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Manuju : Malahayati Nursing Journal
Published by Universitas Malahayati
ISSN : 26552728     EISSN : 26554712     DOI : 10.3324
Core Subject : Health,
Health Professions Nursing Public Health
MANUJU : Malahayati Nursing Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 1,912 Documents
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Hubungan Pengetahuan Ibu Hamil tentang Kegawatdaruratan Kehamilan dengan Kepatuhan Pemeriksaan Ante Natal Care (ANC) di Wilayah Kerja Puskesmas Segala Mider Budi Setia Utomo; Aryanti Wardiyah; Riska Wandini
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.19786

Abstract

ABSTRACT Indonesia's average infant mortality rate was more than 15 deaths per 1000 live births, while its average maternal mortality rate was 100 deaths per 100,000 live births.  Regular Antenatal Care (ANC) pregnancy checks can be used for management. To ascertain the connection between antenatal care (ANC) examination compliance and pregnant women's awareness of pregnancy emergencies in the Segala Mider Health Center work area. Proportional random sampling approach, sample using Slovin formula, cross-sectional research design, quantitative research type, population of pregnant women at Segala Mider Health Center in 2023, totaling 287 respondents. The chi square test is the statistical test employed, and the instrument consists of a questionnaire. Ante natal care compliance frequency distribution shows that the majority of patients (54.5%) comply. The majority of patients (58.1%) have strong knowledge. Pregnant women's awareness of pregnancy emergencies and adherence to antenatal care (ANC) exams (p-value = 0.000). Ante natal care (ANC) examination compliance in the Segalamider Health Center Working Area is correlated with pregnant women's awareness of pregnancy emergencies. The goal is for moms to be more compliant in scheduling a minimum of six prenatal care visits—two during the first trimester, one during the second, and three during the third. Keywords: Pregnant women, Knowledge, Ante Natal Care (ANC).  ABSTRAK Indonesia tahun 2023 rata-rata angka kematian ibu 100 kematian per 100.000 kelahiran hidup dan rata-rata angka kematian bayi di atas 15 kematian per 1000 kelahiran hidup. Penatalaksanaan dapat dilaksanakan pemeriksaan kehamilan Antenatal Care (ANC) secara rutin. Diketahui hubungan pengetahuan ibu hamil tentang kegawatdaruratan kehamilan dengan kepatuhan pemeriksaan ante natal  care (anc) di wilayah kerja Puskesmas Segala Mider. Jenis penelitian kuantitatif dengan rancangan penelitian cross sectional, populasi adalah ibu hamil di Puskesmas Segala Mider pada tahun 2023 berjumlah 287 responden, teknik sampling proportional random sampling, sampel menggunakan rumus slovin sehingga 167 responden. Instrumen menggunakan kuesioner dan uji statistic yang digunakan  uji chi square. Distribusi frekuensi kepatuhan ANC sebagian besar pasien (54,5%) patuh. Pengetahuan sebagian besar pasien (58,1%) baik. Pengetahuan ibu hamil tentang kegawatdaruratan kehamilan dengan kepatuhan pemeriksaan ante natal care (ANC) pvalue 0,000. Ada hubungan pengetahuan ibu hamil tentang kegawatdaruratan kehamilan dengan kepatuhan pemeriksaan Ante Natal Care (ANC) di Wilayah Kerja  Puskesmas Segalamider.  Diharapan kepada ibu untuk lebih patuh melakukan kunjungan antenatal care, minimal melakukan 6 kali kunjungan (2 kali di trimester pertama, 1 kali di trimester kedua, dan 3 kali ditrimester ketiga).  Kata Kunci: Ibu hamil, Pengetahuan, Ante Natal Care (ANC)
Efektivitas In-House Training terhadap Peningkatan Kapasitas Kader dalam Deteksi Dini dan Pengelolaan Faktor Risiko Diabetes Mellitus Tipe 2 Yudiernawati, Atti; Wahyuni, Tavip Dwi; Abiddin, Andi Hayyun
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25150

Abstract

ABSTRACT Type 2 Diabetes Mellitus (T2DM) is a non-communicable disease with a continuously increasing prevalence and poses a major public health challenge. Early detection and management of T2DM risk factors at the community level are essential strategies to reduce disease burden. Health cadres play a strategic role in promotive and preventive services; however, limited knowledge and skills often hinder optimal implementation. This study aimed to improve the capacity of health cadres in early detection and management of T2DM risk factors through In-House Training. This study employed a pre-experimental one-group pretest–posttest design. The intervention consisted of educational sessions, interactive discussions, and practical training on T2DM risk factors and community-based screening techniques. Knowledge and skills were measured before and after the training using structured assessment tools. The results showed a significant improvement in both knowledge and skills after the training. The mean knowledge score increased from 55.4 ± 12.7 (pretest) to 82.1 ± 10.3 (posttest) (p 0.001). Similarly, the mean skill score improved from 48.7 ± 11.2 to 78.6 ± 9.5 (p 0.001), indicating a statistically significant enhancement in cadre capacity. In-House Training is an effective and practical approach to strengthening the capacity of health cadres in early detection and management of T2DM risk factors. This strategy may support sustainable community-based diabetes prevention and control programs. Keywords: Type 2 Diabetes Mellitus, Health Cadres, Early Detection, In-House Training.  ABSTRAK Diabetes Mellitus Tipe 2 (DMT2) merupakan penyakit tidak menular dengan prevalensi yang terus meningkat dan menjadi tantangan utama kesehatan masyarakat. Deteksi dini serta pengelolaan faktor risiko DMT2 di tingkat komunitas merupakan strategi penting untuk menurunkan beban penyakit. Kader kesehatan memiliki peran strategis dalam pelayanan promotif dan preventif, namun keterbatasan pengetahuan dan keterampilan sering menjadi hambatan dalam pelaksanaannya. Penelitian ini bertujuan untuk meningkatkan kapasitas kader kesehatan dalam deteksi dini dan pengelolaan faktor risiko DMT2 melalui In-House Training. Penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one-group pretest–posttest. Intervensi meliputi pemberian materi edukatif, diskusi interaktif, dan pelatihan praktik terkait faktor risiko DMT2 serta teknik skrining sederhana berbasis komunitas. Pengetahuan dan keterampilan kader diukur sebelum dan sesudah pelatihan menggunakan instrumen penilaian terstruktur. Hasil penelitian menunjukkan adanya peningkatan signifikan pada skor pengetahuan dan keterampilan kader setelah pelatihan. Rata-rata skor pengetahuan meningkat dari 55,4 ± 12,7 (pretest) menjadi 82,1 ± 10,3 (posttest) (p 0,001). Rata-rata skor keterampilan juga meningkat dari 48,7 ± 11,2 menjadi 78,6 ± 9,5 (p 0,001), yang menunjukkan peningkatan kapasitas kader secara bermakna. In-House Training merupakan pendekatan yang efektif dan aplikatif dalam meningkatkan kapasitas kader kesehatan dalam deteksi dini dan pengelolaan faktor risiko DMT2. Strategi ini berpotensi memperkuat upaya pencegahan dan pengendalian diabetes secara berkelanjutan di tingkat komunitas. Kata Kunci: Diabetes Mellitus Tipe 2, Kader Kesehatan, Deteksi Dini, In-House Training.
Efektifitas Intervensi Ikan Tuna Menurut Model Sunrise untuk Peningkatan Kadar Hemoglobin Penderita Anemia di SMA Negeri 1 Seram Bagian Timur Tutupoho, Rahmawati; Gero, Sabina; Jamaluddin, Muhammad
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25114

Abstract

ABSTRACT Reduced hemoglobin levels are one of the signs of anemia, a condition that is often referred to by the general public as a lack of blood. Many people with anemia are not aware of it, especially among teenagers. By ensuring optimal nutritional intake, one of which is to increase hemoglobin levels, one of which is consuming foods that contain high iron, one of which is Tuna. The purpose of this study was to determine the effectiveness of Tuna interventions. This study uses a quantitative research methodology with a true experimental research design. In this study, a pretest-postest with control group was used. The results of the analysis concluded that there were differences in pre and post hemoglobin levels in the intervention group. There was a difference in pre and post hemoglobin levels in the control group. Tuna intervention has an effect on increasing hemoglobin levels. Consumption of tablets with blood increases in hemoglobin levels. There was a difference in the effectiveness of the tuna intervention in the experimental group, with the effectiveness of giving blood-boosting tablets on hemoglobin levels in female students with anemia. Tuna Fish Intervention is more effective in increasing Hemoglobin levels in anemia patients than just consuming blood-boosting tablets. Keywords: Anemia, Tunafish, Female Teenagers.  ABSTRAK Berkurangnya kadar hemoglobin merupakan salah satu tanda anemia, suatu kondisi yang sering disebut oleh masyarakat umum sebagai kurang darah. Banyak penderita anemia yang tidak menyadari terutama di kalangan remaja. Dengan memastikan asupan nutrisi yang optimal dapat meningkatkan kadar hemoglobin salah satunya mengkonsumsi makanan yang mengandung tinggi zat besi salah satunya Ikan Tuna. Tujuan penelitian ini dilakukan untuk mengetahui efektifitas intervensi Ikan Tuna. Penelitian ini menggunakan metodeologi penelitian Kuantitatifdengan desain penelitian true eksperiment. Pada penelitian ini menggunakan pretest-postest with control group. Hasil Analisa menyimpulkan bahwa terdapat perbedaan kadar hemoglobin pre dan post pada kelompok intervensi. Terdapat perbedaan kadar hemoglobin pre dan post pada kelompok kontrol. Intervensi ikan tuna berpengaruh terhadap kenaikan kadar hemoglobin. Konsumsi tablet tambah darah berpengaruh terhadap kenaikan kadar hemoglobin. Terdapat perbedaan efektivitas intervensi tuna pada kelompok eksperimen, dengan efektivitas pemberiaan tablet penambah darah terhadap kadar hemoglobin pada siswi dengan anemia. Intervensi Ikan Tuna lebih efektif menaikkan kadar Hemoglobin penderita anemia dibanding hanya mengkonsumsi tablet tambah darah. Kata Kunci: Anemia, Ikan Tuna, Remaja Putri.
Gambaran Resiliensi Perawat Instalasi Gawat Darurat di RSUD R. Syamsudin SH Rahmania, Lilla Zulfa Shofa; Sriati, Aat; Eriyani, Theresia
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25050

Abstract

ABSTRACT Emergency Department (ED) nurses face significant psychosocial hazards that increase mental health problems such as work stress and burnout syndrome. High resilience is essential for nurses to adapt, recover, and bounce back from pressure, maintaining emotional stability and professional performance in the demanding Emergency Departement environment. This study aims to describe the level of resilience among emergency department nurses at RSUD R. Syamsudin, SH. This study used a quantitative descriptive design with total sampling technique. Of 48 Emergency Departement nurses, 45 nurses (93.75%) participated, while 3 nurses did not fill out the questionnaire due to work commitments and time constraints. The research instrument used the validated Connor-Davidson Resilience Scale (CD-RISC 25) questionnaire, and data were analyzed univariately through frequency distribution and percentages.Most nurses demonstrated moderate resilience (77.8%), followed by high (15.6%) and low (6.7%). Moderate resilience was more prevalent among male nurses, those of productive age (26–45 years), married individuals, those with bachelor's/nursing degrees, and those with more than five years of service. Emergency Departement nurses have fairly good adaptive abilities in dealing with work pressure. However, it is recommended that hospitals develop stress management training programs including problem-oriented coping strategies and emotion regulation techniques, provide psychological counseling and special mentoring programs for nurses with low resilience, optimize nurses with high resilience as mentors, and address workloads by adding nursing staff and balancing shift distributions to improve nurses' mental resilience and maintain nursing service quality. Keywords: Emergency Department, Nurse, Resilience.  ABSTRAK Perawat Instalasi Gawat Darurat (IGD) menghadapi bahaya psikososial di tempat kerja yang meningkatkan masalah kesehatan mental seperti stres kerja dan burnout syndrome. Resiliensi yang tinggi dibutuhkan untuk beradaptasi, pulih, dan bangkit kembali dari tekanan atau kesulitan, guna menjaga stabilitas emosional dan kinerja profesional di lingkungan IGD yang penuh tuntutan. Tujuan: Penelitian ini bertujuan mengetahui gambaran tingkat resiliensi perawat IGD di RSUD R. Syamsudin, SH. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling. Dari 48 perawat IGD, sebanyak 45 perawat (93,75%) bersedia berpartisipasi, sedangkan 3 perawat tidak mengisi kuesioner karena kesibukan kerja dan keterbatasan waktu. Instrumen penelitian menggunakan kuesioner Connor-Davidson Resilience Scale (CD-RISC 25) yang telah tervalidasi, dan data dianalisis secara univariat melalui distribusi frekuensi dan persentase. Hasil penelitian menunjukkan sebagian besar perawat memiliki tingkat resiliensi sedang (77,8%), diikuti tinggi (15,6%) dan rendah (6,7%), dengan resiliensi sedang lebih banyak ditemukan pada perawat laki-laki, berusia produktif (26–45 tahun), berstatus menikah, berpendidikan S1/Ners, dan memiliki masa kerja lebih dari lima tahun. Perawat IGD memiliki kemampuan adaptasi yang cukup baik dalam menghadapi tekanan kerja, namun disarankan agar rumah sakit mengembangkan program pelatihan manajemen stres yang mencakup strategi koping berorientasi masalah dan teknik regulasi emosi, menyediakan konseling psikologis dan program mentoring khusus bagi perawat dengan resiliensi rendah, mengoptimalkan perawat dengan resiliensi tinggi sebagai mentor, serta mengatasi beban kerja melalui penambahan tenaga perawat dan penyeimbangan distribusi shift untuk meningkatkan ketahanan mental perawat dan menjaga kualitas pelayanan keperawatan. Kata Kunci: Instalasi Gawat Darurat, Perawat, Resiliensi.
Hubungan Dukungan Keluarga dengan Kepatuhan Diet Dash Pada Pasien Hipertensi Nggarang, Bonavantura Nursi; Beo, Yosef Andrian; Iwa, Kornelia Romana
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25305

Abstract

ABSTRACT Hypertension is a non-communicable disease that is a major health problem in Indonesia. One non-pharmacological intervention that can be implemented to control hypertension is implementing a special hypertension diet. However, patient satisfaction with this diet remains relatively low. One factor thought to influence adherence is family support. Families play a crucial role in providing motivation, supervision, and encouragement to patients to consistently adhere to the DASH diet. This study aimed to analyze the relationship between family support and DASH diet adherence in hypertension patients at Mano Community Health Center. This study used a quantitative design with a cross-sectional approach. The study population consisted of 142 hypertension patients at Mano Community Health Center. A sample of 105 respondents was selected using a purposive sampling technique. The research instruments were a family support questionnaire and a DASH diet adherence questionnaire. Data analysis was performed using the Chi-Square test. Most respondents had good family support, namely 52 people (49.5%). Respondents who were not compliant with the DASH diet numbered 38 people (36.2%), while those who were compliant numbered 67 people (63.8%). The results of the statistical test showed a p value of 0.000 (p 0.05), so it can be concluded that there is a significant relationship between family support and DASH diet adherence in hypertensive patients at the Mano Community Health Center. Increasing family support can be an effective strategy in improving dietary adherence in hypertensive patients. Therefore, more optimal educational efforts are needed from the family and the community health center to increase patient awareness about the importance of family support in supporting DASH diet adherence. Keywords: Family Support, Diet Compliance, Hypertension.  ABSTRAK Hipertensi merupakan salah satu penyakit tidak menular yang menjadi permasalahan kesehatan utama di Indonesia. Salah satu intervensi nonfarmakologis yang dapat dilakukan dalam pengendalian hipertensi adalah penerapan diet khusus hipertensi. Akan tetapi, tingkat kepatuhan pasien dalam menjalankan diet tersebut masih tergolong rendah. Salah satu faktor yang diduga berpengaruh terhadap kepatuhan tersebut adalah dukungan keluarga. Keluarga memiliki peran penting dalam memberikan motivasi, pengawasan, serta dorongan kepada pasien agar konsisten dalam menjalankan diet DASH. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dan kepatuhan diet DASH pada pasien hipertensi di Puskesmas Mano. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Populasi penelitian berjumlah 142 pasien hipertensi di Puskesmas Mano. Sampel sebanyak 105 responden ditentukan melalui teknik purposive sampling. Instrumen penelitian berupa kuesioner dukungan keluarga dan kuesioner kepatuhan diet DASH. Analisis data dilakukan menggunakan uji Chi-Square.,Sebagian besar responden memiliki dukungan keluarga dalam kategori baik, yaitu sebanyak 52 orang (49,5%). Responden yang tidak patuh terhadap diet DASH berjumlah 38 orang (36,2%), sedangkan yang patuh berjumlah 67 orang (63,8%). Hasil uji statistik menunjukkan nilai p sebesar 0,000 (p 0,05), sehingga dapat disimpulkan bahwa terdapat hubungan yang signifikan antara dukungan keluarga dan kepatuhan diet DASH pada pasien hipertensi di Puskesmas Mano. Peningkatan dukungan keluarga dapat menjadi salah satu strategi efektif dalam meningkatkan kepatuhan diet pada pasien hipertensi. Oleh karena itu, diperlukan upaya edukasi yang lebih optimal dari pihak keluarga maupun puskesmas guna meningkatkan kesadaran pasien tentang pentingnya dukungan keluarga dalam menunjang kepatuhan diet DASH. Kata Kunci: Dukungan Keluarga, Kepatuhan Diet, Hipertensi.
Studi Kasus Penerapan Akupunktur pada Lansia Dengan Sembelit di Griya Akupunktur Buana Purwokerto Suniarto, Budi; Mahadini, Chantika; Wulandari, Mayang; Kurniawan, Leny Candra
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25173

Abstract

ABSTRAK Sembelit merupakan salah satu keluhan yang sering dialami oleh lansia dan cenderung bersifat kronis. Penurunan fungsi fisiologis saluran cerna, pola makan, aktivitas fisik, serta penggunaan obat-obatan jangka panjang menjadi faktor yang berkontribusi terhadap terjadinya sembelit. Penelitian ini bertujuan untuk menggambarkan penerapan terapi akupunktur pada lansia dengan keluhan sembelit di Griya Akupunktur Buana Purwokerto. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan desain studi kasus pada satu orang lansia perempuan berusia 78 tahun. Terapi akupunktur diberikan selama dua bulan dengan frekuensi dua kali seminggu, total sebanyak 16 kali. Data dikumpulkan melalui pemeriksaan akupunktur meliputi pengamatan, wawancara, pendengaran, penciuman, dan perabaan, serta dievaluasi secara berkala. Hasil penelitian menunjukkan adanya perbaikan pada frekuensi buang air besar, penurunan kesulitan mengejan, dan berkurangnya rasa tidak tuntas setelah defekasi serta berkurangnya rasa tidak nyaman di bagian abdomen. Kesimpulan dari studi kasus ini menunjukkan bahwa terapi akupunktur dapat menjadi alternatif terapi nonfarmakologis yang bermanfaat dalam membantu mengurangi keluhan sembelit pada lansia. Kata Kunci: Akupuntur, Lansia, Sembelit.  ABSTRACT Constipation is a common complaint among older adults and tends to be chronic. A decline in gastrointestinal physiological function, dietary patterns, physical activity, and long-term medication use are contributing factors to constipation in the elderly. This study aimed to describe the application of acupuncture care in an elderly patient with constipation at Griya Akupunktur Buana Purwokerto. This research employed a qualitative approach using a case study design involving a 78-year-old female elderly patient. Acupuncture therapy was administered for two months with a frequency of twice a week, totaling 16 sessions. Data were collected through acupuncture examinations, including observation, interview, hearing, smelling, and palpation, and were evaluated periodically. The results showed improvements in bowel movement frequency, reduced straining during defecation, decreased sensation of incomplete evacuation, and reduced abdominal discomfort. In conclusion, this case study indicates that acupuncture therapy may serve as a beneficial non-pharmacological alternative in helping to alleviate constipation complaints in elderly patients. Keywords: Acupuncture, Elderly, Constipation.
Determinan Faktor Self Management Hipertensi Pada Lansia: Studi Cross-Sectional di Puskesmas Denpasar Selatan III Sutini, Ni Kadek
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.24064

Abstract

ABSTRACT Uncontrolled hypertension has been identified as a leading cause of death due to its complications. Identifying effective strategies to assist patients in managing blood pressure remains a significant public health challenge in Indonesia. Although hypertension self-management is recommended to improve blood pressure control, the prevalence of uncontrolled hypertension has been reported to be increasing. Multiple factors influence self-management behaviors among individuals with hypertension. This study aimed to identify the determinants of hypertension self-management. This study employed an analytical design with a cross-sectional approach. A total of 120 elderly individuals with hypertension residing in the working area of South Denpasar III Primary Health Center, Bali Province, were recruited using consecutive sampling during the period of July–October 2025. Data were collected using structured questionnaires. Bivariate analysis was conducted using the Chi-square test, with Fisher’s exact test applied as an alternative when appropriate. Multivariate analysis was performed using logistic regression with the backward likelihood ratio (LR) method to identify determinant factors of hypertension self-management. Data analysis was conducted using SPSS version 20. Ethical approval was obtained from the Ethics Committee of ITEKES Bali.The results showed that three variables were significantly associated with hypertension self-management: knowledge (p 0.001; PR = 4.352; 95% CI: 1.985–9.540), educational level (p = 0.048; PR = 8.444; 95% CI: 1.985–9.540), and family support (p = 0.037; PR = 0.400; 95% CI: 0.180–0.888). In contrast, age (p = 0.359), sex (p = 0.769), occupation (p = 0.939), economic status (p = 0.139), and duration of hypertension (p = 0.396) were not significantly associated with hypertension self-management. The main determinant of hypertension self-management among the elderly was knowledge (p 0.001; adjusted PR = 4.322; 95% CI: 1.941–9.626), indicating that elderly individuals with poor knowledge of hypertension were 4.322 times more likely to exhibit poor hypertension self-management. These findings highlight the need for targeted educational interventins by primary health centers, particularly for elderly individuals with limited knowledge, to enhance effective hypertension self-management. Keywords: Hypertension, Elderly, Self-Management.  ABSTRAK Hipertensi tidak terkontrol dinyatakan sebagai penyebab utama kematian akibat komplikasinya. Menemukan strategi yang tepat dalam membantu penderita mengelola tekanan darah masih menjadi masalah kesehatan yang signifikan di Indonesia. Meskipun self management hipertensi direkomendasikan untuk membantu mengelola tekanan darah namun prevalensi hipertensi tidak terkontrol dilaporkan mengalami peningkatan. Banyak faktor yang mempengaruhi perilaku self management penderita hipertensi. Penelitian ini bertujuan mengidentifikasi determinan faktor self management hipertensi. Metode yang digunakan adalah studi analitik dengan pendekatan cross-sectional. Sampel dalam penelitian sebanyak 120 orang lansia yang menderita hipertensi di wilayah kerja Puskesmas Denpasar Selatan III Provinsi Bali yang diambil dengan consecutive sampling selama periode Juli-Oktober 2025. Pengumpulan data dilakukanmenggunakan kuisioner. Uji bivariat Chi-square dengan uji alternatif Fisher exact test digunakan untuk menganalisis hubungan masing-masing variabel penelitian dan uji multivariat regresi logistic dengan metode backward LRdigunakan untuk menganalisis determinan faktor self management hipertensi. Data dianalisis menggunakan SPSS versi 20. Penelitian ini telah mendapatkan kelaikan etik dari Komisi Etik ITEKES Bali. Hasil penelitian ini menunjukkan ada tiga variable yang berhubungan dengan self management hipertensi yaitu pengetahuan (p=0,001: PR=4,352: CI95%:1,985-9,540), pendidikan (p=0,048: PR:8.444, CI95%:1,985-9,540) dan dukungan keluarga (p=0,037: PR:0,400: CI95%:0,180-0,888) sedangkan usia (p=0,359), jenis kelamin (p=0,769), pekerjaan (p=0,939), status ekonomi (p=0,139), dan lama menderita hipertensi (p=0,396) tidak memiliki hubungan dengan self management hipertensi. Determinan faktor self management hipertensi pada lansia adalah pengetahuan dengan nilai (p=0,001: APR=4,322: CI95%: 1,941-9,626). Hal ini berarti pengetahuan yang buruk tentang hipertensi berisiko 4,322 kali bagi lansia melakukan self management hipertensi yang buruk. Temuan ini menekankan diperlukan upaya peningkatan pengetahuan oleh puskesmas melalui edukasi khususnya bagi lansia dengan pengetahuan yang buruk agar mampu melakukan self management hipertensi yang baik. Kata Kunci: Hipertensi, Lansia, Self-Management.
The Multi-Strain Probiotics Effect as Adjuvant Therapy for HIV Patients at Waluyo Jati Regional Hospital, Probolinggo Regency, East Java, Indonesia Harjanti, Luki; Setiadi, Adji Prayitno; Kartika, Nanik Triana
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25035

Abstract

ABSTRACT Human Immunodeficiency Virus (HIV) infection causes Acquired Immune Deficiency Syndrome (AIDS) by attacking immune cells, especially T-helper lymphocytes (CD4). This study aims to determine the benefits of multi-strain probiotics as adjuvant therapy in People Live with HIV (PLHIV) with suppressed viral load at Waluyo Jati Regional Hospital with a primary focus on changes in CD4 levels and Opportunistic Infection. This study was conducted using the Quasi-Experimental Design One Group Pretest Posttest method involving 23 PLHIV at Waluyo Jati Regional Hospital. The sample individuals in this study were PLHIV with a history of suppressed viral load and had received ART (antiretroviral) therapy for at least 2 (two) years. Data collection in this study was carried out for 90 (ninety) days. Based on the Shapiro-Wilk normality test value, it is known that the research data obtained is data with a normal distribution (p 0.05). Based on this study, it was found that the administration of adjuvant therapy in the form of multi-strain probiotics show statistically significant effect on increasing CD4 levels in study participants after three months of treatment. Individually, 82,46 % of patients experienced an increase in CD4, while 17,36 % experienced a decrease in CD4 (p = 0.001; p 0.05). The supplementation of probiotics has a statistically significant effect on increasing CD4 cell levels in HIV patients undergoing antiretroviral (ART) therapy. The overall occurrence of opportunistic infections (OIs) in the study group was low throughout the three months observation period. Only two OI cases were identified, one case of pneumonia and one case of oral candidiasis. Both of which appeared in the first month, with no additional infections detected in the subsequent months. Keyword: HIV, Antiretroviral, Multi-strain Probiotic, CD4, Opportunistic Infections.
Implications of Jhonson's Behavioral Theory: Effect of Bedside Handover Sbar on 6 Patient Safety Goals Hastuti, Dwi Siwi Murni; Dedi, Blacius; Hastuti, Witri
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25156

Abstract

ABSTRACT This research was carried out because patient safety incident problems that occurred in the span of 2025, which reflected that patient safety goals have not been optimally achieved. In addition, there is a problem with the head nurse in ensuring that the handover process runs according to standards. This study aims to analyse the influence of SABR bedside handover on 6 aspects of patient safety goals. This study is included in the category of quantitative research with a quasi-experimental design of two grouppretest-posttest design, which involves an experimental group of 47 respondents, namely inpatient nurses who received SPAR-based bedside hand over training based on Johnson behaviour, and a control group of 47 nurses who only received leaflet bedside hand over based on SBAR is based on Johnson’s behaviour. The results of the analysis concluded that bedside handover SBAR has a positive and significant effect on the aspect of patient safety goals. SBAR bedside handover has been proven to improve nurses' ability to achieve 6 patient safety goals. Keywords: Bedside Handover, SBAR, Patient Safety Target.
Asuhan Akupunktur pada kasus dengan Fluor Albus di Griya Sehat "de_maemun" Kabupaten Cirebon Maemunah, Ade Siti; Wulandari, Mayang; Kurniawan, Leny Candra; Mahadini, Chantika; Roebidin, Rachmat
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25116

Abstract

ABSTRACT Fluor albus (pathological leukorrhea) remains a prevalent gynecological complaint in Indonesia, with conventional antimicrobial therapy often limited by side effects and drug resistance. This single-case study evaluated the clinical efficacy of acupuncture in managing fluor albus due to Spleen Qi Deficiency with Dampness Accumulation pattern according to Traditional Chinese Medicine (TCM) principles. A 43-year-old female participant presenting with excessive white-yellowish sticky vaginal discharge, fatigue, abdominal distension postprandially, unformed stools, and cold-heavy sensation in extremities received six acupuncture sessions twice weekly at Griya Sehat "de_maemun", Cirebon. The intervention protocol included tonification techniques at SP-6 (Sanyinjiao), SP-4 (Gongsun), ST-36 (Zusanli), CV-6 (Qihai), GB-26 (Daimai), and BL-20 (Pishu), combined with reduction techniques at SP-9 (Yinlingquan) and CV-9 (Shuifen), supplemented by moxibustion at ST-36 and CV-6. Progressive clinical improvement was observed: by session 3, discharge volume significantly decreased; by session 5, pathological discharge ceased completely with clean undergarments; by session 6, all primary and secondary symptoms resolved entirely. Objective signs normalized progressively—tongue transformed from swollen with thick yellow greasy coating to pink with thin white coating, and pulse shifted from deep-weak-slow-slippery to normal rhythm. The participant also reported restored digestive function (formed stools, no postprandial bloating), elimination of cold sensation in extremities, improved sleep quality, and enhanced energy levels. Acupuncture effectively resolved fluor albus through dual mechanisms of Spleen Qi tonification and Dampness elimination, aligning with the TCM therapeutic principle "Jian Pi Chu Shi" (strengthening Spleen to resolve Dampness). This case demonstrates acupuncture's potential as a safe, non-pharmacological complementary therapy for gynecological disorders with metabolic-gastrointestinal etiology. Keywords: Fluor Albus, Acupuncture, Spleen Qi Deficiency, Dampness.  ABSTRAK Fluor albus merupakan keluhan ginekologi prevalensi di Indonesia dengan angka kejadian 27,60–90% pada wanita usia subur. Terapi konvensional berbasis anti mikroba sering menimbulkan efek samping dan resistensi obat, sehingga diperlukan alternatif terapi holistik berbasis Pengobatan Tradisional Tiongkok (TCM). Penelitian studi kasus ini bertujuan mengevaluasi manfaat asuhan akupunktur pada fluor albus dengan pola sindrom Defisiensi Qi Limpa disertai akumulasi Kelembapan. Partisipan adalah seorang wanita berusia 43 tahun dengan keluhan keputihan patologis berlebihan (sekret putih kekuningan, lengket, berbau), disertai kelelahan, kembung pasca-makan, feses tidak berbentuk, serta lidah gemuk dengan selaput kuning tebal berminyak dan nadi tenggelam-lemah-lambat-licin. Intervensi dilakukan sebanyak enam sesi akupunktur dua kali per pekan di Griya Sehat "de_maemun", Cirebonmenggunakan protokol titik SP-6, SP-4, ST-36, CV-6, GB-26, BL-20 (metode tonifikasi) dan SP-9, CV-9 (metode reduksi), dilengkapi moksibusi pada titik ST-36 dan CV-6. Evaluasi progresif menunjukkan regresi klinis bertahap: pada sesi ke-3 volume sekret berkurang signifikan; sesi ke-5 sekret patologis tidak lagi ditemukan pada pakaian dalam; sesi ke-6 seluruh gejala utama dan tambahan teratasi sempurna dengan normalisasi lidah (merah muda, selaput putih tipis) dan nadi (tidak tenggelam/lemah). Akupunktur efektif mengatasi fluor albus melalui mekanisme tonifikasi Qi Limpa dan eliminasi Kelembapan, sejalan dengan prinsip terapeutik TCM "Jian Pi Chu Shi" (memperkuat Limpa menghilangkan Kelembapan). Pendekatan diferensiasi sindrom berbasis etiologi metabolik-gastrointestinal terbukti memberikan respons klinis bermakna tanpa efek samping farmakologis. Kata Kunci: Asuhan Akupunktur, Fluor Albus, Keputihan Patologis, Defisiensi Qi Limpa.

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