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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 1,781 Documents
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Hubungan Antara Peran Kader dan Kunjungan Lansia Ke Posyandu Dalam Pengendalian Hipertensi Hartini Hartini; Menap Menap; Akhmad Fathoni
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.20321

Abstract

ABSTRACT A significant difficulty for health services is the senior population's rapid expansion, which leads to a variety of health issues because of changes in the physical, mental, spiritual, and economic spheres. Degenerative disorders include hypertension, pneumonia, congestive heart failure, chronic obstructive lung disease, osteoarthritis, urinary tract infections, and diabetes mellitus can arise as a result of physical changes. The study aims to determine the relationship between hypertension control, posyandu cadre function, elderly family support, and elderly travel to posyandu. This type of research uses path analysis using smartPLS 2025 and is quantitative. 1. The significance value of 0.040 0.05 indicates that there is a relationship between the role of posyandu cadres and elderly family support, 2. The significance value of 0.014 0.05 indicates that there is a relationship between the role of cadres and elderly visits to posyandu.  3. The sig value of 0.016 0.05 indicates that there is a relationship between family support and elderly visits to the posyandu; 4. The sig value of 0.004 0.05 indicates that there is a relationship between the role of cadres and hypertension control; 5. The sig value of 0.005 0.05 indicates that there is a relationship between family support and hypertension control; and 6. The sig value of 0.000 0.05 indicates that there is a relationship between elderly visits to the posyandu and hypertension control. Thus, it can be said that each hypothesis produces significant results. Keywords: Role of Cadres, Family Support, Elderly Visits, Hypertension Control.  ABSTRAK Kesulitan yang signifikan bagi pelayanan kesehatan adalah pertambahan populasi lansia yang cepat, yang menimbulkan berbagai masalah kesehatan karena perubahan fisik, mental, spiritual, dan ekonomi. Gangguan degeneratif seperti hipertensi, pneumonia, gagal jantung kongestif, penyakit paru obstruktif kronik, osteoartritis, infeksi saluran kemih, dan diabetes mellitus dapat timbul sebagai akibat dari perubahan fisik. Penelitian bertujuan mengetahui hubungan pengendalian hipertensi, fungsi kader posyandu, dukungan keluarga lansia, dan perjalanan lansia ke posyandu. Jenis penelitian menggunakan analisis jalur dengan menggunakan smartPLS 2025 dan bersifat kuantitatif. 1. Nilai signifikansi 0,040 0,05 menunjukkan terdapat hubungan peran kader posyandu dengan dukungan keluarga lansia, 2. Nilai signifikansi 0,014 0,05 menunjukkan terdapat hubungan peran kader dengan kunjungan lansia ke posyandu.  3. Nilai sig 0,016 0,05 menunjukkan ada hubungan dukungan keluarga dengan kunjungan lansia ke posyandu; 4. Nilai sig 0,004 0,05 menunjukkan adanya hubungan peran kader dengan pengendalian hipertensi; 5. Nilai sig 0,005 0,05 menunjukkan adanya hubungan antara dukungan keluarga dengan pengendalian hipertensi; dan 6. Nilai sig 0,000 0,05 menunjukkan adanya hubungan kunjungan lansia ke posyandu dengan pengendalian hipertensi. Dengan demikian, dapat dikatakan bahwa setiap hipotesis menghasilkan hasil yang signifikan. Kata Kunci: Peran Kader, Dukungan Keluarga, Kunjungan Lansia, Pengendalian Hipertensi.
Stimulasi Kognitif Berbasis Permainan Puzzle Anak Usia Pra Sekolah dengan Stunting terhadap Tugas Perkembangan Andi Hayyun Abiddin; Agus Khoirul Anam
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.19055

Abstract

ABSTRACT Stunting causes physical development to be hampered but also threatens cognitive development which has an impact on decreasing children's productivity in adulthood. One effort that can be made is to provide cognitive stimulation to children. To determine the cognitive stimulation based on puzzle games on the learning achievement of preschool children with stunting according to the developmental stage in areas prone to volcanic disasters. This quantitative study uses a one group pretest-posttest design. The population in this study were all preschool children in disaster-prone areas in Kepanjenkidul sub-district, 42 people who were diagnosed with stunting by the Kepanjenkidul Health Center UPT, Blitar City. The number of samples was 30 people, and the sampling technique used was proportional stratified random sampling with the following sample criteria: (1) children who are categorized as stunting based on BMI results according to height/age and weight/age measurements, (2) willing to be respondents, (3) physically and mentally healthy. This study used observation sheets for preschool children's developmental tasks covering social emotions, physical motor skills, cognitive skills, and language skills with criteria of very well developed (BSB) with a score of 4, developing according to expectations (BSH) with a score of 3, starting to develop (MB) with a score of 2, and not yet developed (BB) with a score of 1. Observations were conducted twice (pre and post test); (1) giving puzzles to respondents and observing them according to developmental tasks; (2) providing education related to puzzle games that include developmental tasks; (3) asking respondents to play the puzzle again and observe it. After the data was collected, the data was analyzed using the Wilcoxon test (p0.05). The results of the study showed that there were changes in developmental tasks between before and after being given cognitive stimulation based on puzzle games which included social emotional development tasks (p-value = 0.001), physical motor (p-value = 0.002), cognitive (p-value = 0.001) and language (p-value = 0.000). .Stunting can interfere with children's cognitive development, which causes a decrease in cognitive abilities. Puzzle games can affect the development of fine and gross motor skills in preschool children. Health services should increase interventions to stimulate the cognitive abilities of preschool children with stunting and conduct regular observations. Keywords: Stunting, Education, Puzzle, Disaster.   ABSTRAK Stunting menyebabkan terhambatnya perkembangan fisik tetapi juga mengancam perkembangan kognitif yangberdampak pada penurunan produktivitas anak di masa dewasa. Salah satu upaya yang dapat dilakukan adalah memberikan stimulasi kognitif pada anak. Mengetahui stimulasi kognitif berbasis permainan puzzle pada prestasibelajar anak usia pra sekolah dengan stunting sesuai dengan tahap perkembangan di kawasan rawan bencana gunungberapi.Penelitian kuantitatif ini menggunakan one group pretest-posttest design. Populasi dalam penelitian ini adalahseluruh anak usia pra sekolah di kawasan rawan bencana di kecamatan Kepanjenkidul 42 orang yang terdiagnosa stunting oleh UPT Puskesmas Kepanjenkidul Kota Blitar. Jumlah sampel sebanyak 30 orang, dan teknik pengambilansampel yang digunakan adalah proportional stratified random sampling dengan kriteria sampel sebagai berikut: (1)anak  yang masuk kategori stunting berdasarkan hasil BMI menurut pengukuran tinggi badan/umur dan beratbadan/umur, (2) bersedia menjadi responden, (3) sehat jasmani dan rohani. Penelitian ini menggunakan lembar observasi tugas perkembangan anak usia pra sekolah yang meliputi sosial emosi, fisik motorik, kognitif, dan bahasa dengan kriteria berkembang sangat baik (BSB) skor 4, berkembang sesuai harapan (BSH) skor 3, mulai berkembang (MB) skor 2 dan belum berkembang (BB) skor 1. Observasi dilakukan sebanyak dua kali (pre dan post test); (1) memberikan puzzle pada responden dan diobservasi sesuai dengan tugas perkembangan;  (2) memberikan edukasi terkait permainan puzzle yang mencakup tugas perkembangan; (3) meminta responden untuk memainkan kembali puzle tersebut dan mengobservasinya. Setelah data terkumpul, data dianalisis menggunakanWilcoxon test (p0.05). Hasil penelitian menunjukkan bahwa terdapat perubahan tugas perkembangan antara sebelum dan diberikan stimulasi kognitif berbasis permainan puzzle yang meliputi tugas perkembangan sosial emosi (p-value = 0,001), fisik motorik (p-value = 0,002), kognitif (p-value = 0,001) dan bahasa (p-value = 0,000). Stunting dapat mengganggu perkembangan kognitif anak, yang menyebabkan penurunan kemampuan kognitif. Permainan puzzle dapat mempengaruhi perkembangan keterampilan motorik halus dan kasar anak prasekolah. Pelayanan kesehatan sebaiknya meningkatkan intervensi untuk menstimulasi kemampuan kognitif anak prasekolah dengan stunting dan melakukan observasi secara berkala. Kata Kunci: Stunting, Edukasi, Puzzle, Bencana.
Systematic Review of Diarrhea Incidence and Environmental Sanitation Neli Anissah; Onny Setiani; Yusniar Hanani
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.19639

Abstract

ABSTRACT Toddlers are a highly vulnerable group to diseases transmitted from their surroundings as they are heavily dependent on their parents. Diarrhea remains a global health issue, including in Indonesia. The mortality rate from diarrhea among toddlers remains high in Indonesia, and one of the major risk factors influencing diarrhea in toddlers is environmental sanitation. To identify the potential impact of environmental sanitation on the incidence of diarrhea in toddlers. This research uses a systematic review method by searching literature in various databases. The databases used are Google Scholar, ScienceDirect, PubMed, Scopus, and SpringerLink. The inclusion criteria applied are publications from 2020-2024 and observational study designs.The search identified 17 articles that met the inclusion criteria. Most studies show that sanitation conditions, including toilet cleanliness, access to drinking water, availability of clean water, wastewater management, and waste disposal systems, are associated with the incidence of diarrhea in toddlers. Environmental sanitation plays a crucial role in influencing the occurrence of diarrhea in toddlers. Environmental factors, including toilet conditions, access to clean water, wastewater management, and waste disposal systems, contribute to the risk of diarrhea in toddlers. Additionally, other factors such as handwashing with soap, exclusive breastfeeding, house flooring type, and food and beverage management also play a role in the occurrence of diarrhea. Keywords: Environmental sanitation, Diarrhea, Toddlers.
Analysis of Ednrb Gene Expression From Blood Samples Using Pcr As a Non-Invasive Biomarker for Early Detection and Severity Assessment of Hirschsprung Disease at Abdul Wahab Sjahranie Hospital, East Kalimantan Pancoro Pujakelana; Yadi Yadi; Dadik Agus Soenjoto
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23414

Abstract

ABSTRACT This study aimed to analyze the expression of the Endothelin Receptor Type B (EDNRB) gene from peripheral blood samples of patients with Hirschsprung disease (HSCR) using the Polymerase Chain Reaction (PCR) method and to evaluate its potential as a non-invasive biomarker for early detection and clinical severity assessment. A case-control study was conducted at Abdul Wahab Sjahranie Hospital, Samarinda, East Kalimantan. Peripheral blood samples were collected from HSCR patients and healthy controls. Total RNA was extracted and complementary DNA synthesized, followed by quantitative PCR to measure EDNRB gene expression. The relative expression levels were calculated using the RQ method, and statistical analyses were performed to evaluate differences between groups and correlations with clinical severity. The expression of the EDNRB gene was significantly lower in HSCR patients compared to healthy controls (p 0.05). Receiver operating characteristic (ROC) analysis demonstrated a moderate diagnostic performance with a sensitivity of 62.5% and specificity of 70.6%. Furthermore, reduced EDNRB expression was associated with higher disease severity, although this correlation did not reach statistical significance. The findings suggest that EDNRB gene expression analysis from blood samples using PCR has potential as a non-invasive biomarker to support early detection of Hirschsprung disease and provide insights into its pathogenesis. However, further studies with larger sample sizes are required to confirm its utility in severity assessment.  Keywords: Hirschsprung Disease, Endothelin B Receptors, Polymerase Chain Reaction, Biomarkers, Genetic, Early Detection of Cancer.
Erythema Multiforme as a Complication in a Woman With Herpes Zoster Agnes Stephanie Tanuwijaya; Niken Kusumaningrum; Hari Darmawan
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23169

Abstract

ABSTRACT Globally, the incidence of erythema multiforme (EM) is estimated to be between 0.01 and 1%, with a frequency of approximately 1.2 to 6 cases per million people per year. This condition can be triggered by viral infections, one of which is the varicella-zoster virus (VZV). Herpes zoster occurs due to reactivation of VZV and can cause EM. This condition requires special attention due to its potential severity and diagnostic difficulties. This case presentation describes this rare occurrence in a 43-year-old woman, exploring the clinical presentation, diagnostic approach, and therapeutic management of this unusual combination of virus-induced dermatological manifestations. The patient was given a combination of systemic corticosteroids and antivirals, as well as antibiotics and medications for other symptomatic symptoms. After a three-day hospital stay that showed clinical improvement, the patient was discharged with continued outpatient follow-up and a process to continue the prescribed oral and topical treatment with an appropriate reduction in the systemic corticosteroid dose. Keywords: Erythema Multiforme, Herpes Zoster, Herpes Zoster-Associated Erythema Multiforme (HAEM), Corticosteroid, Antiviral.
Hubungan Pola Kerja Shift Malam dengan Hasil Uji Fungsi Hati pada Pekerja di RSUD Prof Dr W.Z Johannes Kupang Erlan Lalu Surabda; Anderias Umbu Roga; Luh Putu Ruliati; Marlyn Junias; Jacob Matheos Ratu
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23128

Abstract

ABSTRACT This study aims to analyze the relationship between night shift work patterns and liver function test results (SGOT and SGPT) among workers at Prof. Dr. W. Z. Johannes General Hospital, Kupang. A quantitative method with a cross-sectional design was applied, involving 40 night shift workers selected using the Lameshow formula. Data were collected through questionnaires, interviews, and laboratory liver function tests, and analyzed using the Chi-Square test (α=0.05). The results showed no significant association between age (p=0.552) or attitude (p=0.346) and liver function outcomes. In contrast, sleep duration (p=0.024) and night shift work patterns (p=0.004) were significantly associated with liver enzyme levels. Leave incentives showed no significant effect (p=0.204). In conclusion, lifestyle and work-related factors, particularly sleep duration and night shift frequency, play a more critical role in liver function alterations than demographic characteristics. These findings provide valuable insights for hospital management to develop more health-friendly occupational health policies for night shift workers. Keywords: Night Shift, Liver Function, SGOT, SGPT, Health Workers. ABSTRAK Penelitian ini bertujuan untuk menganalisis hubungan pola kerja shift malam dengan hasil uji fungsi hati (SGOT dan SGPT) pada pekerja di RSUD Prof. Dr. W. Z. Johannes Kupang. Desain penelitian adalah kuantitatif dengan pendekatan cross sectional, melibatkan 40 responden pekerja shift malam yang dipilih melalui rumus Lameshow. Data diperoleh melalui kuesioner, wawancara, serta pemeriksaan laboratorium, dan dianalisis menggunakan uji Chi-Square (α=0,05). Hasil penelitian menunjukkan bahwa usia (p=0,552) dan sikap (p=0,346) tidak berhubungan signifikan dengan hasil fungsi hati. Sebaliknya, durasi tidur (p=0,024) dan pola kerja shift malam (p=0,004) memiliki hubungan signifikan dengan kadar enzim hati. Insentif cuti tidak berpengaruh signifikan (p=0,204). Kesimpulan penelitian ini menegaskan bahwa faktor gaya hidup dan pola kerja, khususnya durasi tidur dan frekuensi shift malam, lebih berperan terhadap perubahan fungsi hati dibandingkan faktor demografis. Hasil penelitian ini diharapkan menjadi dasar bagi manajemen rumah sakit dalam merancang kebijakan kesehatan kerja yang lebih ramah tenaga kesehatan. Kata Kunci: Shift Malam, Fungsi Hati, SGOT, SGPT, Tenaga Kesehatan.
Implementation of Jean Watson’s Caring Theory In NICU Nursing Practice for Families of Low Birth Weight Infants (LBW) Erni Handayani; Blacius Dedi; Tri Ismu Pujianto
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23470

Abstract

ABSTRACT The increase in infant mortality rates is largely attributed to cases of low birth weight (LBW). This is supported by the high incidence of LBW cases reported in various hospitals. Low birth weight infants require prolonged and intensive care due to their susceptibility to multiple health complications. Such conditions often trigger varying levels of anxiety among family members. One of the interventions that can be applied to support families during the hospitalization period is Jean Watson’s Theory of Caring. To explore and describe the experiences of families with low birth weight (LBW) infants hospitalized in the NICU, and to examine how Jean Watson’s Caring Theory is implemented by nurses in supporting family adaptation and reducing anxiety during the hospitalization process. A qualitative descriptive phenomenological design was employed. The study involved eight participants selected through purposive sampling. Data were collected through behavioral observations and in-depth interviews with the participants. The findings revealed four main themes of caring consistent with Jean Watson’s perspective: emotional reactions, anxiety responses, caring during treatment, and family expectations. From the experiences of parents of LBW infants in the NICU, four caring themes emerged—emotional reactions, anxiety responses, caring during treatment, and family expectations. These findings were then integrated into the development of a Caring Guideline Book for the care of LBW infants based on Jean Watson’s Theory of Caring. Keywords: Low Birth Weight (LBW), Jean Watson’s Caring Theory, Family Anxiety, Length of Hospitalization.
Pertanggungjawaban Pidana dalam Tindakan Medis Tanpa Informed Consent yang Mengakibatkan Kematian Pasien Imma Apriana; Vieta Imelda Cornelis; Vallencia Nandya Paramitha; Andi Hayyun Abiddin
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.25248

Abstract

ABSTRACT Informed consent is a fundamental principle in medical practice, closely related to the protection of patients’ rights to bodily autonomy and free, informed decision-making. However, medical procedures performed without valid consent are still encountered, whether due to administrative negligence or emergency circumstances that often give rise to legal controversy. This study aimed to analyze the forms of criminal liability of medical practitioners and healthcare professionals for medical actions performed without Informed consent that result in the loss of a patient’s life. This normative juridical research employs statutory and conceptual approaches by examining Law Number 1 of 2023 on the Indonesian Criminal Code, Law Number 17 of 2023 on Health, and Minister of Health Regulation Number 290/MENKES/PER/III/2008 concerning Consent to Medical Treatment. The study is complemented by doctrinal analysis and comparative perspectives from common law and civil law systems. Primary, secondary, and tertiary legal materials were collected through library research and analyzed descriptively and qualitatively using deductive reasoning to assess normative consistency and formulate legal prescriptions regarding criminal liability for medical actions performed without informed consent resulting in a patient’s death. This study indicated that informed consent serves as a primary determinant of the legality of medical actions. The absence of valid consent may qualify a medical intervention as an unlawful act and reinforce the element of fault, particularly in cases involving patient death. Criminal liability is generally constructed as professional negligence; however, under certain circumstances, it may extend to intentional conduct when actions are performed with awareness of significant risks, without consent, and outside emergency conditions. Informed consent constitutes both a prerequisite for the legality of medical interventions and a manifestation of patients’ rights. Its absence may give rise to criminal liability, especially when resulting in death and where fault or violations of professional standards are established. Strengthening documentation practices, clarifying standard operating procedures, and enhancing patient education and communication between medical practitioners, healthcare professionals, and patients are essential to ensure proper implementation. Keywords: Informed Consent, Patient’s Life, Criminal Liability, Medical Practitioners, Healthcare Professionals. ABSTRAK Informed consent merupakan prinsip fundamental dalam praktik kedokteran yang berkaitan erat dengan perlindungan hak pasien atas otonomi tubuh dan pengambilan keputusan bebas serta sadar. Namun, masih ditemukan tindakan medis yang dilakukan tanpa persetujuan yang sah, baik karena kelalaian administratif maupun alasan kedaruratan yang kerap menimbulkan perdebatan hukum. Untuk menganalisis bentuk pertanggungjawaban pidana tenaga medis dan tenaga kesehatan atas tindakan medis yang dilakukan tanpa Informed consent yang mengakibatkan hilangnya nyawa pasien. Penelitian yuridis normative ini menggunakan pendekatan perundang-undangan, konseptual, dengan menelaah Undang-Undang Nomor 1 Tahun 2023 tentang KUHP, Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan, serta Peraturan Menteri Kesehatan Nomor 290/MENKES/PER/III/2008 tentang Persetujuan Tindakan Kedokteran, disertai kajian doktrin dan praktik di negara common law dan civil law. Bahan hukum primer, sekunder, dan tersier dikumpulkan melalui studi kepustakaan dan dianalisis secara deskriptif-kualitatif dengan penalaran deduktif untuk menilai konsistensi norma serta merumuskan preskripsi hukum mengenai pertanggungjawaban pidana tenaga medis dan tenaga kesehatan atas tindakan tanpa Informed consent yang berimplikasi pada hilangnya nyawa pasien. Penelitian ini menemukan bahwa Informed consent merupakan determinan utama legalitas tindakan medis. Ketiadaan persetujuan yang sah mengakibatkan tindakan dikualifikasikan sebagai perbuatan melawan hukum dan memperkuat unsur kesalahan, terutama dalam kasus yang mengakibatkan kematian pasien. Pertanggungjawaban pidana umumnya dikonstruksikan sebagai kelalaian profesional, namun dalam kondisi tertentu dapat mengarah pada kesengajaan apabila tindakan dilakukan dengan kesadaran atas risiko tanpa persetujuan dan di luar keadaan darurat.  Informed consent merupakan syarat legalitas tindakan medis dan perwujudan hak pasien. Ketiadaannya dapat menimbulkan pertanggungjawaban pidana, khususnya jika mengakibatkan kematian dan terbukti adanya kesalahan atau pelanggaran standar profesi. Optimalisasi implementasi memerlukan penguatan dokumentasi, kejelasan SOP, serta peningkatan edukasi dan komunikasi antara tenaga medis, tenaga kesehatan dan pasien. Kata Kunci: Informed-Consent, Nyawa-Pasien, Pertanggungjawaban-Pidana, Tenaga-Medis, Tenaga-Kesehatan.
Analisis Perbedaan Kadar HbA1C Berdasarkan Konsumsi Karbohidrat, Indeks Glikemik, Beban Glikemik, dan Aktivitas Fisik pada Pasien Diabetes Melitus Tipe 2 Minanton Minanton; Nuridha Fauziyah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23268

Abstract

ABSTRACT Glycemic control is a key indicator of successful diabetes mellitus type 2 management. Both the quality and quantity of carbohydrate intake—reflected by the Glycemic Index (GI) and Glycemic Load (GL)—play a major role in regulating blood glucose levels. However, many patients still have limited understanding of how GI, GL, and physical activity affect their HbA1c levels. This study aimed to analyze the relationship between carbohydrate intake, glycemic index, glycemic load, and physical activity with glycemic control (HbA1c) among patients with type 2 diabetes mellitus at Hamori Hospital, Subang. This research employed a comparative study with a cross-sectional approach. A total of 66 patients with type 2 diabetes were recruited using consecutive sampling. Carbohydrate intake was assessed using a modified semi-quantitative Food Frequency Questionnaire (FFQ), which demonstrated good validity (r = 0.84) and reliability (α = 0.91). GI and GL values were calculated based on food composition data, while physical activity was measured using the International Physical Activity Questionnaire (IPAQ) with reliability α = 0.88. HbA1c values were obtained from recent laboratory examinations. Data were analyzed using One Way ANOVA with SPSS version 23. The mean carbohydrate intake was 276.5 ± 51.7 g/day, mainly derived from white rice (62.1%). The mean GI was 66.2 ± 9.5, GL 185 ± 32.4, physical activity 1,695 ± 583 MET-min/week, and HbA1c 7.8 ± 1.0%. ANOVA results showed significant differences in HbA1c levels across categories of carbohydrate intake (F = 7.92; p = 0.001), GI (F = 9.13; p 0.001), GL (F = 10.02; p 0.001), and physical activity (F = 6.89; p = 0.002). Glycemic load exhibited the strongest influence on HbA1c variation among groups. Significant differences in HbA1c were observed based on carbohydrate intake, glycemic index, glycemic load, and physical activity. Glycemic load was identified as the most dominant factor influencing glycemic control. These findings emphasize the importance of dietary regulation based on GI and GL, along with increasing physical activity, as key strategies for diabetes management and as the foundation for developing a culturally tailored digital diabetes management application in Indonesia. Keywords: Type 2 Diabetes Mellitus, Glycemic Index, Glycemic Load, Carbohydrate Intake, Physical Activity, Hba1c.  ABSTRAK Kontrol glikemik merupakan indikator utama keberhasilan penatalaksanaan diabetes melitus tipe 2. Kualitas dan jumlah karbohidrat yang dikonsumsi, yang tercermin dalam nilai Indeks Glikemik (IG) dan Beban Glikemik (BG), berperan besar dalam menentukan kadar glukosa darah pasien. Namun, masih banyak pasien yang belum memahami pengaruh IG, BG, dan aktivitas fisik terhadap kadar HbA1c mereka. Penelitian ini bertujuan untuk menganalisis hubungan konsumsi karbohidrat, indeks glikemik, beban glikemik, dan aktivitas fisik dengan kontrol glikemik (HbA1c) pada pasien diabetes melitus tipe 2 di RS Hamori Subang. Penelitian ini menggunakan desain komparatif dengan pendekatan cross-sectional. Sebanyak 66 pasien diabetes melitus tipe 2 dipilih dengan teknik consecutive sampling. Data konsumsi karbohidrat dikumpulkan menggunakan Food Frequency Questionnaire (FFQ) semi-kuantitatif yang telah dimodifikasi dan teruji validitas (r = 0,84) serta reliabilitasnya (α = 0,91). Nilai IG dan BG dihitung berdasarkan komposisi makanan yang dikonsumsi, sedangkan aktivitas fisik diukur dengan International Physical Activity Questionnaire (IPAQ) yang memiliki reliabilitas α = 0,88. Nilai HbA1c diperoleh dari hasil pemeriksaan laboratorium terkini. Analisis data dilakukan dengan uji One Way ANOVA menggunakan perangkat lunak SPSS versi 23. Rata-rata konsumsi karbohidrat responden adalah 276,5 ± 51,7 g/hari, dengan sumber utama berasal dari nasi putih (62,1%). Rata-rata nilai IG adalah 66,2 ± 9,5, BG 185 ± 32,4, aktivitas fisik 1.695 ± 583 MET-min/minggu, dan HbA1c 7,8 ± 1,0%. Uji ANOVA menunjukkan perbedaan signifikan kadar HbA1c antar kategori konsumsi karbohidrat (F = 7,92; p = 0,001), IG (F = 9,13; p 0,001), BG (F = 10,02; p 0,001), dan aktivitas fisik (F = 6,89; p = 0,002). Variabel beban glikemik memberikan pengaruh paling besar terhadap variasi HbA1c antar kelompok. Terdapat perbedaan signifikan kadar HbA1c berdasarkan tingkat konsumsi karbohidrat, indeks glikemik, beban glikemik, dan aktivitas fisik. Beban glikemik merupakan faktor yang paling dominan dalam memengaruhi kontrol glikemik. Temuan ini menegaskan pentingnya pengaturan diet berbasis IG dan BG serta peningkatan aktivitas fisik dalam pengelolaan diabetes, dan dapat menjadi dasar pengembangan aplikasi manajemen diabetes berbasis digital yang sesuai dengan pola makan masyarakat Indonesia. Kata Kunci: Diabetes Melitus Tipe 2, Indeks Glikemik, Beban Glikemik, Konsumsi Karbohidrat, Aktivitas Fisik, Hba1c.
Analisis Implementasi 10P Dalam Bedside Handover di Ruang Rawat Inap Rumah Sakit X Evi Setyowati; Hanny Handiyani; Hening Pujasari; Joan Xaveria Mahulae
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23132

Abstract

ABSTRACT The implementation of bedside handover in the inpatient room is not optimal, which may pose a risk to patient safety and satisfaction. This final scientific work aims to describe and analyze the implementation of bedside handover in the inpatient room of Hospital X, with a focus on the 10P model (patient identification, patient comfort, personal and environmental hygiene, personal diet, potty and pee, patient safety, position, puncture and pump, plan and partnership, prayer and spiritual support). This final scientific work of nurses uses observation, interview and documentation methods of bedside handover practices carried out for two weeks / 24 observations. The results showed that implementation compliance was good, namely patient identification, personal and environmental hygiene, personal diet, patient safety, puncture and pump had reached 75% / more than the average of 66.67%. Meanwhile, patient comfort, potty and pee, position, plan and partnership, prayer and spiritual support need to be developed because they are still below the average. Elements of bedside handover that are not optimal are expected to be further improved through re-socialization of SPO and optimization of supervision. Keywords: Bedside Handover, Patient Safety.  ABSTRAK Pelaksanaan bedside handover di ruang rawat inap belum optimal sehingga dapat berisiko pada keselamatan pasien serta kepuasan. Karya ilmiah akhir ners ini bertujuan untuk menggambarkan serta menganalisis penerapan bedside handover di ruang rawat inap Rumah Sakit X, dengan fokus pada model 10P (patient identification, patient comfort, personal and environmental hygiene, personal diet, potty and pee, patient safety, position, puncture and pump, plan and partnership, pray and spiritual support). Karya ilmiah akhir ners ini menggunakan metode observasi, wawancara dan dokumentasi praktik bedside handover yang dilakukan selama dua minggu/ 24 pengamatan. Hasilnya menunjukkan bahwa kepatuhan pelaksanaan sudah baik yaitu patient identification, personal and environmental hygiene, personal diet, patient safety, puncture and pump sudah mencapai 75 %/ lebih dari rata rata 66,67 %. Sedangkan yang perlu dikembangkan patient comfort, potty and pee, position, plan and partnership, pray and spiritual support karena masih di bawah rata rata. Elemen bedside handover yang belum optimal diharapkan dapat lebih ditingkatkan melalui sosialisasi kembali SPO dan optimalisasi supervisi.  Kata Kunci: Bedside Handover, Keselamatan Pasien.

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