Indonesian Journal of Health Services
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.
Articles
45 Documents
<![CDATA[The effect of lavender aromatherapy on the sleep quality of elderly patients: A quasi-experimental study ]]>
<![CDATA[Akbar, M Agung]]>;
<![CDATA[Rizki, Fakhri]]>;
<![CDATA[Aprilia, Rike]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i3.16
<![CDATA[Background: Sleep disturbances are common among elderly individuals and negatively affect physical health, psychological well-being, and overall quality of life. Non-pharmacological approaches such as lavender aromatherapy have increasingly been used to improve sleep quality across different populations. Objective: This study aimed to examine the effect of lavender aromatherapy on sleep quality among elderly patients. Methods: This study applied a quasi-experimental design with a pretest–posttest control group approach. A total of 60 elderly participants were recruited and randomly allocated into two groups consisting of 30 participants in the intervention group and 30 participants in the control group. The intervention group received lavender aromatherapy through a diffuser for 30 minutes each night before bedtime for 14 consecutive days, while the control group received routine care without aromatherapy exposure. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention period. Statistical analysis was performed using paired t-tests to evaluate changes in sleep quality within each group and independent t-tests to compare differences between the intervention and control groups. The level of statistical significance was set at p < 0.05. Results: The mean PSQI score in the intervention group decreased from 11.3 ± 2.1 at baseline to 6.2 ± 1.8 after the intervention, whereas the control group showed no significant change. Statistical analysis demonstrated significant differences between pretest and posttest scores in the intervention group and significant differences between groups after the intervention. Conclusion: Lavender aromatherapy significantly improves sleep quality among elderly patients and may serve as an effective complementary intervention in geriatric nursing care.]]>
<![CDATA[Nursing care for type 2 diabetes mellitus patients with the application of diabetic foot gymnastics: A quasi-experimental study ]]>
<![CDATA[Aulia, Siti]]>;
<![CDATA[Prasert, Somchai]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i2.17
<![CDATA[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.]]>
<![CDATA[Nursing care for rheumatoid arthritis patients with the application of rheumatic gymnastics for pain management: A case study ]]>
<![CDATA[Putri, Amelia]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i2.18
<![CDATA[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.]]>
<![CDATA[Application of chest physiotherapy in toddler patients with pneumonia with ineffective airways clearance: A case study ]]>
<![CDATA[Sriko, Rizma Wirza]]>;
<![CDATA[Wulandari, Ria]]>;
<![CDATA[KK, Indra Frana Jaya]]>;
<![CDATA[Afdhal, Fitri]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i2.20
<![CDATA[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.]]>
<![CDATA[Relationship of parenting patterns in children aged 2-5 years with attitudes preventing stunting: A cross-sectional study ]]>
<![CDATA[Amalia, Fitri]]>;
<![CDATA[Siahaan, Joni]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v2i1.32
<![CDATA[Background: Childhood stunting remains a major global public health problem that affects growth, development, and long-term health outcomes among children under five years of age. Parenting behavior and preventive health attitudes within families play an important role in supporting child nutrition and growth during early childhood. Objective: This study aimed to analyze the relationship between parenting patterns in children aged 2–5 years and parental attitudes toward stunting prevention. Methods: This study employed a quantitative cross-sectional design involving 65 parents who had children aged 2–5 years in the Tarumajaya Public Health Center area. Participants were selected using a purposive sampling technique based on predefined inclusion criteria. Data were collected using a structured questionnaire that assessed parenting patterns and attitudes toward stunting prevention. Data analysis was performed using descriptive statistics and Fisher’s Exact Test to determine the association between variables. Results: The results showed that most parents applied democratic parenting patterns (90.8%), followed by authoritarian (4.6%), neglectful (3.1%), and permissive parenting (1.5%). The majority of respondents demonstrated positive attitudes toward stunting prevention (96.9%). The Fisher Exact statistical test indicated that parenting patterns were not significantly associated with attitudes toward stunting prevention (p = 0.092). Conclusion: Most parents demonstrate positive attitudes toward stunting prevention regardless of parenting patterns. Strengthening parental education and community-based health promotion may enhance preventive practices related to child growth and nutrition.]]>
<![CDATA[Relationship between workload and job satisfaction of nurses in the hospitalization room: A literature review ]]>
<![CDATA[Yanwarin, Jean Ayu C]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i3.42
<![CDATA[Background: High workload among nurses in hospitalization rooms frequently influences job satisfaction and healthcare service quality. These conditions often arise from high patient demands, staffing shortages, and administrative responsibilities. Objective: This study aims to analyze the relationship between workload and job satisfaction among nurses working in hospitalization rooms through a literature review. Methods: This study employed a literature review method by collecting and analyzing scientific articles published in academic databases such as Google Scholar between 2019 and 2023. The study selection process followed the PRISMA guideline from the EQUATOR Network. The selected articles examined workload conditions, job satisfaction, and organizational factors affecting nurses in hospital settings. Results: The review found that most nurses experience high workload due to high patient volume, shift work systems, and complex administrative tasks. High workload conditions were associated with increased fatigue, job stress, and decreased job satisfaction among nurses. Organizational support, work environment, and work–life balance were also identified as important factors influencing nurses’ job satisfaction. Conclusion: Workload shows a negative relationship with job satisfaction among nurses in hospitalization rooms. Effective workload management strategies are necessary to improve nurses’ well-being and healthcare service quality.]]>
<![CDATA[Effectiveness of giving red spinach on increasing hemoglobin levels in pregnant women in the second trimester with anemia: A literature review ]]>
<![CDATA[Tuhalauruw, Nelly Enjel]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i4.43
<![CDATA[Background: Anemia during pregnancy remains a major global health problem that affects maternal and fetal outcomes. Iron deficiency represents the primary cause of anemia among pregnant women, particularly during the second trimester when iron requirements increase significantly. Dietary approaches using iron-rich vegetables may provide complementary strategies for improving hemoglobin levels. Objective: This study aimed to analyze the effectiveness of red spinach consumption in increasing hemoglobin levels among pregnant women in the second trimester with anemia. Methods: This study used a literature review design following the PRISMA guideline. Articles were identified through systematic searches in Google Scholar and PubMed databases using keywords related to pregnancy, anemia, red spinach, and hemoglobin. The inclusion criteria included studies published between 2018 and 2024, articles written in English or Indonesian, and studies involving pregnant women with anemia receiving red spinach interventions. The SPIDER framework was applied to structure the review process. Data were extracted and synthesized using a narrative approach. Results: Ten studies met the inclusion criteria and were included in the analysis. The studies used experimental and quasi-experimental designs with intervention durations ranging from two to four weeks. Most interventions involved boiled red spinach or red spinach juice. The results consistently showed increased hemoglobin levels among pregnant women after red spinach consumption, with average improvements ranging from approximately 1.1 g/dL to 1.7 g/dL. Conclusion: Red spinach consumption demonstrates potential effectiveness as a nutritional intervention for improving hemoglobin levels among pregnant women with anemia. Incorporating red spinach into maternal dietary programs may support anemia management during pregnancy.]]>
<![CDATA[The effect of physical activity in efforts to reduce the incidence of hypertension in the elderly: A literature review ]]>
<![CDATA[Rumatrai, Jein Dini F]]>;
<![CDATA[Gurning, Maylar]]>;
<![CDATA[Mannopposem, Inggerid A]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December ]]>
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DOI: 10.63202/ijhs.v1i4.46
<![CDATA[Hypertension is a major public health problem among elderly populations and contributes significantly to cardiovascular morbidity and mortality worldwide. Lifestyle modification, particularly physical activity, plays an important role in preventing and managing hypertension in older adults. Objective: This study aimed to examine the effect of physical activity in efforts to reduce the incidence of hypertension in the elderly through a literature review approach. Methods: This study employed a literature review design following the PRISMA guideline. Articles were searched through the Google Scholar database using the keywords physical activity, hypertension, and elderly. The search was limited to articles published between January 2020 and December 2024. Eligible studies included research articles that examined physical activity interventions aimed at reducing blood pressure among elderly populations. Ten relevant studies were selected after applying inclusion and exclusion criteria. Data were extracted and synthesized using a narrative analysis approach. Results: The review identified various physical activity interventions including structured walking programs, hypertension exercise, ergonomic exercise, and Buerger-Allen exercise. Most interventions were conducted for three to eight weeks and demonstrated reductions in systolic blood pressure ranging from approximately 5–15 mmHg. Several complementary therapies such as relaxation techniques also contributed to blood pressure reduction. The findings indicate that regular physical activity improves cardiovascular regulation, enhances physical fitness, and supports better hypertension control among elderly individuals. Conclusion: Physical activity interventions provide effective non-pharmacological strategies for reducing blood pressure among elderly populations. Integrating structured physical activity programs into community health services can strengthen hypertension prevention and promote healthy aging.]]>
<![CDATA[Relationship of nursing services to the level of patient satisfaction: A literature review ]]>
<![CDATA[Duwith, Yopi]]>;
<![CDATA[Gurning, Maylar]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i4.47
<![CDATA[Background: Patient satisfaction represents an important indicator for evaluating the quality of health services, particularly nursing care delivered in hospital settings. Nurses maintain continuous contact with patients during treatment processes, making nursing services a key determinant of patient experiences and satisfaction outcomes. Objective: This study aimed to analyze the relationship between nursing service quality and the level of patient satisfaction through a literature review. Methods: This study used a literature review design following the PRISMA guideline recommended by the EQUATOR Network. The data were secondary data derived from previously published research articles. The literature search was conducted using Google Scholar with keywords related to patient satisfaction, nursing services, and service quality. The inclusion criteria included full-text research articles published between 2019 and 2024 that examined nursing service quality and patient satisfaction. A total of ten studies met the inclusion criteria and were analyzed using a narrative synthesis approach. Results: The review of five selected studies showed consistent evidence that nursing service quality significantly influences patient satisfaction. Several dimensions of nursing care quality, including reliability, responsiveness, assurance, empathy, and communication, were identified as major determinants of patient satisfaction. Most studies reported statistically significant relationships between nursing care quality and patient satisfaction with p-values less than 0.05. Conclusion: Nursing service quality plays a crucial role in improving patient satisfaction in hospital settings. Strengthening nursing care quality through improved communication, responsiveness, and professional competence can enhance patient experiences and overall health care service quality.]]>
<![CDATA[The effect of puzzle play therapy on the anxiety level of hospitalization of pre-school age children: A literature review ]]>
<![CDATA[Saputra, Aji]]>;
<![CDATA[Gurning, Maylar]]>;
<![CDATA[Mannopposem, Inggerid A]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i4.52
<![CDATA[Background: Hospitalization often generates anxiety among preschool-aged children because unfamiliar environments and medical procedures create emotional stress during treatment. Therapeutic play interventions have been widely implemented to support psychological adaptation during pediatric hospitalization. Objective: This study aimed to examine the effect of puzzle play therapy on the anxiety level of hospitalization among preschool-aged children through a literature review approach. Methods: The study applied a literature review design following the PRISMA guideline from the EQUATOR Network. Secondary data were collected from scientific articles retrieved through Google Scholar using keywords related to puzzle play therapy and hospitalization anxiety in preschool children. The inclusion criteria included full-text research articles published between 2019 and 2024 that investigated therapeutic play interventions among hospitalized preschool-aged children. Ten eligible studies were selected after the screening and eligibility process. Data extraction included study characteristics, research design, sample size, intervention type, anxiety measurement instruments, and main outcomes. The findings were synthesized using descriptive analysis and narrative synthesis to identify patterns in puzzle play therapy effectiveness. Results: The review included ten studies conducted in pediatric hospital settings. Most studies applied quasi-experimental or pretest–posttest designs with sample sizes ranging from 24 to 35 children. The results consistently showed that puzzle play therapy significantly reduced anxiety levels among hospitalized preschool children. Several studies reported statistically significant decreases in anxiety scores with p-values below 0.05. Puzzle play therapy also improved emotional comfort and cooperative behavior during hospitalization. Conclusion: Puzzle play therapy represents an effective non-pharmacological intervention that reduces hospitalization anxiety among preschool-aged children. The intervention provides cognitive distraction, emotional engagement, and structured play experiences that help children adapt to stressful hospital environments.]]>
