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> en-US chiefeditorijnhs@gmail.com (Dr. P.H. Rian Adi Pamungkas, S.Kep. NS., MNS) amhay.usba459@gmail.com (Ns. Andi Mayasari Usman, S.Kep., M.Kep) Tue, 20 Oct 2020 12:47:54 +0000 OJS 3.2.1.1 http://blogs.law.harvard.edu/tech/rss 60 Effectiveness of “Heni’s Dental Flannel Book” On Improving Dental Health Care among Early Childhood http://ijnhs.net/index.php/ijnhs/article/view/234 <p>One of the factors causing dental caries is the lack of children's knowledge resulting in a lack of awareness of children maintaining dental hygiene. To increase children's knowledge can promote dental health through child oral health education and mouth. The use of media is still less effective in health education that has been running. Therefore the need for innovation and development is to use media innovation "Heni's Dental Flannel Book." The study aimed to develop "Heni's Dental Flannel Book" media as a health education book and the effectiveness "Heni's Dental Flannel Book" for increasing the dental health care of Early Childhood Education Programs. Research and Development (R &amp; D), there are ten stages of research, namely: information gathering, design models, validation expert, revision, product trial (Pre experiment with one group pre-test post-test, a sample of 15 children), modification, application trial (Quasi-experimental with pre-test and post-test nonequivalent control group design, a sample of 20 children in the intervention group and 20 children in the control group, final product revision, production of a product. Data were tested using ANOVA, Shapiro Wilk, Wilcoxon test, Mann-Whitney test. "Heni's Dental Flannel Book" is useful as an effort to increase dental and oral health care for Early Childhood Education Programs, as indicated by a p-value&lt;0.001. Children's knowledge is characterized by a p-value&lt;0.000, a child's attitude is shown by a p-value &lt;0.000. There is a difference in the effectiveness of smart dental books and flipchart in increased dental and oral health care for children with a p-value of &lt;0.000. “Heni’s Dental Flannel Book” effectively improve children's knowledge and attitudes</p> Nugraheni Widyastuti, Diyah Fatmasari, Masrifan Djamil Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/234 Tue, 20 Oct 2020 00:00:00 +0000 Mobile Information Breastfeeding Model (MIB-Model) On Behaviors and Self-Efficacy of Breastfeeding Among Mothers http://ijnhs.net/index.php/ijnhs/article/view/258 <p>Breastfeeding is proven to have long-term health benefits for both mothers and infants. The advancement of mobile technology is very useful in promoting health that can change health behaviors. The success of breast milk is not separated from the methods and media used. The study aimed to develop MIB-Model and to examine the effect of MIB-Model on behavior and self-efficacy of breastfeeding among mothers in providing breast milk. The application development method with the software development Live cycle (SDLC) with the waterfall model. The test model is conducted with Quasi-experiment with pre-test, post-test, and control group design. The number of respondents in this study amounted to 40 0rang, 20 for the experimental group, and 20 for the control group. MIB-Model proved its worth having performed with the ISO 9126 standard and can improve knowledge, attitudes, actions, and the baby's weight to the P-value &lt;0.05. In unpaired data analysis, self-efficacy with P-value&gt; 0.05 showed no differences between the intervention and control, support, and experience of being part of self-efficacy formation. MIB-Model is feasible to be utilized and improved primiparous breastfeeding mothers' behavior and the baby's weight and does not increase the self-efficacy mother</p> Ausanti Usman, Rasipin Rasipin, Sutopo Patriajati Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/258 Tue, 20 Oct 2020 00:00:00 +0000 The Effect of Virgin Coconut Oil (VCO) with Lotion On The Skin Moisture among Uremic Patients Undergoing Hemodialysis in Hospital Binjai City, Indonesia http://ijnhs.net/index.php/ijnhs/article/view/319 <p>Chronic kidney failure is a public health problem throughout the world, and the number of sufferers is increasing. Chronic kidney failure can cause clinical symptoms in various body systems, one of which is a disorder in the skin that becomes dry (uremic). This study aimed to examine the effect of Virgin Coconut Oil (VCO) on the skin moisture among uremic patients undergoing hemodialysis. This type of research is a quasi-experiment with pre-test and post-test equivalent control group. The study was conducted at the Regional General Hospital, Dr. RM. Djoelham Binjai. The study population was 80 people, divided into 2 sample groups of 40 people each. The results showed that there was a significant effect of skin moisture on the intervention group before and after being given Virgin Coconut Oil, p = 0.000&lt;0.05; There was a significant effect of skin moisture in the control group before and after lotion (post-test), p = 0.000&lt;0.05. There is no need for special emulsions such as VCO to moisturize the skin in uremic patients undergoing hemodialysis because using ordinary lotions can moisturize the skin. It must be used regularly, twice a day after bathing. The lotion used must also be a lotion that does not contain mercury and chemicals that can harm the skin. To increase the skin's moisture becomes normal, giving lotion is better than VCO because by providing lotion, more skin becomes normal, while using VCO, the skin becomes more oily. It is recommended to health workers (doctors, nurses) to practice correctly and appropriately how to administer Virgin Coconut Oil (VCO) to uremic patients undergoing hemodialysis to be done at home</p> Siti Saodah, Imam Budi Putra, Cholina Trisa S Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/319 Tue, 20 Oct 2020 00:00:00 +0000 The Effect of Acumoxa Therapy on Blood Pressure in Gestational Hypertension http://ijnhs.net/index.php/ijnhs/article/view/327 <p>Gestational hypertension (GH) adverse effects on pregnancy and fetal development, but there are still a few non-pharmacological interventions that can control blood pressure. The study aimed to examine the impact of acumoxa therapy on reducing blood pressure among patients with GH. Thirty-four patients were admitted to three community health centers in Brebes Regency. They were selected and randomly divided into two groups, such as the experimental group and the control group. This study's participation was pregnant women randomly allocated to the experimental group <em>(n</em>= 17) and control group <em>(n</em>=17). The intervention group received acumoxa therapy. The control group received acupressure therapy at the same time of 5 minutes at each point in 3 sessions per week for four weeks. The points used between the intervention and control groups were almost the same. Acupoints HT 7 and LI11 are given acumoxa and acupressure. Point GV20 is only covered by pressure, and point KI3 is only moxibustion. Of the 34 women who completed the study, those who received acumoxa had significantly lower mean arterial pressure (MAP) (mean difference = 8 mmHg, p&lt;0.05). Acumoxa therapy is an effective non-pharmacological method for reducing blood pressure in patients with gestational hypertension</p> Ketut Anom Sri Kesumawati, Mardiyono Mardiyono, Leni Latifah Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/327 Tue, 20 Oct 2020 00:00:00 +0000 The Effect of Application Anemia Management Module On Improving Maternal Behaviors and Hemoglobin Level among Pregnant Women with Anemia http://ijnhs.net/index.php/ijnhs/article/view/330 <p>Lack of knowledge of mothers on the importance of iron tablet consumption impact on compliance. So that the iron requirement is not fulfilled and the effect of anemia. Countermeasures to raise awareness and behavior to increase hemoglobin levels. Educational modules consisted of information regarding pregnancy and the importance of anemia Fe tablet consumption. The study aimed to examine the effect of the anemia management module to change mothers' behavior in improving hemoglobin levels. A quasi-experimental study pretest-posttest with a non-equivalent control group was applied in this study, with a purposive sampling technique, where the intervention and control groups, respectively, 14 people. The data were analyzed using an independent t-test. Furthermore, to determine the effect of continued modules using linear regression. The intervention effect on knowledge, attitudes, actions by the p-value of 0.00, but it does not directly influence HB's p-value 0.231 (&gt; 0.05). With its application for 30 days with biweekly visits, the anemia management module effectively changes the mother's behavior to improve knowledge, attitudes, actions, and modules that do not directly influence Hb's increase. Use of the anemia management module as companion media education of health workers, especially in the range of PHC</p> Irma Nadziroh, M. Choiroel Anwar, Sudirman Sudirman Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/330 Tue, 20 Oct 2020 00:00:00 +0000 Behavioral Intervention Innovation on Reducing Sexual Risk Behavior among HIV-Positive Men Sex Men: A Literature Review http://ijnhs.net/index.php/ijnhs/article/view/334 <p>The high degree of HIV transmission in the MSM circles resulted from the risky sexual behaviors. The study aimed to describe the behavioral intervention innovation to reduce sexual risk behavior among HIV-Positive MSM. This literature study was conducted to identify behavioral intervention innovations among HIV-Positive MSM. Articles were retrieved from Wiley Online, ProQuest, and ScienceDirect databases. The keywords used were behavioral Intervention, sexual risk behavior, and HIV-Positif MSM. The articles were limited based on inclusion criteria: English language full-text articles have been published from 2010 to 2019. Research studies also included several study design types, including a quasi-experimental study, a randomized control trial (RCT), and mixed-method design. Based on the research results on the selected journal, it is known that there is a wide range of behavioral therapy Innovations as an intervention carried out to reduce the sexual risk behavior among HIV-Positive MSM. Several interventions enhance the knowledge about HIV among HIV-Positive MSM, including integrated community and clinic-based intervention, Internet application, small group intervention, social network intervention, the treatment advocacy program, and brief Internet-based group intervention. In addition, man to man Sexual Health Seminar, Positive Sexual health (PoSH), Men speaking out, and community-based peer education can significantly decrease the sexual risk behavior, increase HIV tests improve attention, and search for health facilities. Behavioral intervention is an intervention that is part of nursing intervention, particularly in the hard-to-reach HIV-Positive MSM, because it is a minority group. With innovations, interventions are made more attractive and more convenient so that they are expected to change behaviors, especially sexual risk behavior that can transmit HIV and sexually transmitted diseases. This behavioral innovation tends to be more effective and can be applied in all countries, including developing countries, to reach all areas like those in Indonesia with extensive regions</p> Melly Rahmayani, Agung Waluyo Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/334 Tue, 20 Oct 2020 00:00:00 +0000 The Impact of Maryam Exercise Towards the Stress Level and Cortisol Serum Level among Primiparous Pregnant Women http://ijnhs.net/index.php/ijnhs/article/view/338 <p>Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (<em>Salat</em>) movements and <em>dhikr</em>. The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p &lt;0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p &lt;0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.</p> Maya Erisna, Runjati Runjati, Apoina Kartini, Mahalul Azam, Donny Kristanto Mulyantoro Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/338 Tue, 20 Oct 2020 00:00:00 +0000 Smart Dental Card Game Model as An Effort to Improve Behavior of Health Care For Elementary School Students http://ijnhs.net/index.php/ijnhs/article/view/345 <p>Correct teeth brushing behavior in elementary school children in Indonesia is 2.8%, and in Central Java, 1.7%. The influencing factor is the lack of information sources, so it is essential to carry out dental and oral health education, "Smart dental card game model" provides learning to children through game methods so that the learning process is more exciting and enjoyable. To produce a gamification-based dental and oral health education model called "Smart dental card game model" to increase dental health maintenance knowledge and decrease the debris index score in elementary school children. Research and development (R&amp;D) and model trials using quasi-experiment pre-test and post-test with control sample design groups were divided into two groups, 28 intervention group students and 28 control group students. The dependent variable is the knowledge and debris index of elementary school students; the independent variable is the Smart dental card game model. The sample size was calculated by using <em>the slovin</em> formula. Data were tested using the <em>interclass correlation coefficient test, Anova, Wilcoxon, Mann Whitney.</em> The smart dental card game was appropriate as a guideline in the learning process to increase elementary school students' knowledge of 2,304 ± 9.07 and reduce the debris index of 0.419 ± 0.68 compared to the control group flipchart media and dental phantom. Smart dental card game is useful to increase dental health maintenance knowledge of elementary school students</p> lely Surya Ningsih, Bedjo Santoso, Tri Wiyatini, Diyah Fatmasari, Waljuni A Rahman Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/345 Tue, 20 Oct 2020 00:00:00 +0000 The Effect of Combination Alkaline Water and Iron Tablets on Improving Hemoglobin Level among Adolescent http://ijnhs.net/index.php/ijnhs/article/view/280 <p>Anemia is one of the health problems in Indonesia. It was due to the suboptimal absorption of Fe and increased body acidity. Alkaline water is an alternative to improve hemoglobin levels since it can maximize the absorption of iron and balance the body's acid-base. The study aimed to examine the combination of alkaline water and iron tablets on Increasing the hemoglobin levels. A quasi-experimental study method with pre-test and post-test study with control group design. Forty-two samples were assigned to the intervention group and the control group. The intervention group received a combination of alkaline water with a pH of 9.5 as much as 1 liter and 60 mg iron tablets for 14 days. The control group received 60 mg of iron tablets. The assessment of hemoglobin levels was conducted before and after treatment. The results showed that the combination of alkaline water and iron tablets positively affected the Hb level among adolescents. The results showed that the variety of alkaline water and iron tablets positively affected adolescents' Hb levels. The alkaline water can be proposed as an innovation to increase hemoglobin levels. Further studies are expected to control the socio-cultural factor and food factor. Future researchers can develop studies related to alkaline water by adding other variables, namely blood pH and Malondialdehyde (MDA)</p> Kiki Dwi Handayani, Melyana Nurul Widyawati, Ta’adi Ta’adi Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/280 Tue, 20 Oct 2020 00:00:00 +0000 The Effect of Speos Method on Increasing Breast Milk among Mother with Post Section Caesaria in Pelni Hospital, Jakarta http://ijnhs.net/index.php/ijnhs/article/view/370 <p>In Jakarta, the proportion of low birth weight is 6.0%. LBW has difficulty adapting to extra-uterine life. This is due to the organ systems' inability, such as the lungs, heart, kidneys, liver, and digestive system. The SPEOS method can be used to increase breast milk production in mothers. This study aims to identify whether there is an effect of the SPEOS method on the increase in breast milk production in post-section caesarian mothers at Pelni Hospital, Jakarta. The sample used was Post-Caesaria Section Patients with 64 respondents. The method used was a quasi-experiment with a pre-test and post-test control group design approach. The statistical test used was the paired-sample t-test, so breast milk production was p-value &lt;0.05. This shows a significant effect between the SPOES method on the increase in milk production in post-section caesarian mothers at Pelni Hospital, Jakarta. It is suggested that PELNI Hospital Jakarta need to implement a new policy so that breast milk production increases with the SPEOS method in Post Sectio patients</p> Ety Nurhayati Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/370 Tue, 20 Oct 2020 00:00:00 +0000 Diabetes Foot Exercises Using Tennis Balls To Reduce Elderly Blood Sugar Diabetes http://ijnhs.net/index.php/ijnhs/article/view/351 <p>Uncontrolled blood sugar is a health problem that tends to occur in elderly type 2 diabetes mellitus (T2DM). Efforts to control blood sugar can be done with disease management activities, namely diabetes foot exercises. Elderly people who have diabetes mellitus are recommended to exercise in the form of diabetic foot exercises. The purpose of this study is to provide an overview of the effects of diabetic foot exercises using tennis balls in reducing blood sugar in T2DM elderly without a control group. Foot exercises using tennis balls were carried out in 58 elderly people with T2DM in Cisalak Pasar Village, Depok. The implementation of foot exercises using tennis balls is done for 30-60 minutes per session / week, as many as 12 sessions. The results of the implementation showed reduce blood sugar level ??of 5.1%. It can be concluded that leg exercises using tennis balls have an effect on reducing blood sugar in elderly with T2DM (p value &lt;0.05; CI 95%). This intervention can be a form of intervention that can be provided in preventive health care for T2DM elderly clients</p> abdurrasyid abdurrasyid Copyright (c) 2020 International Journal of Nursing and Health Services (IJNHS) http://ijnhs.net/index.php/ijnhs/article/view/351 Tue, 20 Oct 2020 00:00:00 +0000