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Asian Journal of Public Health and Nursing
Published by Queeva Publishing
ISSN : -     EISSN : 30640008     DOI : https://doi.org/10.62377/
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
The Asian Journal of Public Health and Nursing (AJPHN) stands as a beacon of scholarly excellence, dedicated to fostering advancements in the realms of public health and nursing across the diverse landscape of Asia. With a commitment to promoting evidence-based practices, innovative research, and transformative policies, the journal serves as a vital platform for academics, practitioners, policymakers, and students alike. We expect that AJPHN as the place for young and motivate researchers to publish their first work.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 38 Documents
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Effectiveness of Psychological First Aid and Communication Skills in Enhancing Self-Efficacy: A Randomized Controlled Trial Rahmi, Alfiatur; Marlina; Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/s0mzm206

Abstract

Background: Supporting students' psychological well-being is crucial for teachers, particularly in times of crisis. However, communication barriers and low confidence in administering Psychological First Aid (PFA) often hinder effective support. This study examines the impact of PFA training and interpersonal communication skills on educators' self-efficacy. Methods: A randomized controlled trial with cluster sampling was conducted among 88 educators from four schools in Aceh (September–October 2024). Participants were assigned to intervention and control groups, with data collected using a pre-test and post-test design. The intervention consisted of PFA and interpersonal communication training, delivered in 2-hour sessions over four weeks. Self-efficacy was measured using the General Self-Efficacy Scale, with data analyzed using normality tests, the Wilcoxon Signed-Rank Test, and the Mann-Whitney U Test. Results: Educators who received PFA training showed significantly higher self-efficacy compared to the control group (U = 537.500, p < 0.001; Wilcoxon Z = -5.785, p = 0.001). Similarly, interpersonal communication training led to significant self-efficacy improvements (U = 306.500, p = 0.001; Wilcoxon Z = -5.783, p < 0.001). Conclusion: PFA and interpersonal communication training enhance teachers' self-efficacy in providing psychological support. Wider implementation of these interventions is recommended to improve students' psychological well-being in Aceh.
Resilience Training for Burnout Reduction Among Emergency Department Health Workers: A Systematic Review Fathiariani, Liza; Bella, Natha; Amirza, Nura Shara; Radhiah, Radhiah
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/aptt5s85

Abstract

Background: Emergency department (ED) healthcare workers are at elevated risk of burnout due to high workloads, time pressure, and repeated exposure to trauma. Resilience training has emerged as a promising intervention, yet its specific effectiveness in ED settings has not been comprehensively reviewed. Methods: This systematic review evaluated 20 studies (from an initial pool of 1,120 articles) that met predefined inclusion criteria, encompassing randomized controlled trials, quasi-experimental studies, cohort designs, and qualitative research. Literature searches were conducted across PubMed, ScienceDirect, and Google Scholar for studies published between 2014 and 2024. Data were extracted on intervention type, duration, burnout assessment tools (e.g., MBI, CBI), and psychological outcomes. Results: Resilience training—particularly mindfulness-based interventions and cognitive-behavioral techniques—was associated with a 25–30% reduction in burnout scores, especially in the emotional exhaustion domain. Participants also reported improvements in coping strategies and psychological well-being. However, heterogeneity in intervention formats (ranging from 4 to 12 weeks) and outcome measures limited direct comparisons across studies. Conclusions: Resilience training appears to be an effective strategy for mitigating burnout among ED healthcare workers. To enhance its impact, future research should prioritize the development of standardized protocols, integration into hospital policies, and assessment of long-term outcomes. Digital formats, such as app-based or microlearning modules, also warrant further investigation for broader accessibility and scalability.
Effectiveness of Guided Imagery in Reducing Anxiety Among Mental Health Outpatients: A Pilot Study Murni, Mayang; Darmawati; Marthoenis, Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/7fbyd952

Abstract

Background: Guided imagery is a promising non-pharmacological intervention for anxiety reduction, yet its use in outpatient mental health care remains limited. This study aimed to evaluate its effectiveness in reducing anxiety among patients with mental disorders. Methods: A randomized controlled trial was conducted with 68 participants assigned to intervention or control groups. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS-A). Data were analyzed using the Wilcoxon test for within-group and the Mann-Whitney test for between-group comparisons. Results: The intervention group showed a significant reduction in anxiety levels compared to the control group (p = 0.003). After the guided imagery intervention, 76.5% (26 of 34) of the intervention group had reduced anxiety, while the control group showed minimal change (p = 0.129). Outpatients visit frequency also increased post-intervention in the intervention group. Conclusion: Guided imagery is an effective and feasible intervention for reducing anxiety in outpatient mental health settings and can be integrated into standard care.
Does the Appearance and Mannerism of Doctors Affect Doctor-Patient Relationship? A Cross-Sectional Study among General Population in Malaysia Boparai, Delisha Kaur; Ramesh, Keeran; Rajapura, Ama Thathsarani; Gunawardana, Dushan Uvindu; Kyaw, Thin Mon; Soe, Htoo Htoo Kyaw; Moe, Soe; Nadarajah, Nivedita; Htay, Mila Nu Nu
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/61s9v617

Abstract

Background: A strong doctor–patient relationship is crucial for effective diagnosis and treatment. This study aimed to determine the community’s perception toward doctors’ physical appearance, mannerisms, and association with the doctor-patient relationship in Malaysia.  Methods: This cross-sectional study was conducted among the general adult population in Malaysia. Data was collected via an online survey and analyzed using SPSS version 27.  Results: A total of 389 respondents participated in this study. Over half (55.53%) considered professional attire with a white coat is important, and 90.75% preferred doctors to wear name tags. The respondents paid more attention to mannerisms if they were younger age group (18-30 years) rather than the older age group (50 years and above) (Adjusted OR = 4.64, 95%CI: 1.90, 11.36). While the respondents with higher education levels (Postgraduate) were more attentive to mannerisms compared to respondents with SPM – Secondary Education level (Adjusted OR = 6.77, 95%CI: 1.26, 36.53).  Conclusion: The respondents demonstrated increased trust, confidence, and approachability and were more willing to share personal information with doctors dressed in formal attire with a white coat along with name tags. Most respondents felt that both the physical appearance and mannerisms of doctors played a significant role to form a good doctor-patient relationship. Mannerism was considered more important for the doctor-patient relationship among younger aged and higher educated people. 
Experiences and Roles of Community Health Cadres in the Implementation of Integrated Service Posts for Non-Communicable Diseases in Indonesia: A Qualitative Study Rahmatillah, Irhamni; Usman, Said; nurjannah; Maulana, Teuku; Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/d3ex5550

Abstract

Background: Non-Communicable Diseases (NCDs) remain the leading cause of mortality globally and in Indonesia. To address this, Indonesia introduced the Posbindu PTM (Integrated Service Posts for NCDs), a community-based program that relies heavily on volunteer health cadres. This study explores the lived experiences, roles, and challenges faced by these cadres in Banda Aceh. Methods: A qualitative phenomenological approach was used. Twelve female health cadres from Ulee Kareng Health Center were selected using purposive sampling. Semi-structured interviews were conducted in January 2025. Thematic analysis using the Miles and Huberman model revealed two overarching themes and five subthemes, including personal empowerment, logistical constraints, low public participation, and digital limitations. Results: Health cadres reported increased knowledge and confidence in health promotion, but faced critical barriers such as infrastructure limitations, insufficient financial incentives, and community reluctance. Differences in perspectives emerged based on years of service. Notably, cadres with longer tenure (more than five years) expressed greater confidence and skill in engaging the community compared to newer cadres. Conclusion: While cadres derive personal growth and community recognition, system-level changes are essential for program sustainability. Policy recommendations include better government support, consistent training, stakeholder engagement, and adequate resources.
Understanding Diabetes Care Barriers Through Community Voices: A Brief Qualitative Report from Jefferson County, Kentucky Hasan, Md Rakibul
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/tber4w45

Abstract

Background: Type 2 diabetes is a significant public health concern in Jefferson County, Kentucky, exacerbated by socioeconomic barriers influencing care access and disease management. This qualitative study explored community-perceived barriers impacting diabetes self-management among local adults. Methods: Guided by the Theory of Planned Behavior, this qualitative study involved thematic analysis (Braun and Clarke’s method) of open-ended responses collected through an online questionnaire from six purposively selected adults (≥18 years) with physician-diagnosed type 2 diabetes in Jefferson County. Results: Participants described several structural barriers affecting their diabetes care, primarily highlighting medication affordability (83%), transportation difficulties (67%), and inadequate access to healthy food (67%). Additional qualitative themes revealed concerns related to insufficient flexibility of healthcare services and personal time constraints. Participants further suggested community-informed strategies, including subsidized medication programs, enhanced transportation services, increased availability of virtual healthcare, and improved local access to affordable fitness facilities and nutritious foods. Conclusion: Qualitative insights underscore a substantial gap between diabetes care intentions and achievable self-management practices due to persistent systemic barriers. Addressing these barriers through targeted, community-driven solutions could meaningfully improve diabetes outcomes in Jefferson County
RETRACTED: Understanding Barriers to PrEP Adherence: A Brief Report on the Combined Effects of Alcohol Misuse, PTSD, and Gut Microbiome Disruption in HIV Prevention Hasan, Md Rakibul; Davidson, Richard
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ayk4kk55

Abstract

Background: Human Immunodeficiency Virus (HIV) remains a global health challenge. While Pre-exposure Prophylaxis (PrEP) offers high efficacy for prevention, its adherence is significantly impacted by gastrointestinal (GI) dysbiosis and hazardous alcohol use. Alcohol misuse exacerbates PTSD and behavioral health issues, and chronic alcohol use can escalate GI disturbances, potentially leading to severe conditions like alcoholic hepatitis. Methods: This brief report presents a conceptual analysis of existing literature and retrospective clinical data. Thematic coding was utilized to identify correlations between alcohol use, GI dysbiosis, PTSD, and PrEP adherence among HIV-negative individuals. Results: Hazardous alcohol use amplifies PTSD symptoms and disrupts gut microbiota, causing systemic inflammation and broader behavioral problems. These factors collectively compromise PrEP adherence, with affected individuals demonstrating rates as low as 45–60%, particularly in marginalized groups. Conclusion: Integrated behavioral interventions prioritizing alcohol reduction, microbiome support, and trauma-informed mental health care are crucial to optimize PrEP outcomes and advance HIV prevention efforts.
Oral Health Symptoms and Smokeless Tobacco Use Among Outpatients in Bangladesh: Insights from a Cross-Sectional Study Noor, Ashek Elahi; Kabir, Russell
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/hwazwh41

Abstract

Background: In low-income nations like Bangladesh, the use of smokeless tobacco (SLT) is common and linked to major oral health problems such tooth stains, cavities, and precancerous lesions. Methods: At the evening OPD of Sapporo Dental College and Hospital in Dhaka, a descriptive cross-sectional study was carried out between April and October 2023. 400 people were polled using a standardized questionnaire and purposive sampling. Logistic regression and descriptive statistics were used to analyze the data. Results: The majority of responders (84.75%) were men, and the age group of 35–54 years old accounted for 39.5% of the total. The use of SLT was more common in older people and teenagers. The most often reported oral complaints were poor breath (75%) and dental stains (90.75%). SLT use was found to be substantially correlated with peer influence, decreased perceived severity and benefits, and age ≥14 years (OR = 6.58), according to logistic regression. Just 29.2% of respondents said they intended to stop after seeing the health warnings. Conclusion: SLT use is very common among adults in Dhaka who visit the dental outpatient department, despite their lack of knowledge about the health hazards. In order to enhance public health outcomes in Bangladesh, the findings emphasize the necessity of integrated oral health and tobacco cessation initiatives in community clinics and educational settings.
Patient Perceptions of Generalist Therapy for Schizophrenia with Violent Risk: A Phenomenological Study in Indonesia Permana, Hendrian Hadi; Aiyub; Jannah, Syarifah Rauzatul
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/1yjsmg47

Abstract

Background: Generalist Therapy (GT) is a nursing approach that integrates physical, psychological, social, and spiritual care tailored to individual needs. While commonly used in mental health nursing, its implementation varies across countries. In Indonesia, GT is delivered through culturally adapted implementation strategies. These include deep breathing exercises, pillow-punching, medication adherence, assertive verbal communication, and spiritual practices. Although GT has become a standard practice in Indonesian mental health services particularly in Aceh Province, research on patient perceptions, especially among those with schizophrenia and a history of violence, remains limited. This study aims to explore patients’ subjective experiences of GT. Methods: This qualitative study employed a phenomenological approach. Data were collected through in-depth interviews with ten patients diagnosed with schizophrenia. The interviews were analyzed using Colaizzi’s seven-step method. Results: Three major themes emerged from the data: (1) the effectiveness of GT in emotional regulation, including managing anger, promoting calmness, and the role of medication in reducing negative emotions; (2) resilience enhancement, encompassing positive meaning-making, therapy commitment, improved social functioning, and self-control; and (3) barriers to GT implementation, including internal (emotional issues, low insight, restrictive personal beliefs, cognitive decline, and low participation) and external obstacles (limited facilities and overcrowded wards). Conclusion: GT is perceived as helpful in emotional regulation and recovery support. It strengthens resilience and improves patient insight, especially when supported by a conducive environment. Incorporating patients’ perspectives into therapeutic planning may enhance the effectiveness of mental health care.
High Bullying Exposure and Depression Risk Among Indonesian Adolescents in Boarding Schools: Multivariate Insights from a Cross-Sectional Study Funna, Rizkia; Tahlil, Teuku; Aiyub, Aiyub
Asian Journal of Public Health and Nursing Vol. 2 No. 2 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/f32mq420

Abstract

Background: Bullying is an aggressive behavior that negatively impacts students' mental health, potentially leading to depression. Boarding school environments are marked by intense peer dynamics, which may facilitate the occurrence of various forms of bullying. Methods: This cross-sectional study employed a quantitative approach involving 296 Indonesian boarding school students selected through multistage random sampling. Data were collected using the Form of Bullying Scale (FBS) and the depression subscale of the Depression, Anxiety, and Stress Scale (DASS-21). Descriptive and inferential statistics were used, including simple and multivariate logistic regression. Initial multivariate modeling included age, grade level, parental occupation, and parental income; however, only gender and bullying level remained significant and were retained in the final model. Results: The findings revealed that 38.5% of students experienced a high level of bullying, and 43.6% were identified as experiencing depression, with most cases classified as mild to moderate. Multivariate analysis showed that female gender (AOR = 3.716, p < 0.001) and high bullying exposure (AOR = 3.379, p < 0.001) significantly increased the risk of depression. Conclusion: Depression is prevalent among boarding school students, with over one-third also reporting high levels of bullying. Gender and bullying exposure were identified as key risk factors. These findings highlight the need for targeted preventive and promotive interventions, such as peer support programs, resilience workshops, and school staff training, focusing on strengthening students’ mental resilience and implementing gender-based anti-bullying strategies within the boarding school environment.

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