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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 2,035 Documents
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Pembelajaran Daring Berbasis Learning Management System (LMS) dalam Pengalaman Belajar Mahasiswa Keperawatan: Tinjauan Literatur Dwi Nopriyanto; Azainil Azainil; Muhammad Ramli Buhari; Rini Dwi Yuliani; Descha Rahmadani
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25398

Abstract

ABSTRACT The development of digital technology is driving the transformation of learning in nursing education through the use of Learning Management Systems (LMS) as integrated learning media. LMSs play a role in increasing access, learning flexibility, and student engagement. This study used a literature review with the PRISMA approach. Article searches were conducted in the Science Direct, Springer, and BMC databases covering the years 2023-2025. Of the 102 articles found, five met the inclusion criteria and were analyzed thematically. The results indicate that LMSs provide flexible learning access, enhance independence, and support student engagement. Learning satisfaction is influenced by ease of use of the system, content quality, and technological support. Challenges exist such as limited social interaction, technological readiness, and digital literacy. LMSs play a strategic role in enhancing nursing student learning; their success is influenced by technological readiness, institutional support, and innovation in learning. Keywords: LMS, Online Learning, Nursing, Learning Experience.  ABSTRAK Pengembangan teknologi digital mendorong transformasi pembelajaran dalam Pendidikan keperawatan melalui penggunaan Learning Management System (LMS) sebagai integrasi media pembelajaran. LMS berperan meningkatkan akses, fleksibilitas pembelajaraan, serta keterlibatan mahasiswa dalam pembelajaran. Penelitian ini menggunakan metode tinjauan literatur dengan pendekatan PRISMA. Pencarian artikel dilakukan pada database Science Direct, Springer dan BMC dengan rentang tahun 2023-2025. 102 artikel yang ditemukan, sebanyak 5 artikel memenuhi kriteria inklusi dan dianalisa secara tematik. Hasil menjelaskan bahwa LMS memberikan fleksibilitas akses belajar, meningkatkan kemandirian, serta mendukung keterlibatan mahasiswa. Kepuasan belajar dipengaruhi oleh adanya kemudahan dalam penggunaan sistem, kualitas dari konten, serta dukungan teknologi. Terdapat tantangan seperti adanya keterbatasan interaksi sosial, kesipan dari teknologi, dan literasi digita. LMS memiliki peran yang strategis dalam peningkatan pembelajaran mahasiswa keperawatan, keberhasilannya dipengaruhi oleh adanya kesiapan teknologi, dukungan dari institusi, dan inovasi dalam pembelajaran. Kata Kunci: LMS, Pembelajaran Daring, Keperawatan, Pengalaman Belajar.
Workload, Job Stress, and Employee Performance in Digital Hospital Administration: A Cross-Sectional Study of Hospital Administrative Staff Lysa Kurniati; Qurratul Aini
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25265

Abstract

ABSTRACT The digitalization of hospital administration through the implementation of Hospital Management Information Systems (SIMRS) and electronic medical records has transformed the characteristics of administrative work. This transformation has increased cognitive demands, time pressure, and task complexity, which may affect workload, job stress, and employee performance. This study aimed to analyze the effects of workload and job stress on the performance of hospital administrative staff in the digitalization era. This research employed an explanatory quantitative approach with a cross-sectional design. The study was conducted among administrative staff at RSUD Bangil, Pasuruan Regency, in February 2026. A total of 98 respondents were selected using purposive sampling based on criteria that required participants to be administrative employees who actively used digital systems in their daily tasks. Workload was measured using the adapted NASA Task Load Index (NASA-TLX), while job stress and employee performance were assessed using standardized questionnaires. Data were analyzed using multiple linear regression at a 5% significance level. The findings indicated that workload had a positive and statistically significant effect on employee performance (p 0.05). Job stress also showed a positive and significant effect on performance (p 0.05). Simultaneously, workload and job stress significantly influenced employee performance, with a coefficient of determination of 50.8%, indicating that both variables explained more than half of the variance in performance. Workload and job stress are important determinants of administrative employee performance in a SIMRS-based hospital environment. Effective workload management and job stress control are essential strategies to support the sustainability and effectiveness of digital transformation in healthcare services.  Keywords: Workload, Job Stress, Employee Performance, Hospital Information System, Digital Administration.
Hubungan Aktivitas Senam Lansia Terhadap Penyakit Tidak Menular (Hipertensi) Pada Lansia di Puskesmas Sanggeng Hosiana Loisa Sombuk; Ruth Harriet Faidiban; Bahrah Bahrah
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.24968

Abstract

ABSTRACT The elderly group is the most vulnerable to non-communicable diseases due to physiological changes that occur with aging as well as high exposure to behavioral risk factors. Based on preliminary study data at Sanggeng Health Center, there are still elderly individuals experiencing hypertension, and interviews with 10 elderly people found that 7 of them had not engaged in physical activities such as senior exercise. This study aims to analyze the relationship between physical activity and non-communicable diseases (hypertension) in the elderly at Sanggeng Health Center. This type of research is analytical with a cross-sectional study approach, where the independent and dependent variables are measured at the same time. The researchers only conducted observations without intervening with the research subjects. The sample in this study includes all elderly visitors to Sanggeng Health Center using a total sampling technique. This study involved human research subjects, comprising 69 respondents who were given a questionnaire that had been tested for validity and reliability. The data collected were primary data, and the data analysis was conducted using the Chi-Square test. The results of the study indicated that there is a relationship between physical activity in the form of elderly exercise and non-communicable diseases (hypertension) at Sanggeng Health Center, with a p-value of 0.000 α value (0.05). The conclusion is that physical activity in the form of elderly exercise is a factor that can influence non-communicable diseases or hypertension in the elderly.  Keywords: Physical Activity, Non-Communicable Diseases, Hypertension.  ABSTRAK Kelompok lansia merupakan kelompok yang paling rentan terhadap penyakit tidak menular karena perubahan fisiologis yang terjadi seiring bertambahnya usia serta tingginya paparan terhadap faktor risiko perilaku. Berdasarkan data studi pendahuluan di Puskesmas Sanggeng masih ditemukan lansia yang mengalami hipertensi dan hasil wawancara pada 10 lansia ditemukan bahwa terdapat 7 lansia yang belum melakukan aktivitas fisik seperti senam lansia. Penelitian ini bertujuan untuk mengenalisis hubungan aktivitas fisik dengan penyakit tidak menular (hipertensi) pada lansia di Puskesmas Sanggeng. Jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross-sectional study dimana variabel independen dan variabel dependen diukur pada waktu yang bersamaan. Peneliti hanya melakukan observasi tanpa melakukan intervensi terhadap subjek penelitian Sampel dalam penelitian ini adalah semua lansia yang berkunjung ke Puskesmas Sanggeng dengan teknik total sampling. Penelitian ini menggunakan subjek penelitian manusia yaitu sebanyak 69 responden yang akan diberikan kuisioner yang telah diuji validitas dan reliabilitas. Data yang diambil merupakan data primer dan analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukan bahwa terdapat hubungan aktivitas fisik senam lansia dengan penyakit tidak menular (hipertensi) di PuskesmasSanggeng dengan nilai p value 0.000  nilai α (0,05). Kesimpulan yaitu aktivitas fisik berupa senam lansia merupakan faktor yang dapat mempengaruhi penyakit tidak menular atau hipertensi pada lansia. Kata Kunci: Aktivitas Fisik, Penyakit Tidak Menular, Hipertensi.
Pengaruh Edukasi melalui Metode Lonto Leok Terhadap Pengetahuan dan Kepatuhan Pengobatan Hipertensi Pada Lansia di Desa Lengko Namut Kabupaten Manggarai Timur Ester Ingrida Agninoy Jarut; Marni Marni; Galuh Wiedani K. Diah Larasati; Imelda F.E Manurung
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.25288

Abstract

ABSTRACT Hypertension is a non-communicable disease that is a public health problem with a high prevalence in the elderly. Low levels of knowledge and adherence to treatment are the main causes of uncontrolled blood pressure. Local culture-based health education such as the Lonto Leok method is expected to improve public health understanding and behavior. This study aims to analyze the effect of Lonto Leok method education on the level of knowledge and adherence to hypertension treatment in the elderly in Lengko Namut Village, East Manggarai Regency. Using a quasi-experimental nonequivalent control group design with 56 respondents (28 intervention groups, 28 controls with video education), data were collected through pre- and post-test questionnaires (knowledge: 18 items; adherence: MMAS-8). The Lonto Leok group showed significant improvement (knowledge: mean increase of 4.36, p=0.000; adherence: increase of 1.93, p=0,000), superior to the video group (knowledge: 3.86, p=0.002; adherence: 1.61, p=0.000), analyzed by Wilcoxon test and t-test. The Lonto Leok cultural approach was proven to be more effective in improving hypertension management in this local context. Keywords: Lonto Leok, Hypertension, Knowledge, Medication, Elderly.   ABSTRAK Hipertensi merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat dengan prevalensi tinggi pada kelompok lansia. Rendahnya tingkat pengetahuan dan kepatuhan pengobatan menjadi penyebab utama tidak terkontrolnya tekanan darah. Edukasi kesehatan berbasis budaya lokal seperti metode Lonto Leok diharapkan mampu meningkatkan pemahaman dan perilaku kesehatan masyarakat. Penelitian ini bertujuan menganalisis pengaruh edukasi metode Lonto Leok terhadap tingkat pengetahuan dan kepatuhan pengobatan hipertensi pada lansia di Desa Lengko Namut Kabupaten Manggarai Timur. Menggunakan rancangan two group pre-test post-test design dengan 56 responden (28 kelompok intervensi, 28 kontrol dengan edukasi video), data dikumpul melalui kuesioner pre- dan post-test (pengetahuan: 18 item; kepatuhan: MMAS-8). Kelompok Lonto Leok menunjukkan peningkatan signifikan (pengetahuan: rata-rata naik 4,36, p=0,000; kepatuhan: naik 1,93, p=0,000), lebih unggul dari kelompok video (pengetahuan: 3,86, p=0,002; kepatuhan: 1,61, p=0,000), dianalisis dengan uji Wilcoxon dan t-test. Pendekatan budaya Lonto Leok terbukti lebih efektif dalam meningkatkan pengelolaan hipertensi di konteks lokal ini.  Kata Kunci: Lonto Leok, Hipertensi, Pengetahuan, Kepatuhan, Lansia.
Gambaran Tingkat Kepatuhan Perawat dalam Implementasi Enam Sasaran Keselamatan Pasien: A Systematic Literature Review Sumadniati Sumadniati; Raden Ahmad Dedy Mardani; Zul Hendri
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.25358

Abstract

ABSTRACT Patient safety is a global health priority, with nurses playing a crucial role in implementing the Six Patient Safety Goals (SPSG). However, nurse compliance levels vary significantly across different contexts and dimensions of SPSG.This systematic literature review aimed to analyze the level of nurse compliance in implementing the Six Patient Safety Goals based on current scientific evidence (2020-2025). A systematic literature review was conducted using Scopus and Web of Science databases with keywords "nurse compliance," "patient safety goals," and "six international patient safety goals." Inclusion criteria were primary articles, published 2020-2025, indexed in Scopus/WoS, focusing on nurse compliance with SPSG. Eleven articles met the criteria and were analyzed using thematic analysis techniques. Nurse compliance levels toward SPSG varied between 39%-95% across different dimensions. Goal 1 (Patient Identification) showed the highest compliance (86-95%), while Goal 6 (Fall Prevention) showed the greatest implementation complexity. Main barriers included human resource limitations (69%), lack of continuous training (58%), high workload (52%), and inadequate infrastructure (45%). Supporting factors included positive safety culture, transformational leadership, and effective incident reporting systems. Nurse compliance with SPSG is influenced by multifactorial interactions at individual, unit, and organizational levels. Comprehensive evidence-based interventions are needed to improve implementation fidelity and reduce adverse events. Keywords: Implementation Science, Nurse Compliance, Patient Safety, Six Patient Safety Goals, Systematic Review.  ABSTRAK Keselamatan pasien merupakan prioritas kesehatan global, dengan perawat memainkan peran krusial dalam implementasi Enam Sasaran Keselamatan Pasien (SPSG). Namun, tingkat kepatuhan perawat bervariasi signifikan di berbagai konteks dan dimensi SPSG. Tujuan: Systematic literature review ini bertujuan untuk menganalisis gambaran tingkat kepatuhan perawat dalam implementasi Enam Sasaran Keselamatan Pasien berdasarkan bukti ilmiah terkini (2020-2025). Systematic literature review dilakukan menggunakan database Scopus dan Web of Science dengan kata kunci "nurse compliance," "patient safety goals," dan "six international patient safety goals." Kriteria inklusi: artikel primer, terbit 2020-2025, terindeks Scopus/WoS, fokus pada kepatuhan perawat terhadap SPSG. Sebelas artikel memenuhi kriteria dan dianalisis menggunakan teknik analisis tematik. Tingkat kepatuhan perawat terhadap SPSG bervariasi antara 39%-95% di berbagai dimensi. Goal 1 (Identifikasi Pasien) menunjukkan kepatuhan tertinggi (86-95%), sedangkan Goal 6 (Prevensi Jatuh) menunjukkan kompleksitas implementasi tertinggi. Hambatan utama meliputi: keterbatasan sumber daya manusia (69%), kurangnya pelatihan berkelanjutan (58%), beban kerja tinggi (52%), dan infrastruktur tidak memadai (45%). Faktor pendukung meliputi: budaya keselamatan positif, kepemimpinan transformasional, dan sistem pelaporan insiden yang efektif. Kepatuhan perawat terhadap SPSG dipengaruhi oleh interaksi multifaktorial pada tingkat individu, unit, dan organisasional. Diperlukan intervensi komprehensif berbasis evidence untuk meningkatkan implementation fidelity dan mengurangi adverse events. Kata Kunci: Enam Sasaran Keselamatan Pasien, Implementation Science, Kepatuhan Perawat, Keselamatan Pasien, Systematic Review.
Hubungan Tingkat Kecemasan dan Kemandirian dalam Activity Daily Living (ADL) Terhadap Kualitas Hidup Lansia Hipertensi di Jakarta Timur Eska Riyanti Kariman; Nurdahlia Nurdahlia; Tri Endah Pangestuti; Kaila Kamila
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.25411

Abstract

ABSTRAK Lansia merupakan masyarakat rentan\berisiko terhadap penurunan kesehatan, salah satu penyakit degenerative yang paling sering terjadi pada lansia adalah hipertensi. Survei Kesehatan Indonesia (SKI) mengatakan hipertensi merupakan faktor risiko tertinggi penyebab kematian keempat di Indonesia. Orang yang mengidap hipertensi umumnya memiliki kualitas hidup yang lebih rendah dibandingkan dengan mereka yang tidak mengidap hipertensi. Beberapa faktor yang mempengaruhi kualitas hidup diantaranya adalah kesehatan psikologis salah satunya yaitu kecemasan dan kesehatan fisik yaitu kemandirian dalam aktivitas sehari-hari. Penelitian ini dilakukan untuk mengetahui hubungan tingkat kecemasan dan kemandirian dalam activity daily living (ADL) dengan tekanan darah pada lansia hipertensi di Wilayah Kerja Puskesmas Kecamatan Ciracas Jakarta Timur. Jenis penelitian ini adalah kuantitatif dengan desain penelitian cross sectional. Penelitian ini dilaksanakan pada bulan April 2025. Pengambilan Sampel menggunakan teknik purposive sampling dengan sampel sebanyak 106 responden. Pengumpulan data menggunakan data primer dan instrumen kuesioner. Analisis data menggunakan uji Chi-Square.  Hasil penelitian dilakukan pada 106 responden didapatkan 76 (71,7%) lansia memiliki tingkat kecemasan ringan dan 90 (84,9%) lansia memiliki tingkat kemandirian tinggi. Ada hubungan yang signifikan antara tingkat kecemasan dengan kualitas hidup (p= 0,001) dan ada hubungan yang signifikan antara kemandirian dalam activity daily living (ADL) dengan kualitas hidup (p= 0,001). terdapat hubungan yang signifikan antara tingkat kecemasan dan kemandirian dalam activity daily living (ADL) dengan kualitas hidup. Kata Kunci: Lansia Hipertensi, Tingkat Kecemasan, Activity Daily Living (ADL), Kualitas Hidup.  ABSTRACT The elderly are a vulnerable population at risk of health decline. One of the most common degenerative diseases in the elderly is hypertension. The Indonesian Health Survey (SKI) states that hypertension is the fourth highest risk factor for death in Indonesia. People with hypertension generally have a lower quality of life compared to those without hypertension. Several factors that influence quality of life include psychological health, such as anxiety, and physical health, namely independence in daily activities. This study was conducted to determine the relationship between anxiety levels and independence in daily living activities (ADL) with blood pressure in elderly with hypertension in the Ciracas District Community Health Center Work Area, East Jakarta. This research is quantitative with a cross-sectional design. This research was conducted in April 2025. Sampling used a purposive sampling technique with a sample of 106 respondents. Data collection used primary data and questionnaire instruments. Data analysis used the Chi-Square test. The results of the study conducted on 106 respondents showed that 76 (71.7%) elderly had mild anxiety levels and 90 (84.9%) elderly had high levels of independence. There was a significant relationship between anxiety levels and quality of life (p= 0.001) and there was a significant relationship between independence in activities of daily living (ADL) and quality of life (p= 0.001). There is a significant relationship between the level of anxiety and independence in daily living activities (ADL) with quality of life. Keywords: Elderly Hypertension, Anxiety Level, Activity Daily Living (ADL), Quality of Life.
Hubungan Obesitas Maternal Prakehamilan dengan Kejadian Preeklampsia di Surakarta Mellia Silvy Irdianty; Sutiyo Dani Saputro; Nurul Devi Ardiani
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.25638

Abstract

ABSTRACT Preeclampsia is a pregnancy‑specific hypertensive disorder characterized by hypertension and proteinuria after 20 weeks of gestation and remains a major cause of maternal and perinatal morbidity and mortality. Pre‑pregnancy maternal obesity is a key modifiable risk factor, but evidence from primary care settings is still limited. To examine the association between pre‑pregnancy maternal obesity and the incidence of preeclampsia among pregnant women at Posyandu Merdisiwi. An analytical observational study with a case–control design was conducted on 34 mothers, consisting of 17 cases with preeclampsia and 17 controls without preeclampsia selected by consecutive sampling. Data were obtained from medical records and structured interviews. Pre‑pregnancy obesity was defined using body mass index (BMI), and preeclampsia was diagnosed based on standard criteria of blood pressure ≥140/90 mmHg and proteinuria at gestational age ≥20 weeks. Data were analyzed using the chi‑square test and odds ratio (OR) with a 95% confidence interval. Pre‑pregnancy obesity was more frequent in the preeclampsia group (64.7%) than in the control group (17.6%). Obese mothers before pregnancy had a significantly higher risk of preeclampsia than non‑obese mothers (OR 8.56; 95% CI 1.85–39.59; p 0.01). High‑risk maternal age and anemia also showed significant associations, while gravidity, occupation, and education did not. Pre‑pregnancy maternal obesity is strongly associated with preeclampsia. Integrating preconception weight management, early risk assessment, and closer antenatal surveillance for obese women is essential to reduce preeclampsia in primary care. Keywords: Preeclampsia, Pregnant Women, Pre‑Pregnancy Obesity, Maternal Health, Primary Care.  ABSTRAK Preeklamsia adalah gangguan hipertensi spesifik kehamilan yang ditandai hipertensi dan proteinuria setelah 20 minggu kehamilan dan masih menjadi penyebab penting morbiditas dan mortalitas maternal serta perinatal di negara berkembang. Obesitas maternal prakehamilan dikenal sebagai faktor risiko yang dapat dimodifikasi, namun bukti di tingkat pelayanan primer masih terbatas. Menganalisis hubungan obesitas maternal prakehamilan dengan kejadian preeklamsia pada ibu hamil di Posyandu Merdisiwi. Penelitian observasional analitik dengan rancangan kasus–kontrol pada 34 ibu, terdiri atas 17 kasus preeklamsia dan 17 kontrol tanpa preeklamsia yang dipilih secara consecutive sampling. Data diperoleh dari rekam medis dan wawancara terstruktur. Obesitas prakehamilan ditentukan berdasarkan indeks massa tubuh (IMT), sedangkan preeklamsia ditegakkan menurut kriteria tekanan darah ≥140/90 mmHg dan proteinuria pada usia kehamilan ≥20 minggu. Analisis menggunakan uji chi‑square dan odds ratio (OR) dengan interval kepercayaan 95%. Proporsi obesitas prakehamilan lebih tinggi pada kelompok preeklamsia (64,7%) dibandingkan kontrol (17,6%). Ibu dengan obesitas prakehamilan memiliki risiko jauh lebih tinggi mengalami preeklamsia dibandingkan yang tidak obes (OR 8,56; IK 95% 1,85–39,59; p 0,01). Usia berisiko dan anemia juga berhubungan bermakna, sedangkan gravida, pekerjaan, dan pendidikan tidak. Obesitas maternal prakehamilan berhubungan kuat dan signifikan dengan kejadian preeklamsia. Pengendalian berat badan prakonsepsi, skrining risiko dini, dan pemantauan antenatal lebih intensif pada ibu obes perlu diintegrasikan ke dalam layanan kesehatan ibu rutin. Kata Kunci: Preeklamsia, Ibu Hamil, Obesitas Prakehamilan, Kesehatan Ibu, Pelayanan Primer.
Perbedaan Pengaruh Antara Massage Effleurage dan Massage Minyak Esensial Lavender Terhadap Penurunan Tekanan Darah Nur izakiyah; Endang Fauziyah; Nindawi Nindawi; Taufiqur Rahman; Willi Holis
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.25604

Abstract

ABSTRACT Older adults experience various changes related to the aging process, including physical and physiological changes, which may lead to the development of various diseases. One of the physical changes commonly experienced in older adults is an increase in blood pressure or hypertension. Before developing hypertension, individuals usually enter a prehypertensive phase. There are various ways to manage high blood pressure. Blood pressure control can be achieved through natural therapies, including pharmacological and non-pharmacological approaches, lifestyle modifications, adherence to treatment, stress management, and relaxation therapies. One effective complementary method for lowering blood pressure is massage therapy. The effleurage massage technique is considered necessary to optimize the management of blood pressure reduction. Massage therapy is combined with lavender essential oil, which has a relaxing effect. Therefore, this study aims to analyze the effect of effleurage massage and lavender essential oil massage applied to the lower extremities and back on blood pressure reduction in older adults. This study employed a quantitative true experimental design with a posttest-only control design. The study population consisted of female patients with hypertension in the Polindes area of Pamaroh Village, Kadur Public Health Center, Pamekasan Regency, in 2023, totaling 156 individuals. The sample consisted of 20 participants selected using simple random sampling, with intervention groups determined based on specific considerations. Based on the statistical analysis using the Paired T-test, the systolic blood pressure results in the lower extremity massage group using the effleurage technique showed a significance value of 0.334 ( 0.05), indicating no significant difference. Thus, there was no effect of lower extremity effleurage massage on blood pressure reduction in older adults with hypertension. In contrast, the statistical results for the lavender essential oil massage group showed a systolic blood pressure significance value of 0.003 ( 0.05), indicating a significant difference in blood pressure before and after the intervention. It can be concluded that lower extremity massage using lavender essential oil has an effect on reducing blood pressure. This therapy is expected to be an alternative option in addition to pharmacological treatment to help maintain stable blood pressure in older adults. Keywords: Effleurage Massage, Lavender, Hypertension, Older Adults. ABSTRAK Lanjut usia mempunyai hubungan perubahan yang disebabkan proses bertambahnya usia seperti fisik yang berubahatau fisiologis dan timbulnya berbagai macam-macam penyakit. Dampak fisik yang berubah terjadi saat lanjut usiaadalah tekanan darah yang meningkat atau hipertensi dan sebelum terjadi hipertensi akan berada di fase prahipertensi. Berbagai macam cara untuk mengatasi tekanan darah tinggi. Banyak cara yang bisa digunakan untukmengontrol tekanan darah dapat dilakukan melalui terapi alami dengan obat-obatan dan terapi herbal yaitunonfarmakologi, gaya hidup yang harus dirubah, disiplin  dalam pengobatan, pengendalian terhadap stress dan terapipenenangan. Cara yang sangat baik untuk menurunkan tekanan darah dengan metode komplomenter adalah masase atau pemijatan.  Pengaruh terapi masase teknik effleurage di rasa sangat perlu untuk memaksimalkan penangananuntuk menurunkan tekanan darah. Masase atau pijat akan dikombinasikan dengan minyak esensial lavender yang merilekskan. Oleh karena itu, tujuan penelitian ini untuk menganalisis “pengaruh antara Massage Effleurage dan Massage Minyak Esensial Lavender di bagian ekstremitas bawah-punggung terhadap Penurunan Tekanan Darah pada Lansia”. Penelitian ini merupakan penelitian dengan analisis True Experimental Kuantitatif dan Desain dari penelitianini yaitu “posttest-only control design”. Populasi dalam penelitian ini adalah penderita hipertensi berjenis kelamin perempuan di wilayah Polindes Desa Pamaroh Puskesmas Kadur Kabupaten Pamekasan Tahun 2023, sebanyak 156 orang. Sampel yang didapatkan peneliti sebesar 20 orang dengan metode Simple Random Sampling, yaitu kelompok intervensi atau sampel ditentukan oleh segala pertimbangan. Berdasarkan Data analisa hasil uji statistik Paired T tespada tekanan sistolik memiliki nilai signifikansi 0,334   0,05, yang berarti tidak ada perbedaan yang signifikan ,sehingga tidak ada pengaruh massase ekstremitas bawah dengan teknik effluerage terhadap penurunan tekanandarah pada lansia hipertensi. Sedangkan hasil uji statistik masase minyak lavender menunjukkan  pada tekanansistolik memiliki nilai signifikansi 0,003 0,05, yang  berarti ada perbedaan yang signifikan tekanan darah sebelum  dengan sesudah perlakuan. Sehingga dapat disimpulkan bahwa ada pengaruh massase ekstremitas bawah denganminyak esensial lavender terhadap penurunan tekanan darah. Diharapkan dari penelitian ini bahwa massaseekstremitas bawah dengan minyak esensial lavender menjadi  pilihan alternatif selain pengobatan farmakologisdalam menjaga tekanan darah tetap stabil. Kata Kunci: Masase Effurage, Lavender, Hipertensi, Lansia. 
Gambaran Perilaku Kader Pos Pelayanan Terpadu Balita dalam Deteksi Dini Stunting di Desa Sebatu Kecamatan Tegalalang Kabupaten Gianyar Putu Diana Angelina; Ni Komang Erny Astiti; Ni Ketut Somoyani
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.22573

Abstract

ABSTRACT Stunting can interfere with brain development and growth, which increases the likelihood of developing chronic diseases when adults. Cadres have a crucial role in overcoming stunting in toddlers. Cadres are competent in detecting early stunting by measuring infant anthropometry. growth and development screening, growth screening and early detection by empowering toddler posyandu cadres. The results of the interview showed that the majority of cadres had never participated in special stunting training in anthropometric measurement training. The purpose of the study was to determine the behavior of toddler posyandu cadres in early detection of stunting. The study was conducted in April 2025. The research design was descriptive quantitative knowledge and attitudes of stunting detection and anthropometric measurement skills. The type of primary data obtained with instruments in the form of valid and reliable knowledge and attitude questionnaires and anthropometric measurement skills checklists according to Ministry of Health standards. All questionnaires were declared valid and reliable. Respondents were 45 posyandu cadres. The sampling method was with total sampling. Data analysis using univariate. The results showed that the knowledge of cadres was categorized as well-informed, the attitudes of posyandu cadres were categorized as positive. The skills of measuring the height of cadres were quite skilled, and the skills of measuring weight were quite skilled. The result of the behavioral score calculation is 75.26 which is included in sufficient behavior. The Sebatu Village Government should strive to optimize the skills of cadres in early detection of stunting in toddlers through training and development of cadres.  Keywords: Behavior, Posyandu Cadres, Skills, Stunting.  ABSTRAK Stunting dapat mengganggu perkembangan dan pertumbuhan otak, dimana meningkatkan kemungkinan ketika dewasa mengalami penyakit kronis. Kader mempunyai peran yang sangat krusial dalam mengatasi stunting pada balita di Indonesia. Kader bertugas mendeteksi dini stunting dengan mengukur antopometri bayi. skrining tumbuh kembang serta deteksi dini dengan pemberdayaan kader posyandu balita. Hasil wawancara diketahui mayoritas kader belum pernah mengikuti pelatihan stunting khusus dalam pelatihan pengukuran antropometri. Tujuan penelitian untuk mengetahui perilaku kader posyandu balita dalam deteksi dini stunting. Penelitian dilakukan pada bulan April 2025. Desain penelitian yaitu deskriptif kuantitatif pengetahuan dan sikap deteksi stunting serta keterampilan pengukuran antopometri. Jenis data primer yang didapatkan dengan instrumen berupa kuesioner pengetahuan dan sikap yang valid dan reliabel serta checklist keterampilan pengukurun antopometri sesuai standar Kemenkes. Semua kuesioner dinyatakan valid dan reliabel. Responden sebanyak 45 kader posyandu. Metode pengambilan sampel dengan total sampling. Analisis data menggunakan univariat. Hasil penelitian menunjukkan pengetahuan kader dikategorikan berpengetahuan baik, sikap kader posyandu dikategorikan dengan sikap positif. Keterampilan pengukuran tinggi badan kader cukup terampil, Keterampilan pengukuran berat badan cukup terampil. Hasil hitung skor perilaku yaitu 75,26 yang termasuk dalam perilaku cukup. Pemerintah Desa Sebatu agar berupaya mengoptimalkan keterampilan kader dalam deteksi dini stunting pada balita melalui pelatihan dan pengembangan kader.  Kata Kunci: Keterampilan, Kader Posyandu, Perilaku, Stunting.
Efektivitas Brisk Walking Exercise 150 Menit Per Minggu Terhadap Perubahan Tingkat Stres Pada Penderita Hipertensi: Studi Quasi-Eksperimental dengan Repeated Measures Teguh Wiradharma; Reni Prima Gusty; Esi Afriyanti
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.26580

Abstract

ABSTRACT Hypertension is a major global health burden affecting more than 1.56 billion adults worldwide and contributing to approximately 10.44 million deaths annually. Psychological stress is a frequently overlooked yet clinically significant dimension of hypertension management, as uncontrolled stress activates the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis, leading to persistent increases in cortisol and catecholamines that worsen blood pressure control. This study aimed to evaluate the effectiveness of brisk walking exercise at 150 minutes per week on changes in stress levels among hypertensive patients at the Puskesmas Belimbing, Padang City. A quasi-experimental design with repeated measures and a control group was employed over four weeks from March to May 2026. A total of 64 respondents were selected through randomized sampling, comprising an intervention group (n=32) and a control group (n=32). The intervention group received brisk walking exercise for 30 minutes, five days per week (totaling 150 minutes per week), at a speed of 4–6 km/h. Stress levels were measured five times using the validated Perceived Stress Scale (PSS-10; Cronbach's α=0.847). Data were analyzed using General Linear Model-Repeated Measures (GLM-RM) with Greenhouse-Geisser correction and Pairwise Comparison (Bonferroni). Results showed a significant and progressive reduction in the intervention group's stress scores from baseline (mean=20.25; moderate stress) to week four (mean=5.23; mild stress), representing a total decline of 15.02 points compared to only 4.01 points in the control group. Between-group comparison confirmed a statistically significant difference (mean difference=−5.245; p=0.000). It is concluded that brisk walking exercise of 150 minutes per week is effective in reducing stress levels among hypertensive patients and is recommended as an evidence-based non-pharmacological nursing intervention in primary healthcare settings. Keywords: Brisk Walking Exercise, Hypertension, Perceived Stress Scale, Repeated Measures, Stress Level.  ABSTRAK Hipertensi merupakan beban kesehatan global utama yang memengaruhi lebih dari 1,56 miliar orang dewasa di seluruh dunia dan berkontribusi pada sekitar 10,44 juta kematian per tahun. Stres psikologis merupakan dimensi yang kerap terabaikan namun memiliki signifikansi klinis penting dalam pengelolaan hipertensi, karena stres yang tidak terkendali mengaktivasi sistem saraf simpatis dan aksis hipotalamus-pituitari-adrenal (HPA), sehingga mengakibatkan peningkatan menetap kadar kortisol dan katekolamin yang memperburuk kontrol tekanan darah. Penelitian ini bertujuan mengevaluasi efektivitas brisk walking exercise 150 menit per minggu terhadap perubahan tingkat stres pada penderita hipertensi di wilayah kerja Puskesmas Belimbing Kota Padang. Desain penelitian menggunakan quasi-eksperimental dengan repeated measures dan kelompok kontrol, dilaksanakan selama empat minggu pada bulan Maret–Mei 2026. Sebanyak 64 responden dipilih melalui randomized sampling, terdiri dari kelompok intervensi (n=32) dan kelompok kontrol (n=32). Kelompok intervensi menerima brisk walking exercise 30 menit sebanyak lima kali per minggu (total 150 menit per minggu) dengan kecepatan 4–6 km/jam. Tingkat stres diukur sebanyak lima kali menggunakan Perceived Stress Scale (PSS-10) yang telah tervalidasi (Cronbach's α=0,847). Analisis data menggunakan General Linear Model-Repeated Measures (GLM-RM) dengan koreksi Greenhouse-Geisser dan uji Pairwise Comparison (Bonferroni). Hasil penelitian menunjukkan penurunan skor stres yang signifikan dan progresif pada kelompok intervensi dari baseline (mean=20,25; stres sedang) hingga minggu keempat (mean=5,23; stres ringan), dengan total penurunan 15,02 poin dibandingkan hanya 4,01 poin pada kelompok kontrol. Perbandingan antara kelompok mengonfirmasi perbedaan yang bermakna secara statistik (mean difference=−5,245; p=0,000). Disimpulkan bahwa brisk walking exercise 150 menit per minggu efektif menurunkan tingkat stres pada penderita hipertensi dan direkomendasikan sebagai intervensi nonfarmakologis berbasis bukti dalam asuhan keperawatan di layanan kesehatan primer. Kata Kunci: Brisk Walking Exercise, Hipertensi, Perceived Stress Scale, Repeated Measures, Tingkat Stres.

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