Journal of Applied Holistic Nursing Science

Differences in Hemoglobin Levels Using Point-of-Care Testing in Capillary and Venous Blood Samples of Pregnant Women

I Dewa Gede Aditya Satria Darma Putra, Putu Ayu Parwati, Ni Komang Sukra Andini — Thu, 01 Oct 2026 00:00:00 +0700

Background: Hemoglobin level examination in pregnant women is essential to prevent complications associated with anemia during pregnancy. Differences in sampling methods, particularly capillary and venous blood, may influence the accuracy of results obtained using Point-of-Care Testing (POCT). This study aimed to determine the differences in hemoglobin levels measured using POCT between capillary and venous blood samples in pregnant women at UPTD Puskesmas Kuta II.

Methods : This research employed a simple experimental design with a total sample of 30 pregnant women selected using a quota sampling technique. Hemoglobin levels were measured using a POCT device for both capillary and venous blood samples. Data were analyzed using univariate and bivariate analysis with the Paired Sample T-Test.

Results: The results showed that the mean hemoglobin level in capillary blood was 12.5 g/dL, while in venous blood it was 12.2 g/dL. Statistical analysis indicated a significant difference between the two measurements (p-value < 0.001). The higher hemoglobin level in capillary blood may be attributed to differences in oxygen distribution between capillary and venous circulation.

Conclusion : In conclusion, there is a significant difference in hemoglobin levels measured using POCT between capillary and venous blood samples in pregnant women.

The Relationship Between Widal Agglutination Titer Categories and Neutrophil-to-Lymphocyte Ratio in Patients with Acute Fever

Anak Agung Istri Tika Ulundia, Anak Agung Ayu Eka Cahyani, Moh. Fairuz Abadi — Thu, 01 Oct 2026 00:00:00 +0700

Background: Acute fever is a common clinical condition caused by various infectious agents, including Salmonella Typhi. The Widal test is widely used to support typhoid diagnosis because it is simple, rapid, and inexpensive, although its diagnostic accuracy is limited. The Neutrophil-Lymphocyte Ratio (NLR) is a hematological parameter reflecting systemic inflammation. This study aimed to determine the relationship between Widal agglutination titer categories and NLR in patients with fever

Methods : This observational analytical study used a cross-sectional approach. Secondary data were obtained from medical records and laboratory results. A total of 134 patients with fever were selected using purposive sampling. Widal titers and neutrophil and lymphocyte counts were recorded, and NLR was calculated by dividing the neutrophil count by the lymphocyte count. Data were analyzed using Spearman’s correlation test at 0.05.

Results: Moderately positive Widal titers (1:160) predominated, accounting for 29.9% of patients. Low NLR values (<3) predominated at 44.0%. Spearman analysis showed a significant positive relationship between Widal titer categories and NLR (p = 0.030; r = 0.187), with a very weak correlation.

Conclusion: There was a significant positive relationship between Widal titers and NLR. However, the very weak correlation indicates that other factors may influence NLR values.

A Case Study of Nursing Care for Patients with Uterine Myoma in the Midwifery Ward

Sri Dewi , Tiza Desriani, Deharnita, Tintin Sumarni, Anita Mirawati — Mon, 05 Oct 2026 00:00:00 +0700

Background: Hypertension remains a major global health problem contributing significantly to morbidity and mortality. High sodium intake, excess body weight, and low physical activity are recognized as key modifiable risk factors. These factors influence blood pressure through increased vascular resistance and metabolic imbalance. Understanding their relationship is essential to support effective prevention strategies and promote healthy lifestyles in the community, particularly in reducing the burden of hypertension.

Methods : A quantitative cross-sectional study was conducted among 94 respondents selected through simple random sampling. Sodium intake was assessed using a semi-quantitative Food Frequency Questionnaire (SQ-FFQ). Physical activity was measured using the Physical Activity Level (PAL), while nutritional status was determined using Body Mass Index (BMI). Blood pressure was measured with a digital monitor. Data were analyzed using the chi-square test.

Results: The prevalence of hypertension was 66.0%. High sodium intake was observed in 63.8% of respondents, 62.8% were overweight, and 48.9% had low physical activity. Significant associations were found between hypertension and sodium intake, nutritional status, and physical activity (p < 0.05).

Conclusion: High sodium intake, overweight status, and low physical activity are significantly associated with hypertension, highlighting the importance of lifestyle modification for prevention and control..

Implementation of Gerontological Nursing Care for Older Adults with Gout Arthritis: A Case Study

Syahrum, Abdul Gafar, Aini Yusra, Febi Aprilia — Thu, 15 Oct 2026 00:00:00 +0700

ABSTRACT

Background: Gout arthritis is a metabolic inflammatory disease that commonly affects older adults and can cause severe joint pain, sleep disturbances, limited mobility, and an increased risk of falls. These problems may reduce functional independence and quality of life among older people. Comprehensive gerontological nursing care is therefore essential to address patients’ physical needs and prevent complications. This study aimed to describe the implementation and outcomes of gerontological nursing care for an older adult with gout arthritis.

Methods : This study employed a descriptive case study design using the nursing process approach. The subject was one older adult with gout arthritis residing at PSTW Kasih Sayang Ibu, Batusangkar, Indonesia. Data were collected over six days through interviews, direct observation, physical examinations, and medical record reviews. Data analysis followed the nursing process, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation, guided by Indonesian nursing standards.

Results: The assessment identified three primary nursing problems: acute pain, disturbed sleep patterns, and risk of falls. Nursing interventions included nonpharmacological pain management through deep-breathing relaxation and warm compresses, sleep support through environmental modification, and fall prevention through patient education and environmental arrangement. Following six days of nursing care, the patient’s pain intensity decreased from 7 to 3 on a numerical rating scale. Sleep quality improved, and no falls occurred during the care period. These findings indicate positive changes in the patient’s condition following the implementation of structured nursing interventions.

Conclusion: Systematic and comprehensive gerontological nursing care may help reduce pain, improve sleep, and support fall prevention in older adults with gout arthritis. Nurses should integrate individualized, evidence-based interventions with regular assessment, medication management in collaboration with healthcare professionals, and multidisciplinary care to optimize patient outcomes.

Implementation of Gerontological Nursing Care for an Older Adult with Functional Urinary Incontinence: A Case Study

Aini Yusra, Syahrum, Mezi Armeta Sari — Thu, 15 Oct 2026 19:23:34 +0700

Background: Functional urinary incontinence is a common concern among older adults, particularly those experiencing mobility limitations that interfere with timely access to toilet facilities. This condition may affect personal hygiene, sleep quality, independence, and overall well-being. Comprehensive nursing care is therefore important to address urinary incontinence and its associated geriatric problems. This study aimed to describe the implementation of nursing care for an older adult with functional urinary incontinence at PSTW Kasih Sayang Ibu, Batusangkar, Indonesia.

Methods : This study employed a descriptive case study design involving one older adult diagnosed with functional urinary incontinence. Data were collected through interviews, direct observation, physical examination, and medical record review. Data were analyzed descriptively using the nursing process, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation. The evaluation focused on urinary incontinence frequency, mobility, personal hygiene, sleep patterns, and cognitive responses.

Results:The assessment identified functional urinary incontinence associated with limited mobility, accompanied by a risk of falls, self-care deficit, disturbed sleep patterns, and memory impairment. Nursing interventions included bladder training, scheduled toileting, environmental modification, support for independence in daily activities, sleep management, and cognitive stimulation. Following the nursing interventions, the patient showed a reported reduction in urinary incontinence frequency, improved mobility and personal hygiene, better sleep, and improved cognitive responses. However, the manuscript did not provide quantitative measurements or standardized assessment scores to determine the magnitude of these changes.

Conclusion: Comprehensive, individualized nursing care may help address functional urinary incontinence and related care needs in older adults. Nursing practice should integrate bladder management, environmental safety, functional support, and cognitive stimulation. Further studies involving more participants, longer follow-up, and standardized outcome measures are needed to evaluate intervention outcomes more objectively and strengthen the evidence for gerontological nursing practice