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INDONESIA
Indonesian Journal of Health Services
Published by Science Center Group
ISSN : -     EISSN : 30891590     DOI : https://doi.org/10.63202/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
The Indonesian Journal of Health Services (IJHS) is committed to advancing research that supports the Sustainable Development Goals (SDGs), particularly SDG 3: "Good Health and Well-being." The journal focuses on a broad range of topics within health services and public health that address critical healthcare needs in Indonesia, Asia and also worldwide to contributing to global health improvement. The following are the primary areas of focus and scope for IJHS: Health Policy and Governance Research on policy development, healthcare regulation, and the impact of governance on health service quality, access, and equity. Healthcare Management and Quality Improvement Studies on healthcare organization, management practices, and strategies for quality improvement in health facilities and health systems. Primary Healthcare and Community Health Services Focus on strengthening primary healthcare and community-based health services, including maternal and child health, elderly care, and disease prevention. Public Health and Epidemiology Research on public health issues, epidemiological studies, and surveillance of infectious and noncommunicable diseases relevant to the region. Health Economics and Financing Economic analyses of healthcare costs, financing models, resource allocation, and economic impact of health policies. Environmental Health and Occupational Health Studies on the health impact of environmental factors, occupational hazards, climate change, and sustainable practices in healthcare. Healthcare Equity and Social Determinants of Health Research that addresses health disparities, social determinants of health, and initiatives to improve healthcare equity and access for vulnerable populations. Digital Health and Health Informatics Exploration of digital innovations in healthcare, such as telemedicine, electronic health records, and the application of artificial intelligence in healthcare delivery. Mental Health and Psychosocial Support Studies on mental health services, access to psychosocial support, and the integration of mental health into primary healthcare systems. Health Education and Health Promotion Research on effective health education, community health promotion programs, and interventions that encourage healthy behaviors and lifestyle changes.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 1 No. 2 (2024): April - June" : 5 Documents clear
Implementation of red rice consumption education for diabetes mellitus patients: A case study Bastian, Angga Densi; Budianto, Yudi; Zulkifli, Ahmad Firdaus Bin
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.6

Abstract

Background: Dietary management represents a fundamental component of diabetes care because carbohydrate intake significantly influences postprandial blood glucose levels. In many Asian countries, white rice remains the primary carbohydrate source, which may contribute to higher glycemic responses. Whole grain rice varieties such as red rice contain higher levels of dietary fiber and bioactive compounds that may help regulate blood glucose levels. Therefore, patient education regarding healthier carbohydrate alternatives is essential to support effective diabetes self-management. Objective: This study aimed to examine the implementation of red rice consumption education for diabetes mellitus patients and explore its potential role in supporting blood glucose control in a primary healthcare setting. Methods: This study used a descriptive case study design conducted in the working area of the UPTD Tanjung Baru Community Health Center from February to March 2022. Two patients diagnosed with diabetes mellitus who met predetermined inclusion criteria were recruited as study participants. The intervention consisted of structured education on the nutritional benefits of red rice and guidance on incorporating red rice into daily dietary patterns. Data were collected through observation, structured interviews, documentation review, and literature analysis. The nursing care process included patient assessment, nursing diagnosis formulation, care planning, intervention implementation, and evaluation of patient responses. Results: Baseline assessment indicated that both participants had limited knowledge regarding appropriate dietary management for diabetes mellitus and were uncertain about strategies to control blood glucose levels. Following the educational intervention, participants demonstrated increased awareness of dietary management and greater interest in adopting red rice as an alternative carbohydrate source. Although the nursing problem related to knowledge deficit was not fully resolved during the observation period, participants showed improved understanding of healthy dietary practices and expressed willingness to modify their eating habits. Conclusion: Educational intervention focusing on red rice consumption may improve dietary awareness and support glycemic management among patients with diabetes mellitus. Integrating nutrition education into nursing care programs in primary healthcare settings may contribute to improved diabetes self-management and healthier dietary behaviors.
Complementary massage therapy intervention for hypertensive patients to lower blood pressure: A case study Oktarisa, Yunika; Budianto, Yudi
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.13

Abstract

Background: Hypertension remains a major public health problem that contributes to cardiovascular morbidity and mortality worldwide. Pharmacological therapy is widely used to control blood pressure, yet many patients continue to experience symptoms such as headache and psychological stress. Complementary interventions including massage therapy have gained attention because they promote relaxation and improve cardiovascular regulation. Objective: This study aimed to explore the implementation of complementary massage therapy intervention for hypertensive patients to lower blood pressure through a nursing case study approach. Methods: This study used a case study design following the CARE guideline from the EQUATOR Network. Two hypertensive patients who received nursing care at Puskesmas Tanjung Baru in 2022 were included. Nursing care followed the nursing process including assessment, nursing diagnosis, intervention, implementation, and evaluation. The complementary intervention consisted of Swedish massage therapy applied for 20–30 minutes. Blood pressure and clinical indicators were measured before and after the intervention using standard vital sign monitoring procedures. Results: The intervention showed improvements in blood pressure and clinical symptoms in both patients. Patient A demonstrated a reduction in blood pressure from 160/90 mmHg to 140/90 mmHg, while Patient B experienced a decrease from 150/90 mmHg to 130/80 mmHg. Both patients also reported reductions in headache intensity and improved relaxation following the intervention. Conclusion: Complementary massage therapy appears to provide beneficial effects in lowering blood pressure and reducing symptoms among hypertensive patients. This intervention may serve as a supportive nursing strategy in primary healthcare settings to enhance holistic hypertension management.
Nursing care for type 2 diabetes mellitus patients with the application of diabetic foot gymnastics: A quasi-experimental study Aulia, Siti; Prasert, Somchai
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.17

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disease that frequently leads to complications such as peripheral neuropathy, impaired circulation, and decreased mobility in the lower extremities. These complications often reduce patients’ functional capacity and increase the risk of diabetic foot problems. Non-pharmacological interventions that support circulation and nerve function are therefore important components of comprehensive diabetes care. Diabetic foot gymnastics has been recommended as a simple and practical exercise to improve lower limb circulation and prevent neuropathic complications. However, evidence regarding the effectiveness of nursing-led diabetic foot exercise programs in clinical care settings remains limited. Objective: This study aimed to evaluate the effectiveness of nursing care for patients with type 2 diabetes mellitus through the application of diabetic foot gymnastics using a quasi-experimental approach. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted among 60 patients with type 2 diabetes mellitus. Participants were divided into an intervention group (n=30) and a control group (n=30). The intervention group received structured diabetic foot gymnastics training as part of nursing care, while the control group received routine diabetes care without the exercise program. The intervention was implemented for four weeks with regular supervised sessions. Outcome variables included neuropathic pain, peripheral circulation measured by capillary refill time, and lower extremity mobility. Data were analyzed using descriptive and inferential statistical tests to compare pre- and post-intervention outcomes. Results: The intervention group demonstrated a significant reduction in neuropathic pain scores, improved peripheral circulation, and increased mobility after the exercise program. The average pain score decreased from 6.4 to 3.2, capillary refill time improved from 3.1 seconds to 2.1 seconds, and mobility scores increased from 52.8 to 68.5. In contrast, the control group showed only minimal changes in these indicators. Conclusion: Diabetic foot gymnastics integrated into nursing care effectively improves neuropathic symptoms, circulation, and functional mobility in patients with type 2 diabetes mellitus. The intervention provides a practical strategy for nurses to support prevention and management of diabetic neuropathy in clinical practice.
Nursing care for rheumatoid arthritis patients with the application of rheumatic gymnastics for pain management: A case study Putri, Amelia
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.18

Abstract

Background: Rheumatoid arthritis is a chronic inflammatory autoimmune disease that causes persistent joint pain, stiffness, and functional impairment. Chronic pain in rheumatoid arthritis often reduces mobility, interferes with daily activities, and decreases quality of life. Non-pharmacological interventions such as therapeutic exercise are increasingly recommended to complement pharmacological treatment in managing pain and improving joint function. Objective: This study aimed to evaluate nursing care for rheumatoid arthritis patients through the application of rheumatic gymnastics as a non-pharmacological intervention for pain management. Methods: This study employed a descriptive case study design using a nursing care approach. The study was conducted in a primary healthcare center involving a patient diagnosed with rheumatoid arthritis who experienced chronic joint pain. The intervention consisted of rheumatic gymnastics performed three times per week for four weeks, with each session lasting approximately 30 minutes and including warm-up, core exercise, and cooling-down phases. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using descriptive analysis to evaluate changes in pain intensity following the intervention. Results: The patient initially reported severe pain with an NRS score of 7 before the intervention. After four weeks of rheumatic gymnastics, the pain intensity decreased to an NRS score of 3, indicating mild pain. The patient also reported improved joint mobility and increased confidence in performing daily activities. The intervention demonstrated positive outcomes in both physical comfort and psychological adaptation. Conclusion: Rheumatic gymnastics integrated into nursing care may serve as an effective non-pharmacological strategy for reducing pain intensity and improving functional ability in patients with rheumatoid arthritis. The intervention can be implemented in primary healthcare settings to support holistic pain management.
Application of chest physiotherapy in toddler patients with pneumonia with ineffective airways clearance: A case study Sriko, Rizma Wirza; Wulandari, Ria; KK, Indra Frana Jaya; Afdhal, Fitri
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.20

Abstract

Background: Pneumonia is a major respiratory infection that causes inflammation of lung tissue and excessive mucus production, leading to airway obstruction and impaired respiratory function. In toddlers, anatomical and physiological characteristics such as narrow airways and immature immune responses increase the risk of ineffective airway clearance. Effective management strategies are therefore required to facilitate secretion removal and improve respiratory function. Chest physiotherapy is a non-pharmacological intervention widely used to mobilize airway secretions and enhance pulmonary ventilation. Objective: This study aimed to analyze the application of chest physiotherapy in toddler patients with pneumonia experiencing ineffective airway clearance. Methods: This study employed a descriptive analytic case study design conducted in the pediatric inpatient ward of RSUD Siti Fatimah Az-Zahra Hospital, South Sumatra, Indonesia. The study involved two toddler patients aged between 10 months and 2 years who were diagnosed with pneumonia and experienced ineffective airway clearance. Chest physiotherapy was administered twice daily for three consecutive days with a duration of 10–15 minutes per session. Nursing care followed the standard nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation. Respiratory parameters such as respiratory rate, body temperature, pulse rate, breath sounds, and airway secretion clearance were assessed before and after the intervention. Data were analyzed using descriptive analysis to evaluate changes in respiratory status following chest physiotherapy. Results: Both patients demonstrated clinical improvement after the intervention period. Respiratory rate decreased from 60 to 52 breaths per minute in Patient 1 and from 42 to 40 breaths per minute in Patient 2. Breath sounds such as wheezing gradually disappeared, and airway secretions were expelled more effectively. Pulse rate and body temperature also stabilized during the evaluation period, indicating improved respiratory status and airway clearance. Conclusion: Chest physiotherapy can improve airway clearance and respiratory function in toddlers with pneumonia. This intervention may serve as an effective non-pharmacological nursing strategy to support respiratory management in pediatric pneumonia patients.

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