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Holistic Nursing PLUS
Published by PT Sahabat Publikasi Kuu
ISSN : -     EISSN : 29872081     DOI : 10.58439
Core Subject : Health,
Health Professions Nursing
Holistic Nursing PLUS (HNP) focuses on publishing articles that advance knowledge and scientific progress while promoting holistic nursing and health care practice through the fundamental Pillars, Longevity, Ubiquity, and Solitude in the fields of nursing, such as complementary and alternative, spiritual care, stress management, prayer and healing, palliative care, mental health, community health, and health behaviours. This publication is published in print and online every six months (twice a year), in April and October. A minimum of five articles are included in each edition providing original research, case study, concepts analysis, letter to editor, editorial, review articles, nursing protocols, and perspectives in nursing.
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 43 Documents
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The Effect Of Virginia Coconut Oil (VCO) On The Prevention Of Decubitus In Prolonged Bed Rest Patients syafriati, ani
Holistic Nursing Plus Vol. 2 No. 2 (2024): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v2i2.259

Abstract

Decubitus is a condition where external pressure causes damage or injury to local tissue. Trauma and surgical wounds can cause damage to skin integrity, long-term pressure on the skin can also cause irritation and the formation of decubitus, People who experience nerve damage due to stroke, traumatic injury, diabetes mellitus, or coma are also more likely to experience decubitus. The purpose of this study was to determine the effect of administering virgin coconut oil (VCO) on the risk of decubitus. The research method used the Pre Experiment design method with a one group pre post test design. The population in this study were all patients in the Akasia Inpatient Room, Siti Fatimah Az-Zahra Hospital, South Sumatra Province. The total number of patients treated was 30 respondents. Sampling was carried out using the total sampling technique. The results of the study showed that there was an effect of administering virginia coconut oil on the risk of decubitus in patients with long-term bed rest, the significant value of the non-parametric statistical test (Wilcoxon) was 0.000 (p value 0.000 <0.05). Suggestions are expected as input and sources of information in providing counseling to patients who are bedridden for a long time to use pharmacological therapy in preventing decubitus, and routinely use Virginia Coconut Oil which has many benefits.
Translation And Validation Of Bahasa Indonesia Version Of Mental Health Literacy In Adolescent Juniarni, Lia; Kanathasan, Jayasree S; Nallappan, Devi
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.275

Abstract

Background: Mental health literacy (MHL) is crucial for adolescents to recognize, manage, and prevent mental health issues. In Indonesia, increasing adolescent mental health challenges and limited culturally adapted MHL tools highlight the need for a validated Mental Health Literacy Scale (MHLS) in Bahasa Indonesia. Objective: This study aimed to translate, culturally adapt, and validate the MHLS for Indonesian adolescents to assess their mental health literacy accurately. Methods: The study followed a three-stage validation process: translation, cultural adaptation, and content validation with a sample of 435 adolescents. Confirmatory Factor Analysis (CFA) was conducted to assess construct validity, and Cronbach’s alpha was calculated for reliability. Results: The translated MHLS showed high content validity (CVI ≥ 0.87) and good construct validity with fit indices (RMSEA = 0.046, CFI = 0.956). Internal consistency was high (Cronbach's alpha = 0.907), indicating reliability. Conclusion: The Bahasa Indonesia version of MHLS is a valid and reliable tool for assessing mental health literacy in Indonesian adolescents, supporting culturally relevant interventions.
The relationship between physical activity and fear of childbirth with quality of life among pregnant women in Indonesia Dewi Marfuah; Tukimin bin Sansuwito; Rathimalar ayakannu
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.282

Abstract

Background: Physical activity and fear of childbirth (FoC) are recognized as influential factors on QoL. However, the interplay of these factors remains underexplored in the Indonesian context, where cultural and healthcare settings differ from high-income countries. Objective: To investigate the relationships between physical activity, fear of childbirth, and quality of life among pregnant women in Indonesia. Methods: This cross-sectional study involved 250 pregnant women recruited through convenience sampling from healthcare facilities in Indonesia. Data were collected using validated instruments: the Physical Pregnancy Activity Questionnaire (PPAQ), Wijma Delivery Expectation Questionnaire (WDEQ-A) for FoC, and Quality-of-Life Gravidarum (QOL-GRAV) questionnaire. Multiple regression analysis was employed to assess the relationships among physical activity, FoC, and QoL, adjusting for confounders. Results: The mean age of participants was 28.4 years (SD = 5.6), with 67.6% reporting moderate physical activity levels. FoC was prevalent, with 45.2% experiencing high levels, while 34.8% reported high QoL. Physical activity was positively associated with QoL (r = 0.52, p < 0.001), while FoC was negatively associated (r = -0.61, p < 0.001). Multiple regression revealed that physical activity (β = 0.39, p < 0.001) and FoC (β = -0.46, p < 0.001) were significant predictors of QoL, explaining 42.5% of the variance (R² = 0.425, p < 0.001). Conclusion: These findings underscore the importance of incorporating physical activity promotion and FoC mitigation into antenatal care to enhance maternal well-being.
The Usability and Feasibility Testing of Tele-Heart Nursing Care/TNC a Digital Application for Preventing 30 Days Re-Admission Among Heart Failure Patients Amalia, Irma Nur
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.306

Abstract

Background: An android-based application called ‘Tele-Heart Nursing Care’/TNC aims to assist remote monitoring for heart failure patients. By improving self-care through daily monitoring and efforts to increase adherence to therapy, it is expected to prevent 30-day readmission rates. Purpose: To test the usability and feasibility of the application by users, the System Usability Scale (SUS) was used, a standardized questionnaire that has been declared valid and reliable with a Cronbach Alpha value of 0.778. This stage of testing is a continuation of the previous testing by expert cardiologists, cardiac specialist nurses and IT experts. Methods: This study used quantitative methodology using SUS questionnaires to 10 heart failure patients at Dr M. Salamun Hospital Bandung in June 2024. Sampling with a cross-sectional approach with a minimum number to conduct testing. After patients accessed the TNC application then they filled out the SUS questionnaire. Results: From the ten questions in the SUS questionnaire, the average score of all respondents was 78.6 with a letter grade of B. The Tele-heart Nursing Care application can be used well by respondents, although there are still difficulties with the registration system, language use and other difficulties related to the use of applications related to the elderly. Conclusions: It can be concluded that the use of the Tele-heart Nursing Care Application can be used properly by respondents. And in the future, the use of TNC applications can be widely used in heart failure patients.
Comparison Of Wound Healing Process Between Hepar Sulph With Aloe Vera Wound Care Dressing Treatment Among Diabetic Foot Ulcers : A Pilot Study Muslim, Dede Nur Aziz Muslim; FARIDAH MOHD SAID; NISHA NAMBIAR; NUR INTAN HAYATI HUSNUL KHOTIMAH; Yuyun Sarinengsih
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.307

Abstract

This pilot study examines the effectiveness of Hepar Sulph and Aloe Vera in diabetic foot ulcer management. Key findings indicate superior outcomes with Hepar Sulph in wound size reduction and closure time. Implications for alternative wound care strategies are discussed. Diabetic foot ulcers (DFUs) pose a significant challenge in diabetic patient management. This pilot study aims to compare the effectiveness of Hepar Sulph and Aloe Vera in promoting wound healing among diabetic foot ulcer patients. A total of 60 participants were divided into three groups: 20 in the control group treated with normal saline (NaCl), 20 in the Aloe Vera group, and 20 in the Hepar Sulph group. The study found that both Hepar Sulph and Aloe Vera were effective in wound healing, with Hepar Sulph demonstrating superior results. This study highlights the potential of Hepar Sulph as a more effective treatment option for DFUs compared to Aloe Vera.
Effectiveness Of Mirror Therapy On Extremity Motor Function In Post Stroke Patients: Literature Review Ratri, Tifany Hayuning
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.310

Abstract

Background: Stroke occurs when a blood artery is blocked or ruptured, suddenly cutting off the blood supply to the brain, so that brain tissue does not get enough oxygen and nutrients. The purpose of this literature review is to find out how effective mirror therapy works to improve motor function in the upper extremities of stroke patients. The article search method in this journal review uses several data bases and keywords taken from 2019-2023. The article search obtained 5,436 articles. Good articles are reviewed using the PICOT framework, which reduces the risk of bias when data selection is carried out independently by two authors consisting of design, method, intervention and outcome, where the Population is stroke patients, hemorrhagic using Mirror therapy, There is no comparator, Outcome is improved upper extremity function. as many as 7 selected articles used the RCT (Randomized Control Trial) design. The results of Mirror therapy are an effective rehabilitation technique for stroke patients with mild to severe paralysis. Mirror therapy can be an alternative in terms of increasing their mobility by strengthening muscles and helping with daily activities. It is hoped that this literature review discussion can be used for further and detailed research so that it can be used as a reference for establishing interventions in post-stroke patients.
Validity, Sensitivity and Reliability of HAPUs E-book App for Preventing Incident of Pressure Ulcer on Patients Ahmalia, Renty
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.311

Abstract

Background: Pressure ulcers, or bedsores, are a global healthcare challenge, impacting patient well-being and placing significant economic burdens on healthcare systems. Despite advances in prevention strategies, hospital-acquired pressure injuries (HAPIs) remain prevalent due to aging populations, chronic conditions, and gaps in healthcare practices. Aims: This study evaluates the validity, reliability, sensitivity, and specificity of the HAPUs E-book app as a digital tool for educating nurses and preventing pressure ulcers. Methods: Using the Content Validity Index (CVI), eight experts (five wound care specialists and three IT experts) assessed the app's content validity. Sensitivity and specificity were calculated from trials involving 30 nurses, while Cronbach's Alpha Coefficient was used to evaluate internal consistency across key components. Results: The app achieved a CVI score of 1.00, indicating strong content validity. Sensitivity was 95.83%, and specificity was 83.33%, demonstrating high diagnostic accuracy. Cronbach's Alpha scores ranged from 0.73 to 0.82, confirming strong internal consistency and reliability. Conclusion: The HAPUs E-book app is a reliable tool for nursing education and pressure ulcer prevention. Its high sensitivity, specificity, and validated content make it suitable for clinical use and continuous professional development. However, further studies with larger populations are needed to generalize findings and assess long-term outcomes. Keywords: Pressure ulcers; Content Validity Index; CVI; mHealth; Validity
Marriage satisfaction is associated with the incidence of perinatal depression Pinem, Lina Herida; Bin Sansuwito, Tukimin; Nambiar, Nisha
Holistic Nursing Plus Vol. 3 No. 1 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i1.312

Abstract

Introduction: Marital satisfaction, which includes aspects of communication, emotional intimacy, partner support, and quality of interaction, is believed to play an important role in maternal mental health after childbirth. This dissatisfaction can increase feelings of loneliness, stress, and anxiety, all of which can worsen the mental state of the postpartum mother. Women who experience dissatisfaction in their marital relationships have a higher tendency to experience postpartum depression. The prevalence of depressive disorders in the world population is 3-8% with 50% of cases occurring at the productive age of 20-50 years. World Health Organization. (WHO) states that depressive disorder affects 20% of women and 12% of men at some point in life. Objective: To find out if there is a relationship between marital satisfaction and the incidence of postpartum depression in East Bekasi. Methods: This study is an analytical study, meaning a study that aims to see the relationship or influence in the form of analytical descriptive research with a crossectional approach using the chisquere test, Research results: the results of the Chi-Square Statistical Test obtained a p-Value of 0.043 (p-value <0.05) so that Ha was accepted by Ho and rejected which means that there is a meaningful relationship between marital satisfaction and depression in postpartum mothers. Bottom Line: Women who are dissatisfied with their marriage are more at risk of postpartum depression. These findings are in line with many previous studies that show that the quality of a marital relationship can affect a mother's mental well-being after childbirth. Therefore, it is important to pay attention to the aspect of marital satisfaction as part of efforts to prevent postpartum depression.
Psychometric properties of Bahasa Version of The Household Emergency Preparedness Scale (HEPS) Calisanie, Nyayu Nina Putri
Holistic Nursing Plus Vol. 3 No. 2 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i2.318

Abstract

Background: The Household Emergency Preparedness Scale (HEPS) is designed to measure preparedness levels within households. Despite its effectiveness in English-speaking populations, culturally adapted versions for non-English speakers remain limited, especially in Southeast Asia. Translating HEPS into Bahasa Indonesia could offer a relevant tool for Indonesian communities frequently affected by natural disasters. Objective: This study aimed to translate and validate the Bahasa Indonesia version of HEPS. Methods: This study involved a three-phase process, including translation, cultural adaptation, and psychometric validation. Forward and backward translations were conducted, followed by expert panel reviews and content validity was evaluated through Aiken’s V coefficient, with ratings from five experts. A confirmatory factor analysis (CFA) to assess construct validity. Reliability was measured using Cronbach’s alpha and the Intraclass Correlation Coefficient (ICC). Results: The Bahasa Indonesia HEPS demonstrated strong content validity, with most items achieving an Aiken’s V score of 1.00. The CFA showed acceptable model fit across all subscales, with fit indices within recommended ranges (CFI > 0.90, RMSEA < 0.08). Reliability was high, with Cronbach’s alpha exceeding 0.80 for all subscales except one, which exhibited moderate inter-rater reliability (ICC = 0.546–0.732). Conclusion: The Bahasa Indonesia HEPS is a reliable and valid tool for assessing household emergency preparedness in Indonesia. It holds promise for both community-level assessments and policy planning in disaster-prone areas, providing a culturally relevant measure to enhance emergency preparedness initiatives.
Translation And Validation Of Social-Emotional Development Scale In Indonesian Language Srinatania, Dewi; Sansuwito, Tukimin bin; Ahmed, Idris Adewale
Holistic Nursing Plus Vol. 3 No. 2 (2025): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v3i2.323

Abstract

Background: Early-childhood social-emotional development (SED) is strongly related to lifelong well-being and academic development and mental health resilience. The absence of tools that are suitably culturally and linguistically validated for assessing SED in Indonesia nevertheless limits early opportunities for identifying developmental concerns. The objective of this study was to translate and validate the Ages and Stages Questionnaire: Social-Emotional (ASQ:SE) into Bahasa Indonesia so that it can be reliably and validly used in assessing SED for Indonesian children. Purpose: this study aimed to translate, cultural adaptation, and the validation of the ASQ:SE for Indonesian children 6 to 60 months of age, thus ensuring the soundness of any psychometric properties when applied in the local context. Methods: This cross-sectional study involved 350 parents or caregivers of children aged 6–60 months from community health centers and early childhood education programs across urban and rural areas of Java, Indonesia. The ASQ:SE was translated forward and back, reviewed by experts, and subjected to cognitive debriefing. Psychometric properties were measured by confirmatory factor analysis (CFA) for its construct validity, using Cronbach’s alpha for internal consistency, an intraclass correlation coefficient (ICC) for test-retest reliability, and known-groups validity to distinguish typically developing children from those with clinician-identified developmental delays. Results: The model fit from the CFA was acceptable (χ²/df = 2.15, CFI = 0.91; TLI = 0.89, RMSEA = 0.06). Internal consistency was very high (α = 0.86), and the test-retest reliability revealed very high stability (ICC = 0.89, 95% CI = 0.85–0.92). Known-groups validity established that the scores were significantly different (t = 5.62, p < 0.001) between typically developing children and those with developmental delays, confirming the discriminative ability of the tool. Conclusion: The Indonesian version of ASQ:SE is marked by reliability and validity that are strong enough to render it a culturally appropriate instrument for assessing the SED of Indonesian children. In clinical and educational settings, this can provide an avenue for building towards and supporting further developmental delay and thus child development.

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