Malahayati International Journal of Nursing and Health Science
Malahayati International Journal of Nursing And Health Science is a peer reviewed journal and provides a platform to publish area of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborate on new methods in nursing and health science, subject areas for publication include in nursing and health science core.
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<![CDATA[Pregnant women in the exposure to COVID-19 infection outbreak with the risk of stunting based on the growth and development of babies ]]>
<![CDATA[Suryani Manurung]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10534
<![CDATA[Background: Exposure to Covid-19 that occurs in pregnancy is at risk of miscarriage, IUGR (intrauterine growth retardation) and as a predictor of detection of stunted babies associated with pregnancy and postpartum.Purpose: To analyze pregnant women in the exposure to the COVID-19 infection outbreak with the risk of stunting based on the growth and development of babiesMethod: The cross-sectional population is infants aged less than 12 months and their mothers with a history of Covid-19 infected status during pregnancy. The samples were 48 two groups of infectious and non-infectious and taken by a purposive sampling technique. Researched at the polyclinic of the Covid-19 referral hospital. The statistic analyzes mean and correlation test data with Chi-Square.Results: The age range of babies at observation was 2-12 months with a mean age of 7 months. Progression score with Pre-screening Developmental Questionnaire (PDQ) lowest 2 and highest 10. Pregnant women who are not infected are at risk of stunting with the highest indicator of baby weight is normal at 70.8 percent and normal baby height at 80 percent. Pregnant women infected with Covid-19 without symptoms to moderate symptoms risk stunting with the highest indicator of baby weight being normal ranging from 46.2 percent – 80 percent and normal infant height ranging from 80 percent - 84.6 percent. Analysis of the effect of exposure to Covid-19 during pregnancy on the risk of stunting based on the baby's weight and height had no effect (p-value > 0.05). The ratio of infant development deviations in uninfected and Covid-19 infected mothers was 16.7%. The results of the analysis of the relationship between the confirmed status of Covid-19 during pregnancy and infant development are related (P value < 0.05).Conclusion: The effect of exposure to Covid-19 during pregnancy on the risk of stunting based on the baby's weight and height has no effect. A comparison found deviations in infant development in uninfected and Covid-19-infected mothers, there was an association. ]]>
<![CDATA[Prevalence of back pain among pregnant women attending public health center in west Lampung, Indonesia ]]>
<![CDATA[Siska Widiyastika]]>;
<![CDATA[Aryanti Wardiyah]]>;
<![CDATA[Rilyani Rilyani]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.8203
<![CDATA[Background: Pregnant women throughout Indonesia are 60-80 percent of pregnant women who experience back pain during pregnancy. The prevalence of pregnant women experiencing low back pain in various regions of Indonesia reaches 60-80 percent. Data from the results of the pre-survey that had been conducted showed that the number of pregnant women at the Sugar Cane Health Center was 100 people, at the Gedung Surian Health Center 172 people, and at the Sumberjaya Health Center 115 people. Interviews were conducted with 10 pregnant women at the Kebun Tebu Health Center 70 percent of the 10 pregnant women experienced back pain during their pregnancy, 40 percent of them were over 30 years old, and 30 percent of them were first pregnancies (primiparous).Purpose: To determine the prevalence of back pain among pregnant women attending public health centers in west Lampung, IndonesiaMethod: This study uses a quantitative research type, with correlation analytic methods. The population in this study were pregnant women who were domiciled in the working area of the West Lampung Kebun Tebu Health Center with a total of 100 pregnant women. The sampling technique uses total sampling. Measurement of this study using a questionnaire. Data analysis used a frequency distribution test (univariate).Results: The prevalence of pain scale in this study was from 100 respondents who experienced mild pain as many as 55 respondents and those who experienced moderate pain as many as 30 respondents. There were 15 respondents who did not experience pain but none of the respondents experienced severe pain. And to get information about the treatment of back pain, among them, 60 respondents got information from their families and 40 respondents got information from health workers. However, none of the respondents obtained information from the Internet.Conclusion: the relationship between, gestational age, and TFU. BMI, TBJ, pain management, and information on pain management with back pain in pregnant women with a p-value <0.05. ]]>
<![CDATA[Family support and the healthcare workforce when the patient chooses a cesarean section on maternal and neonatal outcomes ]]>
<![CDATA[Arien Dwi Ajeng Adhe Safitri]]>;
<![CDATA[Andriyanti Andriyanti]]>;
<![CDATA[Dwi Izzati Budiono]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10339
<![CDATA[Background: Childbirth is a series of pregnancy processes that end with the expulsion of the products of conception. The number of births with SC is increasing every year. In Indonesia, the incidence of cesarean section in 2009 has reached 29.6%. This number certainly affects the mortality and morbidity rates in subsequent deliveries.Purpose: To identify family support and the healthcare workforce when the patient chooses a cesarean section on maternal and neonatal outcomesMethod: A case study with TOLAC (Trial of Labor After Cesarean Delivery) is a planned effort to give birth vaginally by a woman who has had a previous SC delivery. Women's perceptions related to pregnancy to delivery can influence the choice of the desired delivery method.Results: Women 31 year old with G3P1011 assisted since 17-18 weeks of gestation. Had an obstetric history with 1x caesarean section in 2016 because there was no progress in labour. Early referral planning has been carried out. Termination of pregnancy by sectio caesarea is planned at 38-39 weeks of gestation. Since the beginning of the pregnancy, the mother wanted to give birth vaginally, but the mother did not get support from her husband or family. Before the intervention was carried out, the mother experienced signs of labor and the mother wanted to try vaginal delivery but was not supported by healthcare workforce and a cito SC was performed. The baby was born healthy with a good Apgar score.Conclusion: The perceptions and beliefs that pregnant women have after SC surgery need to be balanced with the support of their families and healthcare workforce so that they are successful in undergoing trials of the normal delivery method according to preference. Mentoring activities can be a method of providing education, monitoring efforts, and early detection of complications in pregnant women with former SC operations.]]>
<![CDATA[Asthma control test (ACT): comparison with the accurate use of inhalers for the treatment among patients with asthma ]]>
<![CDATA[Jordy Oktobiannobel]]>;
<![CDATA[Retno Ariza S. Soemarwoto]]>;
<![CDATA[Fransisca Sinaga]]>;
<![CDATA[Hetti Rusmini]]>;
<![CDATA[Lutfi Indah Rahayu]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.11643
<![CDATA[Background: Asthma is a heterogeneous disease characterized by chronic inflammation of the respiratory tract. Pharmacological therapies that are often given by inhalation are Dry Powder Inhaler (DPI) and Metered-Dose Inhaler (MDI). According to the GLOBAL INITIATIVE FOR ASTHMA Asthma Control Test (ACT) is a questionnaire that can be used to measure the level of asthma controlPurpose: To determine the relationship between the correct use of inhalers and the results of the Asthma Control Test (ACT) in asthma patientsMethod: The design of this study was an analytic survey with a cross-sectional approach. The parameter used were asthma control test questionnaires taken from primary data in the form of a survey. There were 126 total samples of respondents who met the inclusion criteria, namely asthma patients who used inhalers and underwent at least 3 months of treatment.Results: Spearman correlation test was obtained p = 0.000 which means that there is a significant relationship between the accuracy of inhaler use and the results of the asthma control test and a strong positive correlation coefficient of r = 0.667 and, for the 95% confidence interval in this study, it was obtained (95%CI = 3.09-3.83).Conclusion: There is a relationship between the correct use of inhalers and the results of the asthma control test (ACT) in asthma patients.]]>
<![CDATA[Nutritional management of diabetes mellitus: A single‐case study ]]>
<![CDATA[Elida Sinuraya]]>;
<![CDATA[Antonij Edimarta Sitanggang]]>;
<![CDATA[Erwin Silitonga]]>;
<![CDATA[Jastro Situmorang]]>;
<![CDATA[Leo Rikki Saragi]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10635
<![CDATA[Background: An imbalance of the body's nutritional needs is a condition in which nutrient intake is insufficient to meet the metabolic needs of the body. Diabetes mellitus is a disease caused by high levels of glucose in the blood due to the body's inability to release or use insulin adequately.Purpose: to find out whether nursing interventions can meet the nutritional needs of the body in patients with diabetes mellitus.Method: This descriptive research uses a case study approach. The participant is a 68-year-old man who is 3 years old with diabetes mellitus. He felt weak, dizzy, and his legs tingled. He had no appetite and to eat, he only ate half of the plate. Their current blood sugar level is 548 mg/dl and their blood pressure is 200/94 mmHg. Intervention - within 3 days, participants were assessed on vital signs, nutritional status, and favorite foods. Participants received education about oral hygiene and important nutrition for their bodies. Participants had received insulin and a 1700-calorie diet.Results: With this intervention, participants' blood sugar levels were randomly assigned to drop from 548 mg/dl to 200 mg/dl, appetite increased, and food intake increased from half a plate to one plate. His blood pressure dropped from 200/94 mmHg to 120/80 mmHg.Conclusion: The results of these participants provide an encouraging assessment of vital signs, nutritional status, and favorite foods, education about oral hygiene and essential nutrients for the body, and collaboration of insulin diet and diabetes patients.]]>
<![CDATA[Analysis of integrated antenatal care implementation in Tanggamus district ]]>
<![CDATA[Inani Inani]]>;
<![CDATA[Atikah Adyas]]>;
<![CDATA[Febria Listina]]>;
<![CDATA[Endang Budiarti]]>;
<![CDATA[Sugeng Eko Irianto]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10576
<![CDATA[Background: Antenatal care (ANC) as one of the early prevention efforts for pregnancy risk factors. The success of the maternal health program can be assessed through the main indikator maternal mortality rate (MMR). MMR is all deaths within the scope of every 100.000 live births. In 2021 there were 7,389 death in Indonesia. Health services for pregnant women or antenatal care must meet a minimum frequency of six prenatal checks and two visits by a doctor. In order for the implementation of the MCH program to run smoothly, aspects of improving the quality of MCH program services are still expected to become priority activities at the district/ City level. Improving the quality of the MCH Program is also assessed from the size of the program coverage in each work area.Purpose: To analysis of the implementation of an integrated antenatal service program in the Tanggamus Regency Area.Method: This type of research uses qualitative studies. This research was carried out in the Tanggamus Regency Region in March-April 2022. The data collection technique used in this study was a focus group discussion with the coordinating midwife and implementing midwife.Results: Based on integrated antenatal program planning, there are constraints related to human resources, which are still lacking in limited funds, and out of 6 health centers, there are five health centers that do not yet have pregnancy check-up facilities using ultrasound, based on the organization of integrated antenatal programs, due to a shortage of midwives so that the performance of midwives is still there concurrent positions where the midwife is also in charge of the laboratory. Judging from the implementation of the integrated antenatal program, a small portion or as many as 2 Community Health Centers had no problems in antenatal examinations, but most or 4 Community Health Centers implementing integrated antenatal activities did not comply with the guidelines because they did not have an ultrasound device and based on the supervision of the integrated antenatal program the results of activities were recorded. Integrated antenatal care by midwives given the task and authority in the recording.Conclusion: Based planning an integrated antenatal program, there are constraints related to human resources, which are still lacking limited funds; based on implementing an integrated antenatal program, a small part or as many as 2 Community Health Centers, there are no obstacles in antenatal examinations, based on monitoring integrated antenatal program the results of integrated antenatal activities are recorded by midwives who are given the task and authority in the recording.]]>
<![CDATA[Knowledge, attitudes and practices on postoperative pain management among registered nurses in a private hospital in Selangor-Malaysia ]]>
<![CDATA[Norini binti Samad]]>;
<![CDATA[Aini Ahmad]]>;
<![CDATA[Puziah Yusof]]>;
<![CDATA[Annamma Kunjukunju]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10778
<![CDATA[Background: Postoperative pain is an important aspect of patient care. It occurs when there is tissue injury and muscle spasms following surgery. The goal of postoperative pain management is to minimize discomfort and side effects. Poor pain management can result in patient discomfort, complications, slow recovery, and longer hospitalization. Therefore, it is crucial for registered nurses to have a good understanding of postoperative pain assessment tools in order to provide the best pain management for their patients.Purpose: To assess knowledge and attitude related to pain management practices among registered nurses (rn) in postoperative patients. Method: In this study, a descriptive quantitative cross-sectional survey design was used. A questionnaire was administered, consisting of four parts. The first part collected socio-demographic data from Registered Nurses. The second part contained 13 true and false questions to evaluate their knowledge level. The third part consisted of 14 questions to assess the attitudes of Registered Nurses, and the fourth part consisted of 18 questions using a Likert scale to evaluate their practices. The total number of respondents was 108 Registered Nurses. The data obtained were analyzed using IBM Social Packages for the Social Sciences (SPSS) software version 26.Results: The study finding shows that 58.2% of Registered Nurses possess adequate knowledge regarding postoperative pain management, while 41.8% lack sufficient knowledge. These nurses agree that effective analgesia is crucial in postoperative care, with 90.8% recognizing the importance of pain measurement instruments. Providing a clean and comfortable ward with a neatly made bed is the most commonly practiced intervention for pain relief among Registered Nurses. Additionally, the study found a positive correlation between age, years of clinical experience, and pain management practices.Conclusion: According to the findings, there is significant variation in the knowledge, attitude, and practices of registered nurses when it comes to managing postoperative pain. To ensure that patients receive helpful and effective pain management after surgery, it is important for nurses to participate in ongoing professional development activities.]]>
<![CDATA[Educational Knowledge: Games to stimulate growth in children among mothers of toddlers ]]>
<![CDATA[Harsono Harsono]]>;
<![CDATA[Rinayati Rinayati]]>;
<![CDATA[Hargianti Dini Iswandari]]>;
<![CDATA[Okti Trihastuti Dyah Retnaningrum]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10374
<![CDATA[Background: Factors that help achieve child growth and development are proper stimulation. The role of parents, in this case, the mother has a big enough contribution to the successful process of child development. Purpose: To find out the increase in mothers of toddler knowledge about the benefits of games that stimulate children's growthMethod: The form of this research design is a pre-experimental design (One-Group Pretest-Posttest) with a purposive sampling technique and the research population is mothers of under five children in Gondoriyo Semarang. Processing techniques and analysis of quantitative data using the analysis of the t-test (test T). Results: The normality test, shows that the Sig value in the Shapiro-Wik column for the mother’s knowledge variable before and after being given an educational game is less than 0.05 so it is declared not to have a normal distribution. So to find out whether there is a difference in the average knowledge of mothers regarding educational games, an analysis of the Wilcoxon Signed test was carried out. Based on the results of the Wilcoxon signed test, it was found that the asymp sig (2-tailed) value was 0,000 < 0.05 so it can be concluded that there is a difference in the average knowledge of toddler mothers before and after being given educational games stimulating growth and development.Conclusion: Mother's knowledge increases about the benefits of providing educational games to stimulate child growth and development]]>
<![CDATA[People Living with HIV/AIDS (PLWHA) based on clinical characteristics ]]>
<![CDATA[Yudhi Atmajaya]]>;
<![CDATA[Suharmanto Suharmanto]]>;
<![CDATA[Jhons Fatriyadi Suwandi]]>;
<![CDATA[Susianti Susianti]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.11640
<![CDATA[Background : Since it was discovered and identified ten years ago, the Human Immunodeficiency Virus (HIV) has the potential to produce the immunodeficiency syndrome condition known as Acquired Immunodeficiency Syndrome (AIDS). In the 2020-2024 National Medium-Term Development Plan (RPJMN), one of the policy and strategy directions is to increase access and quality of health services towards universal health coverage. Improving disease control, where HIV AIDS and sexually transmitted infections are part of the policy direction. In order to improve the quality of services for PLWHIV, it is necessary to have a comprehensive perspective of the medical officers, so there is a need for patient mapping based on the characteristics of the patients being treated.Purpose: To determine the description of the clinical stage based on characteristics of PLWHIV at the Sukabumi Public Health Center, Bandar Lampung in 2021.Method: This study is a quantitative descriptive observational study with a cross-sectional approach.Results : The results of the study, it is known that the characteristics of PLWHIV based on gender that's male are 67%, there 41.7% of PLWHIV are 31-40 years old, level of education PLWHIV are 67% have a senior high school, 52.4% as private employees, and 62,1% of PLWHIV live in cities. The results showed that at stage 1 the age group was 21-30 years old, the clinical stage 2 patients were 31-40 years old, the clinical stage 3 patients were 31-40 years old, and the clinical stage 4 patients were 21-30 years old. The results of the study also revealed that most of the patients in stages 1–4 had a senior high school education, worked as private employees, and lived in urban areas]]>
<![CDATA[Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, Indonesia ]]>
<![CDATA[Dian Lestari]]>;
<![CDATA[Aprilina Aprilina]]>;
<![CDATA[Sukarjo Sukarjo]]>
<![CDATA[ Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023) ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung ]]>
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DOI: 10.33024/minh.v6i2.10404
<![CDATA[Background: Since the discovery of Covid-19, scientific developments, policies, and programs regarding Covid-19 have changed rapidly. In 2022 the Covid-19 vaccine arrived at the second booster. In Indonesia, various policies related to Covid-19 are also experiencing very rapid adjustments, such as the policy for travelling using public transportation, planes, trains, and ships that require the completeness of the Covid-19 vaccine up to boosters. These regulations make the Covid-19 vaccination a necessity that seems forced. Pregnant and postpartum women are also not free from the target of giving Covid-19. Various theories and research have proven that knowledge is related to attitude. Following this theory, knowledge and attitudes will align with the completeness of Covid-19. So if positive knowledge and attitudes affect the completeness of the Covid-19 vaccine, then it will not be affected by the Covid-19 vaccination obligation policy required by the Indonesian government.Purpose: To find out the relationship between Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, IndonesiaMethod: This study was quantitative. The design was analytical with a cross-sectional approach. The study samples consisted of 38 postpartum mothers in Independent Practice Midwife at Palembang. The complications of postpartum mothers were excluded. The sampling technique was accidental sampling.Results: There is no relationship between knowledge and accepting COVID-19 vaccine booster doses and third doses (p=0.348), but in the analysis, there is a relationship between attitude towards vaccination readiness and accepting COVID-19 (p=0.003), there is a relationship between attitude towards government policy and completeness of vaccination Covid-19 (p=0.004), there is a relationship between attitudes towards vaccines and accepting COVID-19 (p=0.015)Conclusion: There is no relationship between knowledge and accepting COVID-19, and there is a relationship between attitude and accepting COVID-19 ]]>
