International Journal of Nursing and Health Services (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 (Dr. P.H. Rian Adi Pamungkas, S.Kep. NS., MNS) (Ns. Andi Mayasari Usman, S.Kep., M.Kep) Sun, 20 Jun 2021 07:42:48 +0000 OJS 60 Risk Factors for Congenital Malformations among Population in the Agadir Region at Morocco <p>A prospective case-control study at the regional level was conducted in the pediatrics and neonatology department of Hassan II hospital in Agadir in Morocco from April 2016 to April 2018. In this study, we aimed to study congenital anomalies in the population of the study region regarding the frequency and highlight the associated risk factors. The types of congenital malformations have been classified according to the International Classification of Diseases (ICD-10). Univariate analyzes were performed to identify the variables associated with the etiology of the malformations. Multiple logistic regression was used to characterize the associations between the MC, and the determining explanatory variables are taken into account simultaneously. The results found that congenital disabilities were significantly associated with the consanguinity level of the child, the prematurity of childbirth, the family history of CMs, the Body Mass index. (BMI) of the mother and the presence of a significant trauma during pregnancy. Our results have made it possible to highlight the existence of an association between a certain number of risk factors and the occurrence of congenital malformations</p> SAID EL MADIDI, Bouadil Karim Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Factors Related to Anemia in Trimester of III among Pregnant Women in the Working Area of Puskesmas, Cengkareng District, 2019 <p>Anemia in pregnant women is a condition of red blood cells (erythrocytes) &lt;11 gr/dl in trimesters III. It is unable to fulfill its function as a carrier of oxygen to all body tissues. Data obtained from the Cengkareng District Health Center recorded the number of anemia sufferers in third-trimester pregnant women in October 2019 as many as 40 people. This study aims to determine the factors associated with anemia incidence in third-trimester pregnant women in the Cengkareg District Health Center in 2019. This type of research is quantitative with a case-control research design to obtain field data of 80 respondents conducted by filling in medical records with total sampling techniques for case group respondents and control groups. The results of the Chi-Square test showed a relationship between nutritional status (p = 0.002), ANC visits (p = 0,000), parity (p = 0.022) and the incidence of anemia in third trimester pregnant women. It is expected that the public health center can further optimize programs for pregnant women so that they do not experience an increase in third-trimester pregnant women's anemia</p> Ummu Nida, Gisely Vionalita Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Medication Adherence Improvement of Patients with Type 2 Diabetes Mellitus <p>Type 2 Diabetes Mellitus (DM) is a degenerative disease with long-term medication which needs home care service to enhance patients' obedience to medication compliance. The study aimed to investigate the effect of home care counseling on patients' medication adherence in prescribed medicine use. Methods: The research design was quasi-experimental using pre-test post-test without control group approach. A total of 43 patients with type 2 DM at the outpatient unit of Sari Mutiara General Hospital were selected through consecutive sampling techniques. The patients were given counseling in medicine using home care visits over 24 times in July 2017 and September 2017. Results: Patient adherence evaluation on disease medication was carried out through questionnaire administration before the patient received counseling (pre-test) and received counseling (post-test). Data from the Questionnaire were analyzed using the Wilcoxon test with a confidence level was 95%. Before counseling, the average score of patients was 3.26. However, after counseling was carried out to the patients, the average score was 0.72. In conclusion, there was an increase in patient adherence, i.e., 2.54. It was also obtained that there was a significant difference in patients' adherence to medication use before and after receiving counseling in-home care, with a significance value of 0.000 (p&lt;0.05). It indicated that home care counseling was effective in enhancing their medication adherence. It is suggested that healthcare practitioners carry out monitoring, particularly during therapy, to prevent diabetic complications</p> Amila Amila, Evarina Sembiring Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 The Effect of Development of a Psychoeducation Guidebook in the Management of Postpartum Depression Symptoms <p>Postpartum depression that often occurs after childbirth is a mental health problem related to behavioral and physical health. With the diversity of midwives in providing counseling to postpartum mothers, it is necessary to have a psychoeducation guidebook. The purpose of this research was to determine the effect of the development of a psychoeducation guidebook in the management of postpartum depression symptoms in Banyu Putih Situbondo. This is an R&amp;D research with the mean score of pre-conference and post-conference that increased by 38%. In conclusion, a psychoeducation manual is developed in the handling of symptoms of postpartum depression in the pustu sumberejo region in 2020 as an educational medium for midwives. Pregnant women deserve to be used and can have a good impact when given counseling. Further study needs to measure the family of pregnant women to provide a pleasant postpartum period</p> Dewi Ningsih, Sakinah Innama Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Alternative Yoga Exercise on Fasting Blood Glucose and Cholesterol Levels among Patients with Type 2 Diabetes Mellitus <p>Diabetes mellitus is a public health problem. The study used systematic literature reviews (SLR), which is a synthesis of a systematic literature study that is clear, comprehensive, by identifying, analyzing, evaluating through the collection of existing data with an explicit search method and involving the processes that have been critical in the selection of studies. The results found that 20 relevant articles have been reviewed and showed most of the evidence was significant on reducing fasting blood sugar and cholesterol levels. One study was not substantial on lowering cholesterol levels. Those 19 review studies showed that the study was a good category with an effect size value was 1.99 (robust) and a good JBI value. This was due to giving yoga interventions or the methods used during the training process is appropriate following the standard of intervention. Providing the yoga practice should involve movement and concentration. If the movement is correct, even if the intervention is given for only a month, it will show better results. The conclusion of 20 studies systematic literature reviewing yoga interventions has a significant value on reducing fasting blood glucose and cholesterol levels. Yoga practice involves movement and concentration. If the activities are suitable, it shows effective results</p> Vidya Urbaningrum Urbaningrum, Rr. Sri Endang Pujiastuti, Supriyana Supriyana Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 The Effects of Ergonomic Exercise on Musculoskeletal Disorders among Cleaning Service Officers <p>Musculoskeletal disorders due to work are a health problem for workers who occupy top positions and impact the quality of life and work productivity. This study aimed to examine the effect of the ergonomic exercise on musculoskeletal disorders due to the cleaning service officers’ workload at Universitas Muhammadiyah Yogyakarta. This study used the Pre-Experiment method with a One-group pre and post-test design. Nineteen cleaning officers were involved in this study. We used the Nordic body map (NBM) questionnaire to assess musculoskeletal disorders. The ergonomics exercise had carried out for 5-10 minutes 3 times a week. This study showed that the mean musculoskeletal disorders before receiving the ergonomic exercise were 45.11. After receiving the intervention, the score of NBM was 39.16. the statistics test found that p-value was 0.000 (p &lt;0.05). It was indicated that ergonomic exercise has a positive effect on musculoskeletal disorders due among cleaning service officers. There is an influence of ergonomic exercise on musculoskeletal complaints due to the cleaning service officers' workload at <em>Universitas Muhammadiyah</em> Yogyakarta. It is necessary to do further research on the effect of ergonomic exercise on musculoskeletal complaints due to work by controlling the factors of age, length of employment, and gender</p> Nina Dwi Lestari, Fajar Fauzien; Faudyan Eka Satria Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Factors Influenced the Administration of Colostrum among Mothers with Post-Sectio Caesarean in Bunda Thamrin Hospital, Medan <p>Colostrum is milk that is secreted by the breast of the mother first after giving birth. This study aimed to analyze the factors that influenced the administration of colostrum among mothers with a post-sectio cesarean. An analytic survey with a cross-sectional design was applied in this study. The data analysis method used in this study uses a multiple logistic regression statistical test. The population in this study were all postpartum mothers who had birth by cesarean sectio procedure. One hundred samples were selected by accidental sampling technique. The results showed that the administration of colostrum among mothers with post sectio cesarean were 75%, The initiation of breastfeeding was 62%, of them have lack knowledge, the support of majority husbands is more petite that is 82%, the role of the majority of health workers is less by 51%. Multivariate test results obtained the probability of a husband's support variable (p = 0.0001) and the role of health workers (p = 0.038) likely to cause post-section cesarean mothers not to give colostrum by 96 percent, while 4 percent is due to other factors</p> Komala Kartikasari Nst Nst, evawany Y Aritonang, Etti Sudaryati Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Relationship between Characteristics and Nutrient Intake with Anemia among Pregnant Women at Kebon Jeruk Public Health Center, Jakarta <p>The number of anemia pregnant women in Indonesia increased to 48.9% in 2018. The number of maternal deaths in DKI Jakarta (2018) risen from 53 out of 100,000 live births, with 25% of them due to bleeding and infection. Anemia increases the risk of bleeding and infection. This study aimed to explore the characteristics, nutrient intake among pregnant women, and their relationships with anemia in Public Health Center Kebon Jeruk, West Jakarta. This cross-sectional study was carried out with 60 pregnant women. Two non-consecutive-24 hours dietary recalls assessed energy and protein intake. Micronutrient intakes (iron, folate, vitamins C, B6, B12, E, copper, calcium) were assessed using a semi-quantitative food frequency questioner. Independent t-test or Mann-Whitney and chi-square tests were applied, according to the type of data and interpretation need, to analyze the relationship between characteristics, nutritional intakes, and anemia. The result showed that trimester, mother's education, husband's income, nutritional status, intake of energy, protein, vitamins C, B6, B12, E, folate, iron, copper, and calcium were significantly related to anemia. A well-planned Communication, Information, and Education (IEC) are needed to improve the quality of nutrient intakes and increase adherence to iron tablet consumption</p> Nadiyah Nadiyah, Elsye Meilinda Sembiring Meliala, Acnes Cristina Simanjuntak, Frisella Perangin-Angin Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 THE The Importance of Employee Engagement in Mediating the Improvement of Staff Performance at the Hospital <p>Staff performance is the success in carrying out the task and achieving the stated goals. Performance can be declared excellent and successful if the desired goals can be appropriately performed. A performance appraisal system is a process that measures employee performance. Several factors affect staff performance, including work motivation, work environment, and employee engagement. The research objective is to analyze the effect of work motivation and physical work environment on staff performance mediated by employee engagement. The type of research was a correlational quantitative analytic study with a cross-sectional research design. The sample population of this study amounted to 92 respondents. The sampling technique used non-random sampling, namely total sampling. The measurement in this study used primary data in the form of a questionnaire distributed to 92 respondents and a questionnaire that returned 84 questionnaires. In this study, the analysis used path analysis. The results showed that work motivation, physical work environment, and employee engagement simultaneously positively and significantly affect staff performance. Partially, work motivation and physical work environment have a positive and significant effect on staff performance. In this study, it was found that employee engagement could mediate an increase in staff performance. Employee engagement and physical work environment have a more significant influence on staff performance than work motivation</p> Nadia Shabrina Amalia, Ratna Indrawati, Endang Ruswanti Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 A Case Study: Murotal Distraction to Reduce Pain Level among Post-Mastectomy Patients <p>Carcinoma mammae or breast cancer is a malignant disease that originates from the parenchyma. Women who suffer from this disease will choose treatment using mastectomy. Mastectomy treatment is a process of removing all breast tissue that can inhibit the development of cancer cells. Post-operative mastectomy pain can be relieved by non-pharmacological therapy, one of which is murotal therapy. This case study aims to present the results of applying evidence-based murotal treatment to reduce pain scales in post-mastectomy surgery patients. Physical examination was performed using the head-to-toe method in post-operative patients. The North American Nursing Diagnosis Association is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification and Nursing Outcome Classification. The intervention was carried out in five stages of evidence-based nursing implementation in nursing practice, with complementary therapy in murotal therapy and progressive application for 6 days for post-mastectomy surgery patients. As a result, giving murotal therapy intervention for 6 days showed a reduction in the pain scale from a scale of 4 (1-10) to 1 (1-10). The implementation of EBN murotal therapy proved to be effective in reducing the intensity of the pain scale in post-mastectomy surgery patients</p> Heri Ariyanto, Henri Setiawan, Heri Ariyanto, Windi Oktavia Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review <p>Stroke was a disturbance in part or all brain function caused by abnormal blood flow to the brain, disrupting bodily functions such as muscle weakness. One of the efforts that could be done to overcome muscle weakness in stroke patients was the Range Of Motion (ROM) exercise which could be done independently or assisted by health workers. The purpose of this literature review was to identify the effect of range of motion (ROM) exercise in increasing muscle strength in stroke patients. This study used a descriptive method with a literature review approach. The search strategy used six international journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, ScienceDirect, and Taylor &amp; Francis Online. In addition, a search was conducted on one national journal database, namely Google Scholar. The selection was conducted by assessing articles that met the inclusion criteria, such as publication range from 2005-2021, in English, Indonesian, and other languages that can be translated and opened full access text. After the selection process, nine articles that met the inclusion criteria were obtained, with 197 respondents assigned randomly and grouped into 58 control groups, 55 intervention groups, 84 combined groups. The results showed that the ROM exercise method positively affected increasing muscle strength in stroke patients. Based on these results, it could be concluded that this nurse's independent intervention needed to be carried out in stroke patients to increase muscle strength</p> Wina Widianti, Wina Widianti , Dian Andriani , Fidya Anisa Firdaus, Henri Setiawan Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Warm Compress on Lowering Body Temperature Among Hyperthermia Patients: A Literature Review <p>Hyperthermia increased the core human body temperature above normal 36.7-37.5 °C, usually caused by infection, resulting in fever, and was the most common manifestation. One of the efforts that could be done to overcome the symptoms of hyperthermia was the application of warm compresses to the frontal, axillary, and dorsalis pedis. The study aimed to describe body temperature changes in hyperthermic patients after warm compress was applied. This study used a descriptive design with a literature review approach. Twelve articles were included in this review by six journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, Taylor and Francis Online, and Google Scholar. The selection was carried out by assessing articles that met the inclusion criteria, including the publication range for 2008-2021, English and Indonesian languages ??, and open access to full-text pdf. The critical assessment was carried out by using the Critical Appraisal Skills Programmed instrument. The review results showed that the warm compress method had a positive effect in lowering body temperature in the nursing process in patients with hyperthermia. Based on the literature from the reviewed articles, it could be concluded that a warm compress intervention needed to be given to hyperthermic patients to lower the patient's body temperature whether they were undergoing treatment or not</p> Andika Andika Abdul Malik, Andika Abdul Malik , Nida Siti Padilah, Fidya Anisa Firdaus, Henri Setiawan Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 A concept analysis of Self-management among diabetes mellitus <p>The mortality and morbidity due to Diabetes Mellitus (DM) are increasing every year. Effectively in self-management has been demonstrated to conjunction patients with a health provider and support system to solve the patient's problem. Self-management in DM is very popular but still complex and abstract. Ambiguity regarding the intention of self-management in DM can cause confusion and misunderstanding among health professionals about the purpose and the application in the clinical situation. A perceptible definition regarding self-management for diabetes is required for clinical setting implication and future research. The study aimed<strong> to</strong> clarify and formalize the concept analysis of self-management in DM. We clarify the meaning of self-management in DM with concept analysis as outlined by Walker and Avant (2005). Attributes of self-management in diabetes were glycemic control process and activities, self-control, health-seeking, problem-solving, and decision making. Antecedents, consequences, and empirical referents are explained. Model, borderline, related, and contrary cases are explaining to clear and clarify the concept. Defining the concept can help the researcher solve the patient's problem about conjunction among patients with a health provider. Health professionals can advocate for antecedents in self-management and evolve interventions to support self-management attributes to serve patients in preventing complications</p> Satriya Pranata, Herlinda Wulandari Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000 Social and Cultural Impact during an Emerging Infectious Covid-19 Outbreak: A Review Study <p>A novel coronavirus (Covid-19) was a global pandemic worldwide. This review aimed to explore and describe the Covid-19 outbreak's impact on socio and culture during a pandemic situation. Electronic databases from different sources were included to extract the relevant articles. Initially, terms to retrieve related studies were “social impact," “cultural impact," Covid-19”. The results showed that five key issues on socio and cultural during pandemic situation including 1) social vulnerability and community resilience; 2) stigma, prejudice, and discrimination; 3) social avoidance, rejection, and denials of healthcare providers; 4) family dynamics: domestic violence; and 5) severe projection of the poverty rate. The expected benefit of this study to explain the valuable information regarding socio and cultural impact</p> Rian Adi Pamungkas, Andi Mayasari Usman Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Sun, 20 Jun 2021 00:00:00 +0000