International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs <p style="font-weight: 400;">International Journal of Nursing and Health Services (IJNHS) is a peer-reviewed, open access scholarly journal publishes high-quality manuscripts on innovative research covering all aspects of nursing and healthcare. The scope of topics covered in the journal includes public health nursing, advanced practice nursing, family nursing, critical care nursing including surgery, pediatrics, medicine, midwifery and obstetrical nursing, accident, emergency, cardiac, renal, neurosciences, hematology, etc.</p> <p style="font-weight: 400;">This journal accepts original research articles, review articles, case reports, mini-reviews, rapid communication, opinions and editorials on all related aspects of nursing and health science</p> Alta Dharma Publisher en-US International Journal of Nursing and Health Services (IJNHS) 2654-6310 Factors Associated with Development among Children in Flood-Prone Areas in Indonesia http://ijnhs.net/index.php/ijnhs/article/view/349 <p>Every natural disaster must cause losses and impacts in the affected area, as well as flooding. Among them are the spread of various germs, loss of property, agriculture, crops, or damaged fields, public facilities, facilities, and infrastructure to be damaged. The purpose of this study was to analyze economic factors, environmental sanitation, nutritional and psychological status of children on children's development in flood-prone areas of Gayaman Village. In this study, the population is all families who have children in flood-prone areas of Gayaman Village. The sampling technique used is purposive sampling. Data were analyzed using the rho spearmen test. The results showed that most children with good psychology with normal development there were 56 respondents (54.9%) with the statistical test results p-value 0.002 the value of the closeness of the relationship was 0.301, meaning that there is a close relationship between child psychology and child development. Respondents were mostly in good environmental sanitation with child normal development to 60 respondents (58.8%). Statistical test results p-value 0.008 the value of the closeness of the relationship is 0.262, meaning that there is a close relationship between environmental sanitation and child development. High socioeconomic with child normal development to 32 respondents (31.4%) with a p-value of 0.079 a closeness value of 0.175, meaning that there is no significant relationship between family economic conditions and child development. The nutritional status of children is mostly good with normal child development of 66 respondents (64.7%) with a p-value of 0.019, a closeness value of 0.232, meaning that there is a close relationship between nutritional status and child development. Good nutritional status in childhood will affect subsequent child development because by providing good nutrition the child is not easily sick and development is optimal.</p> Tri Peni Tri Ratnaningsih Siti Indatul Laili Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 632 639 10.35654/ijnhs.v3i6.349 Behavior Change Therapy Model for Improving Tooth Brushing Behavior among Children with Mental Retardation http://ijnhs.net/index.php/ijnhs/article/view/354 <p>Dental health problems occur in many communities, including mental retardation in children with all of their intellectual limitations, social behavior, and sometimes the weakness in motor coordination. The study aimed to develop and to examine the effectiveness of the behavior change therapy model as an alternative to improving the tooth brushing behavior among children with mental retardation. The Research and Development (R&amp;D) approach was applied in this study. The quasi-Experimental, Pre-test, and Post-test with the non-equivalent control group for examining the effect of the model on health outcome. The research subjects of mental retardation children were divided into the intervention group and the control group. Experts tested by the intervention group validated the model development. Expert validation of the behavior change therapy model gets an average of 86.67 (very decent) as an alternative to improving tooth brushing behavior among children with mental retardation with p-value&lt;0.05. Other results found that the model effectively enhanced the knowledge, gesture, and tooth brushing skills in mental retardation children with p-value &lt;0.05. The therapy model as an alternative strategy was useful and recommended improving tooth brushing behavior among mental retardation children</p> Rohisotul Laily rasipin rasipin Supriyana supriyana Suharyo Hadisaputro Bedjo Santoso Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2021-01-08 2021-01-08 3 6 640 645 10.35654/ijnhs.v3i6.354 Explosion Teeth Box Promotion Based-Media Model Towards Changing Tooth Brushing Behavior among Primary School Students http://ijnhs.net/index.php/ijnhs/article/view/355 <p>Dental and oral health problems in primary school students are in the high category. This is because efforts to improve the dental health behavior of school children are still not optimal. One effective prevention of these problems through the act of brushing your teeth diligently, thoroughly, and regularly. Proper dental health education is given to primary school students in the form of media packaged by learning while playing. Media promotion explosion teeth box is expected to change the behavior of brushing your child's teeth. The study aimed to develop the suitable and to examine the effect explosion teeth box promotion-based-media model to improve tooth brushing among primary school students. Research and Development (R&amp;D) and product/model trials (quasi-experimental pre-test and post-test design-was applied in this study). The subjects of class III primary school students such as the intervention group and the control group. Experts validated the results of the model design. The results found that the average validation of explosion teeth box experts was 86.66 (very feasible) as a medium for promoting dental health in primary school students shown by the p-value (0.001). This model effectively increased tooth brushing (p=0.001) and decreased the index debris score (p=0.001) compared to the control group. The application of an explosion teeth box, which was carried out for ten days, effectively improved brushing teeth in primary school students compared to the control group</p> <p> </p> Melanie Agis Marludia Masrifan Djamil Rasipin Rasipin Suharyo Hadisaputro Bedjo Santoso Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 646 653 10.35654/ijnhs.v3i6.355 Development of Magic Paper Models to Improve Dental Health Behavior among Children with Elementary School Level http://ijnhs.net/index.php/ijnhs/article/view/356 <p>The prevention of dental diseases and mouth has been done with many preventive and curative promotive efforts. Still, the effort has not succeeded in increasing the value of dental health behavior. It is seen from the percentage of caries of children aged 9-11 years by 44%. Elementary school children's media can help understand, maintain, and prevent dental and oral diseases. The media was created in an exciting form so that the child was able to learn while playing. Generating magic paper models produced by the design of relevant/worthy builds as health promotion media for children, and its application can improve elementary school children's dental health behavior better. A research and Development (R&amp;D) research design was applied in this study and model testing using quasi-experiment design pre-test and post-test with non-equivalent control group design. Magic paper models are relevant/feasible as a media for health promotion for elementary school children. The 21 days program was useful for an increase in knowledge (P=0.001), attitude (P=0.001), and action (P=0.001) on health promotion for elementary school children. Media Magic paper models created by the design of the relevant/feasible as health promotion media for children and its application can better improve dental health elementary children's behavior</p> Rifa Fauziah Syaifia Putri Rasipin Rasipin Tri Wiyatini Ari Suwondo Suharyo Hadisaputro Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 654 661 10.35654/ijnhs.v3i6.356 Utilization Alkaline Water as An Alternative Complementary Therapy on Triglyceride Levels among Patients with Grade I Hypertension http://ijnhs.net/index.php/ijnhs/article/view/358 <p>Cardiovascular disease a non-communicable disease with a high incidence in Indonesia. Non-communicable diseases are increasing every year, especially in Indonesia. An alternative treatment for hypertension with complementary therapy is alkaline water, which can improve triglyceride levels. This study aimed to examine alkaline water's effect as an alternative, complementary medicine on triglyceride levels among patients with hypertension grade I. This research quasi-experimental with a design using pre-test-test and post-test control group design. Data collection involved 40 respondents of phase I hypertension patients, selected through non-probability sampling with a purposive sampling method divided into two groups. The intervention group received therapy, captopril drug, and simvastatin, with the consumption of alkaline water 8.5 doses 1.5 liters per day for 21 days. In contrast, the control group was only assigned medication according to the doctor's prescription and mineral water consumption with normal power of hydrogen (pH). Independent t-test results showed significant differences with the average triglyceride levels p-value 0.000 (&lt;0.05). The intervention group is better at lowering triglyceride levels than the control group seen from the higher difference values. Conclusion in utilizing alkaline water with a pH of 8.5 doses 1.5 liters per day for 21 days effectively reduces triglyceride levels in grade I hypertension patients</p> Putri Wulandari Ari Suwondo Rr. Sri Endang Puji Astuti Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 662 671 10.35654/ijnhs.v3i6.358 The Effectiveness of Acupressure Pen and Active Stretching (Acupenas) on Fasting Blood Sugar Levels among Type 2 Diabetes Mellitus Patient http://ijnhs.net/index.php/ijnhs/article/view/362 <p>International Diabetes Federation (IDF) reported that the number of DM patients worldwide increases every year. Indonesia ranks sixth with the highest DM prevalence globally after China, India, the United States, Brazil, and Mexico. The main problem caused by DM patients is the instability of blood sugar levels. Alternative treatments for Diabetes Mellitus with complementary therapy are acupressure therapy, which can prevent complications and improve blood sugar levels. This study examines the effectiveness of acupressure pen and active stretching on fasting blood sugar levels in type 2 diabetes mellitus patients. This true research experiment with the design using pre-test and post-test control group design. Data collection involved 38 respondents of type 2 Diabetes Mellitus patients, selected through technique probability sampling with simple random sampling. The intervention group was received the acupressure pen and active stretching <em>(Acupenas)</em> therapy with metformin drug 2x500 mg. In contrast, the control group only received therapy metformin drug 2x500 mg without acupressure pen and active stretching. Independent t-test results showed significant differences with the average fasting blood sugar levels p-value 0.002 (&lt;0.05). It was indicated that the intervention group is better at lowering blood sugar levels than the control group seen from the higher difference value. Complementary therapy is acupressure pen and active stretching was effective in reducing blood sugar levels in type 2 Diabetes Mellitus patients.</p> Iche Nila Kusna Sudirman Sudirman Budi Widiyanto Supriyana Supriyana Ta'adi Ta'adi Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 672 679 10.35654/ijnhs.v3i6.362 Effectiveness of Cold Compress with Ice Gel on Pain Intensity among Patients with Post Percutaneous Coronary Intervention (PCI) http://ijnhs.net/index.php/ijnhs/article/view/366 <p>Coronary heart disease is caused by narrowing the coronary arteries due to atherosclerosis or spasms, or a combination of both. A non-surgical intervention to reopen narrowed coronary arteries by Percutaneous Coronary Intervention (PCI) and pain is one of the common symptoms. Interventions were carried out to reduce pain by using cold compresses with ice gel. This study aimed to examine the effect of cold compress with ice gel on pain intensity among patients with aff femoral sheath post-Percutaneous Coronary Intervention (PCI). True experimental approach post-test only with control group design was applied in this study. Independent t-test showed a significant difference p-value 0.000 (&lt;0.05) that the pain intensity of the intervention group decreased from 4.53 to 2.40 (p=0.000) with a mean delta value of -2.13. The mean pain intensity control group also reduced from 4.40 to 4.27 (p=0.334) with a mean delta value of -0.13. Conclusion cold compresses with ice gel effectively reduce pain intensity in aff femoral sheath patients with post percutaneous coronary intervention (PCI). Cold compress (ice gel) is a nurse's independent action to reduce the pain intensity scale and increase comfort during the treatment phase but still requires collaboration with doctors to provide analgesics</p> Gentur Wicaksono Ta’adi Ta’adi Masrifan Djamil Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 680 686 10.35654/ijnhs.v3i6.366 The Effectiveness of Acupressure and Smart Gymnastic on Fasting Blood Sugar Levels among Patients with Type II Diabetes Mellitus http://ijnhs.net/index.php/ijnhs/article/view/368 <p>Diabetes mellitus (DM) is a glucose metabolism disease characterized by an increase in blood sugar levels and impaired metabolism of fats, protein, and carbohydrates due to a lack of the hormone insulin, both absolutely and relatively. Alternative treatment of diabetes mellitus with complementary therapies, namely acupressure and smart gymnastic, can improve the fasting blood sugar level. This study aims to determine the effectiveness of acupressure and smart gymnastic on fasting blood sugar levels among patients with type II diabetes mellitus. True experimental study pretest and post-test with non-equivalent control group design were applied in this study. Repeated Measure, ANOVA test, showed a significant difference with the mean fasting blood sugar level p-value 0.000 (&lt;0.05). The intervention group is better at lowering fasting blood sugar levels than control group 1 and control group 2 seen from the higher value difference. Conclusion of acupressure therapy with smart gymnastics three times a week for four weeks effectively reduces fasting blood sugar level in a patient with type II diabetes mellitus. This study can be used as a reference for further research, with a larger sample size, controlling the patient's diet, and a longer duration of intervention, so that the results obtained are more valid.</p> Dian Apri Nelyanti Ta’adi Ta’adi M. Choiroel Anwar Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 687 694 10.35654/ijnhs.v3i6.368 Effect of Guava Juice and Papaya Juice on Increasing the Hemoglobin Levels among Pregnant Women http://ijnhs.net/index.php/ijnhs/article/view/347 <p>Anemia is a significant public health problem with a prevalence of about 2 billion around the world. Consuming the iron (Fe) tablets or foods containing iron were strategies for preventing iron deficiency. Vitamin C or ascorbic acid can increase iron absorption 4-fold, and an amount of 200 mg will increase iron absorption by at least 30%. Guava (Psidium Guajava) and papaya (Carica Papaya Linn) are examples of fruits that contain lots of ascorbic acids. The study aimed to investigate red guava juice and papaya juice on hemoglobin levels in pregnant women. This study applied the pre-experimental research with two groups, pre-test and post-test, without the control group. Thirty pregnant women were divided into two groups, such as group 1 received the Guava (n=15), and group 2 received the papaya (n=15). A paired T-test was used to test the mean value of pre-test and post-test within the group. An Independent t-test was done to determine the difference between groups. This study showed an increase in hemoglobin after two weeks of guava juice and papaya juice supplementation. However, the Independent t-test showed no significant difference between the two groups with a value of 0.617 (p &gt;0.05). Both supplementations of 200 ml/day red guava juice and papaya juice with iron tablets for 14 weeks are equally effective in increasing hemoglobin levels in second and third-trimester pregnant women</p> Sri Yati Rizky Amelia Dhita Aulia Octaviani Maya Erisna Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 695 699 10.35654/ijnhs.v3i6.347 Complementary Nursing Intervention of Acupressure and Bay Leaf Extract (Syzygium polyanthum) on Reducing Pain among Patients with Arthritis Gout http://ijnhs.net/index.php/ijnhs/article/view/365 <p>Arthritis Gout is a disease affecting the joints characterized. It was characteristic of monosodium urate monohydrate (MSU) accumulation in tissue synovial or other tissues. The prevalence of gouty arthritis in various countries in the world in the last few decades continues to increase. In patients, the main problem that occurs with gouty arthritis is pain and stiffness in the joints that recur, causing reddish swelling around the joints due to increased uric acid. Alternative treatment for arthritis gout in nursing interventions such as acupressure and bay leaf extract <em>(Syzygium polyanthum)</em>. It could reduce and relieve pain in gout arthritis patients. This study examines the analysis of complementary nursing interventions of acupressure and bay leaf extract <em>(Syzygium polyanthum)</em> on pain in arthritis gout clients. This study used true experimental with approach pre-test and post-test control group design. Data collection involved 30 respondents with arthritis gout clients, selected through technique probability sampling with simple random sampling, divided into three groups. The intervention group received the therapy acupressure and bay leaf extract <em>(Syzygium polyanthum)</em>. The first control group received the therapy acupressure, and the second control group received bay leaf extract therapy <em>(Syzygium polyanthum)</em>. Pain intensity decreased in the intervention, control one, and managing two groups. But based on the One Way ANOVA test on the pain variable, it showed that the intervention group had the most significant reduction with a value (4.70±1.05) in the control group 1 (3.10±0.99) and control group 2 (3.0±1.05) with a significant p-value of 0.001 (&lt;0.05). Conclusion giving complementary nursing intervention acupressure and bay leaf extract <em>(Syzygium polyanthum)</em> effectively reduces pain in arthritis gout patients</p> Nadia Sari Tri Johan Agus Yuswanto Diyah Fatmasari Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 700 708 10.35654/ijnhs.v3i6.365 Theory Development of Genetic Counseling among Patient with Genetic Diseases http://ijnhs.net/index.php/ijnhs/article/view/350 <p>Genetic Counseling is a communication process undertaken to address the issue of genetic diseases affected in the family. The basic concept of Selfcare is active awareness, while genetic counseling is passive awareness. The nursing theory is based upon the philosophy that all "patients wish to care for themselves". The objective of this study to sustain the theory development of genetic counseling related to Orem’s Selfcare theory following on from three relationship construction theories which include self care theory, self care deficit theory and nursing system theory. Genetic counseling is relevan with Orem’s selfcare theory as a gold standard to improve self care awareness, increase quality of life and reduce stress level among patients and families with genetic diseases.</p> Henri Setiawan Suhanda Suhanda Elis Roslianti Andan Firmansyah Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 709 715 10.35654/ijnhs.v3i6.350 Nursing managers' strategies for reducing interpersonal and interprofessional conflicts in the Covid-19 Pandemic http://ijnhs.net/index.php/ijnhs/article/view/403 <p>The COVID-19 pandemic is a challenge for all parties and needs a fast, precise and integrated response. Nurses as the frontline are the people most at risk of contracting this disease. Changes in all aspects require that nurses can collaborate with other interprofessional teams and makes nurses vulnerable to pressure and stress that can lead to conflict. The role of nursing managers in creating a conducive work atmosphere and preventing interprofessional conflicts is needed. This study used literature reviews through the ScienceDirect online database, SAGE journals, Wiley Online Library and other sources, which aims to analyze the strategy of nurse managers in preventing interprofessional conflicts in the era of the COVID-19 pandemic. The results show that providing education on the control and prevention of COVID-19 infection, supervision, improving effective communication through information technology, optimizing workflows, improving nursing standards, providing support and implementing crisis management are strategies that can be used by nurse managers. Assertiveness can be used as conflict management to prevent interprofessional conflicts in the pandemic era.&nbsp; Each profession can communicate positively with other interprofessional teams, accept each other and carry out professional responsibility and making decisions about COVID-19 patients.</p> Rr.Tutik Sri Hariyati Krisna Yetti Malawat Kartika Mawar Sari Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 716 721 10.35654/ijnhs.v3i6.403 Relationship between Supervision and End of Life Care Documentation in Inpatient Room at Hospital in South Jakarta http://ijnhs.net/index.php/ijnhs/article/view/404 <p><strong><em>Introduction: </em></strong><em>Patients treated in hospitals with end-of-life patients are more likely to be in the intensive care room than patients treated in the standard care room because, if there is an end of life, they are moved to the inpatient room required the implementation of supervision on documenting the end of life care, so that the quality of service improves. <strong>Objective</strong>: To identify the relationship between supervision implementation and EoLC documentation in the intensive care room. <strong>Method</strong>: Cross-sectional design was used. Univariate, bivariate, and multivariate were used to analyze. <strong>Results</strong>: The mean age was 35.68 ± 7.232 years, tenure 12.12 ± 7.623 years, 78.3% women, Nursing Diploma 64.2%, implementing nurses 95.8%, PNS 63.2%, PK2 44.8 % and have attended 55.7% training. The average supervision implementation was 51.20%, the technical dimension was 68.30%, the principal was 66.73%, the model was 64.47%, and the routine activities were 51.82%, and documentation was 74.17% EoLC. There is a significant relationship between supervision (techniques, principles, routine activities, and supervision models) with EoLC documentation. The dominant dimension of supervision is the supervision model with medium strength and a positive direction. There are three variables: gender, position, and supervision model can increase EoLC documentation by 27.8% (R2 = 0.278), while other variables can increase the rest. EoLC documentation equation = 75,479 + 3,763 Gender + (-8,366) Position + 2,108 Supervision Model. <strong>Conclusion</strong>: The nursing sector creates an SPO program to carry out supervision and documentation of EoLC to create effectiveness in nursing services that have an impact on patient quality and safety</em></p> Krisna Yetti Malawat Azis Fahruji Kuntarti Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 722 734 The Effectiveness Of The Application Of Nursing Early Warning Score System (NEWSS) In Reducing The Frequency Of Emergency Cardiac Arrest: A Case Study Of Pelamonia Hospital, Makassar http://ijnhs.net/index.php/ijnhs/article/view/401 <p>One of the efforts made by nurses to identify deterioration or emergency incidents in patients is through the use of Nursing Early Warning Score System (NEWSS). This study therefore aims to determine the effectiveness of this system in reducing the frequency of cardiac arrest in patients. A quasi-experiment with a post-test only control group design was adopted and a sample of 80 respondents was obtained. Furthermore, the research instrument consists of 7 physiological parameters in the NEWSS assessment, under standard operating procedures. The results from the Mann Whitney test with a P value of 0.000, (P &lt;0.05) indicate that the System is effective in reducing the frequency of emergency cardiac arrests.</p> <p>&nbsp;</p> <p><strong>Keywords</strong>: <em>NEWSS, Cardiac Arrest Emergency</em></p> Nusdin Nunu Nusdin Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2020-12-22 2020-12-22 3 6 735 742 10.35654/ijnhs.v3i6.401 The Effects of Acupressure and Acupuncture as Natural Induction Methods for Spontaneous Labor http://ijnhs.net/index.php/ijnhs/article/view/361 <p><strong>.</strong> Induction of labor is high all over the world. Pharmacological and mechanical labor induction is one of the most frequent medical actions in midwifery services across the world. This systematic review aims to analyze the effectiveness of acupressure and acupuncture on the induction of spontaneous labor. Articles were retrieved from PubMed, Google Scholar, and ScienceDirect until March 3<sup>rd</sup>, 2020. Only articles published from 2010 to 2020 were included. Keywords used consisted of “acupuncture,” “acupressure for induction of labor,” “acupressure for initiation of labor,” “term pregnancy”. Articles were filtered using inclusion criteria. The literature search resulted in 1.365 articles. A total of 9 articles (5 acupressure and 4 acupuncture studies) were included for review. The total number of participants was 1,656 people. One study suggested that acupressure was effective in increasing cervical maturation. Two studies (1 acupressure and 1 acupuncture) stated that it was raised the frequency of initiation of spontaneous labor. One study showed that acupuncture reduced the need for medical induction. Other studies showed no significant effect. Overall, studies demonstrated a positive effect of acupressure and acupuncture on cervical maturation and increasing the frequency of initiations of spontaneous labor. Besides, it may reduce the need for medical induction. Further investigations are needed</p> Ertitawati Siregar Lucky Herawati Runjati Runjati Maya Erisna Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) 2021-01-15 2021-01-15 3 6 743 753