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MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : Health,
Dentistry Health Professions Nursing Public Health
MAHESA : Malahayati Health Student Journal, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh DIII Keperawatan Universitas Malahayati Lampung. MAHESA : Malahayati Health Student 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. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA : Malahayati Health Student Journal terbit sebanyak 4 kali yaitu pada bulan Maret, Juni, September, Desember.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 1,573 Documents
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Kesiapan Implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat Kunaifi, Afif; Indasah, Indasah; Ellina, Agusta Dian; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21339

Abstract

ABSTRACT Every individual has the right to obtain an equal standard of physical and mental health. The state is obliged to create quality health services and address health disparities caused by poverty, stigma, and discrimination. This study aims to analyze the readiness of the implementation of Standard Inpatient Classes at Sidoarjo Barat Regional Hospital. The research method in this study is qualitative with a case study approach. This study was conducted in March-April 2025. The data collection technique was with in-depth interviews with 30 informants. The informants in this study were several management ranks, Installation Coordinators, Midwives, and Nurses at Sidoarjo Barat Regional Hospital. The results of the study indicate that the West Sidoarjo Regional Hospital has met the minimum standards for facilities and infrastructure according to the 12 KRIS criteria. Funding for the implementation of KRIS at the West Sidoarjo Regional Hospital comes from the APBD (20%) and BLUD (80%) with consideration of budget flexibility, but requires additional health workers, especially nurses, to support the readiness of the implementation of KRIS, and strategic planning is needed regarding the policies implemented so as not to reduce the quality of hospital services, because the decline in the quality of service can reduce the interest of patient visits. In addition, the KRIS policy from the central government is still unclear and raises many questions, and the lack of socialization is feared to cause patient confusion, potentially reducing patient trust and visits to the West Sidoarjo Regional Hospital. Keywords: KRIS, BPJS, Readiness, Hospital, Facilities and Infrastructure.  ABSTRAK Setiap individu memiliki hak untuk mendapatkan standar kesehatan fisik dan mental yang setara. Negara berkewajiban menciptakan layanan kesehatan berkualitas serta mengatasi kesenjangan kesehatan yang disebabkan oleh kemiskinan, stigma, dan diskriminasi. Penelitian ini bertujuan untuk menganalisis kesiapan implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat. Metode penelitian dalam penelitian ini adalah kualitatif dengan pendekatan studi kasus. Penelitian ini dilakukan pada bulan Maret-April 2025. Teknik pengumpulan data  dengan indepth interview bersama 30 informan. Informan dalam penelitian ini merupakan beberapa jajaran manajemen, Koordinator Instalasi, Bidan, dan Perawat di RSUD Sidoarjo Barat. Hasil penelitian menunjukkan bahwa RSUD Sidoarjo Barat telah memenuhi standar minimal sarana dan prasarana sesuai 12 kriteria KRIS, Pendanaan implementasi KRIS di RSUD Sidoarjo Barat bersumber dari APBD (20%) dan BLUD (80%) dengan pertimbangan fleksibilitas anggaran, namun membutuhkan penambahan tenaga kesehatan, khususnya perawat, guna mendukung kesiapan implementasi KRIS, serta diperlukan perencanaan strategis mengenai kebijakan yang diterapkan agar tidak menurunkan mutu pelayanan rumah sakit, karena dengan menurunnya mutu pelayanan dapat mengurangi minat kunjungan pasien.Selain itu, kebijakan KRIS dari pemerintah pusat masih belum jelas dan menimbulkan banyak pertanyaan, serta kurangnya sosialisasi dikhawatirkan menyebabkan kebingungan pasien, berpotensi menurunkan kepercayaan dan kunjungan pasien ke RSUD Sidoarjo Barat. Kata Kunci: KRIS, BPJS, Kesiapan, Rumah Sakit, Sarana Prasarana.
Role of Dermatoporosis as Mediating Factors: Impact of Systemic Health Parameters on Dermatology Life Quality Index in The Elderly W., Linda Julianti; Destra, Edwin; Firmansyah, Yohanes; Moniaga, Catharina Sagita; Tan, Sukmawati Tansil; Wijaya, Bryan Anna; Gunaidi, Farell Christian
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20813

Abstract

ABSTRACT Dermatoporosis, an emerging concern in geriatric dermatology characterized by pronounced skin fragility and chronic skin atrophy, significantly impacts the quality of life among the elderly. This study delves into the complex interactions between various health parameters such as albumin, glucose, lipid profiles, uric acid, vitamin D, insulin resistance, uric acid, renal functions, and liver functions, assessing their cumulative effect on the Dermatology Life Quality Index (DLQI) in an elderly population, with dermatoporosis serving as a pivotal mediating factor. This study included 31 individuals who met the specified inclusion criteria. The selection process was designed to ensure the relevance of analyzed health parameters and to minimize selection bias, thereby enhancing the validity and applicability of the findings. Descriptive and inferential statistical methods were employed, along with Partial Least Squares (PLS) path modeling, to control for potential confounding variables and explore the multifactorial relationships among the measured variables. Regression analysis indicated that dermatoporosis significantly mediates the relationship between these health parameters and the DLQI, evidenced by R² values of 0.691 for dermatoporosis and 0.842 for DLQI. This study confirms that skin health in the elderly is multifactorial and strongly influenced by systemic health parameters. A multidisciplinary approach is essential to holistically manage dermatological conditions, addressing not only skin symptoms, but also systemic health factors that exacerbate skin disorders and diminish the quality of life in older adults. Keywords: Dermatoporosis, Dermatology Life Quality Index (DLQI), Geriatric Dermatology, Health Parameters, Systemic Health Influences.
Pengaruh Mindfulness Based Cognitive Therapy (MBCT) terhadap Tingkat Stres dan Kadar Hormon Endorfin pada Ibu Menyusui Tary, Wulan Maya; Sumarni, Sri; Irmawati, Irmawati
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20266

Abstract

ABSTRACT Breastfeeding mothers often face various major challenges that can trigger stress, which in turn can affect breast milk production. For this reason, researchers innovated in reducing stress and increasing breast milk production in breastfeeding mothers by providing Mindfulness-Based Cognitive Therapy (MBCT). Objective: to analyze the effect of Mindfulness-Based Cognitive Therapy on stress levels and endorphin hormones in breastfeeding mothers. Trueexperimental study with pretest-posttest control group design, consisting of 2 groups. The population was all breastfeeding mothers at the Dr. (HC) Ir. Soekarno Hospital, Bangka Belitung Province with a sample size of 20 respondents in each group. The intervention was given Mindfulness-Based Cognitive Therapy for 14 days. Bivariate analysis using Wilcoxon. There was an effect of Mindfulness-Based Cognitive Therapy on reducing stress levels in breastfeeding mothers (p = 0.001) and an effect on increasing endorphin hormones in breastfeeding mothers (p = 0.001). This study indicates that mindfulness-based interventions can be an effective approach in managing stress in breastfeeding mothers, which can ultimately contribute to improving maternal well-being and breast milk production through hormone indicators endorphin. MBCT has been proven as an intervention that can be used to reduce stress in breastfeeding mothers and increase endorphin hormone levels. Thus, MBCT has the potential to be applied in lactation support programs to improve maternal well-being and support breastfeeding success..Keywords: Endorphin Hormone, Breastfeeding Mothers, Mindfulness Based Cognitive Therapy, Stress.  ABSTRAK Ibu menyusui sering menghadapi berbagai tantangan utama yang dapat memicu stres, yang pada akhirnya dapat mempengaruhi produksi ASI. Untuk itu peneliti berinovasi dalam mereduksi stres dan meningkatkan produksi ASI ibu menyusui dengan memberikan terapi Mindfulness-Based Cognitive Therapy (MBCT). Tujuan: menganalisis pengaruhMindfulness-Based Cognitive Therapy terhadap tingkat stres dan kadar hormon endorfin pada ibu menyusui. Penelitian True experimental dengan pretest-postest control group design, terdiri dari 2 kelompok. Populasi adalah seluruh ibu menyusui di RSUD Dr. (HC) Ir. Soekarno Provinsi Bangka Belitung dengan jumlah sampel 20 responden setiap kelompok. Intervensi diberikan Mindfulness-Based Cognitive Therapy selama 14 hari. Analisis Bivariate mengunakan Wilcoxon.Terdapat pengaruh Mindfulness-Based Cognitive Therapy terhadap penurunan tingkat stress ibu menyusui (p=0.001) dan berpengaruh terhadap peningkatan kadar hormon endorfin ibu menyusui (p=0.001). Penelitian ini mengindikasikan bahwa intervensi berbasis mindfulness dapat menjadi salah satu pendekatan efektif dalam mengelola stres ibu menyusui, yang pada akhirnya dapat berkontribusi pada peningkatan kesejahteraan ibu dan produksi ASI melalui indikator kadar hormon endorfin. MBCT terbukti sebagai intervensi yang dapat digunakan untuk mengurangi stres pada ibu menyusui dan meningkatkan kadar hormon endorfin. Dengan demikian, MBCT memiliki potensi untuk diterapkan dalam program dukungan laktasi guna meningkatkan kesejahteraan ibu dan mendukung keberhasilan menyusui.Kata Kunci: Kadar Hormon Endorfin, Ibu Menyusui, Mindfulness Based Cognitive Therapy, Stres.
Hubungan Gula Darah Sewaktu dengan Luas Lesi Rontgen Thoraks pada Pasien Diabetes Melitus yang Menderita Tuberkulosis Paru di Rumah Sakit Ibnu Sina Makassar Tahun 2023-2024 Sulthan, Aisyah Nabilah; Hidayati, Prema Hapsari; Irmayanti, Irmayanti; Anggita, Dwi; Irsandy, Febie
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21217

Abstract

ABSTRACT Pulmonary tuberculosis remains a major health issue in Indonesia, especially among diabetic patients who have reduced immunity. This study aims to determine the correlation between random blood glucose levels and the extent of thoracic lesions in diabetic patients suffering from pulmonary tuberculosis. This quantitative analytic research used a cross-sectional design conducted at Ibnu Sina Hospital Makassar in 2023–2024. Data were collected through patient medical records and analyzed using correlation tests. The results showed a significant relationship between random blood glucose and the extent of thoracic lesions. This indicates that glycemic control affects the severity of pulmonary TB in diabetic patients. Keywords: Diabetes Mellitus, Pulmonary Tuberculosis, Random Blood Glucose, Thoracic Lesion.  ABSTRAK Tuberkulosis paru masih menjadi tantangan kesehatan di Indonesia, terlebih pada pasien dengan diabetes melitus (DM) yang memiliki imunitas rendah. Penelitian ini bertujuan untuk mengetahui hubungan gula darah sewaktu dengan luas lesi rontgen thoraks pada pasien DM yang menderita tuberkulosis paru. Penelitian ini menggunakan pendekatan kuantitatif analitik dengan desain cross sectional di Rumah Sakit Ibnu Sina Makassar tahun 2023–2024. Data dikumpulkan melalui rekam medis pasien TB-DM, kemudian dianalisis menggunakan uji korelasi. Hasil penelitian menunjukkan adanya hubungan signifikan antara kadar gula darah sewaktu dan luas lesi pada rontgen thoraks. Hal ini menunjukkan bahwa kontrol glikemik mempengaruhi derajat keparahan TB paru pada pasien DM. Kata Kunci: Diabetes Melitus, Tuberkulosis Paru, Gula Darah Sewaktu, Lesi Thoraks.
Penerapan Murotal Al-Qur’an pada Pasien dengan Risiko Perilaku Kekerasan: Case Report Topik, Muhamad Agung Abdul; Nuryani, Reni; Lindasari, Sri Wulan
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20823

Abstract

ABSTRACT The risk of violent behavior is a potential condition that indicates an individual's vulnerability to committing aggressive acts that can threaten the physical safety or psychological well-being of others. The task of a nurse in handling cases of risk of violent behavior includes all stages of nursing care. In addition, interventions to control the risk of violent behavior are religious or spiritual therapy in the form of murotal Al-Qur'an. The purpose of this study was to determine the description of the implementation of generalist therapeutic nursing care according to nursing care standards equipped with murotal therapy of Surah Ar-Rahman to reduce signs and symptoms of the risk of violent behavior in clients with mental disorders at the West Java Provincial Hospital. This type of research is descriptive with a case report design that describes the implementation of generalist therapeutic nursing care according to nursing care standards and murotal therapy of Al-Qur'an Surah Ar-Rahman. The participants used were one client with a problem of risk of violent behavior. The results of the study after the implementation of murotal therapy of Surah Ar-Rahman for 15 minutes within 5 days showed a decrease in signs and symptoms of the risk of violent behavior from 6 signs to 1 sign. The risk score of violent behavior becomes 2 with an interpretation of no risk, previously the risk score of violent behavior was 7 with an interpretation of moderate risk. There is a change in the risk of violent behavior before and after murotal therapy is carried out on clients with problems of risk of violent behavior. Providing murottal therapy of Surah Ar-Rahman can be recommended and has been proven effective for clients with problems at risk of violent behavior. Keywords: Risk of Violent Behavior, Al-Quran Recitation Therapy, Surah Ar-Rahman.  ABSTRAK Risiko perilaku kekerasan adalah suatu kondisi potensial yang menunjukkan adanya kerentanan pada individu untuk melakukan tindakan agresif yang dapat mengancam keselamatan fisik maupun kesejahteraan psikologis orang lain. Tugas seorang perawat dalam menangani kasus risiko perilaku kekerasan mencakup seluruh tahapan asuhan keperawatan. Selain itu, intervensi untuk mengendalikan risiko perilaku kekerasan adalah terapi religius atau spiritual berupa murotal Al-Qur’an. Tujuan penelitian ini adalah mengetahui gambaran penerapan asuhan keperawatan terapi generalis sesuai standar asuhan keperawatan yang dilengkapi dengan terapi murotal Surah Ar-Rahman untuk menurunkan tanda gejala risiko perilaku kekerasan pada klien gangguan jiwa di Rumah Sakit Provinsi Jawa Barat. Jenis penelitian ini adalah deskriptif dengan desain case report yang menguraikan penerapan asuhan keperawatan terapi generalis sesuai standar asuhan keperawatan dan terapi murotal Al-Qur’an Surah Ar-Rahman. Partisipan yang digunakan yaitu satu orang klien dengan masalah risiko perilaku kekerasan. Hasil penelitian setelah dilakukan penerapan terapi murotal Surah Ar-Rahman selama 15 menit dalam waktu 5 hari terjadi perubahan penurunan tanda dan gejala risiko perilaku kekerasan 6 tanda gejala menjadi 1 tanda gejala. Skor risiko perilaku kekerasan menjadi 2 dengan interpretasi tidak berisiko, sebelumnya skor risiko perilaku kekerasan adalah 7 dengan interpretasi risiko sedang. Terdapat perubahan risiko perilaku kekerasan sebelum dan sesudah dilakukan terapi murotal pada klien dengan masalah risiko perilaku kekerasan. Pemberian terapi murotal surah Ar-Rahman bisa direkomendasikan dan terbukti efektif dilakukan pada klien dengan masalah risiko perilaku kekerasan. Kata Kunci: Risiko Perilaku Kekerasan, Terapi Murotal Al-Qur’an, Surah Ar-Rahman.
Terapi Kognitif dan Terapi Suportif Efektif Menurunkan Tingkat Ansietas Remaja Korban Bullying di Wilayah Jakarta Timur Laela, Sri; Hartati, Suryani
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20501

Abstract

ABSTRACT Bullying is aggressive behavior that is done intentionally and repeatedly against someone who is weaker or unable to defend themselves. Bullying has a negative impact on adolescents, one of which is feelings of anxiety that can affect academic achievement, prolonged stress that makes adolescents feel uncomfortable and unable to focus on learning. Therefore, nursing actions are needed to reduce the level of anxiety for adolescent victims of bullying. This research aims to determine the effectiveness of cognitive therapy and supportive therapy on anxiety in adolescent victims of bullying. The research design used was True Experimental Pre-Post Test With Control Group with  sample 60 respondents and using random sampling techniques. The study was conducted in January - April 2025 in the East Jakarta area. The questionnaire used in this research was the Olweus Bully / Victims Questionnaire to determine adolescents who were victims of bullying and HARS (Hamilton anxiety raing scale) to determine the level of anxiety. The results showed that cognitive therapy and supportive therapy significantly reduced the level of anxiety in adolescent victims of bullying (pv = 0.048). A combination of cognitive therapy and supportive therapy is recommended to overcome mental health problems in adolescent victims of bullying. Keywords: Anxiety, Bullying, Cognitive Therapy, Supportive Therapy.  ABSTRAK Bullying merupakan perilaku agresif yang dilakukan secara sengaja dan berulang-ulang terhadap seseorang yang lebih lemah atau tidak mampu membela diri. Bullying  menimbulkan dampak negatif bagi remaja, salah satunya adalah perasaan cemas yang dapat mempengaruhi prestasi akademik, stress berkepanjangan yang membuat remaja merasa tidak nyaman dan tidak focus dalam belajar. Oleh karena itu dibutuhkan tindakan keperawatan untuk menurunkan tingkat ansietas bagi remaja korban bullying. Penelitian ini bertujuan untuk mengetahui efektifitas terapi kognitif dan terapi suportif terhadap ansietas remaja korban bullying. Desain penelitian yang dipakai adalah true experimental pre-post test with control group dengan jumlah sampel 60 orang remaja  dan menggunakan teknik random sampling. Penelitian dilakukan pada Januari sampai April 2025 di Wilayah Jakarta Timur. Kuesioner yang digunakan dalam penelitian ini adalah Olweus Bully/Victims Questionare untuk mengetahui remaja yang menjadi korban bullying dan HARS (Hamilton anxietyraing scale) untuk mengetahui tingkat ansietas. Hasil penelitian menunjukkan bahwa terapi kognitif dan terapi suportif signifikan menurunkan tingkat ansietas pada remaja korban bullying (pv=0,048). Kombinasi terapi kognitif dan terapi suportif direkomendasikan untuk mengatasi masalah kesehatan jiwa pada remaja korban bullying.  Kata Kunci: Ansietas, Bullying, Terapi Kognitif, Terapi Suportif.
Pengaruh Intervensi Edukasi PSN 3M Plus Lintas Sektoral terhadap Pengetahuan, Sikap, dan Tindakan Masyarakat dalam Pencegahan Dengue di Wilayah Kerja Puskesmas Beringin Jaya Sibuea, Bonar Pandapotan; Amelia, Rina; Ritarwan, Kiking; Tanjung, Ika Citra Dewi; Yulfi, Hemma
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20960

Abstract

ABSTRACT Dengue fever (DHF) is an infectious disease transmitted by the Aedes aegypti mosquito and is a global public health problem, especially in tropical countries such as Indonesia. Spikes in DHF cases occur fluctuatively in various regions, including South Labuhanbatu Regency, especially in the Beringin Jaya Health Center working area, which shows an increase in incidence every rainy season. The most effective control effort is through education and community empowerment in mosquito nest eradication (PSN) with the 3M Plus approach. This intervention is optimized if it is carried out through cross-sectoral collaboration involving the government, health workers, and local communities. This study aims to determine the effect of PSN 3M Plus educational intervention on the knowledge, attitudes, and actions of respondents in dengue prevention. The method used was quasi experimental with a one-group pretest-posttest design on 100 respondents selected by purposive sampling. Data were collected through a standardized questionnaire that had been tested for validity and reliability, then analyzed univariately and bivariately using the McNemar Test. The results showed a significant increase in respondents' knowledge after the 3M Plus PSN education intervention, from 45% to 64% (p = 0.013). However, in the attitude variable there was only an increase from 44% to 50% (p = 0.643), and in the action variable from 49% to 53% (p = 0.417), both of which did not show statistically significant differences. The PSN 3M Plus educational intervention was effective in increasing respondents' knowledge, but not strong enough to influence changes in attitudes and actions. A more intensive, sustainable, and participatory educational approach is needed to achieve a more comprehensive behavior change in dengue prevention. Keywords: Education, PSN 3M Plus, Cross-Sectoral.  ABSTRAK Demam berdarah dengue (DBD) merupakan penyakit menular yang ditularkan oleh nyamuk Aedes aegyptii dan menjadi masalah kesehatan masyarakat global, terutama di negara-negara tropis seperti Indonesia. Peningkatan kasus DBD terjadi secara fluktuatif di berbagai wilayah, termasuk Kabupaten Labuhanbatu Selatan, khususnya di wilayah kerja Puskesmas Beringin Jaya, yang menunjukkan peningkatan kejadian setiap musim hujan. Upaya pengendalian yang paling efektif adalah melalui edukasi dan pemberdayaan masyarakat dalam pemberantasan sarang nyamuk (PSN) dengan pendekatan 3M Plus. Intervensi ini menjadi lebih optimal jika dilakukan melalui kolaborasi lintas sektoral yang melibatkan pemerintah, petugas kesehatan, dan komunitas lokal. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi edukasi PSN 3M Plus terhadap pengetahuan, sikap, dan tindakan responden dalam pencegahan dengue. Metode yang digunakan adalah quasi experimental dengan desain one-group pretest-posttest pada 100 responden yang dipilih secara purposive sampling. Data dikumpulkan melalui kuesioner terstandar yang telah diuji validitas dan reliabilitasnya, lalu dianalisis secara univariat dan bivariat menggunakan Uji McNemar. Hasil penelitian menunjukkan adanya peningkatan signifikan pada pengetahuan responden setelah dilakukan intervensi edukasi PSN 3M Plus, dari 45% menjadi 64% (p = 0,013). Namun, pada variabel sikap hanya terjadi peningkatan dari 44% menjadi 50% (p = 0,643), dan pada variabel tindakan dari 49% menjadi 53% (p = 0,417), keduanya tidak menunjukkan perbedaan yang signifikan secara statistik. Intervensi edukasi PSN 3M Plus efektif dalam meningkatkan pengetahuan responden, namun belum cukup kuat memengaruhi perubahan sikap dan tindakan. Diperlukan pendekatan edukatif yang lebih intensif, berkelanjutan, dan partisipatif agar terjadi perubahan perilaku yang lebih menyeluruh dalam pencegahan DBD. Kata Kunci: Edukasi, PSN 3M Plus, Lintas Sektoral, Dengue.
Understanding Antenatal Care Utilization Among Pregnant Women In Indonesia : A Literature Review Aprilia, Kartika
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21907

Abstract

ABSTRACT Antenatal care (ANC) services are one of the efforts to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). However, the coverage of ANC visits has not yet reached the target, indicating the presence of factors that influence the utilization of ANC services. The objective of this study is to identify the factors influencing the use of antenatal services among pregnant women in Indonesia. This study uses a literature review design with journal articles as references. Articles were searched using the keywords "utilization," "health services," "antenatal care," and "pregnant women" through the database https://garuda.kemdikbud.go.id/. Screening was conducted on original articles published between 2019–2024, focusing on the utilization of ANC services for pregnant women in Indonesia. Eleven articles met the criteria, and information was extracted on factors associated with ANC service utilization in Indonesia. ANC service utilization is influenced by both maternal and provider factors. Maternal factors included age, knowledge level, attitude, distance to the facility, family support, economic condition, and history of complications. Service provider factors include staff support and satisfaction with services, which encourage pregnant women to be more active in ANC. Keywords: Antenatal Care, Health Service, Indonesia, Pregnant Women, Utilization.
Differences Between Serum Total Testosterone Levels in Obese and Non-Obese Male Health Workers Saraswati, Putu Ayu Indah; Suastika, Ketut; Dwipayana, I Made Pande
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20851

Abstract

ABSTRACT Obesity is a metabolic condition that poses a global health challenge and is associated with various complications, including reduced testosterone levels. Low testosterone is a critical component in metabolic syndrome and hormonal dysfunction in men. This study aims to analyze the differences in total serum testosterone levels between obese and non-obese male healthcare workers and identify factors influencing low testosterone levels at Prof. dr. I.G.N.G. Ngoerah General Hospital, Denpasar. This cross-sectional study involved 89 male healthcare workers grouped based on body mass index (BMI): obese (BMI ≥ 25 kg/m²) and non-obese (BMI 25 kg/m²). Total serum testosterone levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Statistical analysis included bivariate tests using Chi-Square and Fisher-Exact tests, followed by multivariate logistic regression to determine the relationship between obesity and low testosterone levels, adjusting for confounding factors such as age, type 2 diabetes mellitus, hypertension, and heart disease. The mean total serum testosterone level was 528.74 ± 265.13 ng/dL. The prevalence of low testosterone was significantly higher in the obese group (82.6%) compared to the non-obese group (17.4%), with an odds ratio (OR) of 13.691 (p 0.001). Multivariate analysis identified obesity as an independent predictor of low testosterone, with an adjusted odds ratio (AOR) of 6.101 (95% CI: 1.531–24.307; p = 0.010). Age was also a significant factor, with participants aged ≥30 years having a higher risk of low testosterone compared to younger participants (AOR: 4.961; 95% CI: 1.118–22.004; p = 0.035). Type 2 diabetes mellitus was strongly associated with low testosterone levels (OR: 22.909; p 0.001) but was not significant in the multivariate analysis (p = 0.060). Obesity is a significant risk factor for low testosterone levels in male healthcare workers, with age being another key determinant. These findings highlight the importance of early detection and management of obesity to prevent hormonal dysfunction. Keywords: Obesity, Total Serum Testosterone, Male Healthcare Workers.
Efektivitas Ekstrak Gel Daun Kemangi terhadap Penyembuhan Puting Susu Lecet pada Ibu Menyusui: Literature Review Nainggolan, Gusti Artha
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20368

Abstract

ABSTRACT The percentage of exclusive breastfeeding decreases to less than 25% within 6 weeks after birth. The reasons for stopping breastfeeding are complex and varied, one of which is the case of nipple blisters. One of the non-pharmacological therapies that can cure nipple blisters is the administration of basil leaf gel (Ocimum Sanctum L). This study aims to determine the effectiveness of basil leaf gel extract in wound healing. The type of research used is literature review. The data used in this research is secondary data derived from previous research studies. The source of the data came from Google Scholar. The results showed that the effectiveness of basil leaves in wound healing indicates that this plant has great potential as a natural healing agent. Basil leaves not only have antibacterial properties, but also anti-inflammatory, which makes it a natural alternative in wound care. Keywords: Nipple Chafing, Breastfeeding Mom, Basil Leaf Gel.  ABSTRAK Persentase pemberian ASI eksklusif menurun hingga kurang dari 25% dalam 6 minggu setelah kelahiran. Alasan penghentian menyusui bayi sangatlah kompleks dan bervariasi, salah satunya kasus puting susu lecet. Terapi non farmakologi yang dapat menyembuhkan  puting susu lecet salah satunya adalah pemberian gel daun kemangi (Ocimum Sanctum L). Penelitian ini bertujuan untuk mengetahui efektivitas ekstrak gel daun kemangi dalam penyembuhan luka. Jenis penelitian yang dipakai adalah literature review. Data yang digunakan dalam penelitian ini merupakan data sekunder yang berasal dari studi penelitian terdahulu. Pengambilan sumber data berasal dari Google Scholar. Hasil penelitian menunjukkan bahwa efektivitas daun kemangi dalam penyembuhan luka menunjukkan bahwa tanaman ini memiliki potensi besar sebagai agen penyembuh alami. Daun kemangi tidak hanya memiliki sifat antibakteri, tetapi juga antiinflamasi, yang menjadikannya alternatif alami dalam perawatan luka. Kata Kunci: Puting Susu Lecet, Ibu Menyusui, Gel Daun Kemangi.

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