programs by passing an examination. The quality of nursing practice can be assessed through an assessment of practical abilities before nursing graduates complete their education, namely the Objective Structured Clinical Examination (OSCE), which is an evaluation instrument designed to measure student clinical competency systematically, accurately, and objectively through a series of simulated clinical stations executed within a designated timeframe. Methods: This research is a quantitative investigation using a quasi-experimental design with a pre-test and post-test setup and a control group. The independent variable is the counseling motivation application intervention, while the dependent variable includes nursing learners' preparedness and psychological stress levels. The study population was nursing students, with 187 respondents. The study used an experimental design with a control group and an independent T-test for data analysis. Results: Findings indicate a statistically significant difference in preparedness scores (p-value 0.001) and anxiety metrics (p-value 0.001) resulting from the implementation of the counseling motivation intervention among nursing students. It is anticipated that the counseling motivation application intervention can be used as an alternative option to improve nursing students' readiness and anxiety in facing their OSCE. Conclusion: It is anticipated that the counseling motivation application can be used as a choice for nursing students' readiness and anxiety in facing their examination.
Structured Mindful Parenting Training and Temper Tantrum Behaviours Among Preschool Children: A Quasi-Experimental Study Solikah, Siti Nur; Priyatno, Pris
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.v8i3.792

Abstract

Background: Temper tantrums are common among preschool children and may be influenced by children's emotional regulation capacity and parental caregiving responses. Evidence regarding structured mindful parenting interventions targeting children's tantrum behaviours remains limited in Indonesian preschool settings. This study examined changes in temper tantrum behaviours following structured mindful parenting training among preschool children. Methods: This quasi-experimental study followed the TREND reporting guideline and included 40 mothers of preschool children aged 3–6 years selected through total sampling at Budi Karya Preschool in Surakarta, Central Java, Indonesia. Participants were assigned nonrandomly by existing class to an intervention group (n = 20) receiving four structured mindful parenting training sessions over 5 days, followed by 14 days of home practice, or a control group (n = 20) receiving a standard parenting leaflet. The independent variable was structured mindful parenting training, and the dependent variable was children's temper tantrum behavior, measured using a validated 10-item questionnaire with composite scores ranging from 10 to 50. Data were analyzed using the Wilcoxon signed-rank test for within-group changes and the Mann–Whitney U test for between-group gain-score comparisons. Results: Baseline temper tantrum scores were comparable between groups (p = .342). Following the intervention, the intervention group's median temper tantrum score decreased significantly from 30.00 [IQR = 9.00] (Mean = 30.15, SD = 6.24) at pre-test to 21.00 [IQR = 4.00] (Mean = 21.20, SD = 3.36) at post-test (Z = −3.841, p < .001), representing a large effect size (r = 0.86). Post-intervention, 75.0% (n = 15) of children in the intervention group were categorised as having mild tantrums and none (0.0%) remained in the High category (15.0% at baseline). The Mann–Whitney U test showed significantly greater gain scores in the intervention group than in the control group (U = 0.00, Z = -5.580, p < .001). However, these findings should be interpreted cautiously because allocation was not random. Conclusion: Structured mindful parenting training was associated with a significant reduction in perceived temper tantrum scores among preschool children compared with standard educational leaflets. These findings support further evaluation of structured mindful parenting programs in broader preschool and community settings using larger samples, randomized designs, and longer follow-up periods.
Augmented Reality, Teach-Back, and Discharge Planning for Hemodialysis Patients and Family Caregivers: A Systematic Review of Educational Interventions Sari, Cindy Amalia; Arofiati, Fitri; Putri, Intan
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.v8i3.802

Abstract

Background: Discharge planning is essential for supporting self-management among patients receiving hemodialysis and their family caregivers. Although Augmented Reality (AR) and teach-back have been investigated as educational approaches, evidence concerning their potential integration into hemodialysis discharge planning remains unclear. This review synthesized evidence on AR, teach-back, structured discharge planning, and their potential integration for hemodialysis patients and family caregivers. Methods: This systematic review followed the PRISMA 2020 guidelines and was not prospectively registered. PubMed, Europe PMC, Wiley Online Library, SAGE Journals, and Scopus were searched on September 6, 2026, for English-language, open-access journal articles published within the preceding five years. Eligible studies were Randomized Controlled Trials (RCTs) evaluating AR, teach-back, structured discharge planning, or patient and caregiver education among hemodialysis patients, family caregivers, and other relevant clinical populations. We screened titles and abstracts, then reviewed full texts, resolving disagreements by consensus. Risk of bias was assessed using the Cochrane Risk of Bias tool (RoB 2), and certainty of evidence was evaluated using the GRADE approach. Findings were synthesized narratively by intervention type and outcome because of heterogeneity in populations, interventions, and outcome measures. Results: Thirteen RCTs published between 2023 and 2025 were included, comprising three AR studies, six teach-back studies, and four studies on individualized, family-centered, or discharge-planning interventions across hemodialysis and other clinical populations. AR showed potential benefits for educational satisfaction, knowledge, self-efficacy, and short-term anxiety, while teach-back supported selected aspects of self-management, treatment adherence, health literacy, and discharge readiness. Individualized, family-centered, and discharge-planning interventions showed benefits for selected patient and caregiver outcomes. However, findings varied across outcomes, and methodological concerns included limitations in blinding and risk-of-bias reporting. Evidence from non-hemodialysis populations also limited generalizability. No included RCT directly evaluated integrating AR, teach-back, and structured discharge planning in hemodialysis care. Conclusion: AR and teach-back may offer complementary educational functions in hemodialysis discharge planning, with AR supporting interactive information delivery and teach-back reinforcing patient and caregiver understanding. However, the available evidence includes findings from other clinical populations, and no included study directly evaluated the effectiveness of integrating these approaches among hemodialysis patients and family caregivers. Further controlled studies are needed to assess the feasibility, accessibility, educational effectiveness, self-management outcomes, and long-term clinical outcomes of this integrated approach.
Mirror Therapy for Pain Management Across Clinical Conditions: A Scoping Review of Randomized Controlled Trials Putri, Intan; Arofiati, Fitri
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.v8i3.803

Abstract

Background: Evidence on mirror therapy (MT) for pain management remains dispersed across clinical conditions, and its application to arteriovenous fistula cannulation pain in hemodialysis patients is insufficiently mapped. This scoping review aimed to map the characteristics and reported pain outcomes of MT across clinical populations and identify evidence gaps, particularly in hemodialysis-related cannulation pain. Methods: This scoping review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews, used the Population–Concept–Context (PCC) framework, and was reported according to PRISMA-ScR. PubMed, Scopus, SpringerLink, and ScienceDirect were searched through May 30, 2026, for English-language randomized controlled trials published in 2022–2026 that evaluated MT and reported pain outcomes. Two reviewers independently screened titles and abstracts, assessed full-text articles for eligibility, and charted study characteristics and outcomes, resolving disagreements through discussion until consensus was reached. Evidence was synthesized descriptively and narratively. Both reviewers independently assessed the methodological quality of the included studies using the JBI Critical Appraisal Tool for Randomized Controlled Trials, resolving disagreements through discussion. Results: Of 3,075 records screened, 303 reports were sought for retrieval, and 32 full-text reports were assessed for eligibility. Seven randomized controlled trials met the inclusion criteria: three investigated MT for complex regional pain syndrome type I, two for phantom limb pain, one for post-needling pain, and one for arteriovenous fistula cannulation pain in hemodialysis patients. Pain intensity was the principal outcome, measured mainly using the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS). Findings varied across studies: some reported significant pain reductions, whereas one CRPS-I trial found no significant between-group differences despite improvements in both groups. Another study evaluated MT alongside high-intensity laser therapy, limiting attribution of the observed effects to MT alone. Only one included study directly examined AV fistula cannulation pain, highlighting the limited evidence for MT in hemodialysis-related procedural pain. Conclusion: The seven included randomized controlled trials mapped the use of mirror therapy (MT) for pain associated with complex regional pain syndrome type I, phantom limb pain, post-needling procedures, and arteriovenous fistula cannulation. Reported outcomes varied across clinical conditions and intervention protocols, limiting conclusions regarding its effectiveness across these populations. Evidence specific to hemodialysis-related cannulation pain remains limited, as only one included study directly investigated this outcome. Further well-designed controlled trials using standardized MT protocols, intervention duration and frequency, and pain assessment methods are needed to clarify its effects, particularly in patients undergoing hemodialysis.
The Impact of E-Cigarette Use on Male Reproductive Health: A Systematic Review and Meta-Analysis Andrianto, Denny; Brodjonegoro, Sakti Ronggowardhana
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.v8i3.809

Abstract

Background: E-cigarette use is increasing worldwide, raising concerns about its potential effects on male reproductive health. However, evidence regarding its association with semen parameters and reproductive hormones remains fragmented across human observational studies and animal experiments. This systematic review aimed to synthesize evidence on the effects of e-cigarette aerosol exposure on male reproductive outcomes. Methods: A systematic review and meta-analysis was conducted using PubMed and Scopus, following the PRISMA reporting guideline. Eligible studies investigated exclusive e-cigarette aerosol exposure in adult men or male animal models and reported objective semen parameters or reproductive outcomes, with appropriate control groups. Six studies met the inclusion criteria, comprising two human observational studies and four in vivo animal experiments. Random-effects meta-analysis was performed using standardized mean differences (SMDs) and 95% confidence intervals (CIs), with statistical heterogeneity assessed using the I² statistic. Narrative synthesis was used when quantitative pooling was not feasible. Results: In animal studies, e-cigarette exposure was associated with increased sperm morphological abnormalities (SMD = 3.99, 95% CI 0.38–7.59; p = 0.03; I² = 86%). Sensitivity analysis excluding one study reduced heterogeneity to 12% and yielded a larger pooled effect (SMD = 5.41, 95% CI 3.22–7.60; p < 0.001). In human studies, e-cigarette users had lower total sperm counts than controls (SMD = −0.33, 95% CI −0.49 to −0.17; p < 0.001; I² = 0%). No statistically significant difference in sperm motility was identified in the available human or animal data. Evidence concerning reproductive hormones and testicular histopathology was limited and heterogeneous. Conclusion: The available evidence suggests an association between e-cigarette exposure and adverse male reproductive outcomes, particularly lower total sperm counts in humans and increased sperm morphological abnormalities in animal models. However, the small number of eligible studies, substantial heterogeneity in the initial animal meta-analysis, and limitations of the human observational evidence preclude definitive causal conclusions. Further well-designed longitudinal human studies and standardized animal experiments are needed to clarify the reproductive effects of e-cigarette exposure.

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