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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

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.

Motivation and attitude of English language learning among nursing students Dior Manta Tambunan; Yetty Mariani Tambun; Sridama Yanti Harahap
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
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.v6i7.13253

Background: Proficiency in speaking English is an individual's ability to convey thoughts and desires verbally to anyone. However, it can be challenging to develop this skill without continuous self-training. One effective approach is through peer or classmate interactions, as well as guidance from English language instructors. Numerous factors influence the success of students in learning English, and motivation and attitude are crucial aspects needed by nursing students to master the language.Purpose: To identify the description of motivation and attitude among nursing students in learning English, providing input for learning achievement targets for English courses and the most suitable learning methods to enhance the language skills of nursing students at Murni Teguh University.Method: A quantitative research method with a descriptive design was employed. The total sampling technique was used, and 157 respondents willingly filled out the questionnaire from a total population of 167 individuals. Instruments for measuring motivation and attitude were adopted from previous studies with established validity. Data analysis utilized Univariate data analysis.Results: Instrumental motivation among respondents (90.5%) was higher than integrative motivation (88.9%). The majority of respondents had high motivation at 89.6%. Meanwhile, most respondents exhibited good attitudes at 41.2%, followed by fairly good attitudes at 36.4%, and poor attitudes at 22.4%.Conclusion: Nursing students at Murni Teguh University demonstrate high motivation and positive attitudes toward learning English. However, this does not align with the English language proficiency of the respondents.Suggestion: It is highly recommended for future researchers to include additional variables such as interest in learning, self-concept, self-efficacy, the cause-and-effect correlation between each researched variable in English language learning, and the use of effective English teaching methods to enhance the English language proficiency of nursing students.

Education about stoma on self-care ability in colorectal cancer patients with colostomy Naziyah Naziyah; Cholisah Suralaga; Rizki Hidayat
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (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.v6i6.12966

Background: Colon canceris cancer in the colon or rectum. The colostomy is a surgically made hole in the large intestine that allows feces to flow in a pouch on the abdominal wall. Colostomy actions can affect the patient's physical and psychological changes. This happens because physically there are changes in defecation patterns, diet, bag use, skin care around the stoma, odor, and so on. Most complications occur at home. Prevention is the main key, early detection can catch serious complications.Purpose: To determine the effect of health education on the stoma care capabilities in colon cancer patients with colostomy at MRCCC Siloam Hospitals Semanggi.Method: The research design was quasi-experimental with a one-group pre and post-test design. The sample in this study was 16 respondents selected using a purposive sampling technique. The research instrument used a knowledge questionnaire and skills observation. Data analysis used the Wilcoxon Signed Ranks Test.Results: The Wilcoxon Signed Ranks Test obtained a ρ-value of 0.000 (ρ<0.05) which means that H0 is rejected and Ha is accepted, which means that there is an effect of health education on the stoma care capabilities in colon cancer patients with colostomy at MRCCC Siloam Hospitals Semanggi.Conclusion: There is an effect of health education on the stoma care ability of colon cancer patients with a colostomy at MRCCC Siloam Hospitals Semanggi.

Nurses' experience in carrying out muscle strength exercises among patients with strokes: A qualitative study Sari, Kartika; Purba, Jenny Marlindawani; Ritarwan, Kiking
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
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.v6i8.14104

Background: Patients with stroke suffer various nerve and muscle issues. The weakness and paralysis of patients with stroke affect their ability to carry out their daily activities.Purpose: To explore nurses' experiences in performing strength of muscle exercise on patients with stroke at Haji Adam Malik Central General Hospital, MedanMethod: This qualitative study with a phenomenological descriptive approach employs a purposive sampling technique to choose 10 nurses who have prior experience performing the strength of muscle exercise on stroke patients. Data are collected through in-depth interviews and then evaluated using Collaizzi method.Results: The five issues identified by the thematic analysis are the nurses’ understand about the strength of muscle exercise, challenges and solutions encountered while performing the strength of muscle exercise, how strength of muscle exercise is implemented, the need to enhance the skill in performing strength of muscle, and the nurses’ emotional reaction while performing the strength of muscle exercise on the stroke patients.Conclusion: Nurses’ knowledge of muscle strength enables them to demonstrate it to stroke patients and help them find the best solution to various challenges they may encounter.Suggestion: The need to improve nurses' skills in muscle strength exercise is related to efforts to improve the quality of nursing care for stroke 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

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.

Training adult laypeople in basic life support to enhance knowledge and confidence Priyo Sasmito; Nur Fajariyah; Dina Rasmita; Mugi Hartoyo; Nisa Arifani; Yeni Koto
Malahayati International Journal of Nursing and Health Science Vol 6, No 4 (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.v6i4.12189

Background: The lack ability of community to provide first aid to victims who experience cardiac arrest is due to their lack of knowledge and skills. Adolescent to adult age group has good potential to be involved in efforts to provide resuscitation for Out-of-Hospital cardiac arrest (OHCA) cases.Purpose: To determine the effect of training adult laypeople in basic life support to enhance knowledge and confidenceMethod: A quasi-experimental study with 1 pre and post-test group with a total sample of 30 members of youth organizations taken with total sampling technique.Results: There was an increase in respondents' knowledge by an average of 58.89 from the initial knowledge with an average score of 30 (poor) to 88.89 (good). The results of statistical calculations using the Wilcoxon Signed Rank Test with a level of significance (α) 0.05 showed that calculated W value smaller than W table and the p value 0.000 smaller than α 0.05. There was also an increase in respondents' self-confidence of performing BLS from an average of 43.67 (less confident) to an average of 88.00 (very confident) after BLS training. Calculated W value is smaller than W table and p value 0,000 smaller than α 0.05.Conclusion: BLS training has a significant effect on the knowledge and self-confidence level of respondents. There is an increase in the level of knowledge and confidence of respondents in the age group of adolescents and young adults to perform resuscitation after receiving BLS training.

Maternal knowledge and family support for child food insecurity among households with stunting in young children Desmon Wirawati; Siti Julaeha; Endang Sri Rahayu
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
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.v6i7.13314

Bakcground: Stunting is a common health issue. In poor nations, particularly Indonesia, stunting is a long-term problem with chronic malnutrition that results in growth abnormalities in children, where the child's height is lower or shorter (stunted) than the average for their age.Purpose: To determine the relationship between maternal knowledge and family support for child food insecurity among households with stunting in young children.Method: Cross sectional research methodology is being used in this quantitative investigation. 110 toddlers from the Bojongnangka Tangerang Community Health Center's service region served as the study's population of interest. Simple random sampling is the sampling method employed. The measurements taken include the toddler's height and the answers to a questionnaire that the toddler's parents completed. SPSS 20 was used for data analysis. The Mann Whitney test was used to do univariate and bivariate analysis after the data had been gathered.Results: With a p value of 0.041, there is a significant correlation between the occurrence of staining and knowledge. Parental education (P=0.267), family skills (P=0.438), family attitudes (P=0.838), family emotional support (P=0.521), family informational support (P=0.707), and family appreciation support (P=0.872) do not significantly correlate with the prevalence of stunting.Conclusion: The prevalence of stunting in the Bojongnangka Tangerang Community Health Center is significantly correlated with knowledge.

Muscle strength and the risk of falls in community-dwelling elderly in Central Java in urban and rural areas Nur Annisa; Dwi Rosella Komalasari
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
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.v6i7.13166

Background: The elderly are individuals aged 60 and above, marking the final stage of the life cycle. The World Health Organization classifies the elderly into four groups: middle-aged elderly (45-59 years), elderly (60-74 years), older elderly (75-90 years), and very old elderly (above 90 years). Currently, there are 142 million people aged 60 and above in the 11 Southeast Asian WHO member countries. By 2050, this number is expected to triple, prompting the WHO to urge nations to prioritize aging on World Health Day. Decreased muscle strength for postural control is a risk factor for falls in the elderly, and a significant portion of falls may be attributed to this component. In Indonesia, the rate of fall-related injuries due to balance disorders is found to be 49.4% in individuals above 55 years, 67.1% in those above 65 years, and up to 35% in individuals between 70-75 years.Purpose: To determine the influence of muscle strength on the risk of falls in the elderly in urban and rural areas. Method: This study employed a cross-sectional study design, investigating the correlation between risk factors (independent) and outcomes (dependent) based on data collection through observations conducted at a single point in time. The research was conducted in Gonilan village as a representative urban area and Boyolali Regency, Central Java, as a representative rural area in August 2023. The study population included the elderly in Gonilan and Boyolali. Non-probability sampling with quota sampling was used, resulting in 204 participants meeting the survey criteria.Results: Muscle strength in urban areas with low categories had an odds ratio (OR) of -0.282, Exp B of 1.048, ρ-value of 0.824 with a 95% confidence interval (CI) of 0.962. In contrast, urban areas with high categories had an OR of 0.037, Exp B of 0.754, ρ-value of 0.310 with a 95% CI of 1.130. This indicates that the ρ-value for all areas is greater than 0.05, meaning there is no influence of muscle strength on the risk of falls in urban and rural areas.Conclusion: Based on the research findings, there is no influence of muscle strength on the risk of falls in the elderly in urban and rural areas. The risk of falls is influenced by various factors, including environmental conditions.

Marketing strategy analysis based on segmenting and targeting in hospital: A literature review Abdulaziez Mufakhhir; Sutopo Patria Jati; Septo Pawelas Arso
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (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.v6i6.12936

Background: Healthcare services have undergone changes in several strategic business units that require proper management handling. The evolution of hospitals, accompanied by the high demands of the community for services, has led hospitals to compete in seeking new opportunities and strategies to meet consumer (patient) needs. In an effort to meet consumer expectations and desires, hospitals need to design a marketing mix that provides value to the target consumers. Management planning serves the target market based on hospital market segmentation.Purpose: To define the analysis of healthcare service market segments in a manner that supports the marketing process in hospitalsMethod: This study is a literature review. The research data sources were derived from literature obtained via the internet, including scientific research findings from various sources. The population in this study consisted of research focusing on the assessment of hospital market segmentation from 2015 to 2022. A total of 12 research articles were obtained from scholarly publications such as Science Direct, Scopus, ProQuest, Springer Link, Google Scholar, PubMed, JSTOR, and Emerald Insight. The collected data were then systematically analyzed.Results: This result revealed that a marketing strategy employing segmentation concepts, supported by an appropriate marketing mix, was an effective means to enhance healthcare services according to customer needsConclusion: This study concluded that hospital market segmentation analysis, based on geographic, demographic, psychographic, and behavioral factors and supported by an appropriate marketing mix, was an effective means to improve healthcare services according to customer needs.

Social support interventions in health cadres on knowledge and self-efficacy in managing pregnant women with iron deficiency anemia in Indonesia Kurwiyah, Neneng; Anwar, Syamsul; Syamsir, Syamikar Baridwan; Puspita, Tantri; Supriyatno, Heru
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
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.v6i8.13337

Background: Anemia in pregnant women is not only a health concern for the mothers themselves but also has an impact on the health of the fetus. The role of health cadres is crucial in addressing anemia in pregnant women.Purpose: To evaluate the influence of community support interventions on the knowledge and self-efficacy of health cadres in managing anemia in pregnant women in the Thousand Islands region, Indonesia.Method: The research design is quasi-experimental with a single intervention group. A total of 30 health cadres on Kelapa Island and Harapan Island received community support interventions for managing anemia in pregnant women. Assessments of knowledge and self-efficacy were conducted before and after the intervention. Data analysis was performed using paired sample t-tests.Results: Indicate that community support interventions significantly improved the knowledge of health cadres about anemia in pregnant women (p < 0.05). Furthermore, the self-efficacy of health cadres also experienced a significant increase after the intervention (p < 0.05).Conclusion: Community support interventions effectively enhance health cadres' knowledge and self-efficacy in managing anemia in pregnant women in the Thousand Islands region. This study has implications for improving the quality of health services and the management of anemia in pregnant women.

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Teguh Pribadi

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+6282282204653

Journal Mail Official
nursing@malahayati.ac.id

Editorial Address
Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location
Kota bandar lampung,

Lampung

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Teguh Pribadi

Contact Email -

Phone +6282282204653

Journal Mail Official nursing@malahayati.ac.id

Editorial Address Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location Kota bandar lampung, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Teguh Pribadi

Contact Email
-

Phone
+6282282204653

Journal Mail Official
nursing@malahayati.ac.id

Editorial Address
Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location
Kota bandar lampung,

Lampung

INDONESIA