Journal of Applied Holistic Nursing Science

Optimization of Hypertension and Diabetes Management Through Complementary Therapy

Fitri — 2026-02-28

Background: This literature review examines the role of complementary therapy in the management of hypertension and type 2 diabetes mellitus. These two chronic diseases remain major health problems that often require long-term pharmacological therapy with potential side effects. The aim of this study is to identify and analyze various non-pharmacological interventions that can support safe and affordable disease management.

Methods: The method used was a systematic review of nine scientific articles published between 2021 and 2025, covering herbal therapy, relaxation, hydrotherapy, and physical exercise on the control of blood glucose levels and blood pressure.

Results: The review results indicate that therapies such as warm foot baths, hypertension exercises, butterfly pea tea, garlic infusions, boiled bay leaves (Syzygium polyanthum), moringa leaves (Moringa oleifera), celery leaves (Apium graveolens), diabetes foot exercises, progressive muscle relaxation, and reduced sitting time have been shown to be effective in improving metabolic parameters and patients' quality of life.

Conclusion: It can be concluded that complementary therapy is an effective and holistic supportive approach in the care of chronic diseases, but further research with randomized controlled trials (RCTs) is still needed to ensure long-term effectiveness and clinical safety under the supervision of healthcare professionals.

Application of Psychoreligious Therapy: Dhikr in Mental Health Nursing Care for Auditory Hallucination Patients

Yudistira Afconneri — 2026-02-28

Background: Mental disorders are maladaptive responses to internal and external stressors that lead to changes in patterns of thinking, perception, behavior, and emotions. Schizophrenia, as a severe mental disorder, is often characterized by an inability to distinguish between reality and illusion, one manifestation of which is auditory hallucinations that affect an individual’s thought processes; therefore, non-pharmacological management such as dhikr therapy is required. This study aimed to apply dhikr therapy as an intervention in mental health nursing care for patients experiencing auditory hallucinations in the Flamboyan Ward of Prof. HB Saanin Mental Hospital, Padang.

Methods: The study employed a case report design involving two participants over a five-day nursing care period, following the stages of the nursing process including assessment, diagnosis, intervention, implementation, and evaluation, which were analyzed by comparing theoretical frameworks and previous studies.

Results: The results showed a reduction in the severity of auditory hallucinations from a moderate to a mild level, indicated by a decrease in the hallucination score of patient FT from 20 to 9 and patient FF from 22 to 10.

Conclusion: Therefore, this study is expected to serve as a reference for nurses in implementing generalist nursing interventions combined with dhikr therapy and to provide a basis for future researchers to use daily pre–post measurements throughout the intervention period.

The Effect of Hypertension Exercise on Blood Pressure Reduction in Hypertensive Patients: A Literature Review

Juli Andiani — 2026-02-28

Background: Hypertension is a global disease whose symptoms are often not perceived by patients, causing the condition to be frequently neglected. Therefore, simple interventions are needed to prevent and control hypertension, one of which is exercise

Methods: This study employed a literature review method by searching articles in the Google Scholar and PubMed databases and applying predetermined inclusion criteria.

Results: Based on ten reviewed articles, various types of exercise, including Tera gymnastics, hypertension exercise, aerobic exercise, and Prolanis exercise, were proven to effectively reduce blood pressure in patients with hypertension.

Conclusion: Exercise interventions have been shown to reduce blood pressure and can therefore be used as a reference for the prevention and management of hypertension.

Application of Roy’s Adaptation Model and Swanson’s Caring Theory in Nursing Care for Post–Hydatidiform Mole Patients: A Case-Based Study

Atun Raudotul Marifah — 2026-02-28

ABSTRACT

Background: Nurses play a key role in improving women’s reproductive health through theory-based care. Gestational trophoblastic disease, including hydatidiform mole, is a high-risk condition with potential physical and psychological impacts. This study aimed to describe the application of Roy’s Adaptation Model and Swanson’s Caring Theory in nursing care for post–hydatidiform mole patients after curettage

Methods: A descriptive case-based approach was conducted in a referral hospital. Data were collected through comprehensive nursing assessments covering physiological, self-concept, role function, and interdependence domains, along with focal, contextual, and residual stimuli. Nursing diagnoses, interventions, and evaluations were developed using Roy’s Adaptation Model and integrated with Swanson’s five caring processes.

Results: Theory-guided care improved bleeding and infection risk management, reduced anxiety, and enhanced patient understanding and adherence to follow-up care, including β-hCG monitoring. Adaptive responses were particularly evident in psychological adjustment and coping.

Conclusion: The integration of Roy’s Adaptation Model and Swanson’s Caring Theory enhances adaptive capacity and supports recovery in post–hydatidiform mole patients, highlighting the importance of strengthening nurses’ theoretical competencies.

Development of the NurseTrack Application on Nurse Performance Assessment

Ari Sukma Nela — 2026-02-16

Background: This study used a Research and Development (R&D) design with the Borg & Gall model approach, which included needs analysis, application design, expert validation, limited testing, and implementation. The research population included all nurses working in the inpatient ward. The sampling technique used total sampling in the limited testing stage and proportionate sampling in the implementation stage. The research instruments consisted of a nurse performance assessment questionnaire, an expert feasibility test sheet, and a user satisfaction questionnaire. Data analysis used a paired t-test to measure the difference in performance before and after using the application

Methods: This study used a Research and Development (R&D) design with the Borg & Gall model approach, which included needs analysis, application design, expert validation, limited testing, and implementation. The research population included all nurses working in the inpatient ward. The sampling technique used total sampling in the limited testing stage and proportionate sampling in the implementation stage. The research instruments consisted of a nurse performance assessment questionnaire, an expert feasibility test sheet, and a user satisfaction questionnaire. Data analysis used a paired t-test to measure the difference in performance before and after using the application

Results: The results of the study show that the NurseTrack application was rated “highly feasible” by content experts and technology experts, with an average feasibility score of 89%, and 87% of respondents stated that the application facilitates performance monitoring, improves assessment transparency, and assists in continuous evaluation.

Conclusion:This study concludes that the NurseTrack application is effective as a technological innovation in nursing management to improve the objectivity, efficiency, and accuracy of nurse performance assessments. This application is recommended for widespread implementation as part of the digitization of nursing human resource management in hospitals

Determinants of Mortality in Epithelial Ovarian Cancer: Systematic Review and Meta-analysis (Last 5 Years)

Fitriyadi Kusuma — 2026-02-28

ABSTRACT

Background: Ovarian cancer, ranking third among gynecologic cancers, poses a significant global health challenge. Despite affecting over 239,000 annually and causing 150,000 deaths, the overall survival rate is 45.6%. Variability in survival rates across different stages necessitates a detailed understanding of contributing factors. This systematic review and meta-analysis explores recent research to illuminate crucial aspects influencing epithelial ovarian cancer (EOC) patient outcomes.

Methods: A protocol registered in PROSPERO (ID: CRD42024502616) guided this systematic review, focusing on cohort studies examining prognostic factors for EOC mortality. Eligibility criteria included relevance to mortality risk, clear extraction methods, and English language. A PRISMA-guided search with the keywords “((Ovarian Cancer) AND (Mortality) AND (Risk)” across Scopus, PubMed, and Cochrane. Evaluation of 66,191 samples from 16 cohort studies identified several key prognostic factors for mortality in epithelial ovarian cancer (EOC).

Results: Advanced FIGO stage (III-IV) and high-grade serous histology were significant predictors of higher mortality, with stage III-IV showing a risk ratio of 3.62 (95% CI 3.35–3.91). Older age, greater inflammation (higher BMI, smoking), and bilateral tumors also increased mortality risk. Additionally, lifestyle factors like reduced physical activity and rural living, as well as treatment-related factors such as perioperative red blood cell transfusion, were associated with poorer survival outcomes. This systematic review provides comprehensive insights into the complex landscape of EOC survival. Key prognostic factors for mortality in EOC patients include advanced cancer stage, high-grade serous histology, older age, inflammation, and bilateral tumors. Treatment factors such as perioperative transfusion and neoadjuvant chemotherapy intensity also play a critical role.

Conclusion: These findings highlight the need for personalized treatment strategies based on these factors to improve survival outcomes for EOC patients.