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 Relationship between Mothers' Knowledge and Exclusive Breastfeeding Behavior in One Private Hospital in West Indonesia http://ijnhs.net/index.php/ijnhs/article/view/359 <p><strong>Abstract.</strong> Breast milk is the most exceptional nourishment for babies. Breast milk contains micro and macronutrients, antibodies, fat, and more than hundreds of kinds of supplements that are needed for babies' growth and development. The study aimed to examine the relationship between mothers' knowledge with exclusive breastfeeding behavior. We applied the cross-sectional study design in this study. The population is all mothers from the inpatient and outpatient departments. Using the accidental sampling technique, we involved 150 mothers during June - July 2019. The univariate analysis described the respondents' characteristics, mothers' knowledge, and exclusive breastfeeding behavior. Bivariate analysis using the Chi-Square analysis revealed a significant correlation between the mothers' knowledge and exclusive breastfeeding practice (p=0.011). Additionally, the study found that mothers who had low knowledge have the opportunity of 2.556 times to perform exclusive breastfeeding. The health education towards exclusively breastfeeding behavior is essential to established not only from the prenatal period but also in the postnatal period and continues until the second year of childbirth. Further research needs to examine the husband's support and social culture aspects in demographic data to identify factors for having optimal exclusive breastfeeding</p> Lia Kartika Ferlin Ferlin Tanggulungan Rita Poppy Febriyanti Sinurat Ari Tamaro Tambunan Sumiaty Aiba Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 1 8 10.35654/ijnhs.v4i1.359 The Effectiveness of Recitation Al-Qur’an Intervention and Deep Breathing Exercise on Improving Vital Sign and anxiety Level among Congestive Heart Failure (CHF) Patients http://ijnhs.net/index.php/ijnhs/article/view/369 <p>Congestive heart failure (CHF) is a non-communicable disease caused by failure to pump blood. An alternative treatment with complementary therapies, such as recitation Al-Qur'an intervention and deep breathing exercise, improved oxygen saturation, and anxiety levels CHF patients. This study aimed to examine the effectiveness of recitation Al-Qur'an intervention and deep breathing exercises on strengthening the vital signs (oxygen saturation) and anxiety level among patients with congestive heart failure (CHF). The true experimental study approach post-test only with a control group design was applied in this study. Forty congestive heart failure (CHF) patients were selected through simple random sampling. The intervention group received the recitation Al-Qur'an therapy and deep breathing exercise, while the control group only received the medical treatment according to hospital standards. The findings showed that the intervention group was better on oxygen saturation and lowering anxiety levels than the control group (p-value = &lt;0.05). In conclusion, recitation Al-Qur'an intervention and deep breathing exercises are useful to increase oxygen saturation and lowering anxiety levels in patients with congestive heart failure (CHF). This study can be used as a source for further research with larger sample size and better control over medical therapy</p> Yudi Herdiana Ta’adi Ta’adi Masrifan Djamil Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 9 16 10.35654/ijnhs.v4i1.369 Application of Cupping Therapy with Ginger Aromatherapy on Reducing Cholesterol Level among Patients with Hypercholesterolemia http://ijnhs.net/index.php/ijnhs/article/view/371 <p>Hypercholesterolemia is a significant risk factor for cardiovascular disease. Cholesterol can interfere with and change blood vessels' structure, resulting in impaired endothelial function causing lesions, plaques, occlusion, and embolism. Cupping therapy with ginger aromatherapy is one alternative treatment for hypercholesterolemia. It improved lipid profile levels. The study aimed to examine the effect of cupping therapy with ginger aromatherapy on reducing the lipid profile levels among hypercholesterolemia patients. This true experimental study design, pre-test, and post-test with non-equivalent control group design was applied in this study. Thirty samples were selected into the experimental group and the control group. The intervention group received the cupping therapy with ginger aromatherapy, while the control group only received the10 gr simvastatin drug per day. The lipid profile levels were measured on day 1 and day 21. The result showed a significant difference between the experimental group and the control group with a p-value&lt;0.05. In conclusion, it was found that cupping therapy with ginger aromatherapy for 21 days was effective in reducing lipid profile levels among hypercholesterolemia patients. Further researchers are expected to develop research on cupping therapy's benefits with ginger aromatherapy to reduce lipid profiles or other pathological conditions</p> Mayu Sanlia Samadani Mardiyono Mardiyono M. Choiroel Anwar Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 17 27 10.35654/ijnhs.v4i1.371 The Effect of William Flexion Exercise on Reducing Pain Intensity For Elderly with Low Back Pain http://ijnhs.net/index.php/ijnhs/article/view/374 <p>The elderly are a group of the population that has the potential to become vulnerable communities. In the elderly, the aging process can cause various physical problems. One of the issues that often arise in the elderly is low back pain (NPB). The purpose of this study is to evaluate the effect of the William Flexion Exercise on reducing the pain intensity for elderly with low back pain at Hisosu Binjai Resident Home, Indonesia. The research design is quasi-experimental with the pre and post-test control group approach in 2017. This study's sample consisted of 28 people in the intervention group and 28 people in the control group. The sampling technique utilized consecutive sampling. This study used The Pain Numerical Rating Scale to evaluate the level of pain intensity perceived by the patient. The data were analyzed by dependent and independent t-test with significance ? &lt; 0.05. The dependent t-test found a significant difference in the low back pain before and after the intervention group intervention (p-value =0.000). In contrast, there is no significant difference in the control group (p-value = 0.081). The result of the independent t-test found that there are significant differences in the low back pain between the intervention group and the control group. This study concludes that William's flexion exercise provided benefits to most of the participants in this study. Thus, it may be an effective technique to reduce pain intensity and increase the range of motions</p> Amila Amila Henny Syapitri Evarina Sembiring Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 28 36 10.35654/ijnhs.v4i1.374 A Mobile App (Smart Dental Alarm) on Improving Tooth Brushing Skills among Early Childhood http://ijnhs.net/index.php/ijnhs/article/view/376 <h1><a name="_Toc45657921"></a>ABSTRACT</h1> <p>Background: Dental caries in children aged 5-9 reach 90.1%. This situation is due to the poor tooth brushing behavior of children. Smart Dental Alarm is a modification of Android-based early childhood dental hygiene education media which is equipped with various features to increase tooth brushing skills</p> <p>Objective: The aim of the research was to produce a “Smart Dental Alarm” application as a media for dental hygiene education to increase the skill of tooth brushing in early childhood.</p> <p><strong>Methods: </strong>The research was undertaken with Research and Devoloment (R&amp;D) method, while the model assesment used Quasy-Experimental Randomized Control Group of Pretest and Posttest Design. The number of research subjects was 33 children in each group, comprises group 1 as Intervention group with Smart Dental Alarmand group 2 as Control group with Power Point. Data were tested using ISO 9126, Shapiro Wilk, Freidman, and Man Whitney.</p> <p>Result: The results of this study indicate that Smart Dental Alarm is more effective in increasing the knowledge and behavior of the tooth brushing behavior in preschool children than using power point regarding the pre-test, post-test 1 and 2 which obtain p-Value in 0.000.</p> <p>Conclusion: Smart Dental Alarm is more effective in increasing tooth brushing skill and reducing caries in early age children than power points.</p> <p><strong>&nbsp;</strong></p> <p><strong>Key Words: </strong>Early age children, Smart Dental Alarm,Tooth brushing skill</p> Dewi Ratna Djamil Masrifan Wiyatini Tri Supriyana Supriyana Sunarjo Lanny Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 37 41 10.35654/ijnhs.v4i1.376 Determinant Factors of Visiting Antenatal Care among Pregnant Mothers In Dictor Public Health Center, Manggarai Regency http://ijnhs.net/index.php/ijnhs/article/view/381 <p>Health care services to pregnant mothers is conducted by health professionals mainly midwives in health care facilities. Midwivery care is an important effort to achieve optimal mother health and minimize mother’s morbidity and mortality risk. The objective of this study was to analyze determinant factors of antenatal care (ANC) visit of pregnant mothers in Dintor Public Health Center, Manggarai Regency. This study used analytic study design with cross sectional approach. The respondents of this study is 56 post partum mothers, recruited with nonprobability sampling technique, total sampling were conducted. Data were collected through questionnaire, analyzed using logistic regression test with significant value ?=0,05. The study result showed the existence of influence of mother’s age (p= 0,029), parity (p= 0,027), education (p=0,007), working status (p= 0,000), knowledge (p= 0,000) and ANC quality of care (p= 0,012) towards the pregnant mother’s ANC visit. Based on the multivariate analysis result, the most significant variable influencing pregnant mother’s ANC visit in Dintor Public Health Center was mother’s education variable with odds ratio=25.946, ANC quality of care with <em>odds ratio</em> =28.241, working status with <em>odds ratio=</em>18.260, while knowledge variable was insignificantly influencing on the collective test with &nbsp;p value&gt;0.05. It was concluded that all the variables tested in this study determining the pregnant mother’s ANC visit on Dintor Public Health Center. Thus, health workers particularly midwives expected to improve the promotive effort through health education on the importance of regular pregnancy examination in order to monitor mother and baby’s health</p> Reineldis Elsidianastika Trisnawati Pius Weraman Stefanus P. Manongga Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 42 51 10.35654/ijnhs.v4i1.381 Emotive Behavior Therapy and Flexibility activities on Pain Level among Breast Cancer Patients http://ijnhs.net/index.php/ijnhs/article/view/388 <p>Breast cancer is one of the most common non-cutaneous malignancies in women. Breast cancer can cause various problems such as fatigue, pain, fear, depression and even decreased quality of life. Pain is one of the most aggravating symptoms of cancer arising from cancer. Alternative treatment with complementary therapies, namely emotive behavior therapy and flexibility activities which can reduce the pain level of breast cancer patients. This study aims to determine the effect of emotive behavior therapy and flexibility activities on the pain level in breast cancer patients. This study quasi experimental used a non-eqiuvalent pre-test and post-test approach control group design involving 42 breast cancer patients. Selected through technique non probability sampling with purposive sampling method is divided into 2 groups, namely 18 respondents in the intervention group who were given emotive behavior therapy and flexibility activities, while 24 respondents in the control group were only given medical therapy according to hospital standards. Measurement of pain intensity was carried out twice before and after treatment, then the data were analyzed using Paired t test and Independent t test. Independent t test showed significant difference p value of 0.001 (&lt;0.05) that the intervention group very well in reducing pain level compared with the control group. The conclusion, emotive behavior therapy and flexibility activities are very effective in reducing pain level in breast cancer patients.</p> I Gede Sunardianta Sunardianta Rr. Sri Endang Pujiastuti Dina Indrati Dyah Sulistyowati Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 52 58 10.35654/ijnhs.v4i1.388 Effectiveness of Deep Breath Relaxation Techniques and Music Therapy on Reducing Anxiety Level among Preoperative Patients http://ijnhs.net/index.php/ijnhs/article/view/389 <p>Operation is a form of action or surgery that is frightening for everyone. Surgery can threaten the integrity of a person's body and soul so that it can cause a physiological response in preoperative patients, namely anxiety. Reducing anxiety before surgery is very important for patients, one of them with complementary therapy. Alternative treatments with complementary therapies, namely deep breath relaxation techniques and music therapy that can overcome preoperative patient anxiety levels. This study aims to analyze the effectiveness of deep breath relaxation techniques and music therapy on reducing the anxiety level of preoperative patients. This study quasi experimental used a noneqiuvalent pre-test and post-test approach control group design involving 42 preoperative patients. Selected through technique non-probability sampling with method consecutive sampling divided into 2 groups, namely 21 respondents in the intervention group who were given deep breath relaxation technique and music therapy, while 21 respondents in the control group were only given music therapy without deep breathing relaxation techniques. Measurement of anxiety level was carried out twice before and after treatment, then the data were analyzed using Paired t test and Independent t test. Independent t test showed significant difference p value of 0.000 (&lt;0.05) that the intervention group better well in lowering anxiety levels compared with the control group. In conclusion, deep breath relaxation techniques and music therapy effectively lowered anxiety level in preoperative patients.</p> Mohamad Malikul Mulki Mulki Ta’adi Ta’adi Lanny Sunarjo Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 59 65 10.35654/ijnhs.v4i1.389 Relationship between Culture and Self-Efficacy with Risk of Suicide among High School Adolescents in Langke Rembong District, Manggarai Regency, East Nusa Tenggara http://ijnhs.net/index.php/ijnhs/article/view/395 <p>The changing times have resulted in a greater variety of problems that cause stress and the weaker one's ability to cope with stress. This results in higher cases of suicide and a higher risk of suicide. Assessment of the risk of suicide is important to pay attention to cultural factors other than individual factors. Various attempts have been made to reduce the suicide rate. One of the efforts that can be done to reduce suicide rates is to increase individual self-efficacy. This study aims to determine how the relationship between self-efficacy and culture is related to the risk of suicide in adolescents in Langke Rembong District, Manggarai Regency, East Nusa Tenggara Province. This study used a cross-sectional quantitative approach. The population in this study were adolescents in Manggarai Regency with a sample size of 274 people. Data collection was carried out using the Assessment of Suicidal Intention (ASI), Cultural Assessment of Risk for Suicide (CARS) General Self Efficacy Scale (GSES). The results showed a significant relationship between CARS and GSES with a p value of 0,000 and a significant relationship between ASI and GSES with a p value of 0.003.The results of the Manova test showed a significant relationship between self-efficacy and the risk of suicide using CARS and GSES. p value &lt;0.05. Good self-efficacy can be a protective factor against suicide risk, vice versa, low self-efficacy can be a risk factor for suicide.</p> Claudia Dewi Fransiska Yuniati Demang Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 66 73 10.35654/ijnhs.v4i1.395 Reproductive Health Needs among Children with Hearing and Visual Impairements at SLB Karya Murni Ruteng , NTT Province http://ijnhs.net/index.php/ijnhs/article/view/397 <p>Children with Special Needs (hearing and visual impairments) will experience the same sexual development, confusion, and sexual urges as some normal children. However, access to information to obtain knowledge about reproductive health is still lacking due to their limitations. It is happened because of the lack of attention and support from the government and the general public. It is necessary to identify reproductive health needs so that health service activities can be right on target and increase the reproductive health services in this group. This study aims to identify the reproductive health needs of children with special needs (hearing and visual impairments) in SLB Karya Murni Ruteng. This research is qualitative research with a phenomenological study approach. This research was conducted at SLB Karya Murni Ruteng from May to August 2020. Participants in this study were six hearing impairments children and seven visual impairments. The principle of sampling in qualitative research is to achieve data saturation means there are no new themes that showed up. The participants in this study were 13 people because they had received data saturation. Research data collection was carried out through Focus Group Discussion (FGD) on hearing impairments children, assisted by their teacher to translate the sign language proposed by the researcher. And for the visual impairment children, the research data were collected through in-depth interviews. Researchers used interview guidelines to assist researchers in asking research-oriented questions. Analysis of the data used in this study using content analysis. The analysis provides in narrative form started from coding each informant's statement that is relevant to the research, categorizing, and producing themes under the research objectives. The validated data carried out by triangulation of sources that confirming the answers with related parties so that there was the suitability of the answers given to the informants. The source of triangulation was taken from the teachers and principals of Karya Murni's SLB, who were always with them both at school and in the school dormitory. The results of the study explained that most children with special needs did not have a comprehensive understanding of Reproductive Health. The role of parents and educators is still not maximal in giving the understanding of reproductive health to children with special needs. Health services, especially reproductive health, which is currently being echoed by the central and regional governments, have not touched people with special needs</p> fransiska demang Claudia Fariday Dewi Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 74 81 10.35654/ijnhs.v4i1.397 BECA : An Android Aplication to Increase Breast Self-Examination (BSE) Practice http://ijnhs.net/index.php/ijnhs/article/view/399 <p>Cancer is one of the chronic diseases that could decrease productivity dan quality of human sources due to its long term treatment, including breast cancer. Breast self-examination (BSE) should be done as early detection for breast cancer. The use of technology is needed to achieve this goal. The purpose of this study was to determine the effect of a BSE application android called BECA on BSE practice. This study utilized quantitative and quasi-experimental design without a control group. The study was conducted in a selected area in Yogyakarta. The respondents were selected via purposive sampling. The BSE practice was assessed used a BSE practice form and statistically tested with<em>&nbsp;</em>the<em>&nbsp;</em>Wilcoxon test. The total&nbsp;number of respondents of this study was 32 women childbearing aged. The characteristic of respondents were<strong>&nbsp;</strong>20-30 years old (53.1%), married (68.8%), housewife (43.8%), and senior high school (56,3%). Wilcoxon test results showed a computed p-value of 0.000 so that the null hypothesis was rejected. In conclusion, BECA application android is effective to improve the BSE practice. The researchers recommend utilizing BECA Application android for daily use.&nbsp;</p> Ratna Puspita Adiyasa Resta Betaliani Wirata Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 82 88 10.35654/ijnhs.v4i1.399 Patient Satisfaction of Service and Availability of Medical and Drugs among Inpatient Hospital West Sulawesi http://ijnhs.net/index.php/ijnhs/article/view/402 <p>This study discusses how patient satisfaction with services and availability of medical facilities and medicines in the inpatient unit of the West Sulawesi Provincial Hospital, in terms of indicators of completeness of medical equipment and laboratory services so that they do not need to be sent to other hospitals, indicators of the availability of medicines in hospital pharmacy, indicator of length of service time at hospital dispensary and indicator of service for hospital dispensary officers. The method used in this research is descriptive method with quantitative approach. The population in this study were 2874 patients treated at the West Sulawesi Provincial Hospital. The sample in this study using accidental sampling technique, so that samples of this study amounted to 97 people. Data collection techniques used in this study questionnaires, interviews, review of documents and documentation. Data analysis using frequency distribution tables and percentage analysis. The results showed that the percentage of patient satisfaction with the service and availability of medical facilities and medicines in the inpatient unit of the West Sulawesi Provincial Hospital in terms of indicators of completeness of medical equipment and laboratory services, so there was no need to be sent to other hospitals by 66.2%, indicator the availability of medicines in hospital dispensaries was 67.4%, the indicator of length of service time at hospital dispensaries was 76.1% and the indicator of service for hospital dispensaries was 75.7%. Dan hasil perhitungan persentase seluruh item indikator diperoleh nilai rata-rata skor sebesar 71,3%. Secara keseluruhan pelayanan dan ketersediaan sarana medis dan obat-obatan di unit rawat inap RSUD Provinsi Sulawesi Barat sudah dapat memenuhi harapan pasien. And the results of calculation of the percentage indicator of all items obtained average value score of 71.3%. Overall the service and the availability of medical facilities and medicines in the hospital inpatient units of West Sulawesi province has been able to meet the expectations of patients.</p> Wita Oileri Tikirik Amir Imbaruddin Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 89 96 10.35654/ijnhs.v4i1.402 Factors predicting of the Implant Contraceptive Used as Family Planning Method among Mothers in Wae Mbeleng Public Health Center, Ruteng Sub District http://ijnhs.net/index.php/ijnhs/article/view/367 <p>To achieve optimal maternal health is one of the development agenda in line with the Sustainable Development Goals (SDGs). The said agenda also in line with the government development pathway 2015-2019, to manifest the development priority agenda (Nawacita), particularly on the fifth point namely “increasing the quality of life of Indonesian” through “population development and family planning”. This study aim to identify factors related to the use of implant as contraceptive family planning method in Wae Mbeleng public health center. This study was using analytic cross-sectional design on 392 women on reproductive age selected using multistage random sampling. The variable analyzed in this study such as age characteristic, information from health professionals and spouse’ support collected using structurized questionnaire from January 2019 to March 2019. Data analysis conducted through univariate analysis, bivariate analysis using simple logistic regression test and multivariate analysis using multinomial logistic regression. The study identified that the prevalence of implant use on reproductive age women in Wae Mbeleng public health center was 0,9%. Variables with significant statistic correlation on implant use were age (p=0,005), education (0,000), knowledge (0,000), culture (0,016), information obtain from health professionals (p= 0,000), and spouse’s support (p=0,000). The most impactful variable on implant contraceptive method was the information obtain from health workers. The effort to facilitate the information provision is by engaging public figure and religious leader that considered as role models in order to avoid the misinterpretation of family planning in accordance with each religious beliefs.</p> <p>&nbsp;</p> <h3>Kata kunci: reproductive age women, implant</h3> Dionesia Octaviani Laput Stefanus. P Manongga Muntasir Muntasir Eufrasia Prinata Padeng Fransiska Nova Nanur Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) 2021-02-20 2021-02-20 4 1 97 111