Journal of Applied Holistic Nursing Science

The Influence of Traditional Games on the Development of Preschool

Cinthia Rani Saputri — 2026-06-30

Preschool-aged children are in the pre-operational stage, where they begin to demonstrate symbolic thinking skills, namely the ability to use symbols, images, or words to represent objects and events in their environment. Children are able to use language to express ideas and feelings, although their thinking patterns are still egocentric and they are not yet able to see other people's perspectives. Delays in development during this period can impact subsequent stages of development, particularly when children enter school age, which requires cognitive, social, and emotional readiness. This study aims to assess the influence of traditional games on the development of preschool-aged children at TK Pertiwi 1 Kantor Gubernur of Padang City.

basic procedures, research design, selection and size of study subjects; observational and analytical methods

Data collection was conducted using the Pre-Screening Development Questionnaire (KPSP). The statistical test used was the Wilcoxon test. The results showed that the average development of children before playing traditional games was 5.37 and after playing traditional games was 8.51. There was a significant effect on the development of preschool-aged children before and after being given traditional games, with a mean difference of 3.14 and a p-value of 0.000.

The recommendation of this study is that nurses should monitor the development of preschool-aged children and provide stimulation by implementing traditional games such as “Long Snake and How Many ABCs.

Application of Nursing Care for Pleural Effusion Patients in Pulmonary Ward

Aini Yusra — 2026-06-30

Background: Pleural effusion is a respiratory disorder characterized by abnormal fluid accumulation in the pleural cavity that may impair pulmonary expansion and gas exchange. Patients with pleural effusion commonly experience dyspnea, productive cough, decreased oxygenation, fatigue, and impaired activity tolerance. Appropriate nursing care is essential to improve respiratory function, maintain airway patency, and enhance patient comfort during hospitalization.

Objective: This study aimed to describe the application of nursing care for pleural effusion patients in a pulmonary ward.

Methods: This study used a descriptive case study design involving one patient diagnosed with pleural effusion in the Pulmonary Ward of Mohammad Natsir Regional Hospital, Solok City. Data were collected through interviews, observation, physical examination, and documentation review from April 2 to April 5, 2025. Data analysis was performed by comparing clinical findings with nursing theories, Indonesian nursing standards, and recent evidence-based literature.

Results: The patient experienced shortness of breath, productive cough, weakness, and limited physical activity. Nursing assessment identified three primary nursing diagnoses, namely ineffective airway clearance, ineffective breathing pattern, and activity intolerance. Nursing interventions included airway management, oxygen therapy, effective coughing exercises, breathing pattern management, positioning, and energy conservation techniques. Evaluation results demonstrated improvement in respiratory status, reduction of dyspnea, decreased sputum accumulation, and better activity tolerance after the interventions were implemented.

Conclusion: The application of comprehensive nursing care contributed positively to respiratory improvement and patient comfort in pleural effusion management. Early assessment, evidence-based respiratory interventions, and continuous nursing monitoring are important to optimize patient outcomes and prevent complications.

Application of Nursing Care for Patients With Chronic Obstructive Pulmonary Disease in Pulmonary Ward

Aini Yusra — 2026-06-01

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder characterized by persistent airflow limitation that causes impaired ventilation and oxygenation. Patients with COPD frequently experience dyspnea, productive cough, sputum retention, fatigue, and decreased activity tolerance that require comprehensive nursing management. Appropriate nursing interventions are important to maintain airway patency, improve respiratory status, and prevent respiratory complications among hospitalized patients.

Objective: This study aimed to describe the application of nursing care for patients with Chronic Obstructive Pulmonary Disease in the Pulmonary Ward of Mohammad Natsir Regional Hospital, Solok City.

Results: The patient experienced shortness of breath, productive cough, difficulty expelling sputum, fatigue, and limited physical activity. Nursing diagnoses identified included ineffective airway clearance, ineffective breathing pattern, and activity intolerance. Nursing interventions implemented consisted of oxygen therapy, airway management, effective coughing exercises, chest physiotherapy, breathing exercises, semi-Fowler positioning, gradual mobilization, and energy conservation techniques. Evaluation findings demonstrated reduced dyspnea, improved respiratory rate, decreased sputum production, and better tolerance to physical activity after the interventions were implemented.

Conclusion: The application of comprehensive nursing care contributed positively to respiratory improvement and patient comfort among COPD patients. Continuous respiratory monitoring, evidence-based nursing interventions, and individualized nursing care are important to optimize patient outcomes and prevent respiratory complications.

Storage and Thawing Practices of Expressed Breast Milk and Their Association with Growth in Infants Aged 0–6 Months

Nurbaiti — 2026-06-01

Background: Expressed breast milk (EBM) is one of the most commonly used alternatives for breastfeeding among working mothers to ensure that infants continue to receive adequate nutrition. The quality of expressed breast milk is highly influenced by proper storage and thawing practices. Inappropriate handling during these processes may reduce nutritional content and increase the risk of contamination, potentially affecting infant growth.

Methods: This study employed a quantitative cross-sectional design using a total sampling technique involving 391 respondents. Data were analyzed using univariate and bivariate analyses. The Chi-square test was applied to examine the relationships between EBM storage practices, EBM thawing practices, and infant growth.

Results: Statistical analysis revealed a significant association between expressed breast milk storage practices and infant growth (p < 0.001). A significant association was also found between expressed breast milk thawing practices and infant growth (p < 0.001).

Conclusion: Proper storage and thawing practices of expressed breast milk play an important role in supporting the growth of infants aged 0–6 months.

Effects of Date Seed Coffee as a Complementary Therapy on Blood Pressure Among Hypertensive Patients at Kartini General Hospital

Lisdiana — 2026-06-07

Hypertension is a very serious health problem worldwide. A person is said to have hypertension if his systolic blood pressure reaches 140 mmHg or more, and his diastolic blood pressure is 90 mmHg or more. One of the alternatives that is developing in the world of herbal medicine is the use of date seeds, one of which is date seed coffee which has the potential to be a complementary therapy for various degenerative diseases, such as hypertension. This study aims to determine the effect of giving date seed coffee on blood pressure in hypertensive patients.The method used in this study is quantitative using a quasi-experiment design with a sample of 20 respondents. Data will be collected through surveys or observation sheets, and analyzed using appropriate statistical methods such as the paired t test.The results of the study showed the effect of giving date seed coffee on blood pressure in hypertensive patients with a p value of 0.000 < 0.05. The results of this study are expected to make date seed coffee one of the safe, cheap, and practical alternatives to hypertension treatment. Hypertensive patients must also regularly consume antihypertensive drugs and consume nutritious foods to maintain heart health and blood pressure.