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Malahayati International Journal of Nursing and Health Science
Published by Universitas Malahayati
ISSN : 26209152     EISSN : 26214083     DOI : https://doi.org/10.33024/minh
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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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Articles 10 Documents
Search results for , issue "Vol 6, No 5 (2023)" : 10 Documents clear
Specific educational program for adolescent anemia prevention (Progres MIRA) to adolescent girls in remote areas of Bengkulu, Indonesia Sri Yanniarti; Epti Yorita; Erika Yulita; Tengku Sri Wahyuni
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12631

Abstract

Background: Anemia prevalence worldwide ranges from 30-50%, mostly occurring in developing countries, predominantly affecting adolescent groups. In Indonesia, the prevalence of anemia in females aged ≥15 years is 22.7%. Cases in Indonesia include 45% in Denpasar City and 62% in Bengkulu Province. Generally, adolescent girls are vulnerable to anemia due to significant blood loss during menstruation, posing risks of Low Birth Weight (LBW) and stunting during childbirth.Purpose: To determine the effectiveness of Progres MIRA (Specific Education Program for Anemia Prevention in Adolescents) on compliance with iron supplement consumption and hemoglobin levels in adolescent girls on Enggano Island, North Bengkulu Regency in 2023.Method: This study used a quasi-experimental post-test only method with a control group. The Progres MIRA research intervention involved a specific education program for anemia prevention in a special classroom setting. The independent variable was Progres MIRA, the dependent variables were hemoglobin levels and compliance with consuming iron supplement tablets, and external variables included menstrual duration, menstrual cycle, nutrient intake, and economic status.Results: The research findings showed that 82.9% of adolescent girls had a menstrual duration of >6 days, which influenced the amount of iron supplement tablet consumption among them. The menarche age among adolescent girls in the Progres MIRA group was 28.6% at an age <12 years. Compliance levels in treatment related to the menstrual duration variable obtained a ρ-value= 0.01, menarche age obtained a ρ-value= 0.57, malnutrition deficiency index obtained a ρ-value= 0.04, and MUAC obtained a ρ-value= 0.10. This indicates that Progres MIRA effectively increases compliance with iron supplement tablet consumption among adolescent girls.Conclusion: Progres MIRA is effective in improving compliance with iron supplement tablet consumption among adolescent girls. Recommended Dietary Allowance (RDA) significantly affects compliance with iron supplement tablet consumption among adolescent girls.
Effectiveness of open and close kinetic chains after anterior cruciate ligament reconstruction: A systematic review and meta-analysis Rizka Salsabila Putri; Suryo Saputra Perdana; Amalia Nur Azizah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12381

Abstract

Background: The Anterior Cruciate Ligament (ACL) is a ligament that has the function to maintain the stability of the knee so that it does not shift excessively towards the front. ACL injuries are injuries that are often experienced by sports athletes, especially those who often make fast and sudden movements. There are non-operative and operative methods for treating ACL. Non-operative methods are considered less effective because they usually require a slightly longer recovery period. One of the most frequently used surgical methods is reconstruction. After reconstruction, there is a need for exercises to speed up recovery and improve its function. Some examples of exercises that can be used are Open Kinetic Chain (OKC) and Close Kinetic Chain (CKC) exercises.Purpose: To determine the level of effectiveness between OKC and CKC for individual after ACL reconstructionMethod: This research was a systematic review and meta-analysis with the PRISMA diagram to filter supporting articles. To assess the quality of Randomized Controlled Trial (RCT) design studies,  the Critical Appraisal Checklist was used. Meanwhile, the Characteristics for Included Studies were used to assess the feasibility. The article search came from the Pubmed database with the keywords "Close Kinetic Chain" AND "Open Kinetic Chain" AND "Anterior Cruciate Ligament" AND "Reconstruction". Inclusion criteria were full text articles in Indonesian or English with an RCT study design. The relationship measure used was Mean Difference, and Revman 5.4. was used for analysis.Results: There were five articles from UK, US and Turkey for this study. The results of the study showed that there was an increasing effect after carrying out OKC and CKC exercises. However, the difference in exercise benefits between OKC and CKC exercises was not notably significant, which were shown by a p-value >0.05 (MD= -1.66; 95% CI=-18.71 to 5.42; P=0.65).Conclusion: OKC and CKC exercises had been proven to have an effect on improving ACL recovery after reconstruction, but the difference in effect between OKC and CKC had not been found.
Patterns of diet‐related practices and symptoms of gastroesophageal reflux among high school students: A cross‐sectional study Evita Muslima Isnanda Putri; Sri Mulyani; Rahmawati Rahmawati; Indri Dwi Octavia Cahyani
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.13156

Abstract

Background: GERD is a gastrointestinal motility disorder characterized by the reflux of gastric contents into the esophagus, causing typical symptoms such as heartburn (a burning sensation in the epigastric region), acid regurgitation (a bitter taste in the mouth), nausea, and dysphagia, which can lead to esophageal mucosal damage. Over the long term, it can result in complications like Barrett's esophagus. The prevalence of GERD in Asia was approximately 2.5%-7.8% in 2014, generally lower compared to Western countries. However, recent data indicates an increasing prevalence. Poor dietary patterns, such as irregular eating habits, consuming low-nutrient foods, excessive or insufficient food intake, can elevate gastric acid production and affect an individual's health.Purpose: To determine the relationship between dietary patterns and symptoms of Gastroesophageal Reflux Disease (GERD) among vocational high school students.Method: A quantitative study was applied using correlation analysis with a cross-sectional study approach. The research was conducted at Vocational High School Bojonegoro in January 2023. The study population comprised 305 students in grade 12. The sampling technique employed was purposive sampling, with a sample size of 74 respondents. The measurement tool for dietary pattern variables was the FFQ questionnaire, and GERD symptoms were assessed using the GERD-Q questionnaire. Data analysis techniques included univariate analysis to describe the frequency distribution of each variable and bivariate analysis using the chi-square test to determine the relationship between dietary patterns and GERD symptoms among students.Results: Poor dietary patterns were found to cause GERD in 47 (97.9%) respondents, whereas good dietary patterns significantly minimized GERD; only 1 (2.1%) respondent experienced GERD symptoms in this study. The research resulted a value of ρ = 0.000 < α (0.05), indicating that the ρ value in this study was less than α (0.05) or below 0.05; thus, H0 was rejected. It can be concluded that there is a relationship between dietary patterns and GERD symptoms, with a correlation coefficient value of 0.542 (moderate) and a positive correlation direction.Conclusion: There is a significant relationship between dietary patterns and GERD symptoms. The correlation coefficient analysis also showed a figure of 0.542 (moderate) with a positive correlation direction, indicating that better dietary patterns lead to fewer respondents suffering from GERD.Suggestion: It is advisable for students to avoid consuming spicy foods, fast food, fried food, and high-sugar food or beverages. They should pay more attention to a balanced diet and timely meals. Additionally, the school authorities are encouraged to establish regulations or advisories to cafeteria owners to refrain from providing fast food, nutritionally poor food, carbonated drinks, spicy food, and other items that may contribute to digestive problems among students.
Physical training and activity in people with diabetic peripheral neuropathy: A case report Amelia Tirta Lestari; Dwi Rosella Komala Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12455

Abstract

Background: Diabetes mellitus (DM) is the most common endocrine disorder affecting more than 100 million people worldwide, around 6% of the population. This matter characterized by hyperglycemia (high glucose levels in blood) caused by a lack or ineffective production of insulin by the pancreas which results in an increase or decrease in the concentration of glucose in the blood. Diabetic peripheral neuropathy (DPN) or what is called diabetic peripheral neuropathy is the most common complication in cases of diabetes mellitus. DPN is a disease of loss of motor, sensory and autonomic nerve function, which can affect the peripheral nervous system. Sensorimotor training is considered a technique that can improve balance. This emphasizes the function of the sensorimotor system as a unit that works to increase sensory input and motor recruitment patterns in maintaining joint stability and regulating movement through the central nervous system (CNS). Aerobic exercise is a type of physical activity that can prevent and reduce DPN. Aerobic exercise such as treadmill can train balance. Balance training shows a high positive effect on improving motor and sensory symptoms in peripheral neuropathyPurpose: To examine the effects of sensorimotor training and lower limb muscle activity in DPN patients using treadmill.Method: The research uses a case study design, namely a research method that uses various data sources that can be used as research material, describing and explaining comprehensively various aspects of an individual, group, program, organization or event systematically. Participants in this study were patients aged 64 years, female, diagnosed diabetes mellitus type 2 (T2DM) for 10 years by a doctor. This research uses an aspect identification questionnaire instrument. DPN is screened using Michigan Neuropathy Screening Instrument (MNSI). Static balance is determined by romberg test and for dynamic balance it is measured by timed up and go test. Functional lower limb muscle strength is checked using tests Five Time Sit to Stand (5xSST).Results: The data for the respondent is a housewife aged 64 years, last education is junior high school with status as a housewife. The patient suffered from T2DM for 10 years with a hemoglobin 1AC level of 6.8 mg/dl, was overweight as indicated by the patient's BMI of 26 kg/m2. Often feels pain in both legs, when the patient walks and does strenuous activities with a score of 9, and the pain decreases when resting with a score of 3. Apart from that, the patient also has vision problems with a score of 20/40, meaning the patient can only see letters. at a distance of 20 feet. Even though normally letters can be seen clearly, namely 40 feet, this visual disturbance can cause the patient's balance to be disturbed. Providing treatment for 6 weeks can significantly improve the patient's quality of life as seen from the initial WHO QoL score of 58 to 86.Conclusion: Providing treadmill training for 6 weeks carried out 3 times a week showed significant results in reducing hemoglobin levels and DPN scores in T2DM patients. 
Family support in cervical cancer patients treated: A qualitative case study Dwi Kurniasih; Elly Marce Titihalawa; Septiani Vivin Rahayu Tiningsih
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12629

Abstract

Background: Cervical cancer not only has the potential to cause physical suffering but also causes psychological suffering. Considering the negative impact of cervical cancer, cervical cancer sufferers need family support. Family support is the attitude, actions and acceptance of the family towards a sick family member. Family attention is very helpful in choosing the health of his family.Purpose: To determine the impact that cervical cancer patients receive when they receive family support.Method: Qualitative research with a case study research strategy. Data collection was carried out through semi-structured interviews involving three participants. The data is then subjected to domain analysis.Results: In this research, 2 themes were found, namely, knowing the support provided by the family and knowing the impact felt by the patient when receiving family support.Conclusion: Family support is very important for cervical cancer patients undergoing the treatment process, because it will have an impact that will be felt by the patient later. The impact is felt like the patient feels cared for, given appreciation, loved and feels owned by his family. so that the patient has the motivation to recover and has confidence in worrying about the disease they are suffering from.
Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting Ngadiyono Ngadiyono; Suparmi Suparmi; Ulfah Musdalifah; Izzatul Arifah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12561

Abstract

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is >0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (<1) indicating that the ASTA application is a factor that can reduce the potential for stunting.
Cervical cancer screening utilization among women aged 30-49 years in Lampung, Indonesia Johan Hadi Saputra; Lolita Sary; Nova Muhani
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12827

Abstract

Background: Cervical cancer ranks second with a total of 36,633 cases or 9.2% of the total cancer cases in Indonesia. Cervical cancer patients in Indonesia have reached 23.4 per 100,000 population with an average death rate of 13.9 per 100,000 population.Purpose: To determine the relationship between perceptions of benefits, threats, and barriers to the interest in undergoing cervical cancer screening using the VIA method in women aged 30-49 years in Gedung Rejo Sakti Tulang Bawang Health Center in 2023.Method: Using a quantitative analytical method with a cross-sectional design. The total sample size was 70 people. The sampling method used was accidental sampling. Data analysis was performed using the chi-square test and multivariate analysis using multiple logistic regression.Results: There is a significant relationship between the perception of benefits and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.099), there is a significant relationship between the perception of threats and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.012), there is a significant relationship between the perception of barriers and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.108), the perception of threats is the dominant factor in determining the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 95.782).Conclusion: All variables (perception of benefits, perception of threats, perception of barriers) are closely related to the interest in undergoing cervical cancer screening using the VIA method.Suggestion: Health center management should be more active in health promotion to increase the interest in undergoing cervical cancer screening using the VIA method in women aged 30-49 years.
Auditory hallucinations in schizophrenia: Psychoeducation among caregivers to help patients develop effective coping strategies Daryanto Daryanto; Mohammad Syukri; Sri Martini; Sri Endriyani; Mila Triana Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12881

Abstract

Background: Hallucinations are common symptoms experienced by patients with schizophrenia. These hallucinations pose difficulties in control, becoming a burden for caregivers providing care. Meanwhile, psychoeducation utilizing modules and videos to treat auditory hallucinations has not been previously implemented. Psychoeducation is beneficial in managing caregiver burden, yet the psychoeducation content hasn't been specific to auditory hallucinations.Purpose: To determine the influence of psychoeducation using modules and videos to help patients develop effective coping strategies, and burden among caregiversMethod: A quantitative study with a pre-experimental design using a pre-test and post-test approach. This research was conducted to measure caregiver burden before and after the intervention. The intervention involved providing psychoeducation using modules and videos for caring for auditory hallucinations, while the control group received psychoeducation using only modules. The study was conducted at the outpatient clinic of Jambi Regional Mental Hospital from July to September 2023.Results: There was a significant difference in caregiver burden (p-value 0.000) in the intervention group before and after treatment. There was a significant difference in caregiver burden (p-value 0.000) in the control group before and after treatment. There was no significant difference in caregiver burden (p-value 0.161) between the intervention and control groups one month after the intervention.Conclusion: Psychoeducation with modules and videos can reduce caregiver burden in schizophrenia patients. Psychiatric nurses should educate caregivers using modules and videos for caring for auditory hallucinations as part of reducing the caregiving burden.Suggestion: Healthcare professionals should also provide psychoeducation using auditory hallucination care modules and videos to caregivers on managing the caregiving burden for individuals with schizophrenia experiencing auditory hallucinations. Caregivers are encouraged to understand the module book and video on auditory hallucination care as a form of continued care at home for individuals with schizophrenia experiencing auditory hallucinations.
Determinant factors of pneumonia among toddlers in Makassar city Melati Putri Dita; Andi Sitti Rahma; Dewi Setiawati; Darmawansyih Darmawansyih
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12406

Abstract

Background: Indonesia ranks eighth as a country with cases of childhood pneumonia and ranks second in Indonesia as a cause of death after diarrhea. Based on data from the Makassar City Health Service, the number of pneumonia cases in toddlers in the Bara Baraya Community Health Center area is included in the top three  highest pneumonia cases among all community health centers in Makassar city.Purpose: To determine the relationship between risk factors for pneumonia in toddlers at the  Bara Baraya Community Health Center.Method: This research is analytical research with a case control approach through sampling using a total  sampling technique with 68 samples, consisting of control samples and case samples obtained from medical  records and interviews.Results: In this study, the variable relationship between history of exclusive breastfeeding and pneumonia with a  value of 0.000 (p-value <0.05), relationship between history of exposure to cigarette smoke and pneumonia with  p-value 0.049 (p-value <0.05), relationship nutritional status with pneumonia with a p-value of 0.000 (p-value  <0.05), the relationship between LBW history and pneumonia with a p-value of 0.314 (p-value >0.05), and the  relationship between basic vaccinations and pneumonia with a value p-value 0.076 (p-value >0.05).Conclusion: In this study there are several relationships with the incidence of pneumonia in toddlers, such as exclusive breastfeeding, history of exposure to cigarette smoke, and nutritional status.
Differences in diameter and thickness of the seminiferous tubules of male wistar rats (rattus norvegicus) after being exposed to e-cigarette smoke and conventional cigarettes Atalya Riawani Iring; Etha Rambung; Hudi Winarso
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.13262

Abstract

Background: Electric cigarettes and conventional cigarettes have a detrimental effect on their users. Cigarettes contain ingredients that reduce the quality of male reproduction. Purpose: To determine the differences in diameter and thickness of the seminiferous tubules of male Wistar rats (rattus norvegicus) exposed to electric cigarettes compared to conventional cigarettes. Method: This research is a true experimental research in the laboratory using a post test-only control group design. The treatment group consisted of group K- as the negative control group, group K+ which was included in  the smoking chamber but not exposed to cigarette smoke, group P1 which was included in the smoking chamber  and exposed to electric cigarette smoke, group P2 which was included in the smoking chamber and exposed to  conventional cigarette smoke. The treatment was carried out for 30 days and then testicular samples were taken to calculate diameter and thickness of the seminiferous tubules. Data were analyzed with SPSS using descriptive statistics and One Way ANOVA and Kruskall Wall is tests. Results: There was a decrease in the diameter and thickness of the seminiferous tubules in the treatment group which was significantly different from the control group. The results of the LSD post hoc test for differences in seminiferous tubule diameter between groups P1 and P2 were p=0.72 > 0.05. The results of the Mann Whitney test showed that the difference in seminiferous tubule thickness between groups P1 and P2 was p=0.06 > 0.05.Conclusion: Exposure to electric and conventional cigarettes caused changes in the diameter and thickness of the seminiferous tubules from normal conditions. There was no significant difference in the impact of exposure to electric and conventional cigarettes, maybe because the damage they produced was not different.

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