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All Journal Malahayati International Journal of Nursing and Health Science
Sukirman Lie
Fakultas Kedokteran Universitas Methodist Indonesia
Health Professions Nursing Public Health

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Self-efficacy and self-care among non-hemorrhagic stroke patients: A cross-sectional study Priyo Sasmito; Mugi Hartoyo; Treesia Sujana; Sudrajat Sudrajat; Sukirman Lie; Novia Dwi Astuti; Adil Setia Gulo; Ultra Madani; Fahrun Nur Rosyid
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.1054

Abstract

Background:  Self-care is a vital component in the recovery process of non-hemorrhagic stroke patients, who often encounter physical and psychological challenges that reduce their independence. One influential factor in self-care ability is self-efficacy. Purpose: To determine the relationship between self-efficacy and self-care in non-hemorrhagic stroke patients. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place from December 2023 – December 2024 in Dr. Kariadi General Hospital, Semarang. The independent variable was self-efficacy dependent variable is self-care in non-hemorrhagic stroke patients. Using purposive sampling and lameshow formula 55 participants were selected who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using pearson correlation. Results:  Here strong and statistically significant positive relationship r = 0.698, p = 0.000 between self-efficacy and self-care wiith a mean self-efficacy of 25.57±4.60 and self-care of 56.32±16.8, concluded that greater levels of self-efficacy are significantly correlated with greater self-care ability. Conclusion: The study a significant positive correlation between self-efficacy and self-care in non-hemorrhagic stroke patients, indicating that increased confidence in patients correlates with their ability to engage in self-care independently.
Moringa leaf tea as an antihyperglycemic alternative of type 2 diabetes mellitus in the elderly Fika Indah Prasetya; Eka Haryanti; Sukirman Lie; Afianti Sulastri; Sri Sumartini; Novia Dwi Astuti; Ade Jubaedah; Surti Anggraeni; Priyo Sasmito
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.834

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to insulin resistance or decreased insulin secretion. Herbal complementary therapies are increasingly in demand as an alternative to managing blood sugar levels. However, studies of its effectiveness as a single therapy in the elderly have not been widely researched. Purpose: To evaluate the effectiveness of moringa leaf tea as an antihyperglycemic alternative in elderly patients with type 2 diabetes mellitus. Method: A case report study conducted on one participant to evaluate the effect of moringa leaf tea on fasting blood sugar levels in elderly people with type 2 Diabetes Mellitus (DM). This approach was chosen to document individual responses to herbal interventions in actual clinical conditions and provide an in-depth picture of changes in blood sugar levels after intervention. The patient in this study was a 61-year-old woman who had been diagnosed with type 2 DM for one year and was not taking antihyperglycemic drugs. The participant had a history of non-compliance with pharmacological therapy due to previously felt side effects. Results: Before the intervention, the patient reported experiencing typical symptoms of hyperglycemia, such as frequent thirst, increased urination frequency especially at night, and fatigue that interfered with daily activities. Blood sugar levels were measured before the intervention, and were found to be 256 mg/dL, indicating hyperglycemia. After consuming moringa leaf tea 3 times a day for three consecutive days, blood sugar levels decreased and on the 3rd day it was 220 mg/dL. In addition, the patient also reported improvements in clinical symptoms, such as reduced thirst, increased urination frequency especially at night, and increased energy. Conclusion: Consumption of Moringa leaf tea can lower blood sugar levels in elderly people with type 2 diabetes mellitus without antidiabetic drugs. In addition, improvements in clinical symptoms such as reduced thirst, urination frequency, and increased energy were also observed. Suggestion: Further studies are needed with larger samples and longer intervention periods to evaluate its long-term efficacy and safety. In addition, this study can explore more deeply the molecular mechanisms associated with the antihyperglycemic effects of Moringa leaves and its potential in natural therapy-based diabetes management strategies.
Sepsis protocol adherence and emergency department overcrowding: An observational study Nisa Arifani; Leli Mulyati; Priyo Sasmito; Treesia Sujana; Sri Wahyuni Gayatri; Novia Dwi Astuti; Nurfanida Librianty; Sukirman Lie; Elina Deviana; Farly Ihsan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Abstract

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.
Co-Authors Ade Jubaedah Adil Setia Gulo Afianti Sulastri Dwi Astuti , Novia Eka Haryanti Elina Deviana Fahrun Nur Rosyid Farly Ihsan Fika Indah Prasetya Leli Mulyati Mugi Hartoyo Nisa Arifani NOVIA DWI ASTUTI Nurfanida Librianty Priyo Sasmito Priyo Sasmito Sri Sumartini Sri Wahyuni Gayatri Sudrajat Sudrajat Surti Anggraeni Treesia Sujana Ultra Madani